Oregon Launches New Housing Benefits for Vulnerable Populations

Salem, Oregon- Oregon Health Plan (OHP) members with qualifying health conditions can now access a pioneering set of housing benefits under the Oregon Health Authority’s (OHA) new initiative. This first-in-the-nation program, aimed at addressing housing stability as a determinant of health, offers services such as rent assistance, utility setup and payments, home modifications, and rental navigation. Unlike previous housing support programs, OHP members who qualify may apply for these benefits before receiving an eviction notice.

Eligible participants include individuals with complex physical or behavioral health needs, developmental or intellectual disabilities, self-care challenges, or a history of abuse or neglect. Additionally, those over 65, children under six, pregnant individuals, recent mothers, and people frequently using emergency or crisis services may qualify.

Dr. Sejal Hathi, Director of OHA, emphasized the connection between housing stability and health. “Oregon’s health inequities are inextricably linked to our state’s housing crisis. Individuals and families who become homeless face a significantly higher risk of mortality and higher rates of behavioral and physical health conditions – even as they report poorer access to care. These Medicaid benefits can help stop that cycle and, in a model for the rest of the country, make it possible for Oregonians to maintain their current housing, connect with providers and access additional resources that support their well-being,” she said.

Oregon is the first state to introduce rent assistance as a Medicaid benefit for a statewide population. While other states have explored similar housing support measures, Oregon’s approach is comprehensive, aiming to address short-term disruptions that could lead to loss of housing and prevent associated negative health impacts.

Medicaid Director Emma Sandoe noted the broader implications for public health. “Housing plays a pivotal role in our physical and mental wellbeing. And yet, so many of our neighbors are living paycheck to paycheck, where an unexpected issue can lead to a loss of income and loss of a home. These benefits are one more tool to keep Oregonians housed during short-term disruptions and prevent negative health outcomes of homelessness,” she said.

A recent state analysis highlights the health risks tied to housing insecurity: adults facing eviction or the threat of eviction are 19% more likely to lack access to primary care and 35% more likely to delay preventive health care, even with chronic health conditions. Housing instability can lead to worsened physical and mental health and increased barriers to accessing basic health services, medications, and food.

Andrea Bell, Executive Director of Oregon Housing and Community Services, pointed out the broader economic impact of secure housing. “Stable housing serves as a catalyst for expanding access to preventive care, while reducing the monumental costs associated with emergency care,” she said.

The new benefits, administered through OHP’s network of coordinated care organizations (CCOs) and housing providers, will require up to two weeks for application review, with additional time for benefit provision depending on provider capacity and demand.

The housing benefits are part of a broader suite of health-related social services the state is piloting to address disparities, aiming to eliminate health inequities in Oregon by 2030. Earlier this year, the state also introduced climate-related benefits, such as air conditioners and air filters, to support health during extreme weather events, with nutrition benefits scheduled for release in early 2025.

OHP members interested in applying for housing benefits are advised to contact their CCO or local OHP community partner for assistance. Additional information is available by calling the OHA Client Services Unit at 1-800-273-0557 or emailing Ask.OHP@odhsoha.oregon.gov. For unhoused OHP members, resources may also be accessible via 211.