Special Needs Housing

State HFAs and their partners provide affordable housing for persons with special needs, including those with physical disabilities, mental illness, substance abuse and addictions, as well as homeless families, and the elderly, all of whom may need supportive services to succeed. NCSHA advocates to provide HFAs with the resources and flexibility to do this important work.

  • Senior Housing: State HFAs and their partners provide affordable housing for seniors and the elderly through the Section 202 Supportive Housing for the Elderly program, the Section 8 program, and other affordable housing programs. In addition, HFAs provide home equity conversion mortgages (HECM), an FHA-insured reverse mortgage, allowing seniors to access the equity in their home.
  • Homeless Assistance: State HFAs offer homeless assistance through a number of programs authorized by the McKinney-Vento Act, including the emergency shelter grants (ESG) program and the shelter plus care (S+C) program, and through a blend of other affordable and supportive housing funds and programs, including state housing trust funds.
  • Housing for Persons with Disabilities: Several HFAs are grantees of HUD’s Section 811 Project Rental Assistance (PRA) Program that seeks to identify, stimulate, and support successful and innovative state approaches to providing integrated supportive housing for people with disabilities.


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