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The physical environment has a powerful impact on our physical and mental health, especially in our homes. One vehicle for advancing a healthier affordable housing stock is the Low-Income Housing Tax Credit (LIHTC). The aim of this research was to examine the manner and extent to which various housing quality provisions pertaining to health are embedded in the Qualified Allocation Plan (QAP) of the LIHTC program. From content analysis of the QAP of each of the 50 states and a survey of state housing finance agencies (HFAs), results revealed that: the most frequently required healthy housing provisions address housing quality, whereas the most incentivized ones address proximity to neighborhood services and amenities; few states bundle high-priority provisions relevant to asthma, respiratory health and toxic exposures, which are major health concerns for vulnerable children; the top two motivators for considering healthy housing provisions in the LIHTC process were “championship and initiation by agency staff” and “learning of similar practices in other states”; among other findings. Recommendations are made for HFA practices, and directions for future research are proposed.

Shaping a Healthier LIHTC Housing Stock: Examining the Role of States’ Qualified Allocation Plans