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Developing Viable Communities through Housing, Services, & Economic Opportunities

Affordable Care Act Website of the Week: September 9-13, 2013

The websites for the United States Interagency Council on Homelessness (USICH) and the National Healthcare for the Homeless Council (NHHC) feature some very helpful Affordable Care Act (ACA) resources for agencies that serve persons experiencing homelessness and persons living with HIV/AIDS.

The USICH coordinates the federal response to homelessness and creates a national partnership to reduce and end homelessness. USICH hosts a Solutions Database that includes documents highlighting the use of Medicaid funding in concert with housing for people who are homeless.

The Funding and Programs tab includes a Programs Page that summarizes a wide variety of federal resources including information on the ACA and Medicaid eligibility expansion that pertains to people who are homeless.

NHHC is a national nonprofit agency committed to eliminating homelessness by ensuring comprehensive health care and secure housing for everyone. Their website contains extensive resources, best practice models .and training courses on the integration of healthcare and housing. 

The website includes a special Health Care Reform section with links to federal websites, research publications, and recorded webinars covering components of the health reform law, including Medicaid expansion, that are important to housing and homeless service providers as well as to individuals experiencing homelessness.


  • Every state has a Health Insurance Marketplace that functions as a portal to health coverage.
  • Some states have elected to operate their own Marketplace, others to be served by a Marketplace operated by the federal government, and still others to share some responsibilities in partnership with the federal Marketplace.  
  • The Marketplaces are intended to facilitate access to affordable healthcare coverage for people with incomes below 400% of the federal poverty level (FPL) in every state (even in those that have elected not to expand Medicaid coverage to people with incomes below 138% of the FPL).  
  • In addition, in all states people who are currently eligible for the legacy Medicaid program can be identified and referred for Medicaid enrollment by the Marketplace, without regard to the states’ decisions about Medicaid coverage expansion.
  • The federal government is funding specialized outreach and enrollment assistance in every state.
  • Because of possible new insurance options, and the increase in access to enrollment for many clients, housing and services providers can use the information available on websites such as Enroll America to familiarize themselves with the Health Marketplace options in their state, and develop a plan to assist their constituents to obtain Medicaid or affordable health insurance coverage.

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