HR 577119th CongressIn Committee

Treatment and Homelessness Housing Integration Act of 2024

Introduced: Jan 21, 2025

Standard Summary

Comprehensive overview in 1-2 paragraphs

H.R. 577, the Treatment and Homelessness Housing Integration Act of 2024, would require the Department of Housing and Urban Development (HUD) to run a short-term demonstration program. The program would award up to 10 grants to eligible Continuums of Care (CoCs) to refer qualified homeless participants to Certified Community Behavioral Health Clinics (CCBHCs) for integrated behavioral health, mental health, and substance use treatment. Eligible CoCs must be located in one of the five states with the highest per-capita homelessness and must be within 50 miles of a CCBHC. The bill defines a "qualified participant" as someone in supportive housing through the CoC, someone who has qualified for such housing via SSDI or SSI, or a homeless individual with a disability. The program would be funded with up to $50 million (fiscal years 2025–2029) and include a 10% set-aside for technical assistance and the required Congress report. A final program report would assess performance measures and the share of participants receiving disability benefits.

Key Points

1Establishment of a HUD demonstration program: HUD shall award up to 10 grants to eligible CoCs to refer qualified participants to CCBHCs for integrated treatment (behavioral health, mental health, and substance use disorder treatment).
2Eligibility criteria: Eligible entities are Continuums of Care located in one of the 5 states with the highest per-capita homelessness, and within 50 miles of a Certified Community Behavioral Health Clinic.
3Definition of qualified participant: Includes CoC-supported individuals in supportive housing, individuals who have qualified for supportive housing through SSDI or SSI, and homeless individuals with a disability as defined by the McKinney-Vento Act.
4Funding and reporting: Authorized funding of $50 million for 2025–2029, with a 10% set-aside for technical assistance and the required program report to Congress within 180 days after program termination, including performance measures and the number of participants receiving SSI/SSDI.
5Program scope and governance: The Secretary of Housing and Urban Development administers the program; the act defines Continuum of Care, CCBHC, and other key terms to guide implementation.

Impact Areas

Primary group/area affected: Homeless individuals with disabilities served by Continuums of Care in the top-five per-capita homelessness states, prioritized by proximity (within 50 miles) to a CCBHC; CoCs and CCBHCs operating within these geographies.Secondary group/area affected: Continuums of Care organizations outside the pilot that may seek to model or scale successful practices; local housing and health service providers; disability benefits recipients (SSI/SSDI) who are in or entering supportive housing.Additional impacts: Potential for improved integration of housing and health services, better access to comprehensive behavioral health care for a vulnerable population, data collection and evaluation that could inform broader policy decisions, and a limited, time-bound funding pathway that may influence future funding and program design.This is a demonstration program, not a permanent entitlement, and it targets CoCs in states with high per-capita homelessness and near CCBHCs.The use of CCBHCs emphasizes integrated care, including behavioral and substance use treatment, as part of housing stability efforts.The bill references established programs and definitions from the McKinney-Vento Homeless Assistance Act and the Social Security Act to define eligible participants and clinics.

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