General Supports for Living
Publication Year
Study Type
Content Type
Peer Reviewed
Population
Outcome Type
Chronic Condition Choose up to 3
General Supports for Living
General supports for living such as housing may be provided to chronically ill enrollees if the benefit has a reasonable expectation of improving or maintaining the health or overall function of the enrollee. General supports for living may be provided for a limited or extended duration as determined by the plan. The benefit may include plan-sponsored housing consultations and/or subsidies for rent or assisted living communities. Plans may also include subsidies for utilities such as gas, electric, and water as part of the benefit. These benefits should be entered in Section B19b/13i of the PBP under “Transitional Supports.”
Linking Gap and Impact
2025|
BMC Public Health|
Siren|
39905400|
10.1186/s12889-024-21212-2
Outcome type: Favorable
Substantial unmet need was identified: only 40% of youth received medical care and 34% mental health services in the prior 3 months, and just 15% received mental or emotional health services (34% in the high-risk group). Among the 193 youth, 16.6% were moderate-risk and 18.1% high-risk for suicide, and 57.5% reported ever being diagnosed with a psychiatric disorder.
Other
Peer Reviewed
Age ≤ 65
Mental Health
Alcohol/Drug Dependence
Linking Gap and Impact
2025|
Social Science & Medicine|
PubMed|
10.1016/j.socscimed.2025.118497
Outcome type: Favorable
Experiencing homelessness (aOR 2.4, 95% CI 1.35–4.36) and engaging in transactional sex (aOR 2.4, 95% CI 1.35–4.31) were each associated with higher odds of mpox, and the interaction term was not significant. Among participants, 63 (4.9%) were unhoused, 61 (4.7%) engaged in transactional sex and 20 (1.5%) reported both. The authors called for tailored vaccine outreach, housing support and low-barrier care.
Other
Peer Reviewed
Age ≤ 65
Linking Intervention and Impact
2025|
Journal of General Internal Medicine|
PubMed|
10.1007/s11606-025-09644-x
Outcome type: Favorable
Outcomes assessed were tract-level prevalence of breast, cervical, colorectal and cholesterol screening in relation to subsidized housing availability. Across 70,006 tracts, adjusted cervical and cholesterol screening increased monotonically across quintiles of subsidized housing in extreme-poverty areas; cervical screening was 5.47 percentage points higher (95% CI = 5.20-5.73) in Q5 (81.3%) than Q1 (75.8%), with cholesterol screening differences similar in magnitude. Differences in breast and colorectal screening across quintiles were minimal (<1%) within poverty strata.
Other
Peer Reviewed
Linking Gap and Impact
2025|
Liver Transplantation|
Google Scholar|
10.1097/LVT.0000000000000510
Outcome type: Favorable
The authors argued that neighborhood-level disadvantage stems from structural forces such as systemic racism operating through zoning, housing access and neighborhood segregation, and that place-based deprivation indices allow these mechanisms to be examined in relation to post-transplant outcomes. They offered illustrative examples of how SDI components could influence liver transplant recipient outcomes and urged researchers to select indices deliberately and build robust frameworks. The underlying mortality and graft survival results are attributed to Forman et al.
Other
Peer Reviewed
End-Stage Liver Disease
Linking Gap and Impact
2025|
Journal of Investigative Dermatology (meeting abstract)|
Google Scholar|
10.1016/j.jid.2025.09.383
Outcome type: Favorable
Barriers to outpatient care, medication access and hygiene maintenance contributed directly to disease severity. The patient presented with full-thickness ulcers with hypergranulated tissue and maceration; before diagnosis, repeated visits and referrals cost him his job and financial support. Psychosocial history included complex trauma, depression and functional decline, with distress from chronic pain, stigmatization and repeated dismissal by the health system. He was discharged to a wound care referral with a poor prognosis given advanced disease and limited access to care. The authors called for interdisciplinary models integrating dermatologic care with housing support and case management.
Case Study
Age ≤ 65
Autoimmune Disease
Mental Health
Linking Gap and Impact
2025|
Journal of Clinical Oncology (ASCO meeting abstract)|
Google Scholar|
10.1200/JCO.2025.43.16_suppl.11097
Outcome type: Favorable
Patients living in the most socially deprived areas had a significantly higher risk of death, after adjustment for clinical and demographic factors.
Other
Age ≤ 65
Hematologic Disorders
Linking Intervention and Impact
2026|
JAMA Netw Open|
Siren|
41733916|
10.1001/jamanetworkopen.2026.0001
Veterans experiencing homelessness received HUD-VASH: Housing Choice Vouchers plus VHA case management and supportive services, compared with homeless veterans in VHA care not enrolled in HUD-VASH.
Outcome type: Favorable
Recent HUD-VASH enrollment was associated with 48% higher odds of influenza vaccination in the adjusted difference-in-differences model (OR 1.48, 95% CI 1.19–1.85, p < .001). Vaccination during the 3-month follow-up reached 32.1% among HUD-VASH enrollees versus 20.8% among other homeless veterans (standardized mean difference 0.258, 95% CI 0.249–0.266, p < .001), across 497,892 veterans experiencing homelessness of whom 61,018 (12.3%) enrolled. Vaccination was also more common among older veterans (mean 58 vs 52 years) and those with greater comorbidity burden.
Other
Peer Reviewed
Age ≤ 65
Linking Intervention and Impact
2026|
JAMA Health Forum|
Siren|
41575762|
10.1001/jamahealthforum.2025.6417
Veterans experiencing housing instability received VA Supportive Services for Veteran Families: short-term housing-related financial assistance and supportive services.
Outcome type: Favorable
SSVF enrollment was associated with lower 3-year all-cause mortality (HR 0.87, 95% CI 0.82–0.92), higher outpatient costs (+$7,534) and lower inpatient costs (−$10,020).
Other
Peer Reviewed
Age ≤ 65
Linking Intervention and Impact
2026|
JAMA Health Forum|
Siren|
41961493|
10.1001/jamahealthforum.2025.6417
Adults experiencing homelessness were provided stable housing with no requirement to enter treatment, modelled in simulated cohorts of 1,000 adults aged 55 and over versus 18–54.
Outcome type: Favorable
In the 55+ cohort, stable housing reduced 5-year deaths from 218 to 184 and raised lifetime QALYs from 5.64 to 7.52, at $80,700 per QALY gained ($54,800 in the 18-54 cohort). Cost per QALY stayed under $100,000 in sensitivity analyses.
Other
Peer Reviewed
Age > 65
Age ≤ 65
Alcohol/Drug Dependence
Linking Intervention and Impact
2026|
Health Aff (Millwood)|
Siren|
41494122|
10.1377/hlthaff.2025.00581
Medicaid enrollees received housing assistance under Florida's Statewide Medicaid Managed Care Section 1115 waiver pilot, comprising transitional housing support, tenancy support, peer support and crisis management.
Outcome type: Neutral
Results were mixed by service type. Tenancy support was associated with 51% lower odds of all-cause mortality and peer support with 20% lower emergency department use, but transitional housing support was associated with 15% more ED visits, and crisis management with 45% more ED visits, 41% more outpatient visits and 90% more psychiatric hospitalizations.
Other
Peer Reviewed
Age ≤ 65
Mental Health
Alcohol/Drug Dependence
Linking Intervention and Impact
2025|
JAMA Netw Open|
Siren|
41060653|
10.1001/jamanetworkopen.2025.36281
Older adults received federal housing assistance (Housing Choice vouchers, multifamily housing or public housing) which caps household spending on rent and utilities.
Outcome type: Favorable
Housing assistance was associated with lower odds of distant-stage diagnosis versus matched controls for breast cancer (aOR 0.85), colorectal cancer (aOR 0.90) and non-small cell lung cancer (aOR 0.83) among 52,532 assisted adults aged 66–95. No significant association was found for prostate cancer.
Other
Peer Reviewed
Age > 65
Cancer
Linking Intervention and Impact
2025|
Ann Fam Med|
Siren|
40721329|
10.1370/afm.240520
Outcome type: Favorable
Veterans who gained housing were more than twice as likely to undergo colorectal cancer screening as those who remained homeless (aHR 2.3, 95% CI 2.2–2.3). Of 117,619 veterans eligible for but not up to date on colorectal cancer screening, 49.0% gained housing; of 6,517 eligible for breast cancer screening, 47.5% gained housing.
Other
Peer Reviewed
Age ≤ 65
Cancer
Linking Gap and Impact
2025|
Sci Rep|
Siren|
40307423|
10.1038/s41598-025-99394-x
Outcome type: Favorable
Comorbid mental health/substance use disorder rates were 24.7% among homeless veterans and 32.0% among those in supported housing, vs 5.8% among independently housed veterans. Homeless veterans with comorbidity used more outpatient, inpatient and ED care than supported-housing veterans, who in turn used more than independently housed veterans.
Other
Peer Reviewed
Age ≤ 65
Mental Health
Alcohol/Drug Dependence
Linking Intervention and Impact
2025|
J Community Health|
Siren|
40167958|
10.1007/s10900-025-01467-5
Veterans with housing instability, justice involvement or unemployment received VA social services including housing, justice and employment programs at none, low or high levels of intensity.
Outcome type: Neutral
High receipt of housing services was associated with higher odds of a documented suicide attempt in the following 6 months (aOR 1.14, 95% CI 1.06–1.22), as was high use of justice programs (aOR 1.24). No significant association was found for employment services. The authors interpreted the positive association as increased surveillance and documentation rather than increased risk.
Other
Peer Reviewed
Age ≤ 65
Mental Health
Linking Gap and Impact
2025|
Archives of Public Health|
PubMed|
10.1186/s13690-025-01510-w
Outcome type: Favorable
Higher income, education level and broadband speed each reduced the probability of violating recommended preventive measures, promoted health awareness, and lowered COVID-19 cases. Conversely, low access to healthy foods increased case counts. The study also reports findings on food habits, living conditions and the link between education and broadband access.
Other
Peer Reviewed
Linking Gap and Impact
2025|
SSM - Population Health|
PubMed|
39866855|
10.1016/j.ssmph.2025.101747
Outcome type: Favorable
Higher county broadband internet access was associated with lower COVID-19 mortality, with a negative, strong association robust across all three periods tested, and with lower incidence, also strong but sensitive to the period examined (weakening as the window lengthened from July-August to July-October). The association with self-reported masking was positive but modest, and masking did not meaningfully mediate the link between internet access and incidence or mortality, suggesting other protective pathways such as remote work, telehealth and reduced exposure.
Other
Peer Reviewed
Linking Intervention and Impact
2026|
Social Science & Medicine|
PubMed|
10.1016/j.socscimed.2025.118795
Vulnerable renter households who received federal Emergency Rental Assistance Program aid (approximately $47 billion), compared with applicants still awaiting a decision.
Outcome type: Favorable
Outcomes assessed were non-housing spillover effects of rental assistance: food insufficiency and psychological distress. Rental assistance reduced the probability of food insufficiency (average treatment effect -0.09), anxiety symptoms (-0.10), and depression symptoms (-0.08).
Other
Peer Reviewed
Age ≤ 65
Linking Intervention and Impact
2026|
BMC Public Health|
PubMed|
41645123|
10.1186/s12889-025-25876-2
Included reviews evaluated macro-level public health policies and population-level interventions in OECD countries, classified by agentic demand and population reach on a Health Equity Pyramid.
Outcome type: Favorable
Interventions with low agentic demand, such as welfare reform, housing support, and legislative measures, yielded the most consistent reductions in health inequity. High-agentic interventions were effective only when carefully tailored to disadvantaged populations and otherwise risked widening disparities.
Systematic Review
Peer Reviewed
Linking Gap and Impact
2025|
Cancer Epidemiology, Biomarkers & Prevention (meeting abstract)|
PubMed|
10.1158/1538-7755.DISP25-C144
Outcome type: Favorable
Food insecurity, lack of internet access, trouble with housing costs, lack of health insurance and transportation difficulties were each associated with significantly lower mammography rates (p < 0.01) in both unadjusted and adjusted analyses, among 8,392 weighted eligible female respondents of whom 74.6% reported mammography within two years; employment status was not associated (p > 0.10). For colorectal screening (14,765 weighted eligible respondents, 69.0% screened), all seven domains showed significantly lower screening unadjusted (p < 0.001); after adjustment only internet access, lack of health insurance, lack of college education and employment status remained significant (all p < 0.001), while food insecurity (p = 0.224), housing costs (p = 0.628) and transportation delays (p = 0.090) did not. The authors concluded that lack of internet access, health insurance and formal education were independently associated with lower screening and called for targeted SDOH interventions.
Other
Age > 65
Age ≤ 65
Cancer
Linking Gap and Impact
2016|
European Journal of Public Health|
Google Scholar|
https://doi.org/10.1093/eurpub/ckw172.053
Outcome type: Favorable
Results found that depressive symptoms increased in renters after experiencing cuts to housing benefits. There is evidence to support that reducing housing support to low-income individuals worsens mental health.
Other
Peer Reviewed
Linking Intervention and Impact
2023|
Hous Stud|
PubMed|
36861113|
10.1080/02673037.2022.2112154
Tenant-based voucher program from the Moving to Opportunity experiment was used.
Outcome type: Favorable
Recipients of the vouchers experienced improvements in neighborhood opportunity overall and in social/economic, educational, and health/environmental domains.
Prospective Cohort Study
Peer Reviewed
Linking Intervention and Impact
2016|
Am J Epidemiol|
PubMed|
27613659|
10.1093/aje/kww055
UK government's reduction of financial housing support in April 2011 for low-income households who rent. private-sector housing
Outcome type: Favorable
Depressive symptoms among individuals receiving housing assistance increased by 1.8% after the change in UK government policy compared to individuals not receiving assistance.
Other
Peer Reviewed
Linking Gap and Impact
2016|
Am J Public Health|
PubMed|
26562123|
10.2105/AJPH.2015.302905
Outcome type: Favorable
Almost all of the studies included in review demonstrated that poorer housing status was associated with poorer outcomes, including adherence to antiretroviral medications, access and utilization of HIV medical care, HIV clinical outcomes, ED and inpatient utilization, sex and drug risk behaviors, and other health outcomes.
Systematic Review
Peer Reviewed
Linking Intervention and Impact
2023|
Health Serv Res|
PubMed|
37248792|
10.1111/1475-6773.14174
The intervention was federal low-income housing assistance.
Outcome type: Neutral
The authors did not find substantial evidence that the value of housing assistance impacts overall health or outcomes. They did determine that the impact on health likely depends on the value of the housing assistance, where greater assistance frees up more resources to spend on other needs.
Other
Peer Reviewed
Linking Intervention and Impact
2017|
Health Aff (Millwood)|
PubMed|
28583959|
10.1377/hlthaff.2016.1152
The intervention was US Department of Housing and Urban Development housing assistance.
Outcome type: Favorable
The authors found that receiving HUD assistance was associated with lower uninsurance rates and rates of unmet health care needs due to cost.
Other
Peer Reviewed
Age ≤ 65
Linking Intervention and Impact
2021|
BMC Health Serv Res|
PubMed|
34344377|
10.1186/s12913-021-06746-0
The intervention of interest was access to broadband internet by zip code.
Outcome type: Favorable
Access to broadband internet was associated with the utilization of telemedicine services among a rural, working-class community.
Other
Peer Reviewed
Linking Intervention and Impact
2022|
J Health Care Poor Underserved|
PubMed|
36341665|
10.1353/hpu.2022.0140
Temporary financial assistance for housing-related expenses from the US Department of Veterans Affairs was the intervention.
Outcome type: Favorable
Temporary financial assistance was found to decrease healthcare costs in ED, outpatient mental health, outpatient substance use disorder treatment, inpatient mental health, and residential behavioral health.
Other
Peer Reviewed
Linking Gap and Impact
2021|
Journal of Racial and Ethnic Health Disparities|
Google Scholar|
34837164|
https://doi.org/10.1007/s40615-021-01181-7
Outcome type: Favorable
This article focuses on the relationship between housing instability and health outcomes, including heart disease and mental health conditions, particularly focusing on variations among racial and income groups. It found that housing instability was strongly associated with heart disease and mental health conditions.
Other
Peer Reviewed
Linking Gap and Impact
2021|
J Med Internet Res|
PubMed|
34125071|
10.2196/26242
Outcome type: Favorable
Broadband internet access was associated with engagement in telehealth.
Other
Peer Reviewed
Age > 65
Linking Gap and Impact
2018|
Soc Sci Med|
PubMed|
30153546|
10.1016/j.socscimed.2018.07.051
Outcome type: Favorable
Unstable housing was found to reduce the likelihood of viral suppression and the probability of having adequate CD4 cell count.
Other
Peer Reviewed
Linking Intervention and Impact
2022|
JAMA Netw Open|
PubMed|
35857325|
10.1001/jamanetworkopen.2022.22385
The study included two types of federal rental assistance programs: project-based housing and housing vouchers.
Outcome type: Favorable
The authors found an association between project-based housing and a reduced likelihood of the participant having uncontrollable diabetes, compared to participants in the waitlist group receiving no benefits. Participants in project-based housing had lower HbA1c levels compared to individuals receiving no assistance, but this finding was not significant.
Prospective Cohort Study
Peer Reviewed
Diabetes
Linking Intervention and Impact
2020|
Health Serv Res|
Google Scholar|
10.1111/1475-6773.13523
Housing for Health, an initiative in Los Angeles County providing permanent supportive housing and rental subsidies and intensive case management to high utilizer unhoused individuals.
Outcome type: Favorable
The authors recorded positive impacts of the program as it expanded the reach and intensity of permanent supportive housing and enhanced continuity of care.
Other
Peer Reviewed
Linking Gap and Impact
2015|
Amer J Pub Health|
Google Scholar|
25973822|
10.2105/AJPH.2014.302539
Outcome type: Favorable
Participants who obtained housing over the study period had fewer depressive symptoms and a lower rate of acute care use compared to participants who remained homeless.
Prospective Cohort Study
Peer Reviewed
Age > 65
Linking Intervention and Impact
2023|
NBER Bulletin on Health|
Google Scholar|
Broadband internet access is the intervention studied.
Outcome type: Favorable
Reliable broadband access is associated with better outcomes for planned procedures and provides patients the opportunity to research and gather information relating to their medical conditions and decisions.
Other
Age > 65
Outcome type: Favorable
Internet access has a significant part in health care outcomes and can be used to reduce disparities in health care access and health outcomes.
Federal Policy or Report
Linking Intervention and Impact
2013|
J Biomed Inform|
Google|
23810858|
10.1016/j.jbi.2013.06.008
The study examines the use of mobile phones in health interventions for older adults and their level of effectiveness.
Outcome type: Favorable
There is significant variability in the current research, but there is documented evidence that the use of mobile phones in care for older adults can improve clinical outcomes and promote follow up.
Systematic Review
Peer Reviewed
Age > 65
Linking Intervention and Impact
2022|
AHA Journals|
Google Scholar|
10.1161/circ.146.suppl_1.10423
This study examines the relationship between broadband access by county and cardiovascular risk factors, disease, and mortality.
Outcome type: Favorable
Counties with poor broadband access have significantly higher rates of CVD, CVD risk factors, and CVD mortality, in addition to poorer access to physicians.
Other
Peer Reviewed
Linking Gap and Impact
2007|
AIDS and Behavior|
Google Scholar|
https://doi.org/10.1007/s10461-007-9276-x
Outcome type: Favorable
Results found a strong relationship between housing need and poor HIV care engagement. Additionally, receiving housing assistance increased access and retention to HIV care. Study provides strong evidence that housing needs are a significant barrier to consistent inappropriate HIV medical care and that housing assistance directly improves health care outcomes.
Other
Peer Reviewed
Linking Intervention and Impact
2016|
JAMA Internal Medicine|
Google Scholar|
10.1001/jamainternmed.2016.2615
This article relays literature that loss of housing is associated with poorer health and increased acute care utilization.
Outcome type: Favorable
The author summarizes literature that housing may improve health. In one study, placing people experiencing homelessness in permanent supportive housing was associated with an 80% decrease in mortality among homeless adults with AIDS.
Other
Peer Reviewed
Linking Intervention and Impact
2007|
https://doi.org/10.1097/01.nmd.0000252313.49043.f2
The authors evaluated the US Housing and Urban Development and Department of Veterans Affairs Supportive Housing Program, including Section 8 housing vouchers, which provided rent subsidies for low-income individuals with disabilities.
Outcome type: Favorable
The study found benefits among the study population in terms of psychiatric and substance use disorders, including drug and alcohol abuse.
Randomized Controlled Trial
Peer Reviewed