Getting It Done: Advancing State Level Healthy Housing Policy Through Effective Multi- Sector Collaboration David D. Fukuzawa The Kresge Foundation

The connection between the health and dwelling of the population is the most important one that exists Florence Nightingale ( )

“Connections between health & housing for low income people need to be intentional. This doesn’t happen by serendipity.” Michael Rubinger, LISC WSJ, January 13, 2013 on the $100 MM Healthy Futures Fund, with financing from Morgan Stanley

One out of three metro area homes has at least one healthy & safety hazard National Center for Healthy Housing (NCHH 2009)

Advancing Safe & Healthy Housing Initiative Production Community engagement Regulation/law Policy & advocacy Houses Housing communities

ASHHI Sites

Building the healthy housing toolkit Tools Health impact assessments (HIAs) Medical Legal Partnerships (MLPs) Healthy development toolkits –PolicyLink- –ChangeLab Solutions

More slides to follow here on specific resources for local, regional policy

The California Healthy Housing Coalition Membership Includes: Housing rights and social justice organizations; Health care and public health advocacy groups; County and municipal healthy housing programs and building inspectors; Indoor air quality experts

The California Healthy Housing Coalition Goals and Principles: –Provide resources, expertise, and advocacy for statewide policies to promote and protect healthy housing –Particular emphasis on low income and communities of color, children, the elderly and other vulnerable populations

2009 Local meetings State symposium 2010 Formational Meeting Provisions Steering Committee Policy Workgroups 2011 Annual Meeting – Adoption of Coalition Guidelines Building Trust and Common Priorities Further details about the formation of the coalition can be found:

Themes Human Rights Civil Rights Health Disparities Urban, suburban, rural Local code enforcement Statewide codes and legislation Accountability Housing needs to be green, healthy AND affordable Research (data collection and health outcomes) Building political will

State Policy Agenda Address substandard housing Increase access to green, healthy, and affordable housing Establish evidence-based healthy housing indicators

SB 488 Signed by Governor Brown August 12, 2013 How did we do it?

Story of Students in San Diego Identified a problem (fall 2011): California Health and Safety Code (12): Infestation of insects, vermin, or rodents as determined by a health officer Got local media attention Developed a solution Talked with some stakeholders Pitched a bill with a local representative in Sacramento (winter 2012) …but they didn’t get any traction

A “Simple” Fix

What We Got Infestation of insects, vermin, or rodents as determined by a health officer or, if an agreement does not exist with an agency that has a health officer, the infestation can be determined by a code enforcement officer, as defined in Section of the Penal Code, upon successful completion of a course of study in the appropriate subject matter as determined by the local jurisdiction.

Key Lessons Multi-Sector Partnerships –Buy-in from key stakeholders –Broad base of support Politically Feasible Solution –No costs, no new rules Early Coalition Building

What’s Next for CHHC?