2. Incorporating Healthy Measures into Affordable Housing
Carlie J. Boos, Policy & Program Manager

3. Who Are We?
As the state's affordable housing leader, OHFA offers a variety of programs to help first-time homebuyers, renters, senior citizens, and others find quality affordable housing that meets their needs.
The Office of Planning, Preservation and Development administers a number of programs to assist in the financing and development of affordable housing. Active in communities throughout the state, we partner with for- and non-profit developers and owners to serve low- and moderate-income households.
OHFA has facilitated the development of more than 100,000 affordable rental units since 1987.

4. Housing & Health
Direct Impact. Providing or promoting a healthy and safe place to call home.
Social Determinants of Health. Creating a social and physical environmental that promotes good health and ensures access to and opportunity for a healthy future.

5. Social Determinants of Health
Built Environment
Health Care
Community
Education
Economy

6. Housing Tax Credits
The Housing Tax Credit (HTC) program is a federal tax incentive that assists with the financing of development costs for eligible rental housing projects.
The IRS requires that state allocating agencies develop a Qualified Allocation Plan for the distribution of housing tax credits within its jurisdiction. The QAP describes policies and procedures for the allocation of housing tax credits to affordable rental housing developments that address state housing needs and priorities. In Ohio, this document is created biannually, with a technical revision in the off-year.

7. HTC: Built Environment
Environmental Assessment required
Lead Based Paint
Noise
Natural & Manmade Hazards
Air Quality
Visitability for senior and PSH projects
Universal Design encouraged
504 Accessibility for some funding
Largest affordable housing creation program in the country
$8 billion annual equivalency
Nationally, over 43,000 projects developed representing over 2.7 million units

8. HTC: Meeting Health Needs
Service Providers
Primary health, nutrition, or wellness
Assistance with daily living needs (Seniors)
Monitored life safety alarm systems (Seniors)
Locations
Near positive land uses and amenities
Seniors
Continuing care model with coordinated services
including farmers market, pharmacy, hospital/clinic, senior care

9. HTC: Health Education
Education-based health, nutrition, or behavioral programming for children
Senior health-based education
Intergenerational service-learning programs

10. HTC: Creative Design Weighted Value: 1 each Weighted Value: 3 each
Community Garden(s)
Exterior open spaces/paths
Play areas and/or parks
Rain garden or bioswale
Smoke-free campus
Smart thermostats or resident-controlled smart metering
Dual flush toilets throughout
Annual, on-site, free dental and/or vision services
Monthly, staffed Ohio Benefit Bank on-site
Dedicated fitness center with exercise machines
Dedicated business/work-from-home center
Computer/tablet lending program in lieu of dedicated computer room
Reuse of NIP-funded site Free resident Wi-Fi
DOE Zero Energy Ready
Free Medicaid/Medicare billing services
Free access to on-site, licensed physician or nurse practitioner at least once per week.
On-site renewable energy generation
PHIUS+ Project Certification (Passive House)
DOE Zero Energy Ready Home with renewable energy system
Platinum LEED rating; OR Emerald NGBS ICC 700 National Green Building Standard; OR Exceeding minimum Enterprise Green Communities Criteria by 20 or more points.
Gray water system(s)
Dedicated health clinic
Community Gardens, Open Spaces
Smoke-free campus
Free Dental and/or Vision services
Monthly, Staffed Ohio Benefit Bank
Machine-equipped fitness center
Medicaid/Medicare billing services
Free physician or nurse practitioner
On-site health clinic

11. Draft Assisted Living Silver Tsunami, Olmstead, Consumer Demand
Housing “Plus” Delivery Model
Must accept Medicaid waivers
Can’t have a “spend down” requirement
OHFA’s Non-Competitive Programs

12. ODMSD & 811 Ohio Section 811 Medicaid Subsidy Demonstration
10-25% of units for persons with disabilities with incomes at or below 30%AMI.
Medicaid Subsidy Demonstration
5-25% of units for persons with disabilities. Must be 504 compliant.
Both aim to support independent living

13. Neighborhood Initiative
Blight Elimination, Community Revitalization
Works through county Land Banks

14. Policy & Program Manager
Thank you!
Carlie J. Boos, Esq.
Policy & Program Manager