Policy and Advocacy

Letter to States: H.R. 1 Implementation Recommendations to Ease Burden on People Experiencing Homelessness

To: State Medicaid Directors and State Legislative Leaders: As states prepare to comply with the Medicaid-related requirements of H.R.1 (The One Big Beautiful Bill Act), we write to express concern about the impact of the law on people experiencing homelessness and to suggest policy actions that can reduce coverage losses… Download Now Download Now

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Homelessness and Health: What’s the Connection?

The connection between housing and homelessness is generally intuitive, but the equally strong link between health and homelessness is often overlooked. Homelessness includes a broad range of children/youth, families, older/elderly people, those who are disabled, and many others who lack permanent housing. While individual health care needs vary widely, all people need — and deserve

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Appropriations and the HCH Community – Fiscal Year 2026

Health Care for the Homeless (HCH) programs deliver comprehensive health care, including comprehensive primary care, behavioral health, dental, and supportive services to people experiencing homelessness. Stable, predictable funding is critical to ensuring HCH programs can continue to provide care for unhoused people without service disruptions. This fact sheet describes the federal grants most important for

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Health Insurance and Revenue at HCH Programs, 2024

Improving health depends on accessing health care services and engaging in appropriate treatment. People experiencing homelessness have higher rates of chronic medical conditions, acute illnesses, and behavioral health issues compared to their housed counterparts, which contributes to poor health and earlier mortality. This population also experiences greater barriers to accessing care because they tend not

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One Big Beautiful Bill Act: State-Level Advocacy Actions for the HCH Community

H.R. 1, the One Big Beautiful Bill Act, requires significant policy and funding changes to state Medicaid programs over the coming years that will disproportionately harm people experiencing homelessness. However, there are options states can take to lessen these harms. This policy brief outlines state-level advocacy options the Health Care for the Homeless (HCH) Community

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