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Reminder- HUD CO Alarm Requirement in Effect

All HUD-assisted units with carbon monoxide sources must have carbon monoxide (CO) alarms or detectors installed. This requirement was in place as of December 27, 2022. The requirement applies to units covered under Public Housing, Project-Based Rental Assistance, Housing Choice Vouchers, Project-Based Vouchers, Section 202, and Section 811 with fire-fueled or fire-burning appliances or an attached garage. Following is guidance on determining CO requirements based on sources of CO and location. Units That Contain a Fuel Burning Appliance (FBA) or Fuel Burning Fireplace (FBF):If there is no fuel-burning forced air furnace (FBFAF) in a sleeping area or attached bathroom, a CO alarm is required in the immediate vicinity of the sleeping area; If there is a fuel-burning forced air furnace, fuel-burning appliance, or fuel-burning fireplace in a sleeping area or attached bathroom, a CO alarm is required in the sleeping area. Units served by FBFAF outside the unit:If a CO alarm is installed in the room with the first duct register, no additional alarm is required in the unit. If a CO alarm is not installed in the room with the first duct register, a CO alarm is required in the immediate vicinity of bedrooms. Unit located in a building containing FBA/FBF (not in the unit): A CO alarm is required in the unit, unless -A CO alarm is installed on the ceiling of the room containing the FBA/FBF; orA CO alarm has been installed in an approved location between the FBA/FBF and the unit; or The unit has no openings to the FBA/FBF. Units in buildings with attached garages:If it is an open garage with natural ventilation (e.g., carport), no CO alarm is required; If it is an enclosed garage - A CO alarm is required outside sleeping areas in the unit unless one of the following is present:The unit has no openings to the enclosed garage;The unit is located more than one story above or below the enclosed garage;The enclosed garage connects to the building through an open-ended corridor;A CO detector is provided in an approved location between openings to an enclosed garage and the unit; or The enclosed garage has a mechanical ventilation system for vehicle exhaust. All owners or projects subject to this rule with FBA/FBF should ensure that the HUD requirements relative to CO detection and alarm requirements are now in place.

Dealing with Drug Use Without Violating Fair Housing Law

Drug users are not a protected class under either federal or state fair housing laws. Drug abuse may result in criminal activity, violence, and property destruction. However, drug and alcohol dependency are also considered diseases and may be considered "disabilities" under fair housing laws. While all properties should have anti-drug policies, it is important that those policies be developed and administered in a way that does not violate fair housing law. This article is intended to assist housing operators in walking the line between the protection of residents and property from illegal drug use and violating the rights of the disabled. Background Fair housing law prohibits discrimination based on disability, which is defined as "a physical or mental impairment that substantially limits one or more major life activities." The law also protects persons with a record of having such an impairment, or who are regarded as having such an impairment. Individuals who sue housing operators for disability discrimination have the burden of proving that they are disabled under the law. However, both HUD and the courts have made it clear that drug and alcohol use and addiction are "physical or mental impairments" under the law. There are two caveats to this determination: (1) Fair Housing Act (FHA) protection extends only to former users of controlled substances and illegal drugs. Current use of drugs is legitimate grounds for rejection of a rental applicant or eviction of a current resident. The Americans with Disabilities Act (ADA) defines "current" illegal drug use as "illegal use of drugs that occurred recently enough to justify a reasonable person s belief that a person s drug use is current, or that continuing use is a real and ongoing problem" (28 CFR 36.104). According to HUD Handbook 4350.3, former drug users protected by the FHA ban on disability discrimination include an individual who (i) has successfully completed a supervised drug rehabilitation program or has otherwise been successfully rehabilitated and is no longer engaging in illegal drug use; (ii) is currently participating in a supervised drug rehabilitation program and is no longer engaging in such use; or (iii) is erroneously regarded as engaging current illegal drug use. Note regarding alcohol use: FH law does not distinguish between former and current alcohol use the way it does with drug use. This is because, under federal law, alcohol use is legal. Alcoholism is just like any other disability that is protected by fair housing law and applies to applicants or residents who are currently addicted to alcohol and have no desire to stop drinking. (2) The second caveat is "the Direct Threat Exception." The FHA provides no protection to individuals with or without disabilities who present a direct threat to the persons or property of others. Thoughts on Pre-Admission Drug Testing A requirement that all applicants submit to drug testing prior to admission is probably legal since it detects current, rather than past drug use. With that being said, I do not recommend such a requirement. The costs of drug testing will almost certainly outweigh the benefits. You will also have to be consistent in requiring that all provisionally accepted applicants pass a drug test as a condition of occupancy - not just applicants you suspect may be using illegal drugs. Also, while usually accurate, drug testing is not foolproof. Finally, rejecting an applicant on the basis of a drug test may result in lawsuits over privacy issues and how the tests were administered. Keep in mind that it is likely that your competitors will not be doing drug testing, putting you at a competitive disadvantage. It s just not worth it! Reasonable Anti-Drug & Alcohol Policies are Acceptable Rules relating to drug and alcohol use that are generally acceptable include banning residents from: Dealing, manufacturing, or distributing drugs or engaging in illegal drug-related activity; Keeping large quantities of illegal drugs in their apartment; Using drugs or being intoxicated in common areas; and/or Allowing their families, visitors, or guests to commit any such violations. Don t Ask About Past Drug Use Former drug use is a disability, and you are generally not permitted to ask applicants if they are disabled (the exception to this is housing specifically for the disabled). The FHA regulations (24 CFR 100-202) permit the asking of questions to determine whether an applicant: Is a current illegal abuser or addict of a controlled substance; and/or Has ever been convicted of the illegal manufacture or distribution of a controlled substance. While these questions are permitted, they must be asked of all applicants. What About Current Use of Legally Prescribed Medical Marijuana? 37 states and the District of Columbia allow for the use of medically prescribed marijuana. Owners can certainly ban the use of recreational marijuana on a property, but what about marijuana that is legally prescribed by a physician? While not specifically addressed in the FHA, the legislative history that HUD, courts, and tribunals rely on to interpret the Act makes it clear that the exclusion of current illegal drug users does not apply to individuals who use otherwise controlled substances that are legally prescribed by a doctor. In the report of the House of Representatives, it states, "the exclusion does not eliminate protection for individuals who take drugs defined in the Controlled Substances Act for a medical condition under the care of, or by prescription from a physician." The Report goes on to say, "use of a medically prescribed drug clearly does not constitute illegal use of a controlled substance." However, for a tenant s medical marijuana use to be protected: The marijuana must be legally prescribed by a physician for a medical condition authorized by the law; The tenant must use the marijuana only for the prescribed condition; The tenant must use the marijuana only in his or her own apartment and not in common areas; The tenant may not possess (or cultivate) more than the maximum amount the law permits; and The tenant must not sell or distribute the marijuana to anybody else. So, how can marijuana be legal in some states and illegal under federal law? The fact is, there is no such thing as "legal marijuana." The use of marijuana, both medical and recreational, is illegal under federal law, and federal law supersedes state law. Many states have passed laws legalizing marijuana within their own boundaries, but people who use, manufacture, and distribute marijuana in those states are breaking federal law. The reason these folks are not being prosecuted is that the federal government has an enforcement policy that has instructed U.S. attorneys not to enforce marijuana prohibitions against states with legalization statutes as long as the state program follows certain criteria designed to prevent the financing of terrorism and organized crime, diversion of marijuana to minors and states where the use is not legal, and other activities harmful to national health and security. In 2014, a Michigan federal court ruled that a state law legalizing medical marijuana did not bar a federally assisted housing community from evicting a tenant for use of medical marijuana. The marijuana was prescribed by the resident s doctor for multiple sclerosis. The court indicated that while the use may have been legal under state law, it was still illegal under federal law. The court did say that whether the resident should actually be evicted was for state courts to determine [Forest City Residential Management, Inc. v. Beasley, December 3, 2014]. Current Alcohol Use is not an Issue Management should never ask applicants or residents about current alcohol use. Both former and current alcohol dependency are considered disabilities under the FHA. While questions about current drug use are permitted, questions about current alcohol use are not. Verification of No Current Drug Use You may be entitled to ask applicants or tenants who claim they have recovered from drug use to provide evidence from a third party that they are not current users of illegal drugs. Such evidence could include verification from a: Reliable drug treatment counselor or program administrator; and/or A probation or parole officer. There are four questions that should never be asked of applicants: Have you ever used illegal drugs? Have you ever been arrested for manufacturing or distributing illegal drugs? Ever you ever had a drinking problem? Do you currently have a drinking problem? However, you may ask if someone is a current user of illegal drugs or if they have been convicted of manufacturing or distributing illegal drugs. Applicants Should Not be Rejected Because They are Alcoholics or Former Drug Users Assuming that an alcoholic or former drug user will be bad for your property is a generalized stereotype based on a disability - and, is illegal. Each applicant is entitled to an individual assessment relating to eligibility, and assumptions based on preconceived notions should be avoided. In other words, simply being a current or former alcoholic and/or former drug user is not grounds to exclude or evict. A Direct Threat Allows for the Exclusion of Substance Abusers Persons who are a direct threat to the property or other people are not protected by the FHA. But, how do you know if a person poses a direct threat? Subjective beliefs, generalized stereotypes, and speculation about substance abusers are not enough. According to a HUD/DOJ statement on the subject, the assessment must be based on "reliable objective evidence," such as current conduct or a recent history of overt acts. In Wirtz Realty Corporation v. Freund, 721 N.E. 2d 589 (ILL. App. 1999), an Illinois court found that a landlord was justified in evicting a tenant under the "direct threat" defense. The landlord evicted the tenant for engaging in erratic and dangerous behavior. The tenant urinated in the elevator, threatened to kill a neighbor, and threw a lit cigarette and coke can at the doorman, as well as other incidents. He said it was due to mental disorders and sued the landlord under the FHA. Guidance from HUD and DOJ indicates that landlords should perform a direct threat assessment, and consider: The nature, duration, and severity of the risk of injury; and The probability that injury will actually occur. When looking at a recent history of overt acts (such as those outlined in the Wirtz case above), the landlord must take into account whether the individual has received intervening treatment or medication that has eliminated the direct threat. The landlord may ask the individual to document how the circumstances have changed and why he or she no longer poses a direct threat. Based on court cases, it is clear that the mere potential or threat of harm may be enough to constitute a direct threat, even if no actual harm is done. As long as the threat to other people is objective, severe, and real, landlords don t have to wait until the tenant actually hurts someone to use the "direct threat" exception. This point is well made in Foster v. Tinnea, So.2d 782. In this case, a Louisiana court ruled that a tenant with severe brain damage due to an auto accident was a direct threat to other tenants based on his potential for harm rather than any harm he had actually inflicted. He had had altercations with other tenants, chased kids with a knife, listened to loud and vulgar music, and made inappropriate sexual comments to tenants. The "Direct Threat" Defense Does not Eliminate the Possibility of a Reasonable Accommodation Individuals who pose direct threats are still entitled to reasonable accommodations to the point of undue hardship. So, before deciding to reject an applicant or evict a resident, management must consider whether there are any reasonable accommodations that may be made to eliminate the direct threat. Of course, this assumes that a request for such accommodation has been made, either by the resident/applicant or someone acting on their behalf. If such requests are made, landlords are entitled to request verification from a healthcare provider, social worker, or other reliable third parties that the treatment plan will be effective in eliminating the direct threat, as well as assurances that the tenant will comply with its terms. Bottom Line - while current drug users are not protected under fair housing laws, former drug users who have successfully completed or are currently in a rehab program and are no longer engaging in the illegal use of drugs are protected. Requests for reasonable accommodations from former drug users should always be considered and except in the case of a demonstrable direct threat, reasonable accommodations that will allow former drug users to live at a property should generally be granted.

New Age Requirement for Required Minimum Distributions

Affordable housing managers know that regular distributions from retirement accounts are considered income, and when the distributions begin, the accounts are no longer considered assets. For this reason, knowing when a person is required to begin taking minimum distributions is an important piece of knowledge for managers. The Consolidated Appropriations Act of 2023, which was passed by Congress on December 23, 2022, and was signed by President Biden, includes a change in age for Required Minimum Distributions (RMDs) from 401(k) plans, 403(b) plans, governmental 457(b) plans, and IRAs. Here are the new age requirements: The new law increases the RMD age from 72 to 73 beginning January 1, 2023. If a person will turn 72 in 2023, they are not required to take their first RMD until 2024. If a person turned 72 in 2022 and deferred their first RMD, they will still be required to take that RMD by April 1, 2023. The RMD age will change again to 75 in 2033. Affordable housing managers should be aware of these changes when determining the income of applicants or residents who fall into the age categories noted above.

A. J. Johnson Partners with Mid-Atlantic AHMA for February Training on Affordable Housing

During the month of February 2023, A. J. Johnson will be partnering with the MidAtlantic Affordable Housing Management Association for three training sessions intended for real estate professionals, particularly those in the affordable multifamily housing field. All three sessions will be presented via live webinar.  The following sessions will be presented: February 8: The Average Income Minimum Set-Aside - Compliance and Best Practices - This live 1.5-hour webinar will cover the IRS Final Regulation on the LIHTC Average Income Set-Aside. It will be presented by affordable housing expert A. J. Johnson and will provide a detailed discussion of the new regulation. Discussion points will include (1) the minimum set-aside vs. the Average-test; (2) the elimination of the "cliff" test; (3) the Available Unit Rule; (4) the timing of unit designations and changing designations; and (5) Average Income and the Applicable Fraction. There will also be plenty of opportunities for Q&A. February 9: The Basics of Low-Income Housing Tax Credit Management -  This training is designed primarily for site managers and investment asset managers responsible for site-related asset management and is especially beneficial to those managers who are relatively inexperienced in the tax credit program. It covers all aspects of credit related to on-site management, including the applicant interview process, the determination of resident eligibility (income and student issues), handling recertification, setting rents - including a full review of utility allowance requirements - lease issues, and the importance of maintaining the property. The training includes problems and questions designed to ensure that students are fully comprehending the material. February 28: The Verification & Calculation of Income & Assets on Affordable Housing Properties - This five-hour course (there will be a one-hour lunch break) provides concentrated instruction on the required methodology for calculating and verifying income, and for determining the value of assets and income generated by those assets. The first section of the course involves a comprehensive discussion of employment income, along with military pay, pensions/social security, self-employment income, and child support. It concludes with workshop problems designed to test what the student has learned during the discussion phase of the training and serve to reinforce HUD-required techniques for the determination of income. The second component of the training focuses on a detailed discussion of requirements related to the determination of asset value and income and is applicable to all federal housing programs, including the low-income housing tax credit, tax-exempt bonds, Section 8, Section 515, HOME, and HOPE VI. Multiple types of assets are covered, both in terms of what constitutes an asset and how must they be verified. This section also concludes with a series of problems, designed to test the student s understanding of the basic requirements relative to assets. These sessions are part of the year-long collaboration between A. J. Johnson and MidAtlantic AHMA that is designed to provide affordable housing professionals with the knowledge needed to effectively manage the complex requirements of the various agencies overseeing these programs. Persons interested in any (or all) of these training sessions may register by visiting either www.ajjcs.net or https://www.mid-atlanticahma.org.

Minimum Wage Increases Will Occur in 27 States in 2023

In 2023, 27 states will have new minimum wage rates. The federal minimum wage remains unchanged at $7.25 and applies in 20 states. It was last raised on July 24, 2009. Affordable housing managers responsible for determining the income of applicants and residents need to be aware of state and local minimum wage laws in order to ensure the most accurate possible projection of income. States with Minimum Wage in Excess of Federal $7.25 per Hour (as of 1/1/23) - unless noted otherwise, the minimum wage for tipped employees is $2.13 Alaska: $10.85 (AK does not have a different rate for tipped employees). Arizona: $13.85; $10.85 for tipped employees. Arkansas: $11.00; $2.63 for tipped employees. California: $15.50 - applies to all employers. Colorado: $13.65; $10.63 for tipped employees. Colorado cities have the ability to set higher minimums, but so far only Denver has done so. The minimum wage for Denver will be $17.29 on January 1, 2023. Tipped employees in Denver will have a minimum wage of $14.27. Connecticut: $15.00 (effective July 1, 2023). Delaware: $11.75. The minimum wage for tipped employees is $2.23. District of Columbia: $16.10. Tipped employees - $5.35. Florida: $11.00; $7.98 for tipped employees. Note: the minimum wage will increase to $12 per hour on September 30, 2023, reaching $15 by 2026. Hawaii: $12.00. Tipped employees - $10.10. Illinois: $13.00; $7.80 for tipped employees. The youth minimum wage for youth working less than 650 hours per year is $10.50. Maine: $13.80; $6.90 for tipped employees. Maryland: $12.80 for small employers (14 or fewer workers); $13.25 for all other employers; $3.63 for tipped employees. Massachusetts: $15.00; $6.75 for tipped employees. Michigan: $10.10; $3.84 for tipped employees. Minnesota: $10.59 - this is the rate for large employers (employers with $500,000 or more gross revenue). Small employers have a minimum wage of $8.63 per hour. Missouri: $12.00; $6.00 for tipped workers. Montana: $9.95, for both tipped and non-tipped employees. Nebraska: $10.50. Nevada: $11.25 for employees who are not offered health insurance. $10.25 for employees with health insurance (effective July 1, 2023). New Jersey: $14.13 (large employers - six or more employees); $12.93 (small employers); $5.27 for tipped employees. New Mexico: $12.00; $3.00 for tipped employees. New York: $14.20 statewide; $11 for hospitality, non-fast food, resort service; $8.80 for hospitality, non-fast food, general service; $14.50 for hospitality- fast food; ($15.00 in New York City). Ohio: $10.10 (large employers with $323,000 or more in gross receipts); $7.25 (small employers); $5.05 for tipped employees. Oregon: $13.50 (Portland, $14.75 on July 1) - effective July 1, 2022, ($12.50 for nonurban counties). This will increase on July 1, 2023, based on inflation. Rhode Island: 13.00; tipped employees are $3.89. South Dakota: $10.80; $5.40 for tipped employees. Vermont: $13.18; $6.59 for tipped employees. Virginia: $12.00. Washington: $15.74. West Virginia: $8.75 To the best of my knowledge, this list is accurate as of the end of 2022. However, property operators should confirm the minimum wages in the states and localities in which the property is located. Keep in mind that a resident may work in a locality (or even a state) that differs from the property location. For this reason, managers should be aware of minimum wages in adjacent and nearby localities. Certain occupations are exempt from federal minimum wage laws, but states have their own exemptions. Anytime an applicant or resident reports or has a verification of income that is less than the federal or state minimum wage, managers should follow up with employers to determine the reason. That reason should be documented in the file.

A. J. Johnson Partners with Colorado Housing & Finance Authority to Provide Layered Program Training

A.J. Johnson will be presenting Keys to Successful Operation of Layered Projects (Making Deals Work with Multiple Funding Sources) on January 25, 2023, at 11:00 AM (EST). This class will be offered through Colorado Housing and Finance Authority s chfareach educational programming for affordable housing property owners and managers. A link for course registration is included below. The development of affordable rental housing is a complex undertaking that often requires a combination of programs to succeed. While the foundation of most affordable rental housing today is the Low-Income Housing Tax Credit Program, the tax credits alone are often not enough to ensure project feasibility. Successful properties often must "layer" programs in order to work. Such programs include the HOME program, Section 8, Public Housing, and the Rural Development Section 515 program. Regardless of which programs are used together, management must understand the rules of all, and be able to implement them at the project level. This four-hour session will cover some of the most common pitfalls when managing layered properties and provide guidance on the knowledge required to be successful. Questions and discussion will be encouraged, and attendees will be able to ask specific questions about the issues facing their properties. The link to register for the session is  https://www.chfainfo.com/rental-housing/chfareach/all-events#id=11455&cid=986&wid=501

HUD Offers Additional COVID-19 Supplemental Payments to Multifamily Owners

On October 31, 2022, HUD issued Notice H 2022-06, "Continued Availability of Funds for COVID-19 Supplemental Payments for Properties Receiving Project-Based Rental Assistance Under the Section 8, Section 202, or Section 811 Programs." This permits owners of affected properties to apply for more than $148 million in supplemental operating funds to support expenses associated with protecting residents and staff from COVID-19. Owners of Section 8 PBRA, Section 202, and Section 811 projects are now eligible to receive reimbursements for eligible expenses incurred from March 27, 2020, through January 31, 2023. The deadline for applications is February 21, 2023. HUD has expanded the current list of eligible expenses to include reimbursement for resident training on the use of technology to access online property management portals and supportive services, and costs to enhance outdoor seating spaces to allow for gatherings. HUD has also extended the timeframe for delivery and installation of equipment (capital expenses) and provided additional detail on reimbursements for allowable Internet infrastructure costs and emergency generator purchase eligibility. HUD anticipates that this will be the last round of COVID Supplemental Payments. The reimbursements may be used for capital improvements such as ventilation systems and broadband installation, as well as operating costs. Owners of eligible properties should obtain and carefully review the Notice, keeping in mind the February 21 deadline for applications.

The Growing Challenge to Affordable Housing for Seniors

There is strong demand for affordable multi-family housing for seniors. One of the programs best suited to meet this need is the Low-Income Housing Tax Credit (LIHTC). However, with the aging of the baby boomers, more seniors are reaching the age where additional care is required. This makes remaining in their homes - including non-service-oriented multifamily housing - much more difficult. Finding ways to keep seniors in their homes for longer periods is an industry-wide challenge. Aging baby boomers are living longer and have better financial safety nets than prior generations. They also are more likely to be divorced, live far from their children, and be living with debt and a chronic condition. Impact on Affordable Housing Operators The United States is ill-equipped to handle the largest generation of elderly adults in human history. The long-term care industry is already at a breaking point and there are fewer caregivers to assist the elderly with their daily needs. To make matters worse, the world is not designed to care for the elderly. 2020 data from the U.S. Census Bureau indicates that by 2030, all baby boomers - those born between 1946 and 1964 - will be considered seniors. According to the Population Reference Bureau, the population of people 65 and older is expected to nearly double from 51 million people in 2017 to 95 million by 2060. The Caregiver Shortage Hits Rural America the Hardest States in the Southeastern U.S. have the highest percentage of adults with conditions that interfere with daily activities like dressing or getting around. A study in Health Affairs found that these same states have the fewest personal care aids per capita.  It is rural areas that face the biggest caregiver deficit. The states with the lowest number of personal care aides per 1,000 adults with a self-care disability are mostly southern, including Mississippi, Alabama, Georgia, Florida, North and South Carolina, Arkansas, Oklahoma, Tennessee, and Kentucky. The Health Affairs study was led by the University of California, San Francisco, and found that the number of adults with self-care disabilities was highest in the South, as well as parts of Maine, the Pacific Northwest, and New Mexico, ranging from 3.9% to 8.7% across the U.S. The authors of the study indicated that potential cures for the shortage include increasing wages and benefits, improving training and career development options, adding flexibility to state Medicaid waiver programs to pay family caregivers for providing personal care services, and providing incentives and compensation for travel. What is Behind the Lack of Caregivers? Based on information from the Population Reference Bureau, changing family dynamics are leading to a growing gap in the number of family caregivers. Baby boomers generally had fewer children than their parents did - and their kids are more likely to have moved away from their parents and are too far away to provide meaningful care. Baby boomers are more likely to be divorced, which means they may not have a partner to care for them. Many remarried with stepchildren, who studies show are less likely to care for an aging parent than biological children. Some Good News - Private Equity Private capital sees the opportunities for elder care and is pouring money into the market. While profit is important for these investors and the perceived dangers of private equity have focused on nursing homes, the truth is that most of the investments are going elsewhere. In fact, private equity firms own just 5% of U.S. nursing homes. Most of the new business models are designed to keep people out of long-term care facilities, and private capital is following that innovation. Investors are now focused on providing care delivery and technology companies that address every facet that can help people live independently and longer. Cost is a Major Impediment Older Americans are the biggest cost component in health care, and care delivery and outcomes are very inconsistent. It was the recent COVID-19 pandemic that shed light on disparities in health care across rural communities and low-income and marginalized populations. This is where some of the investors and entrepreneurs are focused - dealing with healthcare inequities. These groups recognize that serving the underserved has the potential to create the greatest value. The goal among these groups is to find a way to deliver affordable care to rural America. Helping people live longer and independently is the focus and involves - In-home and community-based care; and Medicare Advantage primary care, along with various home-based services and technologies ranging from infusion therapy to medication management. While the challenge is great, the overwhelming healthcare need of the over-65 population is a gold mine. While elder care is not a one-size fits all proposition, there is a great opportunity for innovation. Long-term Care - An Opportunity for Affordable Housing Operators Long-term care will become an increasingly elusive need for aging baby boomers over the next ten years, forcing some to spend down their assets in order to qualify for Medicaid. In many cases, this will also increase the need for affordable housing - such as the Low-Income Housing Tax Credit program. Based on data from the National Opinion Research Center (NORC) at the University of Chicago, the population of middle-class seniors in America will increase by 89% to 16 million by 2033. Most will have chronic conditions and mobility difficulties, and nearly 75% will not be able to afford assisted living without selling their homes, and even then, the proceeds may not cover all the costs. Medicare does not pay for long-term care services, and just 7.5 million Americans had separate long-term care insurance as of January 1, 2020. Seniors with incomes too high to qualify for Medicaid are caught in a bind - having to either pay out of pocket for extended care or impoverish themselves in order to qualify for the safety net program. Part of that safety net may well be affordable rental housing, and properties that have foreseen the need for extended care programs will have a distinct advantage. Partnering with local care agencies and non-profits is one path toward developing continuing care as an affordable housing service that will create a competitive advantage for far-sighted developers.

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