Recent funding restrictions at the federal, state, and local levels are limiting the ability of grantees to realize their IHHP program goals. All four sites noted the challenges of these budget uncertainties. In May 2013, HUD announced that several of its programs, including its CoC programs, would be cut by 5 percent overall as a result of federal sequestration. The IHHP sites reports that these cuts are beginning to “trickle down” to state and local housing authorities and other programs. In Maine, for example, one of FPC’s public housing partners, the Sanford Housing Authority, has already begun to reduce its housing vouchers through attrition, although this has not yet affected the Maine IHHP grant. In Oregon, PHB and its partners (CAP, Workforce Systems, and RWP Part B) are all planning budget reductions next year for between 5 and 8 percent of their total budgets.
Other concerns voiced by the IHHP sites include the lack of affordable mainstream housing available for their clients (FPC and CARES); uncertainty about the potential impact of the Affordable Care Act (health reform) on RWP-funded services, including medical case management (RRHS, PHB, and PHB); and the need for a paradigm shift among HIV providers away from simply securing benefits for their clients to helping them move into mainstream housing and employment (all four sites).