SUPR - Substance Abuse, Prevention and Recovery

The purpose of this initiative and funding opportunity is to address the unmet housing needs of individuals who use opioids or other substances at highest risk of overdose and experience homelessness by expanding, creating, or developing Permanent Supportive Housing (PSH). Housing is a critical factor for harm reduction and recovery from opioid use and other substance use disorders. PSH is designed to reduce chronic homelessness. Housing First programs improve housing stability and reduce homelessness more effectively than Treatment First. In addition, Housing First programs result in health benefits and reduced health services use. This initiative focuses on housing units designed and operated in accordance with best practices for Housing First. Funds from this initiative will be awarded through the Illinois Housing Development Authority’s (IHDA) Permanent Supportive Housing Development Program, which makes awards to sponsors to construct and/or rehabilitate PSH units. Eligible applicants for these funds awarded through IHDA’s PSH program will be sponsors who propose housing projects that are targeted to individuals with SUD and/or COD who are at any stage of their recovery that also experience homelessness. Due to restrictions on the agency partnering with IDHS/SUPR to implement this initiative, funds may only be used to support PSH projects that are clearly targeted to and prioritized for individuals affected by opioid use. Target populations for these funds awarded through IHDA’s PSH program must include individuals that are experiencing homelessness or chronic homelessness, which is in alignment with IHDA’s current PSH program standards.

Title 44, Part 7000, (2 CFR 200)

Executive Order 2022-19, 30 ILCS 708 20 ILCS 3805, 310 ILCS 105 Public Act 104-0003, Article 55, Section 180. The sum of $20,000,000, or so much there of as may be necessary, is appropriated from the Illinois Opioid Remediation State Trust Fund to the Department of Human Services for the Illinois Housing Development Authority for grants and administrative expenses of Permanent Supportive Housing programming. PA104-0002 (c) Notwithstanding Section 5 of the Illinois Grant Funds Recovery Act, the Department of Human Services shall make grant funds available for expenditure by the Illinois Housing Development Authority beginning on the date the funds are distributed by the State. The Illinois Housing Development Authority is not required to expend or return grant funds within the time period specified under Section 5 of the Illinois Grant Funds Recovery Act.

Illinois Opioid Allocation Agreement, State of Illinois Overdose Action Plan (SOAP), IDHS/SUPR Contractual Policy Manual 47 Ill. Adm. Code 360.203(i), 47 Ill. Adm. Code 380.108, 47 Ill. Adm. Code 380. Objective: RHSP Admin capped by administrative rule at 7 percent of the Rental Assistance Support Program appropriation. The Rental Housing Support Program (RHSP) was created in July 2005 to provide rental assistance to Illinois households by subsidizing rental housing units. It is a unit-based program targeting households who are at-or-below 30 percent of the Area Median Income (AMI) in their areas. A total of 50 percent of the resources are available for extremely low-income households who are at-or-below 15 percent of their AMI. IHDA administers the program overall, but contracts with local administering agencies (LAAs) around the state who manage the program in their communities, including finding and screening tenants. LAAs are funded in 3-year cycles. Funding for RHSP is derived from a $9 county-level mortgage documents recordation fee. The city of Chicago receives a statutory sub-allocation each year (43 percent).

Housing is a critical factor for harm reduction and recovery from opioid use and other substance use disorders. Permanent supportive housing (PSH) is designed to reduce chronic homelessness. Housing First programs improve housing stability and reduce homelessness more effectively than Treatment First. In addition, Housing First programs result in health benefits and reduced health services use. This initiative focuses on housing units designed and operated in accordance with best practices for Housing First. Eligible applicants for this PSH program will be individuals with SUD and/or COD who are at any stage of their recovery. It could include an individual who is in the early stages of recovery or an individual who is leaving a recovery home and sees this as the next step in their recovery. Priority populations for this PSH program include individuals that are experiencing homelessness or chronic homelessness. Program Components: o A minimum of 40 units of permanent housing. o Each unit should include a kitchen, bathroom, sleeping area, and be ADA-compliant where required. o Onsite space for supportive services, including but not limited to telehealth services, case management, behavioral health services, Medication-assisted recovery MAR, Peer recovery support, employment, and housing navigation services. o PSH must be near offsite supportive services or public transportation to ensure accessibility. o Office space for onsite service provider staff o Laundry facilities

Yes

The Illinois Attorney General’s Office has certified, and the Governor’s Opioid Prevention and Recovery Steering Committee approved, the use of Opioid Settlement Funding to implement additional funds to create permanent supportive housing for individuals with opioid use disorder and experiencing homelessness. To learn more about the Opioid settlement Funding Process, please visit the Illinois Opioid Remediation Advisory Board website at IORAB. Funds awarded through this initiative are intended to support approximately 40 units of PSH. Awarded projects that receive these funds through IHDA’s PSH program must meet the following requirements: 1. Funding awards will be prioritized for projects located in service areas disproportionately affected by the opioid crisis. Projects located in areas that meet one or more of the following criteria will be prioritized for receiving an award of these funds: • High opioid fatality rates per 100,000 capita, including: (a) counties other than Cook County with a crude rate of 1.8 or greater and (b) zip codes within Cook County with more than 100 overdoses (fatal and nonfatal) within the most recent year included in the Illinois Opioid Data Dashboard, http://idph.illinois.gov/opioiddatadashboard/; • Concentrated firearm violence, including communities eligible for Reimagine Public Safety Act funding, https://www.dhs.state.il.us/page.aspx?item=144282; and/or • Other conditions that hinder the communities reaching their full potential for health and well-being, including counties other than Cook with a crude nonfatal overdose rate of 4.0 or greater listed in the Illinois Opioid Data Dashboard, http://idph.illinois.gov/opioiddatadashboard/. 2. All projects must comply with the financial requirements laid out in IHDA’s Underwriting Standards Guide. 3. All projects must comply with IHDA’s Design, Construction and Regulatory Compliance Requirements to assure the housing will meet the needs of the target population, which includes necessary unit facilities and amenities, appropriate resources and space for service provision, and accessibility requirements. 4. All projects must demonstrate an appropriate project concept (including service plan), site, market, financial feasibility, and development team to appropriately serve the housing needs of the target population that will be subject to review via IHDA’ Preliminary Project Assessment (PPA) process. 5. All projects will be subject to the standard mandatory and scoring criteria laid out in IHDA’s Permanent Supportive Housing Development Program Request for Applications (RFA), which will ensure that housing will meet the needs of the target population and prioritize projects that demonstrate the most extensive suite of services and amenities. The program’s mandatory and scoring criteria will ensure the prioritization of the following inexhaustive list of services/amenities: • Mandatory provision of space for supportive services, with a scoring incentive if provided on-site; and • Scoring incentive for demonstrating comprehensive access to publicly available transportation. 6. All projects will be subject to all IHDA’s tenant selection and compliance requirements, including but not limited to the following: • Project tenants’ participation in services is voluntary, and tenants cannot be evicted for rejecting services; • Service providers on the development team (or partnering with the project via commitment of services) must operate in accordance with best practices including harm reduction and Housing First; • In fidelity with a harm reduction approach, sobriety cannot be a condition of initial or continued tenancy in the project. Project property managers may not perform drug testing or other monitoring of project tenant sobriety; • Compliance with Fair Housing, ADA, and all applicable local, state, and federal regulations; • Housing is not time limited; • Housing is affordable, with tenants paying no more than 30 percent of their gross income toward rent and utilities. Entities support the tenant in the home by subsidizing the rent through a rental subsidy. • Tenants have choices in the support services that they receive. They are asked about their choices and may choose from a range of services. Different tenants receive different types of services based on their individual needs and preferences. Services made available will vary in scope, intensity and type depending on the specific program requirements related to eligibility, and the participant's particular service needs. • As needs change over time, tenants can receive more intensive or less intensive support services without losing their housing. • PSH tenants may live in their homes as long as they meet the basic obligations of tenancy. Tenants have a lease in their own name, and, therefore, they have full rights and responsibilities of tenancy under local landlord-tenant law and cannot lose their home unless they violate their lease agreement. 7. All projects that receive funding from this initiative will be subject to the following requirements in addition to those laid forth above: • The project must target and prioritize individuals with SUD and/or COD who are at any stage of their recovery and individuals that are experiencing homelessness or chronic homelessness; • The project must commit to targeting its tenant population through its local Continuum of Care (which will also earn a scoring incentive in accordance with the RFA); and • The project development team must include at least one service provider that commits to providing services to the target population that include, but are not limited to, telehealth services, case management, behavioral health services, Medication-assisted recovery MAR, Peer recovery support, employment, and housing navigation services. Services must be guaranteed through provision of an MOU. Grant funds administered under the Permanent Supportive Housing initiative (including subrecipients of the Illinois Housing Development Authority) are required to adhere to the requirements outlined in: • Grant Accountability and Transparency Act (GATA) 30 ILCS 708 • Illinois Administrative Code, Government Contracts, Title 44, Part 7000 • Grantmaking, Procurement, and Property Management, and federal regulations under Grants and Agreements. 2 CFR 200 • The Illinois Housing Development Authority and its subrecipients shall also adhere to and be accountable for the requirements and policies outlined in the IDHS/SUPR Contractual Policy Manual.

Government Organizations; Other;

Not applicable.

Priority Population: Eligible applicants for this PSH program will be individuals with SUD and/or COD who are at any stage of their recovery: 1. Individuals that have opioid use disorder and/or co-occurring substance use conditions. 2. Individuals that are experiencing homelessness or chronic homelessness. Participation in services is voluntary, and tenants cannot be evicted for rejecting services. o Supportive service providers must operate in accordance with best practices including harm reduction and housing first. In fidelity with a harm reduction approach, sobriety cannot be a condition of initial or continued tenancy. Property managers may not perform drug testing or other monitoring of tenant sobriety. o IHDA must enter an agreement with the Developer or qualified service provider to demonstrate in-house capacity. o Compliance with Fair Housing, ADA, and all applicable local, state, and federal regulations. o Developers to be prioritized based on overdose data in the applicant's proposed service area, current availability of other services, and plans to specifically outreach disparately impacted populations experiencing homelessness and opioid and other substance use disorders. o Housing is not time limited. o Housing is affordable, with tenants paying no more than 30 percent of their gross income toward rent and utilities. Entities support the tenant in the home by subsidizing the rent through a rental subsidy. o Tenants have choices in the support services that they receive. They are asked about their choices and may choose from a range of services. Different tenants receive different types of services based on their individual needs and preferences. Services made available will vary in scope, intensity and type depending on the specific program requirements related to eligibility, and the participant's particular service needs. o As needs change over time, tenants can receive more intensive or less intensive support services without losing their housing. o PSH tenants may live in their homes as long as they meet the basic obligations of tenancy. Tenants have a lease in their own name, and, therefore, they have full rights and responsibilities of tenancy under local landlord-tenant law and cannot lose their home unless they violate their lease agreement. The entity provides a rental subsidy to the tenant and landlord.

Project Grants

Human Services

Excluded from coverage under E.O. 12372.

The prequalification steps are mandated by Federal Uniform Guidance (2 CFR 200) and the Grant Accountability and Transparency Act (GATA). An organization must be in qualified status by the application review date set by the State awarding agency as well not have a federal debarred or a State suspended status, nor be on the Illinois Stop Payment List, and be in good standing with the Secretary of State. The GATA registration process includes checking these statuses. Fiscal and Administrative Risk Assessment (ICQ) Entities must complete an Internal Controls Questionnaire (ICQ) as the Fiscal and Administrative Risk Assessment. The ICQ is completed once, annually. All State agencies will utilize the results of the ICQ. The entity can access the ICQ from the grantee portal. The Community Service Agreement (CSA) Tracking System The CSA is the system the Illinois Department of Human Services (IDHS) utilizes for approving budgets and issuing grant awards. If an applicant entity is not already registered in the CSA Tracking System, they should begin the registration as soon as possible so they may submit a signed budget to CSA. Successful applicants will NOT be issued an award without a fully approved budget in the CSA System.

Deviation from the GATA framework has been requested. The Illinois Housing Development Authority must include the following mandatory forms/attachments: • Uniform Application for State Grant Assistance (Application) • Program Plan/Narrative (as described in the grant exhibits) • Grant Budget (Uniform Grant Budget Template) • Indirect Cost Rate Information (Centralized Indirect Cost Rate System)

Not applicable.

Not applicable.

July 1, 2025

Not applicable.

Not applicable.

One-time only investment.

Not applicable.

Due to restrictions on the agency partnering with IDHS/SUPR to implement the recommendation, funds can only be used to support permanent supportive housing for people affected by opioid use.

Upon execution of the grant agreement, reporting shall be in accordance with the requirements set forth in the Uniform Grant Agreement and related Exhibits, which include, but is not limited to the following: • Time Period for Required Periodic Financial Reports. Grantee shall submit financial reports to Grantor under Paragraph 13.1 of the Uniform Grant Agreement, and reports must be submitted no later than 15 days after the quarter ends. • Time Period for Close-out Reports. Grantee shall submit a Close-out Report pursuant to Paragraph 13.2 of the Uniform Grant Agreement and no later than 15 days after this Agreement's end of the period of performance or termination. • Time Period for Required Periodic Performance Reports. Grantee shall submit Performance Reports to Grantor pursuant to Paragraph 14.1 of the Uniform Grant Agreement and such reports must be submitted no later than 30 days after the quarter ends. • Time Period for Close-out Performance Reports. Grantee agrees to submit a Close-out Performance Report, pursuant to Paragraph 14.2 of the Uniform Grant Agreement, and no later than 30 days after this Agreement's end of the period of performance or termination. • Other Unique Programmatic Reporting Requirements: Additional annual performance data may be collected as directed by the Department and in a format prescribed by the Department

Grantee shall be subject to the audit requirements contained in the Single Audit Act Amendments of 1996 (31 USC 7501-7507) and Subpart F of 2 CFR Part 200, and the audit rules and policies set forth by the Governor's Office of Management and Budget. 30 ILCS 708/65(c); 44 Ill. Admin. Code 7000.90.

Accessibility of Records. Grantee, in compliance with 2 CFR 200.337 and 44 Ill. Admin. Code 7000.430(f), shall make books, records, related papers, supporting documentation and personnel relevant to this Agreement available to authorized Grantor representatives, the Illinois Auditor General, Illinois Attorney General, any Executive Inspector General, the Grantor's Inspector General, federal authorities, any person identified in 2 CFR 200.337, and any other person as may be authorized by Grantor (including auditors), by the State of Illinois or by federal statute. Grantee shall cooperate fully in any such audit or inquiry. Failure to Maintain Books and Records. Failure to maintain books, records and supporting documentation, as described in this ARTICLE XII, shall establish a presumption in favor of the State for the recovery of any funds paid by the State under this Agreement for which adequate books, records and supporting documentation are not available to support disbursement. Monitoring and Access to Information. Grantee must monitor its activities to assure compliance with applicable state and federal requirements and to assure its performance expectations are being achieved. Grantor or designee shall monitor the activities of Grantee to assure compliance with all requirements and performance expectations of the award. Grantee shall timely submit all financial and performance reports, and shall supply, upon Grantor's request, documents and information relevant to the Award. Grantor or designee may make site visits as warranted by program needs. 2 CFR 200.329; 200.332. Additional monitoring requirements may be in PART TWO or PART THREE.

Opioid Settlement Remediation Funds 0734.44426.4900.00NE

FY26: Up to $20,000,000

Not applicable.

Not applicable.

Co-occurring substance abuse and mental health problems among homeless persons: Suggestions for research and practice - PMC Corporation for Supportive Housing (CSH): https://www.csh.org/resource/addressing-the-opioid-crisis-innovative-programs-serving-people-experiencing-homelessness/ CSH: https://www.csh.org/resource/leveraging-opioid-settlement-dollars-benefits-and-strategies-for-health-centers/ National Institutes of Health (NIH): https://pmc.ncbi.nlm.nih.gov/articles/PMC8513528/ NIH: https://www.ncbi.nlm.nih.gov/books/NBK519591/

Not applicable.

Not applicable.

To learn more about the Opioid Settlement Funding Process, please visit the Illinois Opioid Remediation Advisory Board website at IORAB. State Opioid Settlement Administrator: DHS.OpioidSettlementFunds@Illinois.gov

444-26-2786; 444-26-2616; 444-22-3139; 444-22-1482; 444-80-3187

444-26-2786; 444-26-2616; 444-22-3139; 444-22-1482; 444-80-3187

FY 2026 : $20,000,000