NBC News reported that at a White House complex meeting this summer, an aide to Stephen Miller presented a plan to make it easier for states to institutionalize mentally ill homeless people through a policy change that NBC said would weaken the rights of millions of disabled Americans. According to the report, after the Justice Department issued a memo making institutionalization easier, it began abandoning cases protecting disabled people's right to live in the community rather than in institutions.
The Justice Department's Office of Legal Counsel issued its opinion on the Olmstead integration mandate in June 2026, following the July 2025 executive order "Ending Crime and Disorder on America's Streets."
Cascadia Health and Central City Concern told WW that property insurers have pulled back from covering their supportive housing after fires, floods and unit damage, leaving the nonprofits largely self-insuring. Cascadia said its property deductible rose from $10,000 to $100,000 in 2023 before falling to $25,000 as of August 2026; CCC said its per-incident deductible went from $10,000 in 2020 to $100,000 as of July 2026, with premiums also rising. Cascadia CEO James Schroeder told Councilor Steve Novick at a September 9 council work session that the city needs more “step-up” and “step-down” settings between hospital and permanent housing.
Health Share of Oregon estimates the high-acuity behavioral health group is about 9% of the local Medicaid population and accounts for 29% of Medicaid costs and 39% of inpatient admissions.
Miami Herald · on Miami-Dade Homeless Trust payments to a sanctioned assisted-living operator
A Miami Herald investigation reported that Jackson Health System paid Roxana Solano's company, Unlimited Senior Solutions, nearly $35.2 million over roughly a decade to place patients in assisted living facilities, including $12 million — 34 percent — involving patients discharged to a home Solano owned. The Miami-Dade Homeless Trust, which hired Solano during the pandemic to run a shelter and find assisted-living beds for incapacitated homeless elders, has paid her $5.7 million since 2023, while Florida's health care regulator cited, fined, and in two cases closed her facilities.
The state halted new admissions to one of Solano's homes in 2019 and closed two others after documented violations.
Sea Mar Community Health Centers and the Washington State Health Care Authority's HCV-ElimiNATION mobile unit began bringing hepatitis C testing and treatment directly to homeless residents in Clark County. The Columbian, citing the National Institutes of Health, reported infection is found in up to 44 percent of the U.S. homeless population, compared with about 2 percent of the general population; Sea Mar clinical director Tony Stupski named transportation, the lack of a permanent address, and nowhere secure to store a two-month course of medication as barriers.
A national study found people with unstable housing are 40 percent less likely to initiate hepatitis C treatment than people with stable housing.