# Evaluating the impact of U.S. eviction moratoria on acute care use and costs

> **NIH NIH R01** · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · 2024 · $444,404

## Abstract

PROJECT SUMMARY
The federal eviction moratorium and local eviction moratoria that were implemented during the COVID-19
pandemic presents a unique opportunity to study the impact of eviction-related policies on healthcare use and
costs. The long-term goal is to bridge the knowledge and investments of the housing and healthcare fields to
address evictions as a social determinant of health that affects disparities in health and healthcare services.
The central hypothesis is that eviction moratoria policies can reduce use of homeless and acute care services
and tenant-landlord relationships are important to sustain housing stability. The rationale for this project is to
guide future development of policies and practices related to evictions with data from the healthcare sector to
prevent homelessness and acute care use. Guided by preliminary work, this project has three specific aims: 1)
Assess the impact of the federal eviction moratorium and local eviction moratoria on rates of eviction and use
of homeless programs; 2) Evaluate the impact of eviction moratoria on use of acute healthcare services and
cost; and 3) Examine relationships between tenants and landlords in urban and rural areas during the federal
eviction moratorium. To achieve these three aims, data on over 10 million patients from 2018-2023 served by
the U.S. Department of Veterans Affairs (VA) healthcare system- the largest integrated system in the U.S. with
a comprehensive electronic medical record system- will be analyzed. For the first aim, an innovative natural
language processing system will be deployed to identify eviction cases in the medical record and to test
hypotheses that the federal and local eviction moratoria reduced rates of evictions and use of homeless
programs. For the second aim, impact analyses will be conducted to test the central hypothesis that the federal
and local eviction moratoria reduced use of acute care services and costs. Within the context of these first two
aims, sociodemographic and clinical characteristics predictive of eviction risk, homeless program use, and
acute care use will be identified to inform targeted prevention initiatives. For the third aim, qualitative interviews
will be conducted with 50 dyads of tenants and their landlords in Texas and New York about their experiences
with the federal eviction moratorium and the role of tenant-landlord relationships in the eviction process, which
will shed light on ways that tenants and landlords can be incentivized and considered important partners in
eviction prevention and policies. The research proposed in this application is innovative because it uses new
data science methods applied to the largest U.S. healthcare system to understand a unique set of policies
around evictions, all of which can contribute to needed knowledge in this area. The proposed research is
significant because it will help address evictions as an important public health problem associated with housing
and health disparities ...

## Key facts

- **NIH application ID:** 10873299
- **Project number:** 5R01NR020868-03
- **Recipient organization:** UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
- **Principal Investigator:** JACK TSAI
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $444,404
- **Award type:** 5
- **Project period:** 2022-09-22 → 2026-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10873299

## Citation

> US National Institutes of Health, RePORTER application 10873299, Evaluating the impact of U.S. eviction moratoria on acute care use and costs (5R01NR020868-03). Retrieved via AI Analytics 2026-05-22 from https://api.ai-analytics.org/grant/nih/10873299. Licensed CC0.

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