Skip to main content
Log in

Did Emergency Rental Assistance Support Housing Stability During the COVID-19 Pandemic? Differential Effects Across Risk Strata

  • Original Article
  • Published:
Journal of Urban Health Aims and scope Submit manuscript

Abstract

The economic disruption of the COVID-19 pandemic combined with a pre-existing housing affordability crisis to threaten a wave of evictions from rental housing in the United States. Eviction and housing loss were associated with a range of adverse outcomes even prior to the pandemic; during the public health emergency, housing instability could have additionally increased opportunities for viral spread. Mitigating eviction risk was therefore an important form of prevention. We evaluate one federal policy response to the potential eviction crisis, the Emergency Rental Assistance program (ERA). Under ERA, approximately $47 billion was transferred to state and local governments to establish programs to financially assist at-risk renter households. We examine the relationship between receipt of rental assistance and rental housing stability, both overall and for higher-risk groups defined by presence of children and respondent racial and ethnic identity. Our analysis used U.S. Census Bureau Household Pulse Survey data (July, 2021-April, 2023) and two analytical techniques. First, we created matched treatment and comparison groups using applicants awaiting a decision and coarsened exact matching (n = 18,329) to examine the relationship between rental assistance and 1) whether the household was in rental arrears and 2) perceived risk of housing loss from eviction. Second, we estimated recursive bivariate probit models simultaneously modeling rental assistance receipt and rental arrears in a larger sample (n = 160,443). We found rental assistance receipt substantially reduced the risk of being in arrears and perceived risk of eviction. Effects on arrears were somewhat larger for households with children and for Black households compared to others in the matching analysis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+
from €37.37 /Month
  • Starting from 10 chapters or articles per month
  • Access and download chapters and articles from more than 300k books and 2,500 journals
  • Cancel anytime
View plans

Buy Now

Price includes VAT (Norway)

Instant access to the full article PDF.

Similar content being viewed by others

Data Availability

Data are publicly available.

References

  1. United States Census Bureau 2019 American Community Survey 1-year estimates, selected housing characteristics (Table DP04). 2021 https://data.census.gov/cedsci/table?q=DP04&d=ACS 1-Year Estimates Data Profiles&tid=ACSDP1Y2019.DP04. Accessed 3 June 2024

  2. Benfer EA, Robinson D, Butler S, Edmonds L, Gilman S, McKay K, Owens L, Stainkamp N, Yentel D, and Neumann Z The COVID-19 eviction crisis: An estimated 30–40 million people in America are at risk. 2020; https://www.aspeninstitute.org/blog-posts/the-covid-19-eviction-crisis-an-estimated-30-40-million-people-in-america-are-at-risk/. Accessed 21 Jul 2021

  3. Gromis A, Fellows I, Hendrickson JR, Edmonds L, Leung L, Porton A, Desmond M. Estimating eviction prevalence across the United States. Proc Natl Acad Sci U S A. 2022. https://doi.org/10.1073/pnas.2116169119.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Gromis A, Desmond M. Estimating the prevalence of eviction in the United States: new data from the 2017 American Housing Survey. Cityscape. 2021;23(2):279–90.

    Google Scholar 

  5. Desmond M, An W, Winkler R, Ferriss T. Evicting children. Soc Forces. 2013;92(1):303–27. https://doi.org/10.1093/sf/sot047.

    Article  Google Scholar 

  6. Graetz N, Gershenson C, Hepburn P, Porter SR, Sandler DH, Desmond M. A comprehensive demographic profile of the US evicted population. Proceedings National Academy Sci. 2023;120(41):e2305860120. https://doi.org/10.1073/pnas.2305860120.

    Article  CAS  Google Scholar 

  7. Collinson R, Humphries JE, Mader N, Reed D, Tannenbaum D, van Dijk W. Eviction and poverty in American cities. Q J Econ. 2024;139(1):57–120. https://doi.org/10.1093/qje/qjad042.

    Article  PubMed  Google Scholar 

  8. Desmond M. Evicted: poverty and profit in the American city. Crown Publishers; 2016.

  9. Leung L, Hepburn P, Desmond M. Serial eviction filing: civil courts, property management, and the threat of displacement. Soc Forces. 2021;100(1):316–44. https://doi.org/10.1093/sf/soaa089.

    Article  Google Scholar 

  10. Acharya B, Bhatta D, Dhakal C. The risk of eviction and the mental health outcomes among the US adults. Prev Med Rep. 2022;29(May): 101981. https://doi.org/10.1016/j.pmedr.2022.101981.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Benfer E, Vlahov D, Long MY, Walker-Wells E, Pottenger JL, Gonsalves G, Keene DA. Eviction, health inequity, and the spread of COVID-19: housing policy as a primary pandemic mitigation strategy. J Urban Health. 2021;98:1–12. https://doi.org/10.1007/s11524-020-00502-1.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Leifheit KM, Linton SL, Raifman J, Schwartz GL, Benfer EA, Zimmerman FJ, Pollack CE. Expiring eviction moratoriums and COVID-19 incidence and mortality. Am J Epidemiol. 2021;190(12):2503–10. https://doi.org/10.1093/aje/kwab196.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Cutts DB, Meyers AF, Black MM, Casey PH, Chilton M, Cook JT, Geppert J, De Cuba SE, Heeren T, Coleman S, Rose-Jacobs R, Frank DA. Us housing insecurity and the health of very young children. Am J Public Health. 2011;101(8):1508–14. https://doi.org/10.2105/AJPH.2011.300139.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Ramphal B, Keen R, Okuzuno SS, Ojogho D, Slopen N. Evictions and infant and child health outcomes: a systematic review. JAMA Netw Open. 2023;6(4):e237612. https://doi.org/10.1001/jamanetworkopen.2023.7612.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Federal Reserve Board of Governors. Examining the pandemic’s economic effects on women. Board of Governors of the Federal Reserve System. 2021. https://www.federalreserve.gov/publications/2021-november-consumer-community-context.htm. Accessed 5 Jan 2023

  16. Jason K, Wilson M, Catoe J, Brown C, Gonzalez M. The impact of the COVID-19 pandemic on Black and Hispanic Americans’ work outcomes: a scoping review. J Racial Ethn Health Disparities. 2024;11(3):1157–72. https://doi.org/10.1007/s40615-023-01594-6.

    Article  PubMed  Google Scholar 

  17. Fusaro V, Baidoo C, Collier KM, Coley RL. COVID-19 state emergency rental assistance program dataset. Data Brief. 2025;60: 111626.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Fusaro VA, Collier KM, Baidoo C, Coley RL. Rental arrears and perceived risk of eviction among U.S. renter households by household composition, race, and ethnicity 2020 to 2024. Socius. 2025;11: 23780231241309788. https://doi.org/10.1177/23780231241309788.

    Article  Google Scholar 

  19. Fusaro V, Coley RL, Carey N. Shelter from the storm: state eviction moratoria, implementation context, and eviction filings during the first two years of the COVID-19 pandemic. Hous Policy Debate. 2023;33(6):1415–42. https://doi.org/10.1080/10511482.2023.2218840.

    Article  Google Scholar 

  20. Hepburn P, Haas J, Graetz N, Louis R, Rutan DQ, Alexander AK, Rangel J, Jin O, Benfer E, Desmond M. Protecting the most vulnerable: policy response and eviction filing patterns during the COVID-19 pandemic. RSF Russell Sage Found J Soc Sci. 2023;9(3):186–207. https://doi.org/10.7758/rsf.2023.9.3.08.

    Article  Google Scholar 

  21. Driessen GA, McCarty M, and Perl L Pandemic relief: The Emergency Rental Assistance program (Summary No. R46688). Congressional Research Service. 2023. https://crsreports.congress.gov/product/pdf/R/R46688. Accessed 5 June 2024

  22. National Low Income Housing Coalition NLIHC COVID-19 Rental Assistance Database. 2022. https://nlihc.org/rental-assistance. Accessed 5 June 2024

  23. Figinski TF, Keenan S, Sweeney R, and Troland E. Targeted relief: Geography and timing of emergency rental assistance funds (Working Paper Nos. 2024–03). Office of Economic Policy, Department of the Treasury. 2024 https://home.treasury.gov/system/files/226/EP-WP-2024-03.pdf. Accessed 15 Sept 2024

  24. Office of Evaluation Sciences Describing the distribution of Emergency Rental Assistance funds to those who need and qualify for it. 2022. https://oes.gsa.gov/projects/era-equity/. Accessed 5 June 2024

  25. Shroyer A, Garrison VH. Uptake and impact of Emergency Rental Assistance among HUD-assisted households. PD&R Edge; 2022. https://www.huduser.gov/portal/pdredge/pdr-edge-trending-082322.html 

  26. Airgood-Obrycki W The short-term benefits of emergency rental assistance (pp. 1–21). Joint Center for Housing Studies of Harvard University 2022

  27. United States Census Bureau Household Pulse survey technical documentation. 2023. https://www.census.gov/programs-surveys/household-pulse-survey/technical-documentation.html. Accessed 2 Feb 2024

  28. Iacus SM, King G, Porro G. Multivariate matching methods that are monotonic imbalance bounding. J Am Stat Assoc. 2011;106(493):345–61. https://doi.org/10.1198/jasa.2011.tm09599.

    Article  CAS  Google Scholar 

  29. Iacus SM, King G, Porro G. Causal inference without balance checking: coarsened exact matching. Polit Anal. 2012;20(1):1–24.

    Article  Google Scholar 

  30. Blackwell M, Iacus S, King G, Porro G. Cem: coarsened exact matching in Stata. Stata J. 2009;9(4):524–46. https://doi.org/10.1177/1536867X0900900402.

    Article  Google Scholar 

  31. Monfardini C, Radice R. Testing exogeneity in the bivariate probit model: a Monte Carlo study. Oxf Bull Econ Stat. 2008;70(2):271–82. https://doi.org/10.1111/j.1468-0084.2007.00486.x.

    Article  Google Scholar 

  32. Fusaro V, Baidoo C, Collier KM, Coley RL. Emergency rental assistance program policy database. 2024. Harvard Dataverse. https://doi.org/10.7910/DVN/NK8N78.

  33. Coban M. rbiprobit: Stata module to estimate recursive bivariate probit regressions. 2022

  34. U.S. Department of Housing and Urban Development Housing Choice Vouchers fact sheet. HUD.Gov. 2017. https://www.hud.gov/topics/housing_choice_voucher_program_section_8. Accessed 9 Oct 2020

  35. U.S. Department of the Treasury. Emergency Rental Assistance Program. Public Data. 2025. https://home.treasury.gov/policy-issues/coronavirus/assistance-for-state-local-and-tribal-governments/emergency-rental-assistance-program/public-data. Accessed 3 May 2025 

Download references

Acknowledgements

Research reported in this publication was supported by the Eunice Kennedy Shriver National Institute of Child Health & Human Development of the National Institutes of Health under Award Number R21HD111746. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Vincent A. Fusaro.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary Information

Below is the link to the electronic supplementary material.

Supplementary file1 (DOCX 38 KB)

Appendix

Appendix

Table 5 Full logistic regression model results from pseudo-control group analysis, probability of being in rent arrears
Table 6 Full ordered logistic regression model results from pseudo-control group analysis, perceived risk of eviction
Table 7 Complete recursive bivariate probit model results, effect of rental assistance on probability of being in arrears

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Fusaro, V.A., Baidoo, C., Collier, K.M. et al. Did Emergency Rental Assistance Support Housing Stability During the COVID-19 Pandemic? Differential Effects Across Risk Strata. J Urban Health 102, 958–976 (2025). https://doi.org/10.1007/s11524-025-01002-w

Download citation

  • Received:

  • Accepted:

  • Published:

  • Version of record:

  • Issue date:

  • DOI: https://doi.org/10.1007/s11524-025-01002-w

Keywords

Profiles

  1. Christopher Baidoo
  2. K. Megan Collier
  3. Naoka Carey