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Administrative Plan 7/1/2025 Page 6-54 <br />6-III.G. HARDSHIP EXEMPTIONS [24 CFR 5.611(c), (d), and (e)] <br />Health and Medical Care and Disability Assistance Expenses [24 CFR 5.611(c); <br />Notice PIH 2023-27] <br />The regulations provide for two types of hardship exemption categories for families that qualify <br />for unreimbursed health and medical care expenses and/or disability assistance expenses. A <br />family will benefit from this hardship exemption only if the family has eligible expenses that can <br />be deducted in excess of five percent of annual income. In order to claim unreimbursed health <br />and medical care expenses, the family must have a head, cohead, or spouse that is elderly or a <br />person with a disability. In order to claim unreimbursed reasonable attendant care and auxiliary <br />apparatus expenses, the family must include a person with a disability, and the expenses must <br />enable any member of the family (including the member who is a person with a disability) to be <br />employed. <br />Families may be eligible for relief under one of two categories; phased-in relief or general relief, <br />as defined below. <br />Phased-In Relief <br />The first category is applicable to all families who received a deduction for unreimbursed health <br />and medical care and/or reasonable attendant care or auxiliary apparatus expenses based on their <br />most recent income review prior to January 1, 2024. The family must receive phased-in relief if <br />they are determined to be eligible. These families will begin receiving a 24-month phased-in <br />relief at their next annual or interim reexamination, whichever occurs first, after the date on <br />which the PHA implements phased-in relief. <br />For these families, the threshold amount is phased-in as follows: <br /> The family is eligible for a deduction totaling the sum of expenses that exceeds 5 percent of <br />annual income for the first 12 months. <br /> At the conclusion of 12 months, the family is eligible for a deduction totaling the sum of their <br />expenses that exceed 7.5 percent of annual income for another 12 months. <br /> At the conclusion of 24 months, the standard threshold amount of 10 percent would be used, <br />unless the family qualifies for relief under the general hardship relief category. <br />When an eligible family’s phased-in relief begins at an interim reexamination, the PHA must <br />process another transaction (either an interim reexamination or non-interim transaction, as <br />applicable) one year later to move the family to the next phase. <br />Prior to the end of the 24-month period, the family may request a hardship exemption under the <br />second category as described below. If the family is found eligible under the second category, <br />the hardship exemption under the first category ends, and the family’s hardship is administered <br />in accordance with the requirements listed below. Once a family requests general relief, the <br />family may no longer receive phased-in relief. <br />EXHIBIT 1