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editorial
. 2023 Feb 6;38(6):1534–1537. doi: 10.1007/s11606-023-08051-4

Table 1.

Recommended Action Areas and Strategies to Reverse the Impact of Historic Redlining

Action areas Strategies
Housing

• Expand voucher programs through broader eligibility (tied to income adjusted for family structure), increased acceptability of use, and increased funding

• Protect current homeownership during revitalizing efforts through deed restrictions, housing trust funds, and tax credits

• Invest in structural housing repairs via home improvement tax credits

• Expand use of community development block grants

• Reform zoning for mixed income housing

Education

• Expand early childhood schooling programs such as the Head Start program within historically redlined communities

• Increase access to job counseling, support for applications to technical schools with subsidies for tuition, and navigation of college application process

• Develop a federally funded retention program for skilled educators in public schools

• Create school funding system that is independent of the local tax base

• Expand funding for special needs education in public schools

Healthcare

• Medicaid Expansion

• Expand mandatory coverage of non-clinician services in Medicaid: pharmacy, community health worker, home nursing

• Design value-based health system payments to incentivize addressing social needs, such as offering food vouchers

• Federal incentives for expanding hospital sites

Economic empowerment

• Minimum wage increases based on federal guidelines for livable wages adjusted for locality

• Standardize asset limits (asset tests) in public benefit programs (e.g., eliminating asset limits for Temporary Assistance for Needy Families (TANF), the Low-Income Home Energy Assistance Program (LIHEAP), and the Supplemental Nutrition Assistance Program (SNAP))

• Tax incentives to create employment in historically redlined neighborhoods

• Develop education programs to use systems in place for pre-tax savings, credit, and compounded interest

• Increase new homeownership through coordinated tax credits for developers building low-income home for first time homeowners and banks providing low down payment loans with planned support to minimize foreclosure

Built environment

• Investing in development of sidewalks and bike lanes

• Incentivize greenspace development, development of open lots, and restoration of older buildings through tax and zoning structures

• Use special use districts to protect specific types of land use based on community input

• Greater investment in public transportation to expand routes

Food

• Broaden SNAP coverage and eliminate state level SNAP asset tests

• Use incentives like Healthy Food Financing Initiative or New Market Tax Credits to increase retail outlets in redlined neighborhoods

• Remove zoning barriers and provide tax incentives for supermarket or healthy retail store placement

• Expedite reviews and approval for grocery store site placement