Disability Assistance Expenses Deductions (HUD Housing)

“Disability assistance expense deductions” are different than “Medical Expense Deductions.”

If your family doesn’t qualify for “medical expense deductions” maybe they can qualify for this instead!

Who Qualifies

  • Someone in your household needs to be working
  • This person does not need to be disabled
  • Head of household does not need to be disabled

How it Works

If someone in your household works, you can deduct medical expenses of a disabled person in the household. For example:

  • Two people (one disabled, one non-disabled and working)
  • One person (disabled and working)

Deductable expenses are “attendant care” and “auxilliary apparatus” Here’s two examples from the HUD Occupancy Handbook:

Example A: The payments made on a motorized wheelchair for the 42-year old son of the head of the family enable the son to leave the house and go to work each day on his own. Prior to the purchase of the motorized wheelchair, the son was unable to make the commute to work. These payments are an eligible disability assistance expense.

Example B: Payments to a care attendant to stay with a disabled 16-year-old child allow the child’s mother to go to work every day. These payments are an eligible disability assistance expense.

What Can I Deduct?

HUD has no rules that answer this question. You can always submit everything you think might be relevant. The worst that can happen is some of your deductions will get denied, and others will get approved. Here’s some examples: Examples of Medical Expense Deductions

The definition of attendant care is flexible in this program, and HUD specifically states that it includes housekeeping and errands.

From HUD Occupancy Handbook: “Attendant care includes but is not limited to reasonable expenses for home medical care, nursing services, housekeeping and errand services, interpreters for hearing-impaired, and readers for persons with visual disabilities.”

Why Use “Disability Assistance Deductions” instead of “Medical Expense Deductions”? 

Medical Expense Deductions is a different policy than Disability Assistance Deductions.

Good things about Medical Expense Deductions:

  • No one is required to be working
  • Includes a lot more possible things that can be deducted

Good things about Disability Assistance Expense Deductions:

  • Families who don’t qualify for medical expense deductions might still qualify for this
  • More flexible definition of “attendant care” includes housekeeping and errands

Some disabled people don’t qualify for medical expense deductions. For example, a household where child is disabled and parent is not disabled may not qualify. Learn more about: Who Gets Medical Expense Deductions?


“Unreimbursed reasonable attendant care and auxiliary apparatus expenses for each member of the family who is a person with disabilities, to the extent necessary to enable any member of the family (including the member who is a person with disabilities) to be employed. Note: This deduction may not exceed the earned income received by family members who are 18 years of age or older and who are able to work because of such attendant care or auxiliary apparatus.”


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