SEPA

Water Affordability Needs
Assessment: Report to Congress

DECEMBER 2024
EPA 830-R-24-015




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CONTENTS

1.	Executive Summary	1

2.	Background arid Statement of Purpose.	4

2.1	Water Affordability Landscape	5

2.2	The Impact of Unaffordable Water on Households 		9

2.3	Water Affordability Challenges Faced by Utilities	10

2.4	Utility-Led Customer Assistance Programs			11

2.5	Federal Assistance Efforts			11

2.6	Summary	12

3.	Defining Water Affordability	13

3.1	Qualitative Definitions of Water Affordability			14

3.2	Quantitative Measures of Water Affordability			14

3.3	EPA's Approach for This Report...........................................	19

4.	Water Affordability Literature: Summary and Major Findings	21

4.1	Water Affordability Study Methods and Limitations	21

4.2	Prior Research Assessing Water Affordability Challenges for Low-income Households	24

4.3	Prior State and Local Level Research on the Extent and Prevalence of Water Affordability Challenges .... 26

4.4	Prior Work Evaluating Regional Trends	27

4.5	Key Findings on Socioeconomic Trends and Other Factors Impacting Water Affordability	27

4.6	Prior Work Evaluating Policy Implications of Water Affordability Study Findings..................................... 28

4.7	Summary	29

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5.	Water Affordability Analysis	30

5.1	Analysis of the Prevalence of Households Lacking Access to Affordable Water Services and
Estimated National Costs	31

5.2	Evaluation of Prevalence of Utilities Serving a Disproportionate Percentage of Qualifying Households... 43

6.	Arrearages, Disconnections, and Tax Liens	45

6.1	Impact of Arrearages to Households	45

6.2	Impact of Arrearages to Utilities'Capital Budget Planning	46

6.3	Disconnections Data Discussion	47

7.	Additional Recommended Analyses	49

8.	Approach for Engaging Interested Parties	52

8.1	The Impact of Water Affordability and Unique Considerations	53

8.2	Water Affordability Challenges Faced by Utilities	54

8.3	Defining Affordability	55

8.4	Recommendations for Addressing Affordability Challenges Nationwide	55

9.	Recommendations	57

9.1	Establishing a Permanent Federal Water Assistance Program	58

9.2	Increasing Education, Outreach and Knowledge Around Solutions to Address Affordability	59

9.3	Increasing Ways to Reduce Water Infrastructure Capital and Operating Costs	61

Appendix A: Case Studies	63

Appendix B: Infrastructure Investment and Jobs Act Sections 50108 and 50109	72

Appendix C: Affordability Metrics Used in Prior Work	77

Appendix D: Water Hygienic Use Values Used in National Affordability Studies	79

Appendix E: Utilities Included in National Affordability Studies	80

Appendix F: Supplemental Technical Information for EPA's Analysis	82

Appendix G: IIJA 50109 Pilot Program Estimated Funding Level	85

Appendix H: References	87

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ACRONYMS

ACS	American Community Survey

AR

Affordability Ratio

AWWA

American Water Works Association

C&W

Cardoso and Wichman (2022b) Dataset

CAP

Customer Assistance Program

CBG

Census Block Group

CCF

Centum Cubic Feet

CPI

Consumer Price Index

CSO

Combined Sewer Overflow

CWA

Clean Water Act

CWNS

Clean Watersheds Needs Survey

DWSD

Detroit Water and Sewer Department

eAR

Electronic Annual Report

EFAB

Environmental Financial Advisory Board

EPA

The U.S. Environmental Protection Agency

EPIC

Environmental Policy Innovation Center

FCA

Financial Capability Assessment

FCI

Financial Capability Indicator

HBI

Household Burden Indicator

HHS

U.S. Department of Health and Human Services

HM

Hours of Labor at Minimum Wage

IBT

Increasing Block Tariff

IDWS

Income Dedicated to Water Services

IIJA

Infrastructure Investment and Jobs Act of 2021

LIHEAP Low-Income Home Energy Assistance Program

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LIHWAP Low-Income Household Water Assistance Program

LQI	Lowest Quintile Income

LQPI

Lowest Quintile Poverty Indicator

MHI

Median Household Income

NACWA

National Association of Clean Water Agencies

NEORSD

Northeast Ohio Regional Sewer District

NRDC

Natural Resources Defense Council

O&M

Operations and Maintenance

PSC

Public Service Commission

PPI

Poverty Prevalence Indicator

PSID

Panel Study of Income Dynamics

Rl

Residential Indicator

SAWS

San Antonio Water System

SDWIS

Safe Drinking Water Information System

SNAP

Supplemental Nutrition Assistance Program

SRF

State Revolving Fund

SSI

Supplemental Security Income

SSCT

Small System Compliance Technologies

TANF

Temporary Assistance for Needy Families

UNC EFC

University of North Carolina Environmental Finance Center

U.S.

United States

WaterTA

WaterTechnical Assistance

WIPSC

Wisconsin Public Service Commission

WRAP

Detroit Water Residential Assistance Program

WSU

Washington State University

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1. Executive Summary

Access to safe and affordable drinking water
and wastewater services is essential for
human health, and a necessity for
communities to function and thrive. Yet,
unaffordable water bills are a widespread
and growing issue, impacting millions of
households throughout the nation, Many low-
income households are struggling to pay their
water bills, leading to economic stress and
the potential to lose access to water services
or even their homes in certain instances.
When households are unable to pay their
water bills, service disconnections can have
impacts that include public health concerns,
economic instability, social inequality, and
psychological and psychosocial stress. Water
utilities, meanwhile, are working to meet
rising costs for operations and maintenance,
upgrading aging infrastructure, and protecting
public health and the environment, while

The U.S. Environmental Protection
Agency (EPA) has prepared this
Water Affordability Needs
Assessment: Report to Congress
in response to the directive in the
Infrastructure Investment and
Jobs Act of 2021 (IIJA). Section
50108. [42 U.S.C. 300j-19aj.

Water Affordability is a widespread
and growing issue. EPA estimates
that between 12.1 million and 19.2
million households throughout the
U.S. lack access to affordable water
services. Nationally, the cost of
unaffordable water service bills
ranges from $5.1 billion to $8.8
billion.

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facing difficult decisions about raising rates - often with the possible consequence of taking on
substantial financial risk. As a step toward alleviating these challenges, a national water services
affordability program could help bring relief to struggling households and communities.

The goal of this Report to Congress is to provide an understanding of the impact of the water1
affordability burden felt across the United States (U.S.) among households and utilities, as directed
in the Infrastructure Investments and Jobs Act (IIJA), Section 50108. The Report summarizes
decades of work; highlights utilities, academics, and associations that have been at the forefront of
this research; and develops approaches to address water affordability concerns. Peer-reviewed
studies are cited where available. However, there are understudied areas of water affordability
where data are scarce, and peer-reviewed studies covering the nation are not available. In these
instances, the best available data are cited, and are necessary to include to meet direction from
Congress, in particular to establish estimates of cost of best methods to reduce the prevalence of a
lack of affordable access to water services. Data analysis in this Report includes the number of
households in need of assistance as defined by the IIJA, the prevalence of utilities that have a
disproportionate percentage of households needing assistance in their service area which may
result in systemwide fiscal sustainability challenges, and the cost to address water affordability.

In producing this Report, EPAgathered input from a wide range of interested parties, including
utilities, associations, academia, nonprofits, community-based organizations, advocacy groups,
and the public. These interested parties included experts who have spent decades working to
address water affordability challenges across the U.S. To determine the distribution of percentage
of household income required to pay for basic water services in this report, EPA evaluated income
and water service rates data from households and utilities across the U.S. Rates captured both
drinking water and wastewater charges. EPA estimated a range of the number of households
throughout the U.S. experiencing high water burden by using two affordability threshold values, 3%
and 4.5% of household income spent on drinking water and wastewater bills combined. Preliminary
analysis indicates between 12.1 million and 19.2 million households throughout the U.S. lack
affordable access to water services. This represents between 9.2% to 14.6% of total households in
the U.S. Preliminary analysis also shows that 23% of community water systems service a
disproportionate percentage of households needing assistance. The estimated unaffordable
portion of water service bills ranges from $5.1 billion to $8.8 billion nationwide.

There is no single, universal approach that can address water affordability at a national level. While
federal resources, such as the IIJA and the American Rescue Plan Act funds, provide an increased
level of funding for water utilities, the need for both capital investment and operations support still
outpaces the tools at utilities' disposal. Large-scale, sustainable change requires addressing the
systemic challenges in how water utilities are funded, how rates are set, and how assistance
programs are established to support rate payers. It also requires continued investment in the
nation's aging infrastructure. Within this context, however, a national water services affordability

1 "Water services" and "water affordability" refer to both drinking water and wastewater throughout this report.

Water Affordability Needs Assessment: Report to Congress • 2


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program can serve as a critical tool for alleviating some of the financial stress faced by households
and utilities around the country.

This Report provides recommendations based on feedback provided by interested parties, analysis
and published literature in Section 9 to reduce unaffordable access to water services. These
recommendations fall into three broad categories:

Establishing a Federal Water Assistance Program

Increasing Education, Outreach and Knowledge Around Solutions to Address Affordability

Increasing Ways to Reduce Water Infrastructure Capital and Operating Costs.

These potential options to address water affordability include funding for a federal low-income
water assistance program. EPA estimates the range of cost to fund the pilot program authorized in
IIJA Section 50109 to be between $115 million and $185 million per year. A permanent federal
assistance program can bring relief to communities and utilities across the U.S., where efforts to
close the affordability gap are falling short.

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2. Background and Statement of Purpose

The costs of drinking water and wastewater services2 have increased significantly across the U.S. in
recent decades (Cardoso & Wichman, 2022; Patterson & Doyle, 2021; Patterson et al., 2023;
Teodoro & Thiele, 2024). Utilities face rising capital and operating costs due to multiple factors
including aging infrastructure, treatment standards, inflation, supply chain disruptions, deferred
maintenance, and delayed rate increases. Continued investment in capital programs is required to
ensure that water utilities continue to protect health, safety, and the environment. Existing, aging
infrastructure needs to be upgraded to maintain dependable performance. System adjustments
must be made to account for changing population levels that affect a utility's rate base size, and to
respond to pressures from climate change. These are important actions for drinking water and
wastewater service providers; however, the costs associated with these actions can pose an
increased burden on U.S. households through their water bills.

The ability of households to pay their water bills has critical implications on the well-being of
communities across the nation (Sarango et al., 2023; Gaber et al., 2021; Kirnutai et al., 2023).
Without affordable access to safe drinking water and wastewater services, households may
struggle to meet basic needs for daily activities like drinking water, cooking, cleaning, bathing, and
flushing toilets. Households with long-term water burden can face financial hardships, which can

2 "Water services" and "water affordability" refer to both drinking water and wastewater throughout this report.

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lead to water shutoffs, disconnections, or even loss of home. Communities can be impacted by
unaffordable water in the following ways:

•	Public health. Lack of access to safe water and sanitation can create obstacles to maintain
hygiene and prevent the spread of diseases.

•	Economic instability. Strained household budgets add to existing financial stress and can
even force people to decide which necessities to pay for and which to sacrifice.

•	Social inequality. High water rates disproportionately impact low-income households and
rural and underserved communities.

•	Psychological and psychosocial stress. Water insecurity and inadequate sanitation
contribute to poorer mental health and have been linked to increased depression and
anxiety.

In many communities across the U.S., local efforts to close the water affordability gap are falling
short. Utilities are burdened with the decision to either increase rates to reliably provide clean and
safe water or take on substantial financial risk. Increased rates lead to water affordability
challenges for many households. Consequently, utilities are reluctant to raise rates, but failure to
raise additional revenue or identify alternative funding sources can put utilities on an
unsustainable financial path - leadingto failing infrastructure, non-compliance and impaired
reliability. Many utilities have revised rate structures to buffer the impact of rate increases to their
low-income customers.

2.1 Water Affordability Landscape

Water utilities face significant financial challenges, including aging water infrastructure
replacement or rehabilitation, adapting to growing or shrinking populations, climate and
environmental challenges, necessary cybersecurity measures, and requirements to protect public
health and the environment. Wastewater utilities must make capital investments to protect water
quality, conduct necessary infrastructure upgrades, replace and repair existing treatment plant
infrastructure, install collection and conveyance systems, install green infrastructure, and invest in
combined sewer overflow (CSO) facilities. Drinking water utilities face financial burdens such as
treatment plant and pipe replacement, treatment plant upgrades, storage tank replacement, and
repair and replacement of other key assets.

Together, EPA estimates the cost to fund utility needs for both clean water and drinking water
projects nationwide over the next 20 years will be approximately $1.25 trillion, as reported in EPA's
2022 Clean Watersheds Needs Survey (CWNS) Report to Congress (EPA, 2024b) and EPA's 7th
Drinking Water Infrastructure Needs Survey and Assessment (EPA, 2023b). This total may
underestimate the true nationwide need for the next 20 years of capital investments in clean water
and drinking water infrastructure. Most of the projected needs that utilities submitted to the CWNS
describe projects that will be completed within 5 to 10 years. The true 20-year planning horizon will
likely need to address much more about water infrastructure to protect public health and the
environment. Figure 1 shows the change in clean water infrastructure need from 2008 to 2022.
Figure 2 shows how drinking water needs have increased over the past 20 years across several
categories, including water distribution/transmission, treatment, source, and storage.

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700

600

500

co
c

j? 400
5

cn

Jj 300
o

200

100

Decentralized
Wastewater Treatment

Water Reuse

I Nonpoint Source Control

Desalination

I Stormwater
Management

i Wastewater

2008

2012

2022

Figure 1: Total Reported Clean Water Infrastructure Needs Nationwide by Category, 2008-2022 (January
2022 Dollars in Billions)

Note: Some needs categories were aggregated for this figure as follows: wastewater refers to secondary wastewater
treatment, advanced wastewater treatment, conveyance system repair and replacement, and CSO corrections. The 2012
CWNS indicated that reduced budgets, American Recovery and Reinvestment Act funding, inadequate documentation, a
change in CWNS required documentation, and lack of participation in some needs categories were associated with the
largest portions of the decrease in infrastructure needs from the 2008 survey to the 2012 survey. Between the 2012 and
2022 surveys, two infrastructure categories were added in the 2022 total needs, the number of planned water quality
projects addressing aging infrastructure and climate change adaptation increased, and an improved ontine portal
simplified data collection and led to robust participation. Territories were included in the 2022 CWNS. Projects on Tribal
lands and Alaska Native Villages were not included in the CWNS; these needs are documented in a separate survey by the
Indian Health Service.

Source: 2022 EPA Clean Watersheds Needs Survey Report to Congress

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700

600	BOther

500

__	¦ Source

o

2 400
xa_

Storage

_CD

O
Q

200	¦	¦ Treatment

100

¦ Distribution /
Transmission

1995 1999 2003 2007 2011 2015 2021

Figure 2: Total State 20-Year Drinking Water Infrastructure Need by Project Category (January 2021
Dollars in Billions)

Note: The assessments differed in scope (small community water systems, American Indian and Alaskan Native Village
systems, and not-for-profit non-community water systems were not included in data collection every survey cycle, but
where data was not collected the total need for the state was calculated using previously collected data for those
categories, converted to that Assessment's year). Puerto Rico and DC were included in the 7th Drinking Water
Infrastructure Needs Survey and Assessment. The 7th Drinking Water Infrastructure Needs Survey and Assessment
includes capital investment needs of water systems serving American Indian and Alaska Native Village water systems.

Source: 7th Drinking Water Infrastructure Needs Survey and Assessment (2024)

In addition to the increased need for water infrastructure upgrades and improvements, utilities also
face increases in capital and operating costs. A recent analysis from Standard and Poor's (S&P)
showed an 8% increase in capital and operating costs faced by water and wastewater utilities year-
over-year (D'Silva et al., 2023). While federal resources, such as the IIJA and American Rescue Plan
funds, are providing increased levels of funding, the need for both capital investment and
operations and maintenance (O&M) still outpaces the tools at utilities' disposal. Some utilities are
taking resourceful steps to increase efficiencies and reduce costs, including regionalization and
partnership with nearby utilities, and outsourcing operational functions like billing. Utilities are also
workingto address water affordability and efficiency at the household level by changing rate
structures, introducing Customer Assistance Programs (CAPs), encouraging use of low water use
appliances and strategies, and at the utility level through leak detection and repair programs
(EPA, 2021a). Because projected capital and operational costs for water utilities have increased,
utilities often need to raise rates to account for the current and future needs. Doing so has
increased consumer spending on water bills. A recent report from the National Association of
Clean Water Agencies (NACWA) predicted wastewater service rates would increase 4% peryear
from 2022 through 2026 across the country (NACWA, 2021). The American Waterworks
Association (AWWA) recently published a study that found rate increases in drinkingwater and
wastewater bills at an average combined monthly price of $79.39 in 2017 to $95.02 in 2023 at 6,200
gallons per month (Teodoro &Thiele, 2024).

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The way in which utilities implement rate increases has a significant impact on water affordability.
Rate structures affect the burden that water utilities place on low-income customers. For example,
Teodoro and Thiele (2024) found water rate structures became more regressive between 2017 and
2023, with utilities collecting less revenue through volumetric charges and more revenue through
fixed charges. The study found that this shift in rate structures contributed to worseningwater
affordability concerns over the six-year period. More information on the impact of rate structures on
water affordability can be found in Section 4.6 - Prior Work Evaluating Policy Implications of Water
Affordability Study Findings.

To offset the impact to low-income households, some utilities are adopting more equitable rate
structures that can help buffer rate increases. Some water affordability rate structures utilize a
pricing system for water services designed to make water more accessible to low-income
households by implementing tiered rates where the cost per unit of water decreases for lower
consumption levels, often including a "lifeline rate" for essential water usage at a significantly lower
price, aiming to ensure basic water needs are affordable even for those with limited income. These
rate structure approaches can include income-based rate structures, inclining block rates and tax
based rates. The AWWA M1 Manual helps utilities design, evaluate and restructure water rates,
fees, and charges as well as provide valuable information on affordability programs and the
business case for low-income discounts (AWWA, 2016).

Utilities sometimes prefer higher fixed charges because these provide reliable revenue even during
times of variable demand, such as decreased seasonal demand or a water-use restricted drought.
Significant work has been done to analyze the impact of various rate structures and to create tools
that assist utilities in developing more equitable and reliable pricing models. The Natural Resources
Defense Council (NRDC) Water Affordability Advocacy Toolkit indicates utilities can implement
complementary strategies to lessen revenue variability sometimes associated with lower fixed
charges (Levine et al., 2022). Additionally, the NRDC Water Affordability Business Case Tool allows
utilities to model the impact of different discount program structures for low-income households
(Levine & Osann, 2023).

Figure 3 compares the Consumer Price Index (CPI) of water, sewer, and trash collection services
against the CPI of all items for urban consumers from 1998 to 2024. Water, sewer, and trash
collection services in U.S. cities nearly tripled in price overthis 26-year period. Prices in this
category have increased at more than twice the rate of overall consumer prices. While aggregate
prices tend to cool during periods of economic recession, water, sewer, and trash collection
services show near continual increase.

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80

1998 2000 2002 2004 2006 2008 2010 2012 2014 2016 2018 2020 2022 2024

Water, Sewer, & Trash Collection Services 	All Items

Figure 3: Consumer Price Index for Water, Sewer, and Trash Collection vs. All Items for Urban
Consumers, 1998 - 2024

Source: U.S. Bureau of Labor Statistics, 2024a; U.S. Bureau of Labor Statistics, 2024b

2.2 The Impact of Unaffordable Water on Households

Water affordability is a complex issue that affects many people, including lower-income
households, senior citizens on fixed incomes, and those who experience short-term disability or job
loss. Many low-income households across the U.S. struggle to pay theirwater bills. Results of a
recent survey by the U.S. Department of Health and Human Services (HHS) show that roughly 20%
of households had outstanding arrearages or were in debt to theirwater utility. This percentage can
be even higher in some communities; for example, 32% of households in Tribal communities had
outstanding balances (HHS, 2024). Duke University found that up to a third of households work
more than a day each month to afford water bills (Patterson & Doyle, 2021).

When the cost of water services increases, households face difficult choices that can lead to
broader economic impacts. High water bills can force families to cut back on other essential
expenses, such as food, healthcare, and education. This can result in health impacts such as
underutilization of healthcare and medications, food insecurity, and decline in mental health
(Sarango et al., 2023; Gaber et al., 2021; Kimutai et al., 2023). Additionally, access to affordable
water is crucial for maintaining public health. Unpaid bills can lead to water disconnections and
residential shutoffs, which can force households to rely on unsafe water sources or to forgo
essential hygiene practices, a challenge highlighted during engagement sessions for interested
parties held by EPA in 2024. Further compounding the impacts of higher water costs, session
participants indicated that some low-income households have high water usage due to high home
occupancy, old or inefficient appliances and fixtures, and leaky plumbing.

The impacts of unaffordable waterfall disproportionately on a subset of the population in a
community. Older populations on fixed incomes may struggle with rising rates, putting financial

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pressure on their household budgets (Patterson & Doyle, 2021). Communities predominately
composed of racial and ethnic minority populations often have a greater burden of inequitable
access to clean water infrastructure than other communities. This can lead to water
contamination, health crises, and other water equity issues (Hansen & Hammer, 2022). The
disproportionate impact to specific residents within a community based on race and age was
stated by numerous community advocacy groups during the engagement sessions for interested
parties held by EPA in 2024. They emphasized the impact to multigenerational households, minority
residents, and elderly customers, as well as unique challenges for those that pay for water and
wastewater service indirectly through rent. The relationship between renters and water bills is a
complex issue. Advocacy groups have explored this relationship and put forward solutions (Levine
et al., 2022). Pathways to provide assistance to renters are explored in Section 9 - EPA
Recommendations.

2.3 Water Affordability Challenges Faced by Utilities

Water utilities across the U.S. also face significant water affordability challenges. These costs are
driven in part by rising operational costs, the need for substantial investments in maintenance, and
upgrades of existing, aging infrastructure. Utilities face the balancing act of funding routine O&M
costs and longer-term capital expenditures to replace or upgrade infrastructure. O&M cost
increases are often driven by labor and supply costs and the increased maintenance needs of aging
plant and pipeline infrastructure. Capital expenditures are often driven by the need to replace or
upgrade infrastructure due to age, increased demand from population or industrial growth, and the
need for resiliency to climate change.

Another driver of capital expenditures is the need to protect public health and the environment.
Some utilities have met these challenges by using innovative funding and financing approaches.
During the engagement sessions for interested parties held by EPA in 2024, participants noted that
some water utilities, such as mobile home parks, some condos, and those not affiliated with the
local municipality, are often unable to access funding programs or generate additional revenue. A
federal water assistance program, discussed in Section 9.1 - Establishing a Permanent Federal
Water Assistance Program, could help households struggling with unaffordable water, and in turn
help utilities to have reliable capital to implement necessary improvements. Water assistance can
mitigate rate increases for households, so low-income households feel less of this financial
impact. Water assistance to households also helps ensure utilities are receiving adequate bill
payments to support necessary infrastructure. Additionally, water assistance can help utilities
more equitably implement true cost pricing.

Many cities and utilities have deferred rate increases for various reasons. Deferring rate increases
can cause these utilities to need to raise rates significantly in a few short years ("rate shock"),
leaving customers with less time to adjust to higher bills than slower rate increases overtime. Not
implementing necessary rate increases can also cause deferred maintenance, resulting in higher
future capital costs.

Customer arrearages further exacerbate financial pressures for water sector utilities. The 2022
Low-Income Household Water Assistance Program (LIHWAP) Survey showed that very large

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utilities, which serve populations of over 100,000 customers, had an average arrearage balance of
approximately $15 million per utility. When too many customer accounts fall behind in paying their
bills, some utilities find rates and fees inadequate to cover infrastructure needs and treatment
costs. The LIHWAP Survey also found that utilities of all sizes faced challenges in setting rates that
are affordable for customers while covering necessary costs needed to meet sound financial
metrics (HHS, 2024).

2.4	Utility-Led Customer Assistance Programs

Some utilities have developed CAPs that focus
on individual customers' ability to pay for
drinking water and wastewater services. CAPs
can help households that are unable to pay a bill
by restoring services, preventing disconnections,
and making bills more affordable. Some
programs may also offer installment plans to
help customers spread out past due
balances overtime.

Some utilities have designed CAPs that fit their
own needs and those of their local communities.

These programs use tools such as bill discounts,
special rate structures, and other tactics to
support customers who are facing challenges in
paying theirwater bills. EPA has developed a
compendium of drinking water and wastewater
CAPs, which describes examples of these programs throughout the country (EPA, 2016). Many large
cities offer CAPs, as well as some small cities and towns. There is extensive, detailed literature
documenting key considerations that utilities should account for when developing and
implementing CAPs, including lessons learned and tips for success (AWWA, 2022; Cromwell et al.,
2010; Levine et al., 2022; UNC EFC, 2017; Ward et al., 2024).

While these programs have been successful in assisting households, there are limitations. Large
utilities with bigger rate bases are more likely to have CAPs, yet funding to support them is still
limited. For many smaller utilities, developing and implementing a CAP is out of reach given limited
staffing and financial resources. In some areas, legal and policy barriers limit the ability of utilities
to offer bill discounts or free services to some customers (UNC EFC, 2017).

2.5	Federal Assistance Efforts

During the COVID-19 pandemic, Congress recognized the vital importance of having access to
clean, safe water and sanitation to limit the spread of infectious disease. In response, the federal
government established the LIHWAP, which provided funds to states, territories, and Tribes to
support low-income households with water bills. Grant recipients used LIHWAP funding to pay
utilities to reduce arrearages and rates charged to recipient households. The program has

/ *

The San Antonio Water System
(SAWS) is one example of a
successful utility-led CAP. This
robust program shifts the burden
of access away from customers
and connects them with
assistance in 14 different areas,
including reduced meter fees and
discounted monthly bills. Read
more about the SAWS CAP in the
case study in Appendix A.

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concluded and served a total of 1.7 million
households nationwide (Office of Community
Services (OCS), 2024b). Specific LIHWAP
program information, including information on
allocation of funding, is available at the
HHS website.

The ability of low-income households to
access other essential resources are already
supported by federal programs, such as
Temporary Assistance for Needy Families
(TANF), Supplemental Nutrition Assistance
Program (SNAP), and Low-Income Home
Energy Assistance Program (LIHEAP). In
FY2023, SNAP provided food benefits to
approximately 42.1 million low-income
individuals to supplement their grocery
budgets (U.S. Department of Agriculture,
2024). LIHEAP received FY2024 appropriations
of $4,025 billion and supported an estimated
5.1 million households in FY2023 (OCS, n.d.).
LIHWAP was established as a temporary
program and has since ended. However, the
need to address water affordability, especially
for low-income households, remains.

The San Carlos Apache Nation is
an example of a community that
benefited significantly from
LIHWAP. Residents face major
challenges, with an
unemployment rate of 65%. In
2021, the Tribe was granted
$310,510 through LIHWAP, which
enabled them to restore service for
households whose drinking water
and wastewater services had been
disconnected due to nonpayment.
Many families applied, and
program funds were used to pay
for water bills and to empty septic
tanks. Read more about the San
Carlos Apache Nation's
experience with LIHWAP in the
case study in Appendix A.

2.6 Summary

Water affordability is a growing problem across the country. In many areas, the cost of drinking
water and wastewater services has more than doubled since 2000. The estimated need for water
infrastructure investments will be over $1.2 trillion over 20 years, which will further increase service
costs and require further rate increases. This can disproportionately affect low-income households
and communities of color.

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3. Defining Water Affordability

There is no single approach to defining or measuring water affordability. Each approach applies a
unique lens that explores the different elements of a community, such as demographics,
socioeconomic characteristics, and financial capacity constraints. The literature on water
affordability definitions and metrics is expansive and represents different viewpoints among
interested parties. During EPA's water affordability listening sessions for interested parties held in
Spring 2024, participants stressed the importance of looking holistically at affordability challenges
and recognizing how needs may vary across communities. Interested parties also emphasized the
need to explore both qualitative and quantitative approaches to defining what it means to have
access to affordable drinking water and wastewater services.

Both qualitative definitions and quantitative measurements of water affordability can be useful in
evaluating the water burden faced by different communities. Qualitative definitions provide context
about the economic tradeoffs between basic water services and other essential expenditures. They
help frame water affordability as a piece in the larger picture of household and community
affordability challenges. Quantitative affordability metrics can help utilities and other interested
parties understand the financial capability of households and communities to pay for necessary
infrastructure, O&M costs, and improvements, which, in turn, enable utilities to set appropriate
rates and support programs to assist customers regardless of ability to pay. In addition to allowing
for evaluations of water affordability, these various metrics each tell a different story about the
water burden faced by those within a community. The following section describes some of the

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most common water affordability definitions and metrics, including comparisons across
different approaches.

3.1	Qualitative Definitions of Water Affordability

One widely used qualitative definition of water affordability is the ability of a household to pay for
basic water services necessary for drinking, cooking, cleaning, and sanitation without experiencing
undue hardship (Patterson & Doyle, 2021; Raucher et al., 2019). The United Nations definition of
water affordability further characterizes "undue hardship" by describing water affordability as
"essential water and sanitation services available at a price that does not prevent access, nor
interfere with other essential expenditures such as food, healthcare, housing, clothing, and
education" (United Nations Human Rights Council, 2015). Legal definitions of "undue hardship"
refer to the imposition of "significant difficulty or expense" as a result of a lack of adequate
accommodation (Cornell Law School, 2024). These definitions also note that while people may
successfully pay water bills, they may still be facing undue hardship related to other categories of
necessary spending. Therefore, simply examining the rates of customer nonpayment may provide
an incomplete view of undue hardship.

The water affordability field is rapidly evolving and expanding to meet growing challenges faced by
households throughout the country. Advocacy groups, policymakers, and the academic community
continue to refine qualitative definitions of affordability to better characterize water burden and
develop tools for addressing the challenge. The NRDC Water Affordability Advocacy Toolkit was
developed to provide tools for state and local policymakers to better understand water affordability
challenges in their communities. It defines an affordable bill as one that "has a reasonable
likelihood of being sustainably paid, as defined by a prescribed 'bill burden' that does not
unreasonably impinge on a customer's income" (Levine & Osann, 2023). The Aspen Institute
stresses that "no person should be denied essential water services based on ability to pay" and
recognizes that the push for water affordability should not be interpreted as free utility services but
should rather focus on a commitment from all levels of government to ensure these services are
affordable to the entire community (The Aspen Institute & Nicholas Institute for Environmental
Policy Solutions, 2022). The U.S. Water Alliance adopts a similar definition, while also emphasizing
that affordability means "the costs of water systems are distributed equitably across society" and
that it is essential for households to be able to "pay for water and wastewater services without
having to forgo or cut back on other necessary expenses like housing, food, medication,
transportation, or other utility services" (U.S. Water Alliance, 2023). Other definitions expand water
affordability to better capture stormwater, and the needs of decentralized systems (e.g., septic
systems) (Maxcy-Brown et al., 2024).

3.2	Quantitative Measures of Water Affordability

Researchers have proposed various metrics to measure and evaluate water affordability. These
metrics do not define water affordability, but rather, each metric provides a unique perspective into
the overall picture of water affordability within a given community or a single household. Because
the financial health of utilities is largely dependent on the economic health of their local

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community, utilities rely on metrics that determine the financial ability of households to pay
increased water rates within the utility's service area. Other metrics look at water affordability at
the household level by determining the financial burden of water bills on individual households or a
representative household within the community. This section describes approaches that have
been used at both the community level and the household level to quantitatively evaluate
water affordability.

Most water affordability metrics compare the cost of a water bill at a given consumption level to a
measure of household income. Affordability metrics that have been used in the academic literature
look at the amount spent on drinking water and wastewater bills as a percentage of total household
income, disposable income, or in terms of hours spent working at minimum wage. Some previous
studies have explored affordability using a community-level summary of income. Two common
summary statistics used to examine affordability at the community level include the Median
Household Income (MHI) and the upper limit of the Lowest Quintile Income (LQI). The individual
household level is the most granular level of water affordability measurement.

Aggregate Community-Level Measures

•	Median Household Income (MHI) is the midpoint of the distribution of community income
or the 50th percentile. Half of the households in the community earn more than the median
income, and half of the households earn less than the median income.

•	Upper Lowest Quintile Income (LQI) is the upper value of the lowest quintile of income or
the 20th percentile. Approximately 20% of households earn less than the upper LQI.

Household-Level Measure

•	Estimates of individual household incomes allow researchers to show the full
distribution of the percent of income spent on drinking water and wastewater services
across the community.

Figure 4 compares community-level summaries of income to the use of individual household-level
incomes and highlights the extent to which low-income households are represented in each metric.
The teal circles denote which households fall within the grouping (e.g., the two lowest earning
households are the lowest quintile of a community of 10 homes). The gold homes denote which
household's income would be characterized as a representative household in an affordability
calculation. As shown in the graphic, MHI captures information at the community-level, but is not
sufficient to describe the water burden for lower-income households because half of the
households in the community have incomes below the median. Studies that examine affordability
for lower-income households at the community level commonly use the upper LQI as the
representative income (Teodoro, 2018; Teodoro, 2019; Teodoro & Saywitz, 2020). While this
community-level value provides more information on lower-income households in the community
than the MHI, it still is not sufficient to understand the burden for the lowest fifth of households. For
this reason, several recent studies have advocated for measuring affordability at the household
level (Patterson et al., 2023; Cardoso & Wichman, 2022a).

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Aggregate
Community-Level
Measures

Household-Level
Measure

Less Representative
of Low-Income
Households

Most Representative
of Low-Income
Households

Lower
Income

Higher
Income

Figure 4: Comparison of MHI, LQI, and Individual Household Income Metrics

3.2.1 Approaches That Measure Affordability in Terms of the Financial Strength of a
Community

Utilities, agencies, and other interested parties use several metrics to determine the financial
strength of the community. These metrics help utilities gauge the financial impact of rate increases
needed to implement necessary infrastructure maintenance and upgrades based on a summary
statistic of income within a community. Metrics that use average or median household incomes to
indicate the financial capacity of a community do not ensure that rates are affordable for every
household in the community (Patterson & Doyle, 2021).

The Poverty Prevalence Indicator (PPI) measures the percentage of households below 200% of the
Census Bureau's Federal Poverty Thresholds. This metric is based entirely on U.S. Census Bureau
income and household data, but it does not consider the cost of water bills, and therefore
measures only the degree to which poverty is prevalent in the community (Raucher et al., 2019). It
furthermore does not account for cost of living, which varies between each city, state, and region.
When a utility services a community with high poverty levels, there is an increased challenge for
households to afford a utility's services, which affects the utility's revenue potential (Patterson &
Doyle, 2021).

The MHI metric reflects the annual cost of water services as a percentage of a community's MHI
(U.S. EPA, 1997; U.S. EPA, 2024a). It provides a simple measurement of water affordability at the

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community level and can be calculated for the entire utility's service population or for separate
regions or neighborhoods within the service area. However, MHI does not capture income
disparities within a community at the household level and thus cannot inform an understanding of
the rising affordability problems for low-income households. Like PPI, the MHI metric does not
account for variations in cost of living between cities, states, and regions.

EPA's Clean Water Act (CWA) Financial Capability Assessment Guidance (U.S. EPA, 2024a) includes
three metrics for evaluating community-level affordability for the cost of wastewater services: the
Residential Indicator (Rl), the Financial Capability Indicator (FCI), and the Lowest Quintile Poverty
Indicator (LQPI). This guidance was developed to evaluate a utility's financial capability to comply
with CWA standards, rather than to evaluate household-level affordability for wastewater services.
The Rl reflects the compliance costs per household as a percentage of MHI for the service area of
the utility. The FCI measures a community's ability to implement CWA controls, and incorporates
data on debt, socioeconomic, and financial conditions. The FCI is a composite of six variables that
measure a community's financial management, socioeconomic condition, and debt burden. These
variables are assigned a numeric score and then aggregated and compared to national
benchmarks. While the Rl and FCI do not account for variability in income distribution across
service areas, the LQPI measures the 20th percentile of household income and is more
representative of the financial capabilities of lower-income households within the community.

3.2.2 Approaches That Measure Water Burden at the Household Level

Several recent research papers have analyzed water affordability at the individual household level
using the full distribution of household income in a given location (Patterson & Doyle, 2021;

Cardoso & Wichman, 2022a; Patterson et al., 2023). These papers show the distribution of water
burden experienced by households both across and within communities. A common way to
measure water burden is through the Income Dedicated to Water Services (IDWS) metric, which is
the percentage of income that households spend on drinking water and wastewater bills. Utilities
and governments can use this metric to understand the extent of affordability challenges across
households within a given community. When combined with threshold value of the percent of
income spent on water that is deemed affordable, an estimate of the percentage of households
within a service area that need water assistance can be developed as well as an estimated cost to
alleviate this water burden for the community.

Several prior approaches have combined multiple metrics to develop a more comprehensive
picture of affordability challenges. Teodoro (2018, 2019) and Teodoro and Saywitz (2020) used two
complementary affordability metrics: the Affordability Ratio (AR) and Hours of Labor at Minimum
Wage (HM). The AR metric calculates the ratio of the price of basic water services to the
household's disposable income. The metric assesses water affordability for a household while
accounting for the household's other essential needs, such as food, housing, and healthcare; and
demonstrates the economic tradeoffs that customers face due to the cost of basic drinking water
and wastewater services. While this metric may provide deeper insights into the burden faced by
households than the IDWS metric, there are additional data requirements and empirical
challenges. In addition to estimating household drinking water and wastewater costs, calculating
the AR requires an estimate of both household income and the cost of other essential expenditures

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from consumption surveys.3 The HM metric represents the number of hours a customer would
need to work at minimum wage to earn the amount necessary to pay for basic drinking water and
wastewater services. HM shows a simple estimate of the impact of water service costs on a single-
earning minimum wage household but does not account for essential non-water expenditures. AR
and HM can be calculated for an individual household or a representative household. Individual
household-level metrics provide a greater understanding of distribution of water burden across the
community and allow a greater focus on basic water needs of low-income households rather than
average water consumption among median income customers.

In a recently published article, Skerker et al. (2024) suggest three metrics based on water bill
delinquency - the frequency, duration, and severity of delinquency - as alternatives to affordability
ratios. Using detailed bill data, the authors find that Census blocks with similar affordability ratios
may have different delinquency metrics.

3.2.3 Affordability Thresholds and Prior Applications

Most water affordability metrics use a threshold value to assess whether water costs are expected
to be manageable on the community-level orfor an individual household. Some of these
thresholds, such as the Household Burden Indicator (HBI) and PPI, use a range of values to define
levels of affordability. Other metrics use a singular cutoff value. For example, 4.5% of MHI is
commonly used as a threshold value for evaluating the financial capability of a utility (Cardoso &
Wichman, 2022; Berahzer et al., 20234; Mack & Wrase, 2017). Likewise, Teodoro (2018) suggests it
is unreasonable for low-income households when their monthly drinking water and wastewater
bills exceed 10% of their disposable income (using the AR metric) and/or require more than eight
hours of work at the local minimum wage (the HM metric). Appendix C shows the affordability
threshold values recommended for the metrics previously discussed in this section. While these
thresholds are benchmarks to consider when evaluating affordability, it is important to remember
that every community and every household faces unique challenges, and these thresholds may not
be appropriate for every situation. For example, communities that have high housing and essential
goods costs might struggle to pay water utility bills, as the average household budget is stretched to
meet the higher cost of living. Additional analysis on water affordability should evaluate additional
socioeconomic metrics and their impact on household water burden.

Other programs and studies have used a variety of affordability metrics, thresholds, and other
criteria or indicators to determine eligibility and assess costs associated with assistance programs.
For example, to participate in the LIHWAP program, LIHWAP grantees (states, Tribes, or territories)
were required to establish eligibility thresholds for households to qualify for benefits. These
thresholds were based on total household income (at or below 150% of the federal poverty
guidelines, at or below 60% of the state MHI, or measured with another lower poverty threshold) as

3	In addition to the added data requirements, estimating essential expenditures from self-reported consumption surveys is challenging
for two reasons: 1) self-reported data may be biased, and 2) estimating the cost of goods that are truly essential is difficult because
households with a greater ability to pay will have greater expenditures in essential goods categories.

4	Berahzer et al. 2023 is not a peer-reviewed study. The authors are leading economists and experts in the water affordability space. Many
of the authors have published peer-reviewed studies.

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well as other eligibility criteria required by grantees (OCS, 2023a). LIHWAP allowed for categorical
eligibility based on enrollment in other means-tested programs, such as TANF, SNAP, Supplemental
Security Income (SSI), and LIHEAP (OCS, 2023a).

Th e Low-Income Water Customer Assistance Program Assessment Study used a multiple threshold
approach to evaluate the cost of drin king water and wastewater services as a percent of household
income. The study considered six income ranges from <$10,000 to $74,999. Four different
thresholds were used to evaluate the cost of bill assistance at each income range. Two fixed
thresholds for bill assistance were considered: 4.5% and 3%. Additionally, two variable thresholds
were evaluated. The first was a 3% to 8% threshold that increases as income decreases, reflecting
that lower income households pay a higher percentage of their income for water services under
typical rate structures. The second reflects a progressive threshold ranging from 2% for the lowest
income range to 4.5% for the highest (Berahzer et al., 2023), which reflects the fact that lower-
income households have less disposable income.

States also have the flexibility to design their own affordability criteria and disadvantaged
community definitions in their State Revolving Fund (SRF) Programs. The Clean Water and Drinking
Water SRFs were established to assist water utilities with financing infrastructure improvements by
providing below-market interest rates and extended loan terms. These criteria and definitions
inform the SRF Programs' distribution of additional subsidies to projects in eligible communities.
States have broad discretion in developing their affordability criteria and disadvantaged community
definitions. Many states use the MHI metric to create their definitions, although each state's
methodologies, thresholds, and definitions vary (U.S. EPA, 2024a; U.S. EPA, 2022). The SRF
affordability criteria and disadvantaged community definitions are community-level metrics that
are not intended to be applied on a household-level.

3.3 EPA's Approach for This Report

The IIJA language directing this Report requires EPA to estimate the prevalence of water utility
providers that contain a "disproportionate percentage" of "qualifying households with need."
Elsewhere, the IIJA language calls for an estimate of the "prevalence of a lack of affordable access
to water services." (See language in Appendix B.) EPA determined that the best approach to meet
these requirements is to examine affordability of drinking water and wastewater bills using
individual household incomes, as shown in Figure 4. Instead of measuring affordability at the
community level, EPA evaluated the distribution of the water burden experienced by households
within a community. An estimated water bill for basic use was compared to an estimate of the
individual household incomes using the IDWS approach discussed previously (Patterson & Doyle,
2021; Cardoso & Wichman, 2022a; Patterson et al., 2023). This approach most accurately captures
the impact of water burden on low-income households.

EPA conducted a thorough literature review of multiple affordability threshold values. EPA selected
two thresholds, 3% and 4.5% of household income spent on drinking water and wastewater bills, to
estimate a range of the number of households throughout the U.S. experiencing high water burden.
The 4.5% threshold is widely used in literature (Cardoso & Wichman, 2022a; Berahzer et al., 2023;
Heminger et al., 2023; Mack& Wrase, 2017). Use of the 4.5% threshold is largely consistent with

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the HM metric, which suggests a threshold of one day (8 hours), or 4.6% of work hours in a month,
assuming a 40-hour work week. The use of a percentage of income metric is also comparable to
affordability metrics for other essential services, such as spending on electricity (Brown et al.,
2020a; Brown et al., 2020b). In order to generate a range of households throughout the U.S.
experiencing high water burden, EPA also selected a 3% threshold, which is the lowest fixed
threshold used in the Low-Income Water Customer Assistance Program Assessment report
(Berahzer et al., 2023).

EPA selected these threshold values for the purposes of generating an estimated range of
household-level water burden for this Report only. During the listening sessions for interested
parties held in Spring 2024, participants emphasized the importance of using a multi-pronged
approach that can reflect the unique circumstances of different communities. Each community
faces unique challenges and there is not a single metric or approach that will be correct for every
community. EPA's affordability analysis using this methodology is detailed in Section 5 of
this Report.

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4. Water Affordab llity Literature: Summary and Major Findings

The issue of water affordability is not new; decades of research have been conducted to define the
scope and extent of water burden in the U.S. and to develop strategies to mitigate its impacts.

These studies provide a picture of the national water affordability challenge as well as estimates of
the financial burden of water costs across diverse geographic and socioeconomic groups. Several
studies have been completed at a national level using data from utilities across multiple states, at
an individual state level, and at a local level. This section summarizes the findings of some of these
studies and outlines several established approaches to assessing the lack of access to affordable
water. This summary of existing literature serves as a foundation for the data analysis presented in
Section 5 and helps identify avenues for additional research which the report explores further in
Section 7.

4.1 Water Affordability Study Methods and Limitations

Most water affordability studies seek to assess the cost of essential water services in relation to the
incomes of the households responsible for paying for those water services. These analyses require
water rates data, census data, and the ability to match these two data sources geographically. In
addition, researchers must calculate water bills at a particular quantity of water that represents the
basic water needs of the household. This relies on key assumptions about household size and daily
water use per household member.

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Water Rates Data

Drinking water and wastewater rates and services charges are used to calculate the total cost of
water services at a specific quantity of water usage for a given household. The primary challenge in
evaluating water affordability on a national level is the absence of a comprehensive national
database of water rates. Researchers must gather water rates data by searching utility websites or
directly contacting utilities. Some databases of drinking water and wastewater rates have been
developed including the University of North Carolina Environmental Finance Center (UNC EFC)
Utility Rates Dashboards (UNC EFC, n.d.) and the Duke Water Affordability Dashboard (Patterson,
2022). These databases do not include every state or every utility within each state and must be
frequently updated as utilities change their rates. Data on water rates are difficult to gather from
smaller utilities because there are significantly more of these utilities, and they may be less likely to
publish rates online. Even when water rates data are available, utilities may use different rate
structures, formats, and terminologies, making it difficult to compare rates across utilities and
combine them into one dataset.

Previous studies have used different samples of rates in their analyses. Teodoro (2018) selected
utilities from the 25 most populous U.S. cities and Patterson et al. (2023) used rate data from the
largest utilities in every state. Teodoro (2019) collected a random sample of water rates from small
to large utilities (omitting very small utilities). Patterson and Doyle (2021) selected 1,791 utilities
from four states with a variety of population demographics and climates (California, North Carolina,
Pennsylvania, and Texas) based on the availability of their statewide service area boundaries. Some
studies include drinking water, wastewater, and limited stormwater rates (Patterson & Doyle, 2021),
while others use only drin king water and wastewater rates (Teodoro, 2018; Teodoro, 2019; Teodoro
& Saywitz, 2020; El-Khattabi et al., 2023; Teodoro &Thiele, 2024). See Appendix E for a description
of the utilities represented in the data analysis for the studies discussed here.

Census Data

Detailed geo-located census data at the household level is confidential and not available to the
public. Publicly available census data provide tract- or block group-level averages of
socioeconomic variables as well as the estimated counts of households that have yearly income
within each of 16 income brackets. Aggregate community-level summary statistics of income or
estimates of household-level income can be generated from publicly available census data. To
estimate income at the household level, researchers can approximate the income distribution for
each census tract or block group using the counts of households within each income bracket.
Previous approaches include assigning all households in the income bracket to the median value of
that bracket (Cardoso & Wichman, 2022a; Berahzer et al., 2023) or randomly generating incomes
within the bracket according to a probability density function (Patterson et al., 2023).

Matching Census Data to Water Rates Data

Census boundaries frequently do not align with utility service area boundaries; therefore, matching
household-level data to the utility that supplies water is challenging and prone to errors. Several
previous studies have used the address of the water utility headquarters to match rates to counties
(Cardoso & Wichman 2022a) or cities (Teodoro, 2018; Teodoro, 2019; Teodoro & Saywitz, 2020).

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However, this method assumes that every household in the geographical unit faces the same rates,
which will not be true when there are multiple utilities located within a geography. Greater
geographical specificity of the utility locations and the household locations will minimize errors in
matching. There have been some recent efforts to map utility service areas nationwide; for
example, the Environmental Policy Innovation Center (EPIC) and EPA have developed datasets of
service area boundaries (EPIC, n.d.; U.S. EPA, 2024d). Service area boundary datasets allow
researchers to match households from census data more accurately to the utility that supplies
water (e.g., Patterson et al., 2023). However, even with accurate service area boundaries, this
matching will still be an approximation when utility service areas span multiple census geographies
or vice versa. In these cases, an apportionment method is used to generate a weighted average of
census data using the proportion of overlap with service areas (e.g., Berahzer et al., 2023; Patterson
et al., 2023).

Calculating Drinking Water and Wastewater Bills

Monthly drinking water and wastewater bills are calculated from rate data for a specific quantity
that is assumed to be sufficient to meet the basic needs of the household. This will depend
critically on the assumptions of the daily water needs per person and the size of the household.

•	Daily Per-Person Water Usage. Water affordability studies generally seek to evaluate the
cost of water used for basic health and cleanliness needs, includingdrinkingwater
consumption, food preparation, personal hygiene (bathing, handwashing, oral care),
sanitation (flushing toilets), and basic cleaning (washing clothes, dishes, etc.). Focusing on
a basic hygienic use value implicitly assumes that there are no major leaks within the
household. The selection of a per-person water use value has a significant impact on the
resulting estimates of a household's total water bill. Patterson et al. (2023) found that the
number of households with unaffordable water services was 1.7 times greater when a
household of the average size consumes approximately 100 gallons per person per day
compared to approximately 50 gallons. Similarly, Cardoso and Wichman (2022a) found that
the percent of households with unaffordable bills rose from 8.4% to 14.2% when the
assumed water usage increased from 40 gallons per person per day to 75 gallons per
person per day, respectively. Appendix D includes information on basic water usage
volumes used throughout the literature.

•	Household Size. The number of people in a household determines the amount of water
needed to meet the household's basic needs. Most affordability studies assume that water
use scales linearly with the number of household members, thus the per-person value is
multiplied by the household size to estimate daily household water needs. Census data
with household-level incomes and household sizes, however, is not publicly available, and
therefore, researchers rely on a measure of average household size. Patterson et al. (2023)
assume all households are the same size, approximately the national average, when
calculating water usage. Teodoro (2018, 2019) and Teodoro and Saywitz (2020) calculate
water usage for a four-person household, and Cardoso and Wichman (2022a) use the
average household size at the census block group (CBG) level to estimate water usage.

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Previous water affordability studies have been conducted with water rates and census data from
different states and years and using different methods, assumptions about water use, and
affordability threshold values. As a result, comparing findings between studies is difficult. Despite
the differences in data sources and methods used, the literature shows that water affordability is a
significant and growing issue across the U.S., especially for low-income households. While there is
much work that remains to be done to create a comprehensive picture of water affordability across
the U.S., the following sections outline several key insights from affordability studies that have been
completed to date.

4.2 Prior Research Assessing Water Affordability Challenges for Low-Income Households

Studies Measuring Water Affordability Using Household-Level Incomes

Multiple studies have assessed the extent and prevalence of affordability challenges across the
U.S. using the full distribution of household-level income. The results are not directly comparable,
as each study used different utilities, rate data years, affordability thresholds, and methods.
However, the results are generally consistent, with estimates ranging from 5.8% to 17.1% of
households experiencing a high water cost burden within the utilities evaluated in the studies, with
one study suggesting this range could be as high as 26% based on sensitivity analyses (Patterson et
al., 2023). Some of the key findings are highlighted below:

•	Patterson and Doyle (2021) found that for the median utility, 16.4% of households spent
more than 4% of their income on water services, while 7.7% of households spent more than
7% of their income on water services.

•	Cardoso and Wichman (2022a) found that 10% of households face water affordability
concerns (pay more than 4.5% of income on water), with households in the lowest income
decile paying an average of 6.8% of their annual income on drinking water and wastewater
services.

•	Patterson et al. (2023) found that 17.1 % of households have unaffordable water services
(defined as spending more than one day of labor each month paying for services or 4.6% of
income). The study also found that this number could vary between 5% and 26% of
households, depending on the volume of water used to estimate bills and the level of
financial burden determined to be acceptable (Patterson et al., 2023).

•	The Low-Income Water Customer Assistance Program Assessment found that between 7.5
to 21.3 million U.S. households (approximately 5.8% to 16.6% of households) are water
burdened, as defined by exceeding one of four affordability thresholds described in Section
3.2.3 Affordability Thresholds and Prior Applications. Furthermore, this study estimated that
between $2.4 and $7.9 billion in annual water bill assistance would be needed to address
the water burden nationwide (Berahzer et al., 2023).

Studies Measuring Water Affordability Using Community-Level LQI

Four studies conducted between 2018 and 2024 (Teodoro, 2018; Teodoro, 2019; Teodoro and
Saywitz, 2020; Teodoro and Thiel, 2024), evaluated the impact of water affordability challenges on
low-income households at the 20th income percentile, the upper LQI. All four studies compared

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drinking water and wastewater bills against the 20th percentile household income using the AR and
HM metrics described in Section 3. By assessing the cost of water services in terms of minimum
wage hours and as a percentage of disposable income, these studies highlight the impact of water
burden on low-income households and provide a view of trends in affordability over a six-
year period.

Teodoro (2018) found that in 11 of the largest 25 U.S. cities, a four-person household at the 20th
income percentile would pay more than 10% of its disposable income on drinking water and
wastewater services. The study also found that in 17 of the 25 largest cities, that same four-person
household would need to work more than 8 hours at minimum wage to afford their monthly drinking
water and wastewater bill. While the study alone cannot be used to determine which utilities have a
water affordability challenge, it does highlight that low-income household affordability cannot be
understood by simply evaluating a utility's overall affordability using MHI-based metrics
(Teodoro, 2018).

Using a random sample of utilities serving populations of 3,300 and higher, Teodoro (2019) found
that low-income households must spend an average of 9.7% of their disposable income and/or
work 9.5 hours at minimum wage to pay for basic monthly drinking water and wastewater services,
with considerable variation across utilities. The study was repeated by Teodoro and Saywitz (2020)
using the same methodology with additional rate data included, servinga combined population of
almost 44 million. Results showed that low-income households must spend an average of 12.4% of
their disposable income and/or work 10.1 hours at minimum wage to pay for basic monthly drinking
water and wastewater services. The authors found that between 2017 and 2019, affordability
challenges increased in larger utilities (Teodoro & Saywitz, 2020). Teodoro and Thiele (2024) found
that the average monthly household bill in 2023 was 20% higher than it was in 2017. Teodoro and
Thiele (2024) also found for households at the 20th percentile income within communities included
in this dataset, 19.4% had AR values (AR as described in Section 3.2 representing drinking water
and wastewater costs as a ratio of disposable income) greater than 20.0, and 9% had AR values
greater than 60.0.

Studies Measuring Water Affordability Using Community-Level MHI

Patterson and Doyle (2021) and Cardoso and Wichman (2022a) compared the results from their
household-level income analysis to one using community-level MHI. Patterson and Doyle (2021)
showed that 34.2% of utilities included in the study served a community where a low-income
household must work more than 8 hours at minimum wage for4,000 gallons per month of water
usage. However, only 1.2% of utilities served a community where more than a day of labor was
required for median households to pay that same bill. The financial burden forthe median
household was typically less than half a day of labor, which increased to 0.5-1.4 days of labor for
low-income households, and to 0.8-1.6 days of labor for a single minimum-wage earner (Patterson
& Doyle, 2021). Similarly, Cardoso and Wichman (2022a) show that 10% of households have
unaffordable water bills while only 0.8% of communities are water burdened when assessing
affordability using the community-level MHI.

Most recently, the 2024 LIHWAP Water Utility Affordability Survey report evaluated household-level
burden by calculating monthly drinking water and wastewater costs first as a percentage of MHI,

Water Affordability Needs Assessment: Report to Congress • 25


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and then as a percentage of income at 75% of the HHS federal poverty guidelines. Based on median
household income, the average water burden was 2.7%, with a minimum of less than 1% and a
maximum of 15.2%. For households at 75% of the poverty guidelines, the average water burden was
7.3%, with a minimum of 1.8% and a maximum of 40.2% (OCS, 2024a).

4.3 Prior State and Local Level Research on the Extent and Prevalence of Water Affordability
Challenges

In addition to the national studies summarized in the previous section, several state-level water
affordability assessment reports have been conducted by states, a university, or a nonprofit
company. Key findings from state-specific water affordability assessment reports5 are
discussed below:

•	The 2023 California Drinking Water Needs Assessment, which includes a drinking water
affordability assessment of community water systems within the state, found that 3% of
utilities assessed had a high affordability burden, 12% had medium affordability burden,
and 45% had a low affordability burden. High, medium, and low affordability burdens are as
defined by the 2023 report (Abhold et al., 2023).6 A 2024 update of the assessment showed
that 3% of utilities had a high affordability burden and 10% had a medium affordability
burden. The remaining utilities did not exceed an affordability indicator threshold (Abhold et
al., 2024).

•	The Michigan Statewide Water Affordability Assessment Report released in2022foundthe
average cost of water across Michigan rose 188% from 1980 to 2018, after adjusting for
inflation. For Michigan's 20th percentile income households, water costs increased over
443% over the 1980 to 2018 period (Read et al., 2022). The 2024 update to the Michigan
Statewide Assessment found that 6.07% of households in the state paid combined drinking
water and wastewater bills over 5% of household income. This percentage of households
varied significantly by county, from 1.43% to 10.66%. The report also found that for those
that have a high water burden, 70.8% to 78.1% live below the HHS poverty guidelines and
most live below 200% of the poverty guidelines (Read et al., 2024).

•	The 2023 Northern Arizona Water Affordability study found that when measuring water
affordability using the household burden indicator, the average score in Northern Arizona is
2.34%, and 3.02% forTribal households. This means that on average, low-income
households must dedicate over 2% of their income to pay monthly water costs. The study

5	While these state-level water affordability assessment reports were not obtained from peer-reviewed sources, EPA is including them in
this report as they provide valuable insight into trends in water affordability at the state-level.

6	Affordability burden for the 2023 CA Drinking Water Needs Assessment is determined using three affordability indicators: 1. %MHI
(residential customer charges for six centum cubic feet (CCF) of water per month that meet or exceed 1.5% of the MHI within a service
area), 2. "Extreme Water Bill" ("drinking water customer charges that meet or exceed 150% and 200% of statewide average drinking water
customer charges at the six CCF level of consumption"), 3. "Household Socioeconomic Burden" (percent of households that make less
than 80% of the Housing and Urban Development Area Median Family Income and pay more than half their income to housing costs). A
"low affordability burden" mean the utility exceeds one affordability indicator threshold. A"medium affordability burden" means the
household exceeds two affordability indicator thresholds. A"high affordability burden" means the utility exceeds three affordability
indicator thresholds (Abhold et al., 2023).

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found that, on average, households in the study area are able to pay for 4,000 gallons of
monthly water consumption by performing 3.6 hours of labor at minimum wage
(Heminger et al., 2023).

• A 2023 nonprofit report on Connecticut households, Mapping Household Cost Burdens,
assessed the drinking water burden for communities in the state, and found that 37
population tracts, containing over 47,000 households, exceeded the 2% affordability
threshold of income dedicated to drinking water services. By 2025, it is estimated that this
number may increase to about 50 tracts, assuming an annual 5% increase in rates (Sears &
Badger, 2023).

4.4	Prior Work Evaluating Regional Trends

Teodoro (2019) found that drinking water and wastewater bills are, on average, more affordable in
the Western U.S. than in other regions. Patterson et al. (2023) found that the Southwest, Mid-South,
and Great Plains regions generally had less expensive water services and a lower pervasiveness of
unaffordability when compared to Eastern regions. The study showed regional concentrations of
unaffordability challenges in the Eastern U.S., particularly within West Virginia, Ohio, and Indiana.
Both the cost of water services and pervasiveness of unaffordability were more sensitive to the
volume of water used in the Eastern U.S. than in the Western regions (Patterson et al., 2023). This
study attributes these findings to both steeper increases in water services costs at higher water
usages combined with the relatively high poverty in these same regions.

Patterson et al. (2023) also found that while bills were comparable in the Southeast, Midwest, and
Southwest regions, unaffordability in the Southeast and Midwest was higher as a result of lower
household incomes in those regions. Both the Pacific Northwest and Mid-Atlantic regions had
higher median monthly bills; however, the distribution of water burden differed between those two
regions. Many communities in the Mid-Atlantic region had higher bills than other regions, whereas
the Pacific Northwest only had a handful of communities with very high water bills. As a result, the
Mid-Atlantic region generally experienced higher levels of unaffordability than the Pacific Northwest
(Patterson et al., 2023).

Cardoso and Wichman (2022a) found evidence that water affordability concerns are prevalent in
the Southwest and Southeast regions. However, this study also found significant concerns within
many states and within urban areas across the United States. The authors concluded that
affordability concerns are inherently a local issue dictated by the distribution of income within a
community (Cardoso & Wichman, 2022a).

4.5	Key Findings on Socioeconomic Trends and Other Factors Impacting Water Affordability

In addition to evaluating the prevalence of water affordability challenges across the U.S.,
researchers have explored trends that impact water affordability, including socioeconomic
characteristics of the community and characteristics of the utility.

Water Affordability Needs Assessment: Report to Congress • 27


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Local Income Distribution. Results from multiple studies showed that water affordability
challenges increase as income distribution becomes more unequal (Teodoro, 2019; Patterson et
al., 2023). The LIHWAP Water Utility Affordability Survey Report found that the percentage of the
population under 150% of the Federal poverty guidelines was not a significant predictor of
drinking water and wastewater rates. This report indicated that rates are set at the level needed to
support the utilities' operational costs, and these rates may be unaffordable for low-income
households (OCS, 2024a). Furthermore, Patterson and Doyle (2021) argued that widespread
poverty is a major contributor to utility financial capability challenges.

Utility Size7. Results from multiple studies showed that affordability improves significantly as
utility size increases (Teodoro, 2019; Patterson et al., 2023). Another study showed that larger
utility service populations are associated with lower bills (El-Khattabi et al., 2023). Similarly, the
2023 California Drinking Water Needs Assessment found that small community water systems
included in the assessment charged an average of $71.31 for 6 CCF (equivalent to 4,488 gallons),
while medium and large community water systems included in the assessment charged an
average of $45.28 and $41.14, respectively, for 6 CCF in 2021 (Abhold et al., 2023).

Utility Ownership. El-Khattabi et al. (2023) showed that municipally owned utilities often have
lower water bills than for-profit utilities. The study also found that higher rates are charged by
utilities that use purchased water as a main source (El-Khattabi et al., 2023).

Race and Ethnicity. A 2022 study found that the number of households facing affordability
concerns is positively correlated with the proportion of Black or African American residents and
negatively correlated with the proportion of Hispanic or Latino residents within a CBG, even after
conditioning on prices and poverty levels (Cardoso &Wichman, 2022a).

4.6 Prior Work Evaluating Policy Implications of Water Affordability Study Findings

A key area of the water affordability literature focuses on applying the findings on water burden
to develop recommendations for addressing these challenges throughout the United States.
Researchers have investigated how current pricing models impact affordability, modeled the
potential impacts of policy interventions, and highlighted other considerations for the design
of policies.

Rate Structures. Water affordability is not only impacted by levels of water rates but also by the
structure of those rates. Water utilities typically price water using a volumetric charge and may
also include a fixed service charge that does not depend on the quantity consumed. The
volumetric charge may be uniform or, more commonly, tiered and increasing with use, also
known as an increasing block tariff (IBT). El-Khattabi et al. (2023) showed that utilities that price
water using IBTs have lower rates at a modest level of water usage (4,000 gallons per month).

7 Non-community water systems generally do not have water rates. As such, they are not typically included in water rates affordability analyses.

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Cardoso and Wichman (2022a) found that rate structures that included a fixed service charge fee
were positively correlated with the proportion of households with unaffordable water. Teodoro
and Thiele (2024) found water rate structures became more regressive between 2017 and 2023,
with utilities collecting less revenue through volumetric charges and more revenue through fixed
charges.

Self-Funded Customer Assistance Program Benefit Types. Cardoso and Wichman (2022a)
simulated the effects of different self-funded assistance programs on the total income share that
households allocate to water services. The simulations evaluated two different benefit types
(50% rate discount vs. uniform lump-sum rebates) and two different funding mechanisms
(uniform water rate increase vs. a local income tax on non-eligible households). The results
showed that lump-sum rebates to low-income households funded through local income taxes
achieve affordability targets with fewer unintended consequences than policies that operate
through lower water rates, as these policies may reduce incentives for water conservation
(Cardoso & Wichman, 2022a).

Variation in Rates Across Utilities. El-Khattabi et al. (2023) highlighted the significant variation
in rates among utilities within the same metropolitan statistical area and stressed the
importance of accounting for this variability in rates between utilities when designing low-income
water affordability or assistance programs.

Utilities with High Levels of Poverty. Patterson and Doyle (2021) stated that widespread poverty
affects both the prevalence of water unaffordability experienced at the household level as well as
the financial capabilities of the utility. The authors argued that CAPs may be insufficient to
address these financial capability challenges, and that utilities should pursue a variety of
solutions to reduce utility costs, such as increasing economies of scale, improving revenue
collection, or hiring locally to stimulate the local economy (Patterson & Doyle, 2021).

4.7 Summary

The water affordability literature reveals many considerations for understanding the scale of water
burden across the U.S., from comparing the data and methods used in various studies to factoring
in regional and socioeconomic trends and policy implications. The existing research shows that an
estimated 5.8% to 17.1 % of households in the U.S. face water affordability challenges. Multiple
factors contribute to these challenges, including local income distribution, rate structure, utility
size, and race. Although estimates vary across regions and socioeconomic factors, several studies
showed an increasing prevalence of water affordability issues, revealing significant concerns
across many areas of the United States.

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5. Water Affordability Analysis

IIJA Section 50108 requires EPA to characterize the extent and prevalence of water affordability
challenges faced by households and utilities across the U.S. It requires EPA to examine the
"prevalence of a lack of affordable access to water services" throughout the U.S., and to estimate
the prevalence of water utilities servicing a "disproportionate percentage" of "qualifying
households with need." IIJA Section 50108 is available for reference in Appendix Bi Infrastructure
Investment and Jobs Act Sections 50108 and 50109. Responsive to the IIJA requirements, EPA's
Water Affordability Analysis found the following:

•	Between 12.1 million and 13.2 million U.S. households experience high water burden.

EPA evaluated the distribution of percentage of household income required to pay for basic
water services using income and water service rates data from households and utilities
across the U.S. EPA then compared the percentage of household income spent on drinking
water and wastewater bills against two affordability threshold values, 3% and 4.5%, as
discussed in Section 3.3 - EPA's Approach for This Report, to determine the number of
households experiencing a high water burden.

•	The total annual cost of unaffordable water service bills is between $5.1 billion and
$8.8 billion. EPA calculated the total dollar amount of water service costs exceeding each
selected affordability threshold value to estimate the total national costs of households
experiencing high water burden. This represents between 9.2% to 14.6% of total
households in the U.S. The cost of unaffordable water service bills only includes the

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amount of each bill exceeding an affordability threshold amount, not the entire bill. See
Section 5.1.1 and Figure 5 for more details on this calculation.

•	Approximately 10,340 community water systems throughout the U.S. service a
disproportionate number of households experiencing high water burden. EPA evaluated
the number of "qualifying households" using the IIJA definition that compared household
income to federal poverty guidelines. EPA then calculated the percentage of qualifying
households as compared to total households within the drinking water service area
boundaries of each utility. EPA considered utilities to have a disproportionate percentage of
qualifying households when the percentage of qualifying households exceeded 40% or
approximately the 75th percentile of utilities across the U.S.

5.1 Analysis of the Prevalence of Households Lacking Access to Affordable Water Services
and Estimated National Costs

EPA's water affordability rates analysis evaluated the distribution of percentage of household
income required to pay for basic water services throughout the U.S. Results show that between
12.1 million households (9.2% of all households in the U.S.) and 19.2 million households (14.6% of
all households in the U.S.) are estimated to have unaffordable bills. The analysis also showed that
more than 75% of households in the lowest quintile of income have unaffordable water bills at the
3% income threshold, and more than 50% of these households have unaffordable water bills at the
4.5% income threshold. This section presents EPA's Water Affordability Analysis data sources,
methodology, findings, and data limitations.

5.1.1 Data Sources and Methods

The water rates affordability data analysis conducted in this report combined two primary sources
of existing residential drinking water and wastewater rate data: the Duke Nicholas Institute for
Energy, Environment & Sustainability Water Affordability Data Dashboard (Duke) and the Cardoso
and Wichman (2022b) publication dataset (C&W). Water rate data was also included from the
Wisconsin Public Service Commission (WIPSC).

•	Duke: Data and code for merging drinking water and wastewater rates to CBGs are publicly
available from a repository (Patterson, 2022). Combined drinking water and wastewater
rates were available at intervals of 1,000 gallons. Rate data in the Duke dataset were
matched to the CBG using the percentage of overlap between the CBG and the service area
boundaries. That is, a weighted average of utility rates was calculated per CBG using the
percentage of overlap of the CBG within each utility boundary. Please note, the data in this
repository includes limited stormwater rates. However, stormwater was not included in this
analysis due to lack of consistent availability.

•	C&W: The Cardoso and Wichman (2022b) dataset used in their paper (Cardoso and
Wichman, 2022a) is available by subscription. This dataset combined drinking water and
wastewater rate data from the UNC EFC dashboard (accessed in July 2017) and the 2016
American Water Works Association (AWWA) Water and Wastewater Rate Survey. Combined
drinking water and wastewater rates were available at intervals of 5 CCF (centum cubic
feet) or intervals of 0, 3740, 7480, and 11220 gallons. Drinkingwater and wastewater rate

Water Affordability Needs Assessment: Report to Congress • 31


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data were matched to the county level using the county of the utility headquarters. Every
household in the county was assumed to face the same rates, equal to the average rates
in the county.

• WIPSC: State-level water rate data from the Wisconsin Public Service Commission and via
University of North Carolina Environmental Finance Center from the year 2020 at intervals
of 1,000 gallons are available from the state dashboard webpage (UNC EFC, n.d.). These
rates do not include wastewater rates; therefore, average wastewater rates from 2020
(estimated from the Duke data) were added to the reported water bills. Rates were matched
to the census tract level using the city name of the water utility.

When combining these three sources of data, rates were matched to CBGs covering 59% of the U.S.
population. It is important to note that this does not imply that the underlying rates data had the
same coverage. Because rates were aggregated at county level in the C&W data, the census tract
level for the WIPSC data, and the CBG level in the Duke data, the coverage of rate data for the
households actually subject to those rates is much smaller and potentially different. As discussed
previously, primary limitations of conducting a national water affordability study include the
shortage of rate data, the lack of a nationally representative sample of rates, and the difficulty in
precisely matching rates geographically to census data. When combining the Duke, C&W, and
WIPSC datasets, there were no data for the states of Montana, North Dakota, Oklahoma,
Tennessee, Vermont, West Virginia, the District of Columbia, or any U.S. territories. To estimate the
total number of households in need of water assistance nationwide, rate data were extrapolated for
the counties that did not have data using a regional average. Eight regions were defined for the
continental U.S. following Patterson et al. (2023), as well as two regions for Hawaii and Alaska.

Drinking water and wastewater rates were adjusted to 2024 dollars using the water and sewer and
trash collection services CPI available from the St. Louis Federal Reserve Economic Data (U.S.
Bureau of Labor Statistics, 2024b). The drinking water and wastewater rate data were matched to
census data from the 2022 5-year American Community Survey (ACS) at the CBG level (U.S Census
Bureau, 2024a). Income data from the ACS were adjusted to 2024 dollars using the CPI for all items
(U.S. Bureau of Labor Statistics, 2024a). If data were available for a given CBG from both the WIPSC
and the C&W datasets, the WIPSC dataset was chosen because the WIPSC data are more recent,
available at more refined values, and matched to a smaller geographic area. If data were available
for a CBG from both the Duke and C&W datasets, the data from Duke were chosen for that block
group. The Duke data were assumed to be the most accurate for several reasons: 1) Rate data in the
Duke dataset were matched to the CBG using service area boundaries, 2) the Duke dataset is the
most recent, and 3) the combined rates from the Duke data are available at granular intervals of
1,000 gallons, which reduced errors from linearly interpolating rates at other consumption values.

Monthly water use was calculated using a hygienic value of 50 gallons per person per day,
multiplied by 30 days per month, and multiplied by the household size. Following Cardoso and
Wichman (2022a), the monthly water use was estimated using the average size household of that
CBG. That is, every household within the CBG was estimated to have the same size household,
which is equal to the average household size of the CBG. Monthly total bills were then estimated
using the combined drinking water and wastewater data at the household's estimated monthly
hygienic need. Drinking water and wastewater rates were linearly interpolated for consumption

Water Affordability Needs Assessment: Report to Congress • 32


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values between the known quantities from each dataset (intervals of 5 CCF for C&W or intervals of
1,000 gallons in Duke and WIPSC). EPA's analysis assumes that renters who may not pay drinking
water and wastewater bills directly must pay the full cost of these bills indirectly through their
rent payments.

The distribution of household income in the CBG was estimated using the counts of households in
each income bracket from the census data. Following Patterson and Doyle (2021) and Patterson et
al. (2023), household incomes were randomly generated in each income bracket according to these
counts and assuming that incomes were uniformly distributed within each income bracket.
Following Cardoso and Wichman (2022a), the assumed minimum possible income was set to
$5,000 peryearfor households in the lowest income bracket, and the maximum possible income
was setto $300,000 peryearfor households in the highest income bracket. Estimates of the
percent of household income dedicated to drinking water and wastewater services were generated
by dividing the estimated monthly water payments for hygienic household needs by the estimated
monthly household income. For households paying more than the affordable threshold, EPA
calculated the difference between the monthly amount and the assumed level of affordable
water bills.

Households were defined as qualifying for assistance if their income was less than the greater of
60% of state MHI and 150% of the Federal Poverty guidelines. Estimates of the total number of
qualifying households in need of assistance were generated by summing up the counts of qualifying
households with unaffordable bills in each CBG across the nation and adjusting for the growth of
households nationwide between the 2022 5-year ACS and 2024 estimates from the Census Bureau
(U.S. Census Bureau, 2024a; U.S. Census Bureau, 2024c). However, not every household within the
CBG is connected to utilities, and some may instead use well water or decentralized wastewater
treatment. This is more common in rural areas. The percent of households connected to piped
water was last surveyed in the 1990 Census. EPA used estimates of the percentage of households
connected to piped water that have been extrapolated to 2020 using geographical characteristics
and trends in population growth per CBG (U.S. EPA, 2020). To adjust for well water use, estimates of
the total number of qualifying households with need and the total cost of a water assistance
program per CBG were multiplied by the share of households that are connected to piped water.

EPA calculated the annual cost of the unaffordable portion of water service bills for qualifying
households nationwide. The affordable portion of water service bills was calculated by multiplying
monthly household incomes by each affordability threshold percentage (3% and 4.5%). EPA
calculated the total dollar amount of monthly water service costs exceeding each selected
affordability threshold value and summed these to estimate a range for the annual cost of the
unaffordable portion of water service bills for qualifying households nationwide. Figure 5 shows this
process for an example household (Household A). In this example, Household A's water bill
represents 10% of its household income. Using the 3% affordability threshold, the maximum
affordable water services bill for Household A would be $30. The amount of the bill that exceeds the
affordability threshold, or $70, represents the unaffordable portion of the water services bill. Using
the same method and considering a 4.5% affordability threshold, $45 of the bill is affordable to
Household A and $55 is unaffordable.

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Household A

Example Monthly Water Bill = $100
Monthly Household Income = $1,000

Apply Affordability

Thresholds to
Household Incomes



$70



$55



-







Unaffordable Portion









¦ Affordable Portion



$30



$45



3% THRESHOLD

W>% THRESHOLD

Figure 5. EPA's approach to calculating the unaffordable portion of water service bills

Note: The monthly water bill and monthly household income were chosen only for ease of calculations and are not meant
to represent any particular household.

The summation of the unaffordable portion of water service bills (shown in orange in Figure 5}
across the U.S. represents the total national assistance need for qualifying households that
currently have unaffordable water bills.

5.1.2 Summary of Findings

As summarized above, EPA replicated approaches from similar studies to evaluate water
affordability. The section below walks through the detailed analysis and findings used to calculate
the affordability cost and extent of households impacted across the country. The Figure summaries
provide detailed descriptions of the approach used and findings.



-tiff-

I

0

Monthly Bill at 5 CCF

200 - 225

175-200

150-175

125-150

100-125

75-100

50-75

25-50

0-25

No data

Figure 6: Average Monthly Drinking Water and Wastewater Bills for Consumption at 5 CCF (in dollars)

Water Affordability Needs Assessment: Report to Congress 34


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Figure 6 shows the average monthly drinking water and wastewater bills (in dollars) for
consumption at 5 CCF (3,740 gallons) using the combined sample of rates from the Duke, C&W,
and WIPSC datasets. This consumption value is approximately equal to the monthly hygienic use
for a household that consumes 50 gallons per person per day and has 2.5 members, which is
approximately the national average household size in 2022 (U.S. Census Bureau, 2024a). Rates are
matched to CBGs for approximately 59% of the population; however, there are significant
geographical data gaps. Rate data are particularly limited in the Great Plains region.

-|	1	1		1	1	1	1	1	r

23456789	10

Affordability Threshold (% of Income Spent on Water and Sewer Bills)

Figure 7: Households Served by Water Utilities Spending More than the Affordability Threshold on Water
Bills (All Households)

T	1	1	'	1	1	1	1	1	1-

23456789	10

Affordability Threshold (% of Income Spent on Water and Sewer Bills)

100

	 Lowest Quintile

	 Second Quintile

— Third Quintile
Fourth Quintile
Highest Quintile

Figure 8: Households Served by Water Utilities Spending More than the Affordability Threshold on Water
Bills (by Income Quintile)

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Figures 7 and 8 show the percentage of households served by water utilities that spend more than
the affordability threshold on the y-axis and the percent of income spent on drinking water and
wastewater bills on the x-axis. Figure 7 shows all customers, and Figure 8 shows the results
separately by quintile of income. Approximately 11% of households that are supplied by water
utilities have unaffordable bills at the 4.5% threshold. At the 3% threshold, this percentage
increases to 18% of households supplied by water utilities.

Figure 8 demonstrates that water unaffordability is primarily an issue for households in the lowest
quintile of income. More than 75% of households that are supplied by water utilities in the lowest
quintile of income have unaffordable water bills at the 3% income threshold, and more than 50% of
these households have unaffordable water bills at the 4.5% income threshold. Income thresholds
used in this analysis are discussed in detail in Section 3.2.3. Furthermore, approximately 15% of
households that are supplied by water utilities in the lowest quintile of income spend more than
10% of their income on drinking water and wastewater services.

Affordability Metric

Affordability Cutoff 3%

Affordability Cutoff 4.5%

Total Qualifying Households with Unaffordable
Water (in Millions)

19.21

12.10

Average Yearly Cost of the Unaffordable Portion
of Water Service Bills per Household (in dollars)

456.75

421.09

Total Yearly Cost of the Unaffordable Portion
of Water Service Bills Nationwide (in Billions
of dollars)

8.84

5.13

Table 1: Estimates of the Number of Households with Unaffordable Water and Yearly Assistance Costs

Table 1 shows the estimated number of qualifying households with unaffordable bills, the average
yearly household assistance costs for these households, and the total yearly assistance costs. At
the 4.5% threshold, 12.1 million qualifying households (9.2% of all households in the U.S.) are
estimated to have unaffordable bills. This number increases to 19.2 million qualifying households
(14.6% of all households in the U.S.) at the 3% affordability threshold. The second row of Table 1 is
an estimate of the average yearly amount of assistance that would be needed for water bills to be
affordable for qualifying households that currently have unaffordable water bills. The third row of
Table 1 is a nationwide sum of the yearly assistance costs for qualifying households with
unaffordable bills. At a 4.5% affordability threshold, the yearly total assistance costs are estimated
at $5.1 billion. This total increases to $8.8 billion at the 3% affordability threshold.

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No data

Figure 9: Estimated Percent of Households with Unaffordable Bills at the 4.5% Threshold (Counties with
Rate Data)

Figure 10: Estimated Percent of Households with Unaffordable Bills at the 4.5% Threshold (All Counties)

Water Affordability Needs Assessment: Report to Congress 37


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Figures 9 and 10 show the estimated percent of households with unaffordable bills at the 4.5%
threshold for counties with available rate data (Figure 9) and extrapolated for all counties in the U.S.
(Figure 10). For counties with no rate data available, the average rates at 0, 5,10, and 15 CCF of the
region were imputed and used to calculate household-level water bills. That is, all households in
the counties with missing data were assumed to face the same drinking water and wastewater
rates, equal to the regional average rates. Figure 10 shows significant variation in the percentage of
households with unaffordable bills even for counties with imputed rate data. This is due to the
variation in average household size and the income distribution within each CBG and highlights the
importance of considering the socioeconomic characteristics of the population in an
affordability analysis.

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In-Depth Analysis: California-Specific Analysis

Water bills are not uniform across the U.S. Some states have much higher needs and any
national program should be built to reflect that disparate need. California is one state with
acknowledged affordability issues (California State Water Resources Control Board, 2021). To
examine household burdens in a high-cost state and to demonstrate how EPA could use
more detail in a future report, EPA focused on California, which collects a large amount of
data on water systems as part of their Electronic Annual Report (eAR) survey (California State
Water Resources Control Board, 2024b). The survey asks systems for a wealth of detailed
data, including on rate structures, and then automatically calculates the rates for 6, 9,12,
and 24CCF.

EPA used the distribution of California household incomes generated in the qualifying
household analysis described in Section 5.2 and assigned these households water costs for
50 gallons per person per day. Household size was determined by intersecting the service
area boundaries with the 2022 5-year ACS data; one average household size was used for
each system.

The results of this analysis are shown in Table 2 below. The total needs (costs of water bills
over 4.5% of household income) for qualifying households with need are $859 million. The
average need per qualifying household is lowest for the largest systems sizes and generally
increases as system size decreases.

Population
Served

Number of
Households

Number of
Qualifying
Households

Number
Qualifying
Households
with Need

Total Annual
Need

Annual Need
per Qualifying
Household
with Need

>100,000

6,459,019

1,866,485

312,382

$406,939,863

$1,302.70

10,001-
100,000

3,893,940

1,155,710

239,883

$359,678,605

$1,499.39

3,301-10,000

357,672

126,965

31,380

$ 54,299,402

$1,730.38

501-3,300

204,278

76,764

18,559

$30,955,042

$1,667.93

<=500

59,828

21,948

5,610

$9,822,090

$1,750.82

Table 2: California Analysis

Please see Appendix F for details.

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5.1.3 Discussion of Data Limitations

Drinking Water and Wastewater Rate Data

The primary limitation of this analysis is the minimal availability of drinking water and wastewater
rate data. There have been several recent efforts to collect comprehensive rate data (UNC EFC,
n.d.; Patterson, 2022; California State Water Resources Control Board, 2024b). Despite these
efforts, developing a census of rates remains elusive because gathering rate data from the
numerous small and very small utilities is challenging, and rate data must be updated frequently as
utilities change their rates. Therefore, current sources of rate data likely underrepresent small and
very small utilities because of the difficulty in obtaining rate data for these utilities. Teodoro (2019)
omitted utilities serving fewer than 3,300 people from the randomized sample of rates collected,
and Patterson and Doyle (2021) note that medium and smaller utilities are underrepresented in
their sample of rates due to missing data for these utilities. These utilities may also have higher
rates because smaller utilities are less able to take advantage of economies of scale, making
certain costs associated with providing drinking water and wastewater services comparatively more
expensive. Furthermore, small and very small utilities may be more common in rural and Tribal
areas that have disproportionally more qualifying households in need. The rate data in this Report
are not geographically representative of the U.S., which may result in variability due to the
aforementioned underrepresentation of small and very small utilities, the inclusion of specific
areas where affordability issues may be more severe, or other variations between data used and the
U.S. as a whole. A nationally representative survey of drinking water and wastewater rates would
allow researchers to estimate household income dedicated to water services with greater
confidence. EPA intends to conduct further research on drinking water and wastewater affordability
using a nationally representative survey of rates.

Additionally, this analysis does not cover decentralized wastewater treatment systems (e.g., septic
systems), private drinking water wells, or stormwater costs. These costs are not typically
represented on utility bills and are not consistently represented in the national data used for this
analysis. Further research on these systems, funding needs, and household affordability impacts
related to stormwater, private drinking wells, and decentralized systems will be an area of focus for
EPA in subsequent studies

Census Data

EPA was able to estimate the income dedicated to water services using the full distribution of
household income. However, the average household size per CBG was applied to every household
within the CBG, because data on the variation in household size within each income bin are not
publicly available. The percentage of income spent on water services by low-income households in
a CBG could be underestimated if average household size decreases with income and
overestimated if average household size increases with income in that CBG. On a national level,
average household size increases with income (U.S. Census Bureau, 2024b). Census data with
household by income size cross-tabulations or individual-level census data would allow
researchers to develop a more accurate estimate of both the number of households that would
qualify for water assistance and the number of those households with unaffordable drinking water
and wastewater bills. In future research on water affordability, EPA intends to develop a dataset

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with more detailed census information that is better suited to answering these questions than the
publicly available ACS data.

Matching Census Data to Rate Data

Limited geographical refinement of the drinking water and wastewater rate data used in this report
restricted EPA's ability to precisely match rate data to CBGs. The C&W data was averaged and
matched at the county level, the WIPSC data was averaged and matched at the census tract level,
and the Duke data was averaged and matched at the CBG level. Furthermore, rates were imputed
using the regional average for CBGs with no rate data. Higher levels of geographical aggregation
may obscure the affordability challenges of households that are served by utilities with
disproportionally higher rates. Ideally, all rate data should be matched to the exact population of
the service area. However, in the absence of geo-located census data, the most accurate method
would use service area boundaries to match census data at the CBG level to the utility. Recent
efforts to map water utility service area boundaries for drinking water utilities by EPA (U.S. EPA,
2024d) make this approach for matching water rates to census geographies feasible. Wastewater
utility service area boundaries have not been completed at the time of this analysis. EPA plans to
use nationwide service area boundary datasets for both wastewater and drinking water utilities to
more precisely match rates to census data in future research on water affordability.

Poverty Guidelines

Following the IIJA language, one indicator in qualifying household analysis is household income
less than 150% of HHS poverty guidelines (See Appendix A for full IIJA language). The poverty
guidelines are updated annually.8 These guidelines are used mainly for determining eligibility for
assistance programs and are based on household/family size. The guidelines are the same for all
states except Alaska and Hawaii, which have individual state guidelines. In this study, we used a
combination of the poverty guidelines (150%) and state MHI (60%) in our qualifying household
analysis. The Census Bureau also provides poverty thresholds, which are updated each year. These
thresholds are used mainly for statistical purposes and are based on family size and age, but do not
vary geographically.

Another difference between the guidelines and thresholds is how the standards are applied. HHS
does not set a definition of income for the poverty guidelines. However, programs applying the
guidelines choose to include or exclude different categories of income such as non-wage income or
cash assistance; these programs may also allow deductions for children or specific expenses (U.S.
Government Accountability Office, 2017). The Census Bureau uses a specific definition of income
when calculating the prevalence of poverty using the thresholds (U.S. Census Bureau, 2023a).

Caution is warranted when comparing poverty estimates from different sources, such as the
studies in the literature that include poverty measures. Further, the calculation of poverty in the
analyses in this study by necessity used ACS data to calculate income, which is different from the

8 HHS notes that'the poverty guidelines are sometimes loosely referred to as the "federal poverty level," but that phrase is ambiguous
and should be avoided, especially in situations (e.g., legislative or administrative) where precision is important.'
(https://aspe.hhs.gov/topics/poverty-economic-mobility/poverty-guidelines)

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Census definition of family income used when calculating U.S. poverty rates. The ACS calculates
household income from the sum of the responses to questions asking about eight specific
categories of income (e.g., wage and tax income, retirement and pension income, etc.) (U.S.

Census Bureau, 2023a; U.S. Census Bureau, 2024a). Some of this income data can be negative. For
example, self-employment income is reported net after expenses. If these categories are negative,
total household income can also be negative. The income measures in the ACS will not correspond
to the income used for program eligibility for LIHWAP.9 The results in the household level analysis in
this report assume positive household income and therefore may differ from results using other
income measures.

5.1.4 Comparison to other cost-relevant affordability analyses

This report estimates that between 12.1 million and 19.2 million qualifying households may face
unaffordable water bills. The total cost of these unaffordable rates nationwide was estimated to be
between $5.1 billion and $8.8 billion peryear, excluding administrative costs. The average costs per
participating household are estimated to be between $421 and $457 peryear based on the analysis
in this report. These topline numbers align with other estimates that have been developed
independently, which relied on different methods and rate data. This section compares results from
two recent independent estimates to EPA's findings.

The Low-Income Water Customer Assistance Program Assessment Report estimated that 7.5
million to 21.3 million households in the U.S. are water burdened, with a total annual need for water
bill assistance between $2.4 billion and $7.9 billion. Like EPA's analysis, this estimate does not
include costs associated with private wells and/or septic systems (Berahzer et al., 2023). Cost
estimates are reflected in 2022 dollars. These estimates are similar to EPA's estimates10.

The Washington State University (WSU) Calculator for Nationwide CAPs estimates that
approximately 13.5 million to 28 million households in the U.S. are water burdened, with an annual
water affordability need ranging from $6.6 billion to $13.7 billion. Table 3 shows the total number of
households that would benefit from an assistance program and the annual cost of the program at
three different eligibility thresholds based on household income as a percentage of the federal
poverty threshold (Kraabel, Randriamaro, & Cook, n.d.). The upper range of the WSU estimates are
higher than EPA's estimates for several reasons. The upper estimates use a cutoff of 200% of the
federal poverty threshold, while EPA's analysis used a threshold of 150% of the federal poverty
guidelines. The WSU Calculator for Nationwide CAPs assumes all income eligible households pay a
water provider, even those on private wells. The total cost values also include administrative costs
of 18.5% (covering administrative costs to sub-recipients, administrative costs to states, and

9	As noted earlier in this report, LIHWAP eligibility thresholds were based on total household income (at or below 150% of the federal
poverty guidelines, at or below 60% of the state MHI, or measured with another lower poverty threshold) as well as other eligibility criteria
required by grantees (OCS, 2023a). LIHWAP allowed for categorical eligibility based on enrollment in other means-tested programs, such
as TANF, SNAP, Supplemental Security Income (SSI), and LIHEAP (OCS, 2023a).

10	Berahzer et al. 2023 is not a peer-reviewed study. The authors are leading economists and experts in the water affordability space.

Many of the authors have published peer-reviewed studies. EPA's analysis uses two of the four affordability thresholds used in Berahzer
et al. 2023, which could influence the two estimates to be similar. However, Berahzer et al. 2023 applies two additional thresholds,
aggregates analysis to different geographies, and uses a different sample of water rates.

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outreach and eligibility determinations); whereas EPA's estimates do not include
administrative costs.

Assistance Metrics

At or Below 100%
Federal Poverty
Threshold

At or Below 138%
Federal Poverty
Threshold

At or Below 200%
Federal Poverty
Threshold

Annual Cost of Program

$6,590,000,000

$8,740,000,000

$13,709,000,000

Total Number of Households

13,478,000

17,858,000

27,967,000

that would Benefit







Table 3. WSU Water Affordability Needs Assessment Model Results by Eligibility Requirement
Threshold (% poverty threshold).

Note: Results assume 80% of eligible households participate; 4,500 gallons per month of water usage; and 25% essential
use covered, includingfixedcharges.

Source: Washington State University Water and Sewer Customer Assistance Programs, Nationwide Program Estimator

5.2 Evaluation of Prevalence of Utilities Serving a Disproportionate Percentage of
Qualifying Households

EPA calculated the national number of qualifying households using the 2022 ACS 5-year data (U.S
Census Bureau, 2024). The ACS provides data tables of the number of households in each of 16
"bins" of annual household income ranges within a CBG. For example, the number of households
with annual household income less than $10,000, from $10,000 to $15,000, and so forth, with the
highest bin at greater than $200,000 in annual income. EPA then randomly assigned incomes within
each bin for every household in that CBG to generate a full distribution of household income.

Using the IIJA qualifying household definitions of having income lower than the greater of 60% of
state MHI or 150% of the HHS poverty guidelines, EPA calculated the share of qualifying
households among all households in the census geographies. All households were assumed to be
the average household size for the census geography when comparing against the poverty
guidelines, which vary with household size.

Next, EPA merged census data geographically to utilities using a drinking water utility service area
boundary dataset (U.S. EPA, 2024d). A weighted average of the census data was generated based
on the proportion of overlap of the CBG with the service area boundary. This allowed EPA to
estimate the share of qualifying households and the average household size in each utility's service
area. This approach assumes that all households are evenly spread out within the CBG. Another
data limitation is that service area boundaries are imprecise and may overlap. Therefore, for each
utility, EPAdivided the Safe Drinking Water Information System (SDWIS) service population by the
estimated household size to calculate the number of households in each service area. EPA then
multiplied the estimated number of households by the estimated share of qualifying households in
each service area to develop an estimate of the number of qualifying households served by
each utility.

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The results are presented in Table 4 below by SDWIS population size category. The overall national
estimate for the number of qualifying households in U.S. community water system service areas is
estimated to be over 36 million households. The highest share of qualifying households is in the
next-to-smallest population size category, although the number of households declines by size
category. Table 4 also presents the number of utilities with more than 40% of households in their
service area being qualifying households. This threshold was determined by EPA to represent water
providers servicing a disproportionate percentage of qualifying households. This threshold is
approximately equal to the 75th percentile of the distribution of the percentage of qualifying
households served by utilities across the U.S.

IIJA Water Service

Provider

Classification

(Population

Served)

Average %
Qualifying
Households
Served

Total Number of
Qualifying
Households
Served

Total Number of
Utilities

Number of
Utilities Servicing
more than 40%
Qualifying
Households

Large (>100,000)

30%

17,368,350

448

65

Medium (10,001-
100,000)

30%

12,704,451

3,944

742

Rural (3,301-
10,000)

31%

3,404,782

4,893

1,111

Rural (501-3,300)

33%

2,320,929

12,720

3,318

Rural (<=500)

30%

495,194

22,327

5,104

Totals

31%

36,293,709

44,332

10,340

Table 4: Number of Qualifying Households and Number of Utilities Servicing a Disproportionate
Percentage of Qualifying Households by Utility Size

Note: Analysis was done byCBG. Appendix F includes a comparison of the analysis at the CBG level and at the census
tract level.

EPA further examined the percentage of qualifying households served by Tribal utilities (identified
as those utilities in SDWIS with Tribal primacy, serving a Tribal area, or having Native American
ownership). These utilities have an average percentage of qualifying households of 45% with a
median of 44.9%.

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6. Arrearages, Disconnections, and Tax II fens

6.1 Impact of Arrearages to Households

Arrearages and water service disconnections can cause catastrophic disruptions to households
and communities, including psychological stress (Kimutai et al., 2023) and threats to public health.
Arrearages can lead to late fees and other penalties, wage garnishment through debt collection
processes, impacts to an individual's credit score, and water service disconnections (Levine et al.,
2022). Families need safe drinking water and wastewater access to prepare food, shower, and flush
toilets. Shutoffs can pose a threat to public health and human dignity, disrupting people's ability to
care for themselves and their dependents. Households that struggle to pay their water bills will
often sacrifice other essential needs to maintain access to water services (Levine et al., 2022). Tax
liens are also a threat sometimes linked to arrearages that can have potentially devastating impacts
on homeownership rates, which have been shown to have greater impacts on communities of color
(Montag, 2019).

While there is no comprehensive national source of water service disconnections and arrears,
available data show that arrearages affect a large number of customers. For example, the 2023
UHWAP survey found that, on average, 20% of households were in debt to their water utility. For
Tribal communities, this debt figure increases to 32% of households. Average household debt per
utility was $285, and $502 amongTribally owned utilities (OCS, 2024a).

Findings from the WIPSC's survey of drinking water utilities were largely consistent, showing the
average percent of customer accounts in arrears varied from 11% to almost 20% and the average

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debt per customer ranged from $110 to $255, with an inverse trend in utility size (Wisconsin PSC,
n.d.). Table 5 shows the percentage of households with arrears and the average amount owed for
customers in arrears. These data are specific to the state of Wisconsin, and further analysis is
needed for other states.

Arrearage Metric

Very Large

Large

Medium

Small

Very Small

Number of Utilities

2

73

100

271

90

Total Estimated Population
Served

841,815

2,098,049

747,175

567,050

26,262

Average % of Customer
Accounts with Arrears

11.0%

13.7%

15.7%

19.6%

19.6%

Average Amount Owed Per
Customer with Arrears

$109

$114

$215

$137

$254

Table 5. Wisconsin Drinking Water Utilities Arrearage Data for 2023 Quarter 4 PSC by EPA Water Utility
Size Category

Another source of state-specific arrearage data comes from the California Water Boards' 2020
surveys, conducted to evaluate the financial impacts and household water debt during the COVID-
19 pandemic. The Boards' estimated household water services debt across California totaled $1
billion as of January 2021, with approximately 1.6 million households or 12% of households in the
state in arrears (California State Water Resources Control Board, 2021). The average household
debt was approximately $500, and over 155,000 households had more than $1,000 in water debt
(California State Water Resources Control Board, n.d.).

While arrearage data from Wisconsin and California provide a detailed look into the situation in
those states, it should be noted that a wide range of factors can impact arrearages, including state
laws. Additionally, utilities with CAPs may report lower levels and lower incidence of arrearages
because they are providing assistance before a customer gets into arrears.

Data provided to EPA by the Water Agency Leaders Alliance further highlights the broad variation in
arrearages between different utilities. Information from 30 water utilities in May 2024 indicates a
wide range of arrearages, with about half of utilities reporting arrearages averaging more than $500
per customer, and nearly one-third (mostly large cities with large low-income populations) reporting
arrearages averaging more than $1,000 per customer.

6.2 Impact of Arrearages to Utilities' Capital Budget Planning

Arrearages, or delinquent accounts, can result in significant financial impact to a utility. Utilities rely
on rate payer revenue for their operating budget. Delinquent accounts negate a portion of this
planned budget, forcing utilities to make up the difference elsewhere or defer necessary repairs
and improvements. Additionally, rising numbers of arrearages can harm a utility's bond rating and

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access to external lenders. Past due arrearages
can affect cash on hand, debt service
coverage, and the financial flexibility of the
utility. Arrearages are a reoccurring issue,
impacting a utility's budget on an
ongoing basis.

Data from the Wisconsin PSC's annual survey
of drinking water utilities provides a look into
the impact of arrearages for utilities in that
state. Data indicate that at the end of 2023,
arrearages averaged 4.7% of annual operating
revenue for the 74 smallest utilities (who serve
populations less than 500) and 2.1% to 2.6% of

The Detroit Water and Sewer
Department (DWSD) is one
example of a utility facing
affordability challenges. As
explored in a case study in
Appendix A, 55% of DWSD's
residential accounts are 30 days
past due, and 35% of accounts are
60 days past due-with
approximately 700 shutoff notices
distributed per month.

*

operating revenue for the remaining 400-450
utilities that serve larger populations
(Wisconsin PSC, n.d.).

Arrearages can account for hundreds of millions of dollars in some cities. For example, Milwaukee
Waterworks, Wisconsin's largest water utility, had $4.2 million of accounts in arrears, equal to
4.0% of its annual operating revenue, at the end of 2023 (Wisconsin PSC, n.d.). In New York City,
delinquent payments reached $1.2 billion dollars from nearly 200,000 accounts during the COVID
19 pandemic (New York City Official Website, 2024). The LIHWAP survey found that an average of
$15 million is owed to each very large utility (serving populations over 100,000) across the U.S.
(OCS, 2024a). Arrearages at this level can seriously impact the operations and capital
improvements of a utility. More analysis and detailed study of the scale of arrears across the
country is recommended to better understand the financial hardship this imposes on utilities.

6.3 Disconnections Data Discussion

Disconnections present an immediate and significant impact to households, restricting access to
safe drinking water, impacting hygiene and sanitation, and causing stress and anxiety. While data
on the national prevalence of disconnections are limited, estimated disconnection rates from
previous studies average around 2% to 5% of households evaluated. Some key findings are
highlighted below:

• HHS's 2022 LIHWAP survey found that between 3.2% and 5.3% of households on average
experienced disconnections at some point during the 2022 calendaryear (OCS, 2024a).

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• Results of a 2024 University of Southern California practicum11 found that disconnections
impacted 2.6% of households between 2012 and 2018. The report was prepared for EPA's
National Center for Environmental Economics and explores disconnection data for the
following seven U.S. cities: Chicago, Detroit, Grand Rapids, Milwaukee, Minneapolis,
Seattle, and Washington D.C. Findings showed that most cities reported comparable levels
of shutoff rates overtime. Data showed a positive correlation between shutoff rates and
Black or African American populations, poverty rates, and vacancy rates. Data also showed
a negative correlation between shutoff rates and White, Asian, and Hispanic or Latino
populations as well as MHI and education level (Gundersen et al., 2024).

Different states, cities, and utilities have different policies and laws on disconnections. For
example, Wisconsin law requires utilities to add delinquent water bill amounts to the property tax
roll as a tax lien every November. As a result, most water utilities in Wisconsin reported no
disconnections in 2023, and of those that reported disconnections, only about 1 % of customer
accounts had been disconnected at the end of FY 2023. However, between 2% and 7% of
Wisconsin customers on average had their delinquent billing amounts added to the property tax roll
(Wisconsin PSC, n.d.).

11 While the 2024 University of Southern California practicum was not obtained from a peer-reviewed source, the report uses a clear and
transparent methodology.

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7. Additional Recommended Analyses

The data analysis approach for this report addressed the immediate goal of estimating the number
of qualifying households with need as described in IIJA 50108, estimating the number of utilities
that service a disproportionate number of those households, and providing a national estimate of
the total cost for addressing the water affordability challenges. To complete the analysis within a
timeframe that reflects the urgency this challenge demands, EPA relied heavily on existing data and
methodologies. There is still much work that needs to be done to fully characterize water
affordability challenges and to reduce uncertainty of the estimates. In particular, a nationally
representative sample of drinking water and wastewater rates and associated rate structures would
allow EPA to estimate the prevalence of unaffordability challenges in greater detail, including
specific trends analyses. EPA is preparing additional water affordability products to follow this
report, including more detailed water affordability analyses, as well as addressing some of the gaps
identified in the section below.

During the listening sessions for interested parties hosted by EPA in Spring 2024, participants
stressed the importance of exploring numerous perspectives of water affordability and
recommended that EPA conduct expanded analyses to explore potential contributors to water
affordability challenges. Some of these areas include:

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Analysis of water affordability challenges in Racially Ethnically Concentrated Area of Poverty
(R/ECAPs) when compared to Non-R/ECAPs.

Analysis of water affordability challenges in Tribal areas compared to non-Tribal areas, as well as
an evaluation of unique considerations faced by Tribes.

Evaluating future costs associated with climate change, drought conditions, water availability,
aging infrastructure, and regulatory compliance to protect public health and the environment.

Evaluating federal and state compliance data with data on arrearages.

Evaluating the microeconomic impacts of rising water costs (e.g., impacts to local economies
from decreased discretionary spending).

Conduct and make public a representative sample of water and wastewater rates and associated
rate structures to estimate the prevalence of unaffordability challenges in greater detail,
including specific trends analyses

Evaluating the impact of deferred maintenance on rates by analyzing data on age of system,
water loss, and main breaks, and how rates coincide with nonpayment and other types of
affordability data.

Analyzing the effectiveness and impact of disconnection moratoriums in states that
discontinued water shut-offs during COVID-19, including evaluating the impacts, such as
revenue impacts on utilities.

Perform a comparative analysis on non-U.S. countries to see if there are case studies or lessons
learned on how to tackle growing water affordability challenges.

Two important areas requiring additional analyses and studies are decentralized wastewater
systems and private drinking water wells. The 2022 CWNS includes estimates for decentralized
costs. In 2022, 82% of the U.S. population was served by centralized wastewater treatment (U.S.
EPA, 2024b). This means that 18% of the U.S. in 2022 either used a decentralized system or was
unsewered. Further analysis is warranted to evaluate O&M costs for septic systems. This could
involve comparing routine O&M costs to what a household might face if they did not maintain their
septic system for a long period of time or if a situation occurs that compromises their septic system
(e.g., root intrusion). Similarly, more research is recommended on the safety and cost of private
drinking water wells. In 2021, EPA estimated that approximately 23 million households across the
U.S. use private drinkingwaterwells (U.S. EPA, 2024e). More analysis is needed to understand the
scale and impact of these wells in the context of the broader water affordability issue.

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These analyses may be beyond the scope of EPA's more comprehensive rates analysis and other
affordability work products that EPA plans to produce in the next year. However, these are
important areas for future research, and further reflect that water affordability is a multifaceted
issue that has broad implications throughout the country.

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8. Approach for Engaging Interested Parties

In preparation for this Report and as directed in Section 50108 of the IIJA, EPA gathered input from a
diverse group of experts in the water affordability field. In March and April 2024, EPA hosted two
series of targeted listening sessions for interested parties, each series consisting of three sessions.
One series focused on gaining perspectives from water associations and utilities, while the other
focused on feedback from nonprofit and advocacy communities. EPA invited participants from
water utilities and associations, including rural advocacy associations, as well as select nonprofits,
non-governmental organizations, and community-based organizations, to participate in these
sessions. EPA provided the interested parties with background on this Report, solicited feedback on
proposed data sources and EPA's data analysis approach, enlisted assistance in case study
development and review, and discussed recommendations for addressing affordability
challenges nationwide.

In June 2024, EPA hosted a broader-scale public listening session to hear from communities,
utilities, and advocacy groups who were not previously involved in the report's development to
share their experiences, perspectives, and ideas regarding water affordability challenges and
recommendations.

Tribes have unique considerations, different challenges, and different opportunities for water
affordability compared to the states. There is one Tribal case study included in the report: San
Carlos. Although limited information was presented on this topic during the listening sessions, EPA
acknowledges this is an important area for future coordination.

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EPA obtained a wealth of information and recommendations from these sessions. Many of these
recommendations are discussed in Section 7 - Additional Recommended Analyses. Some
recommendations for areas of further analysis were beyond the scope of this report. However,
EPA recommends these as areas for further study. Key themes of the sessions are outlined in
this section.

8.1 The Impact of Water Affordability and Unique Considerations

Interested parties emphasized that water affordability challenges are not uniform, but rather
different across communities, and different groups within each community face unique challenges.
Some of these considerations include:

Low-Income Customers. It is important to consider the impact of water affordability challenges
on low-income customers, including the need to address residential shutoffs. Session
participants indicated that some low-income households have high water usage due to high
occupancy, old or inefficient appliances and fixtures, and leaky plumbing. There are examples of
successful utility conservation programs that have targeted lower-income households for
conservation improvements to drive down the total usage and thus the total cost.

Renters. Session participants shared that in many urban areas, the challenge of affordability is
embedded in the lowest income residents renting multi-family housing. It can be difficult or
even impossible to know how much of the actual cost of their water bill gets passed on to
renters. Utilities and community-based groups shared the challenge of developing assistance
programs that meet the need of renters and provide relief directly to those residents who often
need it most.

Disproportionately Impacted Communities. Several participants expressed that any new
government program must be designed to address consumers that have been disproportionately
impacted. For example, low-income communities and minority populations live
disproportionately near contaminated water resources and are more impacted by high drinking
water and wastewater service rates.

Areas Impacted by Irrigation Needs. Several interested parties shared that there are some
cities with reduced access to water due to large scale irrigation and other competing water use
demands. Water scarcity issues and the impact on affordability is outside the scope of this
Report, but merits additional research.

Public Trust. Interested parties recommended that EPA support additional community
engagement to help build trust in public water. Challenges with public trust in water utilities was
cited as a reason some households were purchasing bottled water and could lead to non-bill
payment. Interested parties shared that in some areas there was a loss of trust in water utilities
during the COVID-19 pandemic that resulted in non-payments.

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8.2 Water Affordability Challenges Faced by Utilities

Interested parties emphasized several affordability challenges that utilities face. Utilities must fund
the effective, safe, and efficient management of water utilities, even if customers are unable to pay
enough to cover the cost of service. Interested parties stressed the need to ensure that utilities are
able to adequately perform infrastructure maintenance and needed improvements while
maintaining affordability for low-income customers. Other challenges include:

Costs Associated with Regulatory Requirements. Compliance costs associated with current
and future requirements (both federal and state) essential to protecting public health and the
environment will result in utilities needing to raise rates, in some cases. Very small water utilities,
such as mobile home parks, some condos, and those not affiliated with the local municipality,
are sometimes unable to access funding programs to come into compliance with regulations. For
example, some states restrict certain utilities that would otherwise be eligible for federal funding.

Impact of State and Local Laws. Restrictions in state and local laws, capacity issues in staffing,
and other obstacles can create challenges for utilities in developing their own customer
assistance programs.

Political Barriers. Some utilities must seek rate change approval by governing authorities, such
as local city councils, and thus can experience political challenges regarding water affordability
policy making.

Projected Increases in Rates. Future costs associated with climate change impacts and
adaptation responses and aging infrastructure will impact rates, and thus affordability.

Challenges with Funding and Financing. Several participants shared that utilities have
difficulties setting affordable rates while keeping up with the costs of system maintenance.
Assessing funding needed for capital improvements and O&M can pose several challenges,
including competition for limited grant funds and the risk of high debt burden if too many
customers are unable to pay.

Affordable Rate Setting. Two representatives from public utilities stressed that setting rates that
are affordable for ratepayers has become more difficult for utilities. The challenge is that setting
affordable rates for communities is often outpaced by rising capital and O&M costs. Additionally,
unprecedented rate increases are challenging for cities to plan for and ultimately places the
burden on water customers.

Infrastructure Updates. An attendee expressed the desire to upgrade aging infrastructure
without needing to increase rates for customers. Infrastructure loans are inaccessible without
the ability to increase water rates to make up for the costs of the upgrades.

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Consolidation Challenges for Small Utilities. The push toward consolidation is one challenge,
as small communities lack a clear entity to consolidate into, and intent to consolidate can be an
obstacle to accessing financing.

Impact of Customer Nonpayment. Interested parties also provided feedback on how utilities
use debt. Debt is not undertaken due to customer nonpayment; it is undertaken to complete
needed capital activities, or sometimes O&M activities. Revenues from water bills are then
collected to coverthe debt repayment and ongoing costs. High levels of customer nonpayment
cause cash flow issues, affect bond ratings, and impact utilities' ability to raise capital,
jeopardizing both existing and future commitments. Additionally, customer nonpayment can
cause other problems, such as unacceptable levels of service and unaffordable rates.

8.3	Defining Affordability

Interested parties generally agreed that it is important to calculate affordability at the individual
household level as opposed to community and/or national levels. They referenced the limitations
of using median household income as a household affordability metric and stressed that there is
movement across the sector to find alternatives that account for cost of living and other
socioeconomic factors.

Interested parties noted the importance of using a multi-pronged approach that can reflect the
unique circumstances of different communities and include qualitative definitions as well as
quantitative ones. From the household perspective, this could be whether the ratepayer is able to
pay theirwater bill without sacrificing the ability to pay for other basic household necessities. From
a utility perspective, this could be whether the customers are able to afford what the utility needs to
charge to sustain itself.

8.4	Recommendations for Addressing Affordability Challenges Nationwide

Interested parties emphasized the need for a sustainable long-term federal customer assistance
program, while stressing the importance of using multiple pathways to achieve affordability. This
approach combines complementary strategies, such as water conservation, efficiency, assistance
with plumbing repairs, education, paying off arrearages, capping customer costs, and rate
discounts. Other key recommendations from interested parties on successful implementation of a
permanent federal water assistance program include the following:

Limit Administrative Barriers. Many utilities were unable to participate in LIHWAP because
billing systems could not separate out the trash portion of bills from water service or accounting
and/or programming changes were made. Utilities need to have the flexibility to include trash and
water services in one bill, and/or there must be technical assistance for small utilities that have
capacity challenges in altering their billing system to be able to participate in the program.

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Consider Unique Needs of Renters. A future federal assistance program should consider
renters, as it can be difficult to assess affordability burden among renters whose landlord pays
the utility bills. Flexibilities to ensure equitable distribution of funds, including to those who may
not have their water bill in their name, should be included in a future federal assistance program.

Direct Payment to Utilities. Direct payment to utilities and guidance to administer assistance
to their customers can incentivize smaller utilities to participate, given that there is
guaranteed payment.

Categorical Eligibility. Categorical eligibility can be a helpful tool to reduce burden on
households and utilities in enrolling customers in an assistance program if they are already
enrolled in an analogous program elsewhere. Assistance could be automatically provided to
categorically eligible households, without requiring the household to complete additional
paperwork. A future federal assistance program could also offer blanket approval for extremely
poor communities. This would especially help small utilities, that typically lack staff capacity to
register and approve individual household applications for financial assistance.

Marketing and Promotion. Particularly in rural areas and small communities, households can
face significant obstacles in accessing information and navigating assistance programs. It is
important that future federal assistance programs include a budget for communications and
marketing to promote enrollment. Interested parties stressed that states should be required to
have a communications strategy to promote the program and sawvalue in establishing national
community outreach guidance for consistency across states.

Partnership with Local Authorities. One successful tactic used to implement LIHWAP was
reaching out to local government authorities through direct advocacy and education to get them
to sign up and participate in the program.

O&M Costs. Operations and maintenance expenses are frequently not eligible under various
funding pathways, such as State Revolving Funds. Direct assistance to utilities to help cover
O&M costs would ameliorate rising cost issues.

Disconnection Moratoriums. Interested parties had varying opinions on the use of
disconnection moratoriums. Some interested parties indicated that in some cases,
disconnections are the primary motivatorfor households strugglingwith affordability to sign up
for assistance programs. Other interested parties recommended disconnection moratoriums to
ensure that the lowest-income households are treated with dignity and respect and referenced
the public health risks due to house condemnations. One participant recommended an analysis
of the effectiveness of disconnection moratoriums during the COVID-19 pandemic, assessing
their economic impacts on communities and water utilities.

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9. Recommendations

There is no single approach to addressing water affordability at a national level. Large scale,
sustainable change requires addressing the systemic challenges in how water utilities are funded,
how rates are set, and how assistance programs are established, particularly to support rate payers
facing affordability challenges. Developing solutions to address those challenges will require all
levels of government, community advocates, utilities, and other interested parties to work together
on long-term approaches. This Section describes potential ways for EPA and its partners to help
address water affordability concerns.

MJA directed EPA to provide recommendations to address affordability. These
recommendations were identified during the affordability analysis and from discussions
during the engagement sessions for interested parties. They are also found in literature
focused on addressing water affordability.

The recommendations fall into three broad categories:

Establishing a Permanent Federal Water Assistance Program

Increasing Education, Outreach and Knowledge Around Solutions to Address Affordability

Increasing Ways to Reduce Water Infrastructure Capital and Operating Costs

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9.1 Establishing a Permanent Federal Water Assistance Program

Recommendation 1: Establish a Federal Water Assistance Program

Establishing a long-term federal water assistance program could meaningfully help to reduce
affordability challenges for households and utilities. EPA's analysis suggests that a nationwide
affordability pilot program could be an important step to establishing and fine-tuning strategies to
provide sustainable, sufficient ratepayer assistance. In addition, a water assistance program could
help ameliorate the cost of meeting requirements to protect human health and the environment.
Assistance provided to households could help utilities to have reliable capital to implement
necessary improvements and mitigate potential rate increases to households in need.

Congress could establish a Federal Assistance Program based on the needs, research, and input
from interested parties described throughout this report. A pilot program, as described in IIJA
Section 50109, could fund up to eight pilots in five water utility categories. Four of these categories
represent the various utility sizes that have unique challenges and approaches to establishing and
providing customer assistance. The fifth grant category in this pilot is specifically for utilities that
service a disadvantaged community, according to the state affordability criteria or disadvantaged
community definition, and would provide an understanding of the scope, scale and successful
approaches needed in the most stressed communities. See Appendix G Pilot Program Suggested
Funding Level for pilot category classifications.

EPA's analysis determined a funding level for the pilot program described in IIJA Section 50109
(found in Appendix B) is a range from $115 million to $185 million peryear based on the percentage
of qualifying households with need and the estimated national water burden cost of $5.1 to $8.8
billion as discussed in Section 5 - Water Affordability Analysis. Additional assumptions include a
variable enrollment rate based on pilot category and that the maximum of 40 pilots would be
awarded. The range is generated from different assumptions of enrollment rate. See Appendix G
for details.

Recommendation 2: Evaluate Best Practices and Creative Program Structures to Increase
Assistance to all Socioeconomic Groups

A key component of a federal water assistance program is to ensure that the most vulnerable
households are provided the support they most need. Feedback from interested parties stressed
the importance of designing a federal program that served all households facing challenges.
Interested parties discussed challenges to assist renters, elderly households on fixed incomes,
multi-generational households with high water use, and challenges of enrollment for non-English
speaking homes. For example, it is a hurdle for utilities to reach certain residents in their service
area, such as renters that do not have a water bill in their name. Renters may pay a separate bill to
their landlord, who then passes the payment on to the utility, or their water fees can be estimated
and included in their reoccurring rent payment. For example, the Seattle Water Department has a
program where they provide water assistance to renters by coordinating with the energy utility and
applying the assistance to the eligible customer's energy account. The Northeast Ohio Regional
Sewer District (NEORSD) added renters as eligible. NEORSD determines renter eligibility based on
preferred criteria, such as income and household size, and collects proof of residence. Assistance

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funds are provided to the water account. A permanent federal program could build from these
models and explore other ways to provide assistance to all low-income households. Examples of
these types of approaches include categorical eligibility, auto-enrollment, and/or direct payment to
utilities, further discussed in the recommendations from interested parties in Section 8.4.
Additionally, LIHWAP allowed for 15% administrative costs and up to 10% of the award funding to
go towards outreach, intake, and eligibility determination activities for the program (OCS, 2023b).
This type of flexibility would also aid assistance to all low-income households. This
recommendation is also consistent with the requirements of Executive Order 14058, Transforming
Federal Customer Experience and Service Delivery to Rebuild Trust in Government, for government
agencies to improve service delivery when providing benefits (The White House, 2021).

Recommendation 3: Evaluate the Need for a Federal Household Water Efficiency and
Plumbing Repair Grant Program

While a permanent federal assistance program could provide financial relief to households in need,
such a program may not solve underlying problems related to high water use caused by leaks or
inefficient plumbing products. A household that may receive financial relief will continue to be
burdened by high water bills they cannot afford until the household addresses the root problem
causing high water use. Some water utilities have developed programs that provide direct
installation of efficient fixtures or minor plumbing repairs to homeowners needing assistance on
their water bills (EPA, 2021). However, these programs are typically funded out of operating budgets
or by coordinating with third party funders. EPA could work with interested parties to evaluate the
potential benefits of a household water efficiency and plumbing repair grant program to tackle
national affordability needs.

9.2 Increasing Education, Outreach and Knowledge Around Solutions to Address Affordability

Recommendation 4: Promote Tools, Resources, and Best Practices on Water Affordability

As described in detail throughout this Report, many organizations, academics, advocates, and
associations have been working on water affordability challenges for decades. Yet, there is still a
lack of knowledge to the tools and resources that are available to help communities and utilities in
need. Recommendation 4 is for EPA to work in partnership with these interested parties and
communities to promote water affordability tools and resources. EPA heard this recommendation
on increased education from interested parties as part of a comprehensive affordability strategy.
This could include:

•	Webinars on best practices to tackle water affordability at the local, state, and federal levels

•	Workshops establishing and funding assistance programs

•	Encouraging and supporting an evaluation of true cost pricing, rates, rate structures, and
approaches to help low-income residents where possible and how the best approach might
vary across systems, e.g. large urban areas vs smaller areas

•	Promoting success stories of cost-sharing partnerships amongst utilities

•	Promoting best practices on water efficiency measures to reduce costs

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•	Encouraging states to support asset management practices and utilities to engage in
intentional asset management planning

•	Supporting states that are undertaking initiatives, as required by SDWA Section
1420(c)(2)(f), that promote asset management through their capacity development strategy
and through the provision of technical assistance to develop and implement asset
management plans

•	Promoting partnerships, regionalization, and consolidation and encouraging states to
exercise their mandatory assessment authority anticipated after the proposed Water
System Restructuring Assessment Rule (WSRAR) goes final to identify feasible and
affordable long-term solutions for chronically non-compliant water systems

Recommendation 5: Increase Awareness and Best Practices of Successful Funding
Approaches for Utility Supported Customer Assistance Programs (CAPs)

Utility-supported CAPs play a critical role in ensuring that low-income households have access to
affordable water services. Many local utilities understand the unique challenges of their customers
and are able to tailor CAPs to the specific needs of the communities they serve. It is important to
understand which approaches have been successful in terms of funding CAPs and increasing
household utilization rates. Increasing awareness of successful utility-supported CAPs can help to
increase the effectiveness of these program and encourage knowledge sharing between utilities.
Beyond CAPs, where applicable by state and local law, alternative rate structures should be
considered to ease burdens across utilities. EPA could develop additional resources and tools to
support the development of utility-led CAPs. This includes an update of the 2016 EPA CAP
compendium, searchable resource library of best practices, case studies and funding strategies.
EPA can also encourage the use of existing resources and innovative approaches to restructuring
rates and develop community focused tools to support their implementation.

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9.3 Increasing Ways to Reduce Water
Infrastructure Capital and Operating Costs

Recommendation 6: Promote the Use of

Low-Cost Federal Funding and Financingfor
Water Infrastructure and Water Technical
Assistance to Address Affordability Issues

The Clean Water and Drinking Water State
Revolving Funds are important programs for
investing in the nation's water infrastructure.

They are designed to generate significant and
sustainable water quality and public health
benefits across the country and improve
affordability in communities that are facing
challenges across the U.S.

Through the federally capitalized SRF programs,
states provide below-market interest rate loans
and other financing assistance for infrastructure
improvements and other water quality projects.

States manage their SRF programs and are
required to establish specific eligibility criteria
and specialfunding mechanisms, including loan
forgiveness and other grant-like options, for
economically disadvantaged communities and those that meet each state's affordability criteria.
Since 2021, EPA has invested more than $500 million in EPA Water Technical Assistance (WaterTA),
which connects communities to experts who help assess and implement solutions for their
drinkingwater, sewage, and stormwater needs. This program has allowed underserved
communities across the country access this low-cost federal funding and reduce their overall
project costs.12

Interested parties recommended a continued focus from the SRF programs and WaterTA on ways to
expand assistance to economically disadvantaged communities. This recommendation includes:

• Strengthening marketing of and communications about the SRF and otherfinancial

assistance programs to increase awareness of funding and financing options like the SRFs
to communities facing affordability challenges.

12 In addition to the SRF and WaterTA programs, continued investment in water workforce development and retention can help to address
utility operating costs. For example, EPA's Innovative Water Workforce Development Grant Program awarded $3.8 million in total funding
to 10 grant recipients (in 2023) and over $20 million in total funding to 1 3 grant recipients (in 2024). These workforce development
grantees are nationwide, and the funding is helping to increase public awareness of job opportunities in the drinkingwater and
wastewater utility sector and will help address the workforce needs of drinkingwater and wastewater utilities (U.S. EPA, 2024c).

' *

Martin County Water and
Sanitation Districts is an example
of a utility that struggles with
affordability challenges driven by
both widespread poverty and aging
infrastructure. The District
estimates that a significant volume
of water is lost from leaks in its
distribution pipelines, meaning
that a large portion of its operating
costs to produce that water are
wasted. This highlights the need
for a multi-facetted approach to
address water affordability, which
includes continued investment in
infrastructure. Read more about
Martin County in the case study in
Appendix A.

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•	Providing substantial and effective technical assistance to the most underserved and
economically stressed communities to prepare for, apply for, receive, and invest low-cost
federal funding and financing to address their critical water infrastructure needs.

•	Promoting technical assistance and SRF fundingto help communities consider
regionalization or consolidation options that could help to reduce financial burden on
communities and customers.

•	Promoting appropriate and cost-effective technology and capital projects that address
local water service needs and are innately less burdensome on local ratepayers. For
example, large-scale water use efficiency measures as an alternative to a more expensive
new water supply and treatment project.

•	Pursuing ways to implement the provision of the Clean Water SRF program that provides
additional subsidization, through rate structures or other mechanisms, to directly benefit
ratepayers that would experience a financial hardship because of an increase in rates
necessary to fund capital infrastructure projects. This includes examination of the feasibility
of EFAB's expected recommendations on options to utilize this provision.

Recommendation 7: Incorporate, Where Appropriate, Recommendations from the
Environmental Financial Advisory Board (EFAB) on Water Affordability

EPA has recently charged the Environmental Financial Advisory Board (EFAB) with evaluating
approaches to support communities facing water affordability challenges. This includes
recommendations relevant to capital projects, CAP barriers, rate structure/design, and SRF
subsidies. The charge tasks EFAB to develop new and innovative financing approaches, assess
government strategies for implementing public-private partnerships, and develop innovative
investment models and market-based approaches that increase the long-term resiliency of
infrastructure. Recommendations stemming from the EFAB Water Affordability workgroup will help
establish a path of wholistically addressing water affordability and provide a roadmap of
recommended approaches. It is recommended that EPA evaluate and, where appropriate, pursue
these recommendations.

Recommendation 8: Continued Research and Understanding of Water Affordability

Continued research is crucial to better understand water affordability challenges across the U.S.,
identify disparities in affordable access to water services, and guide the development of policies
and programs to promote equitable access. Ongoing research is also necessary to anticipate future
challenges and innovate new solutions in the face of changing environmental and economic
conditions. Household-level analysis on the impacts of high water bills, rapid increases in rates
("rate shock"), shutoffs, and customer assistance programs are also areas for further analysis.
Section 7 - Additional Recommended Analyses discusses recommendations for completing
additional analyses to fill data gaps associated with the water affordability analysis conducted for
this report. EPA plans to continue to address these data gaps over the next year and will continue to
develop tools, studies and resources to help address water affordability challenges.

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Appendix A: Case
Studies

The following case studies are examples of utilities, and the communities they serve, that are
struggling with the challenges of water affordability. They demonstrate factors that exacerbate
affordability concerns, like economic decline and high poverty rates. Some utilities have
successfully implemented their own CAPs to provide relief to customers, but many are limited by
barriers including staffing, financial resources, and legal and policy limitations. For some, federal
assistance programs have provided critical relief for struggling utilities and households. These case
studies are a series of snapshots of water affordability challenges across the U.S.

Detroit, Ml. Detroit's history of economic challenges has compounded its struggles with household
water services affordability, with 55% of residential accounts over 30 days past due. Detroit Water
and Sewerage Department (DWSD) has risen to the challenge by launching multiple CAPs,
including a Lifeline Program that has 25,000 customers enrolled

Martin County, KY. In rural Kentucky, residents face challenges including high unemployment,
water quality issues, and increasing water rates. Failing and aging water infrastructure contributes
to the Water District's financial struggles, as does high levels of customer nonpayment. Martin
County is not able to support its own CAP due to its small population size and high percentage of
low-income customers. This case highlights the need for a multi-faceted approach to address
water affordability, which includes continued investment in infrastructure.

San Antonio, TX. The San Antonio Water Systems (SAWS) runs a robust CAP, which shifts the
burden of access away from customers and connects them with assistance in 14 different areas,
including reduced meter fees and discounted monthly bills. The program is highly utilized by low-
income customers, in part due to a streamlined single application that SAWS staff review to
determine eligibility for multiple programs at once

San Carlos Apache Tribe. The San Carlos Apache Tribe community faces water affordability
challenges, an unemployment rate of 65%, and high poverty levels. LIHWAP funds were used to
restore service for households whose water and wastewater services had been disconnected due
to nonpayment. Funds were also used to pay water bills, empty septic tanks, and provide bottled
water to Tribal members after a water main break and pump failure. After the end of the LIHWAP
program, the Tribe continues to face significant need for assistance in accessing water services.

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Detroit, Ml: Ongoing Challenges from a History of Economic Decline

Detroit, a city in Michigan with a rich industrial history, has faced significant economic challenges
over the past decades. Once a hub for the automotive industry, the city experienced severe
economic downturn, leadingto a decline in population and an increase in poverty rates. Its peak
population of 1.8 million in the 1950s shrankto 670,000 by the 2020 Census. The economic crisis
peaked in 2013 when the city filed for bankruptcy, becoming the largest municipality in the U.S. to
file. Currently, over half of the city's households are considered low-income, with 56% earning less
than 200% of the federal poverty guidelines, almost double the level for the U.S. as a whole.

This history of economic decline has profoundly impacted water affordability in the city. Although
the Detroit Water and Sewerage Department's (DWSD) standard water rates are generally low in
comparison to other water utilities, Detroit's high levels of poverty create challenges with balancing
the costs of providing safe and clean drinking water and wastewater services while maintaining
rates at a level its customers can afford. Some of the key challenges include:

•	Suburban Migration - Over the past-half century, the population of the city decreased as
residents moved to the surrounding suburbs. New water infrastructure was built to
accommodate this suburban growth, ratherthan reinvest in the city's existing infrastructure.
DWSD was left with fewer customers, decreased water revenue, and excess water supply
capacity. Residents remaining in Detroit were left to shoulder the expense of maintaining
aging water and sewer pipeline infrastructure that was designed to supply a population
nearly twice the city's current size.

•	Customer Arrearages-As of May 2024, 55% of DWSD's residential accounts are 30 days
past due, and 35% of accounts are 60 days past due. It is estimated that approximately 700
shutoff notices are sent out per month, of which approximately 100 will be disconnected
each month. This is typical of most water utilities, as customers frequently make
arrangements to avoid disconnection following a shutoff notice. Understanding that water
shutoffs can exacerbate affordability issues, DWSD focuses on conducting outreach and
education on available assistance options.

•	Aging Infrastructure - Critical infrastructure upgrades and repairs need to be completed
for the 100-year-old water system. Population loss and the resulting limitation on rate
increases caused by customer arrearages have had significant impacts on the utility's
ability to generate sufficient revenue for maintenance projects.

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Customer Assistance Programs and the Need for Funding

In March of 2015, the city launched the Water Residential Assistance Program (WRAP), a regional
assistance program which provided a $25 discount on monthly water bills for low-income
customers. WRAP was funded using 0.5% of the water utility revenue. While WRAP helped to return
water service to many customers, the cycle of delinquency on water accounts that often led to
water service shutoffs continued.

In response to this ongoing need, DWSD launched its Lifeline Plan in 2022. The Lifeline Plan, an
income-based water affordability program, erases a customer's past due balances and provides a
tiered structure for fixed monthly bill amounts based on income. This benefit provides for up to
1,125 gallons of water usage per household member each month. In addition, the Lifeline Plan
provides plumbing assistance of up to $2,000 to fix leaks and improve equipment efficiency based
on results from water audits. DWSD currently has about 25,000 customers enrolled in the Lifeline
Program and anticipates an additional 3,000 customers will join. The current funding amount is
$17.5 million, with a total anticipated need of $26.55 million. Moving forward, additional funding
sources will need to be identified.

For additional information on Detroit's Lifeline Program, visit:

https://detroitmi.gov/departments/water-and-sewerage-department/dwsd-customer-
service/dwsd-here-help-water-assistance-programs/lifeline-plan

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Martin County, KY

Martin County is located in far eastern rural Kentucky. The
county's economy was historically reliant on the coal

industry. As coal use declined, poverty and	^

unemployment rose. As of June 2024, Martin County has
the highest unemployment in Kentucky, at 10.7%, which is
more than double the state average of 5% and the U.S.

average of 4.3% (Workforce Intelligence Branch, Kentucky Center for Statistics, & Kentucky
Education and Labor Cabinet, 2024).

The County's median household income is 60% of the national level median household income. In
2022, 36% of Martin County was below the federal poverty threshold, compared to about 11.5% for
the U.S. as a whole (U.S. Census Bureau, 2023b).

For decades, the County's Water District and its residents have struggled with loss of water
pressure, water quality issues, and increasing water rates. Both water and sewer rates are high on
an absolute basis compared to other utilities and are especially high for a low-income population. A
2019 report by the Appalachian Citizens' Law Center & Martin County Concerned Citizens found
that water was unaffordable for over 45.8% of Martin County residents, with a 41.5% increase in
water service cost since the previous year (Cromer & Draper, 2019).

Nearly 50% of households in Martin County have a combined water
and sewer bill that is more than 4.5% of their income.

The water affordability crisis in Martin County has not improved in recent years. According to the
Martin County Water and Sanitation District website, the estimated monthly water and sewer bill for
5,000 gallons of water usage is $157.93 (Martin County Water and Sanitation Districts, 2024). This
represents 4.2% of income for households at the County's median level of income and a
remarkable 14.4% of income for households at the County's 20th percentile of income. Nearly 50%
of households have a combined water and sewer bill that is more than 4.5% of their income, which
is an affordability level that is typically considered stressful. Having more than 40% of households
facing potentially unaffordable bills is a very high level of financial risk for a utility and its service
area population to manage. An additional rate increase is expected next year.

Failing and aging drinking water infrastructure is the main contributor to these financial challenges.
The Water District estimates that a significant volume of treated water is lost from leaks in its
distribution pipelines before the water reaches customers. This means that a large portion of its
operating costs to produce that water are wasted. The contractor that operates the Water District's
system has exceeded its contracted limit of repairs. The resulting cost overruns will lead to
additional rate increases, causing even greater stress on the system and the community.

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Despite receiving a grant in 2017 for repairs and improvements to its raw water intake and water
treatment plant, the intake pump still does not function correctly due to contracting issues and
other delays. As a result, the District rents a duplicate diesel pump that costs $30,000/month to
rent and operate. Other key issues for the District include:

•	Arrearages and Disconnections-The Water District struggles with a high level of arrearages
and disconnections as a result of customer nonpayment. In 2023, there were 349 residential
water disconnections for nonpayment-about one in ten households. Despite the high
disconnection rate, the District is still projecting that they will have to write off approximately
$45,000 of unpaid customer debt in 2024. This amount is less than the roughly $60,000-
$70,000 of late charge fees received by the District each year. While this amount is a relatively
small portion of the District's overall $2.5 million of annual water customer revenue, unpaid
customer debt is a problem that has increased steadily overtime.

•	Wastewater system-The Martin County Sanitation District operates two wastewater
treatment plants. One was constructed in the late 1980's and struggles with compliance
challenges due to its aging infrastructure. A second plant was funded in 2015, however, only
about 20% of homes within the service area were required to connect to it. In total, about
870 households are connected to the District's sewer system, compared to the
approximately 3,500 households that are connected to the drinking water system. This
results in high operation and maintenance costs for the limited population served. That high
cost is passed along to the rate payers, which include some of the poorest households in
the County.

•	Workforce Challenges-The District struggles with water workforce turnover. As a small
utility, the District is unable to compete with the wages that larger utilities can pay. This
turnover results in high costs to train new employees, and lack of consistent knowledge
contributes to the community's mistrust of the water utility.

While the District's primary goal is to obtain funding to fully repair its aging infrastructure and fix the
leaks in its distribution system, Martin County also recommended two main changes:

•	Federal Customer Assistance for Low-Income Residents - Martin County is not able to
support a local Customer Assistance Program because of its small population size and high
percentage of low-income customers. In the absence of more permanent support, a
member of the community group, Martin County Concerned Citizens, draws from her
background in social work to help connect members of the community with resources for
assistance, including LIHEAP for assistance with energy bills and SNAP for assistance with
food. However, there is no available program for water assistance. A permanent federal
customer assistance program would assist both the community members facing growing
arrearages and disconnection and reduce the District's associated customer debt due to
nonpayment.

•	Change in Grants - Funds for ongoing O&M assistance, contractor oversight for
infrastructure project grants, and workforce development and retention are needed,
especially in the form of grants to small, disadvantaged communities.

Water Affordability Needs Assessment: Report to Congress • 67


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San Antonio Water System (SAWS): SAWS Uplift - Helping Neighbors in Need

The San Antonio Water System (SAWS) serves 2 million
people in Bexar County, Texas, as well as parts of
surrounding counties. The population includes more than
511,300 water customers and 457,600 wastewater
customers. Approximately 16% of the population of Bexar
County, and 19% of San Antonio, have incomes below the
poverty threshold. SAWS has established a robust and
highly utilized Customer Assistance Program (CAP) to help
low-income customers afford their water service bills. The CAP, referred to as SAWS Uplift- Helping
Neighbors in Need, currently consists of 14 touch points which cover a broad range of assistance
areas. The program's name reflects the intentional terminology shift from "customers" to
"neighbors" as a sign of SAWS's connection and commitment to the communities they serve.

The SAWS Uplift program provides assistance to eligible households in a variety of areas including
plumbing services, emergency assistance, reduced meter fees, and discounted monthly bills. One
of the innovative programs, Plumbers to People, provides free plumbing services for residential
customers to repair plumbing fixtures to decrease theirwater usage. Another initiative, the Uplift
Assistance Program, was recently changed from a monthly discount on water bills to a discounted
rate structure with no monthly charges for the first 2,000 gallons of water. The full list of programs
and initiatives are shown in the table on the next page.

The SAWS Uplift program uses a streamlined, single application process. SAWS staff review the
application to determine the programs for which each applicant qualifies. This shifts the burden of
navigating multiple programs, eligibility criteria, and applications away from the residents.
Additionally, some applicant information is pre-populated, and SAWS uses a third-party to
automatically verify income information. SAWS continues to identify ways to streamline the
application process and reduce barriers to accessing assistance. For example, it is exploring ways
to automatically enroll households that qualify for other assistance programs, such as the
Supplemental Nutrition Assistance Program (SNAP).

The majority of the 14 programs receive funding through a city-approved fee included as a line item
on SAWS's water bills. However, Project Agua, which provides emergency payment assistance, is
entirely funded through donations. SAWS is proud that the largest portion of donations come from
SAWS's employees themselves.

The SAWS team attributes much of their program's success to transitioning CAP implementation
into the Community Outreach Department. Working through an external affairs approach, SAWS
first determined the total number of potentially eligible customers and identified their needs. This
allowed the team to tailor engagement opportunities, better connect with the community, and
ultimately increase the number of participants in the program.

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SAWS actively conducts outreach in communities, rather than primarily relying on more passive
outreach techniques like flyers or advertisements.

This approach has been an important component for SAWS in reaching their neighbors, sustaining
the program overtime, and making it a success. Additional information on the SAWS Uplift Program
can be found here: https://uplift.saws.org/helping-neighbors-in-need/.

SAWS Uplift Programs and Initiatives

Program/Initiative Name

Description

Uplift Assistance Program

Discounted rate structure with no monthly charges for the first
2,000 gallons of water.

WaterSmart

Provides access to an online tool to help save water (e.g., monthly
water reports, water use history, customized water saving tips).

Courtesy Hold

Prevents water service from being shut off while the Uplift
application is being processed.

Reduced Meter Service Fee

Lowers the fee for sending a technician to a household to
disconnect water service because of a non-payment.

SAWS Payment
Arrangements

Payment plan for past due account balance.

Reduced Deposit

Reduces the security deposit amount for new qualifying
customers.

Agency Referrals

Helps make connections with local agencies to provide various
types of assistance (e.g., CPS Energy electric and gas utility, Food
Bank, etc.).

Leak Adjustments

Removes charges for "lost" water when a leak is repaired and fixed
by a licensed plumber.

Senior Citizen Billing

Waives late payments penalties for customers aged 60+.

Domestic Violence Deposit
Waiver

Allows victims to open a new service account without paying a
security deposit.

Project Agua

Provides emergency payment assistance up to two times per year.

Plumbers to People

Helps residential customers repair leaking plumbing fixtures in
their household.

Laterals to People

Helps residential customers repair sewer lateral from outside
household to the property line.

Disability Billing/Disabled
Veterans initiative

Provides payment extension to residential customers who receive
disability income.

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San Carlos Apache Tribe: Impact of HHS LIHWAP Funds

The San Carlos Apache Indian Reservation encompasses 1.8 million acres in Gila, Graham, and
Pinal Counties in Southeastern Arizona. The Reservation is home to approximately 16,600 Tribal
members, 7,000 of whom are under 18 years old. With an unemployment rate of approximately
65%, both jobs and housing are scarce. The majority of families on the reservation receive benefits
through assistance programs for low-income households includingTemporary Assistance for
Needy Families (TANF), Supplemental Nutrition Assistance Program (SNAP), and Medicaid.

The vast area and rural setting of the Reservation present challenges to the access of drinking water
and wastewater services. Approximately one-third of the estimated 2,510 occupied housing units
on the Reservation are served by the centralized water and sewer systems operated by the Water
Distribution and Wastewater Treatment Facilities Program (WDWTFP). The remaining two-thirds of
the housing units have decentralized water and sewer systems, or no water or sewer
infrastructure at all.

In 2021, the Tribe applied for the Low-Income Household Water Assistance Program (LIHWAP)
through the U.S. Department of Health and Human Services (HHS). They were granted $310,510 in
FY2021 and implementation began in January 2022. The Tribe's assistance program was managed
and operated by the Tribal Social Services Department.

The Tribe's initial goal was to use LIHWAP funds to restore service for households whose drinking
water and wastewater services had been disconnected due to nonpayment. While the Tribe did not
implement water shutoffs during COVID-19, some households had already been disconnected to
drinking water and wastewater services for many years and continued to have no access to public
drinkingwater. By the end of 2021, the total arrearage balance for households on the Reservation
was approximately $250,000. As COVID-19 programs ended, the San Carlos Water Company
informed families that they needed to pay outstanding water bills to avoid disconnection.

Fortunately, LIHWAP funds were available to help households that needed assistance paying their
water bills and arrearage balances, households that needed assistance paying their water bills and
arrearage balances, everyone on the reservation. San Carlos Water mailed the applications to their
customers. The Tribe also advertised the LIHWAP in the local Apache Messenger Newspaper, which
has a circulation of about 5,000 copies.

The need was significant, and families came in droves to apply. LIHWAP funds were used to pay for
water bills and to empty septic tanks. An overwhelming number of applications were also
submitted requesting repairs to water lines, sewer lines, and plumbing fixtures. While these repairs
were not eligible under LIHWAP, the Tribal Social Services Department worked to refer families to
other resources.

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"LIHWAP monies were put to good use and it helped children, elders
and families. Then the LIHWAP monies were gone and everyone to this

day asks about water bottles."

- Director, Tribal Social Services, San Carlos Apache Tribe

During the period when LIHWAP was available, the Tribe experienced a water main break in the 7
Mile Wash District of the Reservation and pump failure at three locations. While the Tribe worked to
repair the equipment, families were left without drin king water. The Tribe coordinated with HHS and
received approval to use LIHWAP funds to purchase cases of bottled water. The need was so great
that bottled water was backordered at the local supermarket, Bashas', and it had to be ordered
from Phoenix, AZ.

The Tribe considers LIHWAP to be a success in restoring access to water services forTribal
members, including providing bottled water, paying arrearages, and reducing rates to prevent
disconnection of water services. HHS's Annual LIHWAP Dashboard reports that the program
assisted approximately 2,000 households in the San Carlos Apache Indian Reservation.

Beginning October 1, 2023, the Tribe entered the closeout phase for their LIHWAP and could no
longer accept additional applications. The need for assistance accessing drinking water
services remains.

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Appendix B: Infrastructure Investment and
Jobs Act Sections 50108 and 50109

SEC. 50108. [42 U.S.C. 300j-19a note] NEEDS ASSESSMENT FOR NATIONWIDE
RURAL AND URBAN LOW-INCOME COMMUNITY WATER ASSISTANCE.

(a) DEFINITIONS.—In this section and section 50109:

(1)	COMMUNITY WATER SYSTEM. The term "community water system" has the meaning
given the term in section 1401 of the Safe Drinking Water Act (42 U.S.C. 300f).

(2)	LARGE WATER SERVICE PROVIDER.—The term "large water service provider" means a
community water system, treatment works, or municipal separate storm sewer system that
serves more than 100,000 people.

(3)	MEDIUM WATER SERVICE PROVIDER.—The term "medium water service provider"
means a community water system, treatment works, or municipal separate storm sewer
system that serves more than 10,000 people and not more than 100,000 people.

(4)	NEED.—The term "need", with respect to a qualifying household, means the expenditure
of a disproportionate amount of household income on access to public drinking water or
wastewater services.

(5)	QUALIFYING HOUSEHOLD.—The term "qualifying household"
means a household that—

(A)	includes an individual who is—

(i)	the holder of an account for drinking water or wastewater service that is
provided to that household by a large water service provider, a medium
water service provider, or a rural water service provider; or

(ii)	separately billed by a landlord that holds an account with a large water
service provider, a medium water service provider, or a rural water service
provider for the cost of d rinking water or wastewater service provided to that
household by the respective large water service provider, medium water
service provider, or rural water service provider; and

(B)	is determined—

(i) by a large water service provider, a medium water service provider, or a
rural water service provider to be eligible for assistance through a low-
income ratepayer assistance program;

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(ii)	by the Governor of the State in which the household is located to be low-
income, based on the affordability criteria established by the State under
section 1452(d)(3) of the Safe Drinking Water Act (42 U.S.C. 300j-12(d)(3));

(iii)	by the Administrator to experience drinking water and wastewater
service costs that exceed the metrics of affordability established in the most
recent guidance of the Administrator entitled "Financial Capability

Assessment Guidance"; or

(iv)	in the case of a household serviced by a rural water service provider, by
the State in which the household is located to have an annual income that
does not exceed the greater of—

(I)	an amount equal to 150 percent of the poverty level of that State;
and

(II)	an amount equal to 60 percent of the State median income for
that State.

(6)	RURAL WATER SERVICE PROVIDER.—The term "rural water service provider" means a
community water system, treatment works, or municipal separate storm sewer system

that serves not more than 10,000 people.

(7)	TREATMENT WORKS.—The term "treatment works" has the meaning given the term in
section 212 of the Federal Water Pollution Control Act (33 U.S.C. 1292).

(b) STUDY; REPORT.—

(1)	IN GENERAL.—The Administrator shall conduct, and submit to Congress a report
describing the results of, a study that examines the prevalence throughout the United
States of municipalities, public entities, orTribal governments that—

(A)	are serviced by rural water service providers, medium water service providers, or
large water service providers that service a disproportionate percentage, as
determined by the Administrator, of qualifying households with need; or

(B)	as determined by the Administrator, have taken on an unsustainable level of debt
due to customer nonpayment for the services provided by a large water service

provider, a medium water service provider, or a rural water service provider.

(2)	AFFORDABILITY INCLUSIONS.—The report under paragraph (1) shall include—

(A)	a definition of the term "affordable access to water services";

(B)	a description of the criteria used in defining "affordable access to water
services" under subparagraph (A);

(C)	a definition of the term "lack of affordable access to water services";

(D)	a description of the methodology and criteria used in defining "lack of affordable
access to water services" under subparagraph (C);

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(E)	a determination of the prevalence of a lack of affordable access to water
services, as defined under subparagraph (C);

(F)	the methodology and criteria used to determine the prevalence of a lack of
affordable access to water services under subparagraph (E);

(G)	any additional information with respect to the affordable access to water
services, as defined under subparagraph(A), provided by rural water service
providers, medium water service providers, and large water service providers;

(H)	with respect to the development of the report, a consultation with all relevant
stakeholders, including rural advocacy associations;

(I)	recommendations of the Administrator regarding the best methods to reduce the
prevalence of a lack of affordable access to water services, as defined under
subparagraph (C); and

(J) a description of the cost of each method described in subparagraph (I).

(3) AGREEMENTS.—The Administrator may enter into an agreement with another Federal
agency to carry out the study under paragraph (1).

SEC. 50109. RURAL AND LOW-INCOME WATER ASSISTANCE PILOT PROGRAM.

(a)	DEFINITIONS.—In this section:

(1)	ELIGIBLE ENTITY.—The term "eligible entity" means—

(A)	a municipality, Tribal government, or other entity that—

(i)	owns or operates a community water system, treatment works, or
municipal separate storm sewer system; or

(ii)	as determined by the Administrator, has taken on an unsustainable level
of debt due to customer nonpayment for the services provided by a
community water system, treatment works, or municipal separate storm
sewer system; and

(B)	a State exercising primary enforcement responsibility over a rural water service
provider underthe Safe Drinking Water Act (42 U.S.C. 300f et seq.) orthe Federal

Water Pollution Control Act (33 U.S.C. 1251 et seq.), as applicable.

(2)	PILOT PROGRAM.—The term "pilot program" means the pilot program established by the
Administrator under subsection (b)(1).

(3)	WATER SERVICES NEEDS ASSESSMENT.—The term "water services needs assessment"
means the report required under section 50108(b)(1).

(b)	ESTABLISHMENT.—

(1) IN GENERAL.—Not later than 2 years after the date of enactment of this Act, the
Administrator shall establish a pilot program to award grants to eligible entities to develop

Water Affordability Needs Assessment: Report to Congress • 74


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and implement programs to assist qualifying households with need in maintaining access
to drinkingwater and wastewater treatment.

(2)	REQUIREMENT.—In establishing the pilot program, the Administrator shall ensure that
data from the water services needs assessment directly contributes to the structure of the

pilot program by informing the types of assistance and criteria used for priority
consideration with the demonstrated need from the study conducted under section
50108(b)(1) and the water services needs assessment.

(3)	USE OF FUNDS LIMITATIONS.—A grant under the pilot program—

(A)	shall not be used to replace funds for any existing similar program; but

(B)	may be used to supplement or enhance an existing program, including a program
that receives assistance from other Federal grants.

(4)	TERM.—The term of a grant awarded under the pilot program shall be subject to the
availability of appropriations.

(5)	TYPES OF ASSISTANCE.—In establishing the pilot program, the Administrator may
include provisions for—

(A)	direct financial assistance;

(B)	a lifeline rate;

(C)	bill discounting;

(D)	special hardship provisions;

(E)	a percentage-of-income payment plan; or

(F)	debt relief forthe eligible entity orthe community water system owned by the
eligible entity for debt that is due to customer nonpayment for the services provided
by the eligible entity orthe community water system that is determined by the
Administrator to be in the interest of public health.

(6)	REQUIREMENT.—The Administrator shall award not more than 40 grants under the pilot
program, of which—

(A)	not more than 8 shall be to eligible entities that own, operate, or exercise primary
enforcement responsibility over a rural water service provider under the Safe
Drinking Water Act (42 U.S.C. 300f et seq.) orthe Federal Water Pollution Control Act
(33 U.S.C. 1251 et seq.), as applicable;

(B)	not more than 8 shall be to eligible entities that own or operate a medium water
service provider;

(C)	not more than 8 shall be to eligible entities that own or operate a large water
service provider that serves not more than 500,000 people;

(D)	not more than 8 shall be to eligible entities that own or operate a large water
service provider that serves more than 500,000 people; and

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(E) not more than 8 shall be to eligible entities that own or operate a community
water system, treatment works, or municipal separate storm sewer system that

services a disadvantaged community (consistent with the affordability criteria
established by the applicable State under section 1452(d)(3) of the Safe Drinking
Water Act (42 U.S.C. 300j-12(d)(3)) or section 603(i)(2) of the Federal Water Pollution
Control Act (33 U.S.C. 1383(i)(2)), as applicable).

(7)	CRITERIA.—In addition to any priority criteria established by the Administrator in
response to the findings in the water services needs assessment, in awarding grants under
the pilot program, the Administrator shall give priority consideration to eligible entities
that—

(A)	serve a disproportionate percentage, as determined by the Administrator, of
qualifying households with need, as identified in the water services needs
assessment;

(B)	are subject to State or Federal enforcement actions relating to compliance with
the Federal Water Pollution Control Act (33 U.S.C. 1251 et seq.) or the Safe Drinking
Water Act (42 U.S.C. 300f et seq.); or

(C)	maintain or participate in an existing community assistance program with
objectives similar to the objectives of the pilot program, as determined by the
Administrator.

(8)	REPORTING REQUIREMENTS.—

(A)	IN GENERAL.—In addition to any other applicable Federal or agency-specific
grant reporting requirements, as a condition of receiving a grant under the pilot
program, an eligible entity (or a State, on behalf of an eligible entity) shall submit to
the Administrator an annual report that summarizes, in a manner determined by the
Administrator, the use of grant funds by the eligible entity, including—

(i)	key features of the assistance provided by the eligible entity;

(ii)	sources of funding used to supplement Federal funds; and

(iii)	eligibility criteria.

(B)	PUBLICATION.—The Administrator shall publish each report submitted under
subparagraph (A).

(c)	TECHNICAL ASSISTANCE.—The Administrator shall provide technical assistance to each eligible
entity, and each State, on behalf of an eligible entity, that receives a grant under the pilot program to
support implementation of the program.

(d)	REPORT.—Not later than 2 years after the date on which grant funds are first disbursed to an
eligible entity (or a State, on behalf of an eligible entity) underthe program, and every year

thereafter for the duration of the terms of the grants, the Administrator shall submit to Congress a
report on the results of the pilot program.

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Appendix C: Affordability Metrics Used in
Prior Work

Name

Abbreviation

Source

Calculation

Threshold

State Revolving
Fund Affordability
Criteria and
Disadvantaged
Community
Definitions



CWA and
SDWA;
State
defined

Varies by state. Can be
found in DW and CW
Intended Use Plans.

Varies by state

Percentage of
Lowest Quintile
Income or
Household Burden
Indicator

% LQI or HBI

Raucher et
al., 2019

Drinking water, wastewater,
and stormwater as a
percentage of the
community LQI upper limit.

Score determined
based on matrix
combined with PPI,
HBI categories include
<7%, 7%-10%, and
>10%

Poverty Prevalence
Indicator

PPI

Raucher et
al., 2019

Percent of Households
below 200% of the Federal
Poverty Limit.

Score determined
based on matrix
combined with HBI,
PPI categories include
<20%, 20% - 35%, and
>=35%

Income Dedicated
to Water Services

IDWS

Patterson &
Doyle, 2021

Percent of households in a
utility spending x% of
income on water services.
Measures the prevalence of
different financial burdens
in the community.

Does not require an
affordability threshold

Teodoro

Affordability Ratio

AR

Teodoro,
2018

Drinking water and
wastewater as a percentage
of discretionary income for
households at 20th
percentile income.

Drinking water and
wastewater bill > 10%
suggested as relatively
high impact

Teodoro Hours of
Labor at Minimum

Wage

HM

Teodoro,
2018

Hours worked at minimum
wage to equal a drinking
water and wastewater bill.

8 hours suggested as
relatively high impact

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Name

Abbreviation

Source

Calculation

Threshold

EPA Expanded

Revised FCA

U.S. EPA,

Combines Rl and FCI score

Matrix of combined

Financial Capability



2024

with LQPI to determine

scores rates

Assessment Matrix





overall impact level.

community's overall









impact as low,









medium, or high

EPA Residential

Rl

U.S. EPA,

Household wastewater and

<1% = Low impact

Indicator

1997

CWA compliance costs as a

1% to 2% = Mid-range





percentage of MHI.

impact







>2% = High Impact

EPA Financial

FCI

U.S. EPA,

Six financial capability

< 1.5=Weak

Capability Indicator



1997

indicators (FCIs) related to

1.5-2.5 = Mid-range







debt, socioeconomic, and

>2.5 = Strong







financial conditions.



EPA Drinking Water

SSCT

U.S. EPA,

Comparison of national

2.5% MHI

Small System

1998

level estimated household



Compliance



costs of new compliance



Technologies - EPA

63 FR 42032

technology plus existing



performs this



baseline household cost of



analysis at a

88 FR 18638

drinking water to an



national level for



affordability threshold



three categories of



value.



small water







systems in







accordance with







the Safe Drinking







Water Act







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Appendix D: Water Hygienic Use Values Used
in National Affordability Studies

Source

Quantity

Notes

Teodoro, 2018

50 gallons per person per day

Assumes a 4-person household
yielding 6,200 gallons per month

Teodoro, 2019

50 gallons per person per day

Assumes a 4-person household
yielding 6,200 gallons per month

Teodoro & Saywitz, 2020

50 gallons per person per day

Assumes a 4-person household
yielding 6,200 gallons per month

Teodoro & Thiele, 2024

50 gallons per person per day

Assumes a 4-person household
yielding 6,200 gallons per month

Patterson & Doyle, 2021

Bills and affordability metrics
were calculated for no water use
to 16,000 gallons per month at
increments of 1000 gallons per
month

N/A

Cardoso & Wichman, 2022a

50 gallons per person per day

Sensitivity analysis of 40, 60, and
75 gallons

Patterson, Bryson, & Doyle, 2023

6,000 gallons per month

Assumes 83 gallons per person
per day, and a 2.4 person
household

El-Khattabi, Gmoser-Daskalakis,
& Pierce, 2023

4,000 gallons per month



LI HWAP Water Utility Affordability
Survey Report, 2024

10,000 gallons per month



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Appendix E: Utilities Included in National
Affordability Studies

Source

Description of Communities Included in
Study

Timeframe of
Rates Data
Collection

Estimated
Population Served
by Utilities in Study*

Teodoro, 2018

25 most populous U.S. cities (in 2017)

Spring 2017

Not provided

Teodoro, 2019

329 utilities, selected via stratified
sampling based on: 1. Ownership type
(public vs. private) and 2. Population
served (EPA service population categories
excluding utilities serving less than 3,300
persons)

May to July 2017

Not provided

Teodoro &
Saywitz, 2020

399 utilities, selected through the
stratified sampling method used in
Teodoro 2019, and included the same
utilities sampled in 2019 plus additional
utilities

May to July 2019

44 million

Teodoro &Thiele,
2024

399 utilities, selected from the same
utilities included in the Teodoro and
Saywitz 2020 study

Both 2021 rates
and 2023 rates

44 million

Patterson & Doyle,
2021

1791 utilities located in four states—
California, North Carolina, Pennsylvania,
and Texas

Overall, 44% of the utilities in this study
were large or very large, 25% were
medium, and 32% were small or very
small.

2020 rates data

71.9 million

Cardoso &
Wichman, 2022a

1545 utilities

UNCEFC Data,
as of July 2017,
and the 2016
AWWA

Water and
Wastewater Rate
Survey

145 million

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Source

Description of Communities Included in
Study

Timeframe of
Rates Data
Collection

Estimated
Population Served
by Utilities in Study*

Patterson, Bryson,
& Doyle, 2023

787 of the largest drinking water providers
located within each state of the United
States.

2021

160.9 million

El-Khattabi,
Gmoser-
Daskalakis, &
Pierce, 2023

1,558 utilities located in four states -
Arizona, Georgia, New Hampshire and
Wisconsin

UNCEFC Data,
as of 2021

Not provided

LI H WAP Water
Utility Affordability
Survey Report,
2024

A random selection of 200 observations
that matches the EPA's national
distribution of utility sizes

Duke University
provided rate
information for
internal analysis.
Rate years were
not provided.

Not provided

* Population Served estimates as reported in the study, when available

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Appendix F: Supplemental Technical
Information for EPA's Analysis

By Tract

Population
Categories

% Qualifying
Households (%)

# Qualifying
Households

Total#
Utiliities

# Utilities w/ > 40%
Qualifying Households

>100,000

30

17,297,152

448

61

10,001-100,000

30

12,584,177

3,944

641

3,301-10,000

31

3,370,038

4,894

984

501-3,300

32

2,284,528

12,725

2,896

<=500

30

481,994

22,330

4,291

Totals

-

36,017,890

44,341

8,873

By Block Group

Population
Categories

% Qualifying
Households (%)

# Qualifying
Households

Total#
Utilities

# Utilities w/ >40%
Qualifying Households

>100,000

30

17,368,350

448

65

10,001-100,000

30

12,704,451

3,944

742

3,301-10,000

31

3,404,782

4,893

1,111

501-3,300

33

2,320,929

12,720

3,318

<=500

30

495,194

22,327

5,104

Totals

-

36,293,709

44,332

10,340

Comparison of Analysis of Utilities Servicing a Disproportionate Percentage of Qualifying Household
Using Census Tract-Level Data vs. CBG Data

Water Affordability Needs Assessment: Report to Congress • 82


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Technical Notes and Assumptions for State-specific California Analysis

The 2022 eAR data has entries for 2,826 community water systems but 810 utilities—mostly utilities
service fewer than 500 people—either report not having rates or having rates of zero dollars. These
utilities were dropped from this analysis. Also dropped were utilities with no service area boundary
in the dataset.

Household rates were determined from the survey data using a linear interpolation method similar
to that used in Section 5.1.1 except the imputation was performed with the calculated rates at 6, 9,
12, and 24 CCF. In a future analysis, EPA plans to use the detailed rate structure data. If a utility
indicated that wastewater charges were an additional bill component, those charges were added to
the household bill. If wastewater charges were not in the eAR bill data, an average value from a
2018 survey of wastewater charges was applied, inflated using the CPI for water and sewer
(California State Water Resources Board, 2024a).

The eAR presented the calculated rates at 6, 9,12, and 24 CCF to respondents and requested that
utilities verify the data, however, some rates still appeared to be unlikely or impossibly high
(including over $1,000,000 million a month). EPA therefore coded any of the four CCF rates or the
wastewater rates in the eAR data above their respective 90th percentile value to that value ($154.36
for 6 CCF of water use and $89.56 for wastewater).

Many of the smallest utilities are omitted from the analysis because they do not report rates in the
eAR survey or report zero rates. The overall need could be underestimated because of these
missing utilities. Some customers, for example mobile home park residents, pay for water
use indirectly.

Panel Study of Income Dynamics Data

EPA has identified several national surveys that collect data on household income and spending on
water services. EPA did not use these data sets for the primary analysis because the surveys ask
about spending on water services, but they do not include prices (rates) or usage amounts.
Therefore, reported spending will include water use beyond basic needs for households that are not
facing affordability challenges. Further, data confidentiality restrictions prevent linking the data
geographically to utilities and thus rates. Nevertheless, EPA believes these data can help illuminate
the need forwater assistance, particularly for low-income households that may be more likely to
consume hygienic quantities of water. These data are also able to show trends in affordability over
time, similarto the CPI trends presented in Figure 3 in Section 2.1.

One of these surveys is the Panel Study of Income Dynamics (PSID), which has asked the
households in the panel about spending on water services every other year since 2001. EPA
cleaned the data to drop zero and negative values and smoothed the income data across years.
EPA then calculated the percentage of household income spent on water services for each sample
household. The graph below shows the results aggregated for each income quintile in the survey.
These data largely agree with the primary analysis conducted in 5.1.1. The average household in the
lowest quintile of income spends approximately 4.5% of their income on water and wastewater,
which implies that many of these households spend above that threshold. Furthermore, the
percentage of income spent on water and wastewater services has steadily increased overtime for

Water Affordability Needs Assessment: Report to Congress • 83


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households in the first (lowest) quintile of income while the percent of income spent on water has
been increasing more slowly for higher quintiles.

EPA identified other surveys that present similar data including the American Community Survey
public use microdata and the American Housing Survey. These surveys use different concepts of
income (see Section 5.3) and different sampling schemes. Generating comparable results is
therefore difficult, EPA intends to further examine these survey data in order to better describe
water affordability nationally.

0.075

0.050

0.025

	2

	1—3

---4
	5

0.000

2000

2005

2010

2015

2020

Percentage of Stable Household Income Spent on Annual Water/Sewer Expenditures, Avg. Ratio Within
Income Quintiles

Note: The x-axis depicts survey year while the y-axis depicts mean affordability ratio. Annual water/sewer expenditures
were manually calculated from PS ID responses. Stable household income is the average pre-tax income from the
previous survey wave and the current survey wave to control for transitory shocks. EPA furthermore dropped all
observations with business asset losses (no negative pre- tax income). Labels indicate quintile.

Source: PSID Data, 1999-2021

Water Affordability Needs Assessment: Report to Congress 84


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Appendix G: IIJA 50109 Pilot Program
Estimated Funding Level

Key Assumptions to Generate 50109 Pilot Estimate

Selection of Utilities. IIJA Section 50109 directs EPA to make no more than 40 grants. For the
estimation, EPA assumed the maximum of 40 grants would be awarded.

Range of Need. The higher cost range of estimated need was utilized for the pilot estimate.

Qualifying Households Rate. For this estimation, the national rate of qualifying households was
assumed within each pilot area because the locations of the pilot communities cannot be
assumed. This is likely a conservative estimate considering the pilot communities will be
purposefully selected. However, the enrollment rate (discussed below) is optimistic, which could
offset this assumption.

Enrollment Rate. The enrollment rate among eligible households was assumed based on size of
the utility. The lower range of the funding estimate assumes an 80% enrollment rate for rural
utilities to a 25% for utilities serving more than 500,000 people. The Disadvantaged Community
category was assumed to have 80% enrollment. The upper range of the funding estimate
assumes a 90% enrollment rate for smaller utilities to 50% for utilities serving more than 500,000
people. The disadvantaged community category was assumed to have 90% enrollment. The pilot
is likely to necessitate significant people power to engage eligible households. Eligible
households need to understand the program exists and may need to provide documentation to
verify eligibility. The assumed enrollment rates varied by size are optimistic and much higher than
real-world CAP enrollment rates. Particularly for large or very large utilities, even a small
percentage of their eligible population would represent a significant number of people who would
require people power to get them enrolled.

Size of Utilities. The pilot categories are stipulated in IIJA by type of utility. For rural, medium, and
100,001-500,000 utilities, the average population served within each category was assumed,
based on a SDWIS data pull of community water systems in all states in April 2024. The >500,000
category assumed the median population served since there is no upper bound. Large outliers
would likely push the average population served for the very large category higher than functional
forthis purpose. The disadvantaged community category was assumed to have 3 rural, 2
medium, and 3 large utilities. About a third of states prioritize water utility size in their
disadvantaged community criteria (U.S. EPA, 2022), which was the rationale for assuming 3 rural
utilities within the Disadvantaged Community category.

Water Affordability Needs Assessment: Report to Congress • 85


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Population Served

IIJA Size Definition
Classification

IIJA 50109 Pilot

Assumed Population
for Estimate

0-10,000

Rural

8

1,189

10,001-100,000

Medium

8

28,928

100,001 -500,000

Large

8

190,737

>500,000

Large

8

822,600

Disadvantaged Community
(size unspecified)

-

8

79,204

Administrative Costs. There is a 20% administrative cost (15% grantee, 5% agency) included in
the estimation for the pilot.

Inflation. There is a 4% inflation estimate included in the estimation for the pilot. This
percentage is higher than the annual inflation rate to reflect the average increase of water and
wastewater bills.

Water Affordability Needs Assessment: Report to Congress • 86


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