In an era of U.S. energy abundance, the persistently high energy bills paid by low-income households is troubling. After decades of weatherization and bill-payment programs, low-income households still spend a higher percent of their income on electricity and gas bills than any other income group. Their energy burden is not declining, and it remains persistently high in particular geographies such as the South, rural America, and minority communities.

This paper provides a review of research that addresses the relationship between indoor temperatures and health outcomes, taking into consideration studies that focus heat or cold exposure within the household context. It aims to extend previous research by considering both indoor temperatures from existing housing, and empirical studies that focus on energy efficiency measures and subsequent health impacts. To achieve this aim, a literature review was undertaken, combining engineering and health databases.

Heat pumps are relatively simple appliances. They share similar components to refrigerators and air conditioners and effectively move an external source of heat to where it is needed, such as in buildings for heating or the production of hot water. Their key value is efficiency; for each unit of electricity consumed to operate them, they produce multiple units of usable heat. Because of this, they require much less energy input for a similar heating outcome compared to combustion technologies, making them naturally cleaner and generally cost effective to run.