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 reviews empirical data from evaluations of the influence of residential energy efficiency retrofits on indoor environmental quality conditions and self-reported thermal comfort and health. Data were extracted from 36 studies described in 44 papers plus two reports. Nearly all reviewed studies were performed in Europe or United States. Most studies evaluated retrofits of homes with low-income occupants. Indoor radon and formaldehyde concentrations tended to increase after retrofits that did not add whole-house mechanical ventilation.

This report is the first report of the ‘Energy Savings 2030’-project which seeks to help the Coalition for Energy Savings to produce a robust and timely input to the 2030 policy discussion. It brings together and summarises recent empirical evidence on costs and benefits of energy efficiency measures. The evidence gap in terms of reliable ex-post data is well known. In the majority of cases results from ex-ante modelling studies inform the debate. The research carried out for this report confirms the persistent gap in publicly available ex-post evaluations of energy efficiency programmes.