This study updates a previous report on clients served by the King County, Seattle and Tacoma Housing Authorities in 2011. Using 2013 US Department of Housing and Urban Development Public and Indian Housing Information Center data, this study examines the characteristics and service use of clients jointly served by the Washington State Department of Social and Health Services (DSHS) and local Public Housing Authorities (PHAs). In general, similar patterns were observed in both reports. Compared to DSHS clients without housing assistance, the King County, Seattle and Tacoma PHAs were more likely to serve clients using DSHS economic services, suffering from behavioral health issues or chronic health conditions, and who were less likely to be employed.