In 2023, the Juneau County Health Department worked with the North Central Wisconsin Regional Planning Commission (NCWRPC) to produce this report in response to growing concerns over housing affordability and to update the 2018 Juneau County Housing Study. Housing affordability affects the County’s quality of life and ability to compete economically, and it affects the health, safety, and happiness of the County’s residents. This project consisted of robust data collection, public surveys, public open houses, and stakeholder interviews to understand which housing types are highest in demand, and what barriers prevent an adequate supply of desired housing. This assessment recommends a variety of strategies and programs that each individual community may explore depending on their own needs to encourage the construction and rehabilitation of needed housing.