Public housing policy continues to exacerbate the concentration of poverty for low income household adults (LIHA), preventing their mobility to achieve or sustain affordable housing in low-poverty affluent neighborhoods. Successful design and implementation of public housing policy for LIHA has been elusive for policymakers seeking to address socioeconomic self-sufficiency problems in the United States. Wilson’s spatial mismatch theory on social transformation of the inner city was the theoretical framework for this study. This qualitative study utilized policy analysis and key interviews to explore the importance of public policy design and implementation in how the Moving to Opportunity (MTO) program influenced expected outcome for LIHA achieving socioeconomic self-sufficiency. Using a snowball sampling strategy, 4 in-depth semistructured interviews were conducted. The research questions addressed what policymakers learned from Mt. Laurel and Gautreaux programs outcomes. In addition to interviews, the study used questions that explored public housing policy affecting LIHA mobility choices. Data were managed by NVivo 12 Pro. The study found that additional research is needed on LIHA characteristic make-up and socioeconomic self-sufficiency to sustain affordable housing in affluent low-poverty neighborhoods. Evidence suggested MTO goals were not met. The study analysis suggests policymakers’ focus should be on LIHA characteristic make-up, employment, income, and adult education that leads to job skill training, which can lead to positive outcomes for LIHA and their surrounding communities.