We briefly review three main applications of Hα surveys in cosmology, namely: (1) the diffuse Hα emission as a tracer of the free–free foreground that contaminates the fluctuations in the cosmic microwave background radiation; (2) the Hα emission from galaxies as a measure of the formation rate of massive stars, both at low and high redshift; and (3) the diffuse Hα emission from ionised clouds as a constraint on the local ionising background radiation.