diff --git a/agent/health_endpoint_test.go b/agent/health_endpoint_test.go
index 975c42d556..edf6187ec5 100644
--- a/agent/health_endpoint_test.go
+++ b/agent/health_endpoint_test.go
@@ -8,6 +8,7 @@ import (
 	"net/http/httptest"
 	"net/url"
 	"reflect"
+	"strconv"
 	"testing"
 
 	"github.com/hashicorp/consul/agent/structs"
@@ -733,54 +734,90 @@ func TestHealthServiceNodes_NodeMetaFilter(t *testing.T) {
 	}
 
 	t.Parallel()
-	a := NewTestAgent(t, "")
-	defer a.Shutdown()
-	testrpc.WaitForLeader(t, a.RPC, "dc1")
 
-	req, _ := http.NewRequest("GET", "/v1/health/service/consul?dc=dc1&node-meta=somekey:somevalue", nil)
-	resp := httptest.NewRecorder()
-	obj, err := a.srv.HealthServiceNodes(resp, req)
-	if err != nil {
-		t.Fatalf("err: %v", err)
+	tests := []struct {
+		name   string
+		config string
+	}{
+		{"normal", ""},
+		{"cache-with-streaming", `
+			rpc{
+				enable_streaming=true
+			}
+			use_streaming_backend=true
+		    `},
 	}
+	for _, tst := range tests {
+		t.Run(tst.name, func(t *testing.T) {
 
-	assertIndex(t, resp)
+			a := NewTestAgent(t, tst.config)
+			defer a.Shutdown()
+			testrpc.WaitForLeader(t, a.RPC, "dc1")
 
-	// Should be a non-nil empty list
-	nodes := obj.(structs.CheckServiceNodes)
-	if nodes == nil || len(nodes) != 0 {
-		t.Fatalf("bad: %v", obj)
-	}
+			req, _ := http.NewRequest("GET", "/v1/health/service/consul?dc=dc1&node-meta=somekey:somevalue", nil)
+			resp := httptest.NewRecorder()
+			obj, err := a.srv.HealthServiceNodes(resp, req)
+			if err != nil {
+				t.Fatalf("err: %v", err)
+			}
 
-	args := &structs.RegisterRequest{
-		Datacenter: "dc1",
-		Node:       "bar",
-		Address:    "127.0.0.1",
-		NodeMeta:   map[string]string{"somekey": "somevalue"},
-		Service: &structs.NodeService{
-			ID:      "test",
-			Service: "test",
-		},
-	}
+			assertIndex(t, resp)
 
-	var out struct{}
-	if err := a.RPC("Catalog.Register", args, &out); err != nil {
-		t.Fatalf("err: %v", err)
-	}
+			cIndex, err := strconv.ParseUint(resp.Header().Get("X-Consul-Index"), 10, 64)
+			require.NoError(t, err)
 
-	req, _ = http.NewRequest("GET", "/v1/health/service/test?dc=dc1&node-meta=somekey:somevalue", nil)
-	resp = httptest.NewRecorder()
-	obj, err = a.srv.HealthServiceNodes(resp, req)
-	if err != nil {
-		t.Fatalf("err: %v", err)
-	}
+			// Should be a non-nil empty list
+			nodes := obj.(structs.CheckServiceNodes)
+			if nodes == nil || len(nodes) != 0 {
+				t.Fatalf("bad: %v", obj)
+			}
 
-	assertIndex(t, resp)
+			args := &structs.RegisterRequest{
+				Datacenter: "dc1",
+				Node:       "bar",
+				Address:    "127.0.0.1",
+				NodeMeta:   map[string]string{"somekey": "somevalue"},
+				Service: &structs.NodeService{
+					ID:      "test",
+					Service: "test",
+				},
+			}
 
-	// Should be a non-nil empty list for checks
-	nodes = obj.(structs.CheckServiceNodes)
-	if len(nodes) != 1 || nodes[0].Checks == nil || len(nodes[0].Checks) != 0 {
-		t.Fatalf("bad: %v", obj)
+			var out struct{}
+			if err := a.RPC("Catalog.Register", args, &out); err != nil {
+				t.Fatalf("err: %v", err)
+			}
+
+			args = &structs.RegisterRequest{
+				Datacenter: "dc1",
+				Node:       "bar2",
+				Address:    "127.0.0.1",
+				NodeMeta:   map[string]string{"somekey": "othervalue"},
+				Service: &structs.NodeService{
+					ID:      "test2",
+					Service: "test",
+				},
+			}
+
+			if err := a.RPC("Catalog.Register", args, &out); err != nil {
+				t.Fatalf("err: %v", err)
+			}
+
+			req, _ = http.NewRequest("GET", fmt.Sprintf("/v1/health/service/test?dc=dc1&node-meta=somekey:somevalue&index=%d&wait=10ms", cIndex), nil)
+			resp = httptest.NewRecorder()
+			obj, err = a.srv.HealthServiceNodes(resp, req)
+			if err != nil {
+				t.Fatalf("err: %v", err)
+			}
+
+			assertIndex(t, resp)
+
+			// Should be a non-nil empty list for checks
+			nodes = obj.(structs.CheckServiceNodes)
+			if len(nodes) != 1 || nodes[0].Checks == nil || len(nodes[0].Checks) != 0 {
+				t.Fatalf("bad: %v", obj)
+			}
+		})
 	}
 }
 
diff --git a/agent/rpcclient/health/health.go b/agent/rpcclient/health/health.go
index e2c6bd63e3..c374bbb3fb 100644
--- a/agent/rpcclient/health/health.go
+++ b/agent/rpcclient/health/health.go
@@ -71,7 +71,7 @@ func (c *Client) getServiceNodes(
 		panic("wrong response type for cachetype.HealthServicesName")
 	}
 
-	return filterTags(value, req), md, nil
+	return filterTags(filterNodeMeta(value, req), req), md, nil
 }
 
 func filterTags(out *structs.IndexedCheckServiceNodes, req structs.ServiceSpecificRequest) structs.IndexedCheckServiceNodes {
@@ -126,3 +126,18 @@ func serviceTagFilter(sn *structs.NodeService, tag string) bool {
 	// If we didn't hit the tag above then we should filter.
 	return true
 }
+
+func filterNodeMeta(out *structs.IndexedCheckServiceNodes, req structs.ServiceSpecificRequest) *structs.IndexedCheckServiceNodes {
+	if len(req.NodeMetaFilters) == 0 || len(out.Nodes) == 0 {
+		return out
+	}
+	results := make(structs.CheckServiceNodes, 0, len(out.Nodes))
+	for _, service := range out.Nodes {
+		serviceNode := service.Node
+		if structs.SatisfiesMetaFilters(serviceNode.Meta, req.NodeMetaFilters) {
+			results = append(results, service)
+		}
+	}
+	out.Nodes = results
+	return out
+}