The Final Reconciliation Package: Implementation of Key Provisions
On July 4, 2025, H.R. 1, the One Big Beautiful Bill Act, was signed into law. The implementation dates for key health care provisions in the law vary, with some taking effect immediately upon passage and others being implemented over several years. This resource details key dates for the implementation of the law’s most significant health care provisions.
Deadlines in Health-Related Executive Orders and Presidential Memoranda
This GIH policy resource details many of the health-related executive orders issued by the administration and includes a calendar of upcoming deadlines for when those orders are expected to be implemented.
Beyond the Exam Room: Impacting Health Outcomes Through Civic Engagement
August marks Civic Health Month, a time to showcase the link between voting and health and celebrate efforts that ensure every voter can support their community’s health at the ballot box. At the same time, the United States is grappling with a health care system ranked 37th globally despite consuming 17 percent of the country’s GDP. With 26 million Americans uninsured and 43 million underinsured, the gap in access to care continues to widen. This crisis will deepen as critical ACA subsidies expire at the end of 2025, potentially leaving 3.8 million more Americans without coverage, in addition to new federal cuts to Medicaid and changes to how coverage is accessed through the health insurance marketplace, which could result in as many as 20 million Americans losing their health insurance.
GIH Announces New Board Members
Patricia Baker, Patricia Doykos, Octavio Martinez, and Scott Moyer have been elected to the GIH Board.
Oregon’s 1115 Medicaid Demonstration: New Partnerships to Power Up a Transformed System of Care
The ACA challenged states to rebuild a heath care system universally viewed as broken. Oregon embraced the challenge with a mix of quality improvement and cost containment strategies reflected in its approved 1115 Medicaid Demonstration.
Preventing Prematurity
Prematurity is the leading cause of infant and newborn deaths in the United States. Each year, one out of every nine infants is born prematurely (CDC 2013).
Working at the Intersection of Healthy Eating, Active Living, and Violence Prevention
This field note describes Kaiser Permanente’s work at the intersection of obesity prevention, violence prevention/reduction, and, increasingly, social and emotional health. It focuses on Kaiser’s experience in advancing multidimensional community-based prevention efforts in Northern California, one of seven regions where it is undertaking this work.
The Pregnant Elephant in the Room: The U.S. Maternity Care Crisis
Maternity and newborn care cost the United States over $50 billion annually—the largest category of hospital costs for Medicaid and commercial insurers—yet the United States ranks 50th in the world for maternal mortality and 36th for neonatal mortality.
The Role of Evaluation in Designing CHOMPERS! and Bringing Dental Care to Kids
In response to the clear and urgent need to improve the dental health of young children living in poverty in western and central New York, the Health Foundation for Western and Central New York launched CHOMPERS! Because the foundation was taking a brand new approach in implementing the Cavity Free Kids curriculum as part of the initiative, a strong evaluation was critical.