Health Policy Update: May 15, 2025

In an effort to help our Funding Partners better understand the changing health policy landscape in the new administration and Congress, Grantmakers In Health (GIH) is expanding the GIH Health Policy Update newsletter to three issues per month. Working in collaboration with Leavitt Partners, a leading health care policy consultancy, we are adding new installments of the newsletter on the first and third Wednesdays of the month, while we will continue to partner with Trust for America’s Health on the installment released on the second Wednesday of the month.

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Responding to Adverse Childhood Experiences

Heart disease, cancer, and chronic lower respiratory diseases are the leading causes of death in the U.S., and led to more than 1.3 million deaths in 2010. Researchers are increasingly turning their attention to young children and early traumatic stressors to further understand the pathway leading to these diseases and their associated risk factors.

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ACA Outreach & Enrollment: Charging the First Hurdles

The Affordable Care Act (ACA) reached a key milestone in October 2013 with the launch of new health insurance marketplaces, also known as exchanges. The recently birthed marketplaces rely on coordination across a range of actors to implement a complex and interrelated set of functions, helping people assess their coverage options, determine their eligibility for public programs and subsidies, and enroll in plans.

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Health Philanthropy: New Players and New Approaches

In recent years, a new set of actors has entered health philanthropy, pioneering new approaches to health investment. This report takes a look at how these new actors are contributing to the field, and the opportunities they present for more traditional funders.

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Connecting Consumers to Coverage: Foundations Learn from the Past and Look to the Future

Foundations have played a pivotal role in improving the health of generations of Americans through thoughtful investments designed to ensure access to affordable health insurance coverage. With the passage of the ACA, the landscape for foundation investment has shifted dramatically, particularly for investments targeted at streamlining eligibility and enrollment processes.

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Opportunities to Maximize Women’s Health Under the Affordable Care Act

As the key consumers, providers, and coordinators of health care, women will be uniquely affected by national health reform. Although the ACA addresses women’s health challenges, certain hurdles will persist unless specifically addressed. Philanthropy can play a crucial role to address these remaining challenges and foster real change in women’s health.

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Equity for All: Entry Points to Elevate LGBT Health

Health funders have provided limited direct philanthropic support for lesbian, gay, bisexual, and transgender (LGBT) health. Many question whether LGBT issues should be integrated into mainstream systems and organizations or if they should be supported through targeted strategies. Since few health grantmakers are prepared to carve out a separate programmatic area focused on this issue, a growing opportunity exists for health funders to provide more purposeful support for LGBT health within existing grantmaking strategies to address health disparities and promote health equity.

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Positive School Discipline: Opportunities to Promote Behavioral Health

Concerns about school violence have heightened awareness of how schools maintain a safe and productive learning environment. Public discourse surrounding school safety has largely focused on security; yet school discipline policies have short- and long-term consequences for students and the school community.

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