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Roles for Philanthropy as Medicaid Changes Take Effect
For those of us who have worked toward health equity, who have spent the past few years building toward incremental gains and pushing for larger change, the events of this year can feel like one big backslide. At times, it’s overwhelming. Yet this is not the time to get bogged down by the size of the challenge or by analysis paralysis. From where I sit, I see five roles that philanthropy can play in the rollout of changes to Medicaid.
Protecting Children’s Access to Health Care in Schools: The Impact of Medicaid Cuts on School Health Services
“Due to the remote area we serve, our students have little to no access to medical services otherthan those provided in schools.”—Superintendent from a rural school district in Michigan. Schools are essential places for children to access health services. An estimated 40 percent ofschool-aged children have at least one chronic health condition (National Survey of Children’sHealth, 2019). Among low-income children with special health careneeds, approximately 87percent do not receive necessary care, primarily due to financial costs and limited access (Childand Adolescent Health Measurement Initiative, 2022). Providing health care at school, where children spend most of their days, is crucial to addressing these concerns.
Kate B. Reynolds Charitable Trust: October 2025
Three new fact sheets inform funders about how recent federal budget cuts will impact health care access, food assistance, and the health of immigrant families. The fact sheets detail what is being cut, when the cuts will take effect, and what to do next.
Responding to a Rural Hospital Closure: The Importance of a Phased, Multi-Pronged Approach
It has been over a year since the August 31, 2024, closure of a beloved community hospital in Ayer, Massachusetts following the bankruptcy of the private equity-backed Steward Health Care system. The impacts of the Nashoba Valley Medical Center closure continue to reverberate across this rural working-class region, adding to a growing sense of abandonment and frustration that has accumulated over waves of health care service cuts.
Designing Inclusive and Equity-Centered Health System Improvement Projects—Lessons from Three Initiatives
Disparities in access to health care persist for individuals with low incomes and Black, Hispanic/Latinx and Native American/Native Alaskan individuals and are particularly acute in behavioral health. Behavioral health care utilization rates among Black, Hispanic, and Asian adults are less than half those of White adults. These disparities exist because of barriers in access such as limited provider networks, poor language access, a lack of culturally-aligned services, and technological barriers to telehealth. Working with health providers to create inclusive and accessible services is essential to building more equitable access to behavioral health care, and to healthier and happier families and communities.
To Improve Youth Mental Health, Funders Must Center Youth Voices
As youth mental health challenges continue to grow nationwide, a new initiative in Greater Cincinnati believes transformational change begins when youth are empowered to lead.
Publications and Reports
Health Information Technology: Increasing Quality and Access within Safety Net Providers
Health foundations are uniquely positioned to help safety net providers reach their full health information technology potential, and by providing various means of support, foundations can help to bridge competitive tensions that often derail cooperation.
Critical Services for Our Children: Integrating Mental and Oral Health into Primary Care
Grantmakers have long been interested in improving children’s access to health care. Yet, a number of services critical to children’s healthy growth and development—such as mental health and oral health services—fall outside the traditional primary care model. This fragmentation of services has contributed to access barriers and has compromised the quality of pediatric care. Growing awareness of the importance of mental health and oral health has resulted in a variety of innovative efforts to integrate these services into children’s health care.