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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
Adolescence to Adulthood: Crossing the Threshold
The period between adolescence and adulthood is a time of great transition. As youth accepts the responsibilities of adulthood, they must take important choices about leaving home, continuing their education, finding a job, or starting a family. Over the past several decades, with more youth entering college and delaying marriage, the transition has become even more complex.
Engaging Employers: Creating Health Care Advocates in the Business Community
Employers provide health insurance coverage to 160 million workers and their dependents, almost two-thirds of the nonelderly population. With health care costs rising, many business leaders are calling for reform. Health philanthropy is experimenting with several ways to engage the business community in conversations about health care reform.
Key Issues in Reauthorization of the State Children’s Health Insurance Program
Over the last 10 years, the State Children’s health Insurance Program (SCHIP), which now covers 6 million children, and Medicaid, which covers 28 million children, have deceased the uninsured rate of low-income children by one-third. While there is broad bipartisan support for SCHIP, several key issues have emerged during the reauthorization process, including how the program should be financed, who should be covered, and what that coverage should include.