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Lessons from a Year of Disruption: What’s Worked So Far as We Help Michigan Prepare for H.R. 1

By now, the health philanthropy field is familiar with the potential harms posed by H.R. 1, the budget reconciliation act signed into law in 2025. In Michigan, possible impacts from the legislation include up to 355,000 people losing Medicaid coverage, $32 billion in projected reduced federal Medicaid spending over the next decade, up to 796,000 families with reduced or lost SNAP benefits, and up to $2.3 billion in reduced annual provider tax payments to hospitals.

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NJ SNIP: Supporting Behavioral Health Access Through Trust-based Grantmaking

Amid shifting federal health care funding, grants that enable health care safety net entities to respond to the changing landscape can unlock immense value. This form of grantmaking puts daily program-related decisions in the hands of people doing the work, allowing organizations to develop and sustain staff positions, workflows, and programs that reflect their priorities.

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Changing the Vaccine Conversation Before It’s Too Late—What Can Philanthropy Do?

In July 2026, the United States reached a grim milestone when the number of confirmed cases of measles exceeded the total for all of 2025. On August 10, 2026, the White House issued an executive order directing changes to the federal childhood vaccine schedule and categories, and calls for availability of separate measles, mumps, and rubella vaccines. The science has not changed, but the new framework could significantly slow down the delivery of protective immunizations from these serious diseases.

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Grantmakers In Health Joins Amicus Brief Challenging Medicaid Work Requirement Rule

Grantmakers In Health (GIH) has joined an amicus curiae brief filed September 10 in Commonwealth of Massachusetts v. Oz, supporting a challenge to a federal rule that the brief argues would strip Medicaid coverage from millions of people with serious health conditions. GIH joined the American Public Health Association, the Jacobs Institute of Women’s Health…

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Opioid Use Disorder in Pregnancy: Countering Bias and Promoting Care

Most pregnancy-related deaths in North Carolina are preventable. Yet mental health conditions, including overdose and suicide, remain the leading cause of pregnancy-related death. For health care leaders, that reality demands a closer look at how we identify, treat, and support pregnant and postpartum patients with opioid use disorder.

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Preventing Domestic Violence by Reaching People Who Cause Harm

The research involved a landscape scan of Cook County, Illinois’ policies, funding, and services for people who cause harm with a goal of engaging the stakeholders and providers doing this work as well as survivors and those who receive services to identify barriers, challenges, and strengths of domestic violence prevention programs. The research examined Partner Abuse Intervention Programs (PAIP) in particular, a standard intervention for people who cause harm that is overseen by the Illinois Department of Human Services.

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Publications and Reports

Rural Health Transformation Program: Opportunities for Philanthropy

This GIH issue brief is a high-level analysis of major themes as identified from initiatives and strategies in state applications, reflecting the primary foci of each state’s Rural Health Transformation (RHT) program. Based on this analysis, we offer several recommendations for grantmaker investment and action in support of RHT initiatives and, ultimately, improving the health and well-being of rural communities.

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Understanding Vaccine Access in a Shifting Landscape

This Grantmakers In Health (GIH) Issue Focus provides an overview of the current vaccine policy landscape and describes how health funders can respond to threats to vaccine access.

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GIH Bulletin: January/February 2026

One year ago, as we were just one month into the new administration, I wrote that “At a moment when so much has been described as ‘unprecedented,’ and so much of what we value is being attacked, we need to ask ourselves as individuals, organizations, and a field, what do we stand for? What values do we hold, and what will we do and say to defend them?” Today, the answers to these questions are needed more urgently than ever.

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