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Improving Health Access in Communities: Lessons for Effective Grantmaking highlights grantmaking lessons from two initiatives designed to help alleviate the burden of high uninsurance rates at the local level: Communities in Charge program, funded by The Robert Wood Johnson Foundation (RWJF), and Community Voices, funded by the W.K. Kellogg Foundation. This report details the valuable strategic lessons learned from these initiatives. Lessons related to developing community coalitions, creating successful grantor-grantee relationships, and understanding the comparative advantages of national and local funders are relevant to grantmakers funding or planning to fund in this and other health issues.