Beyond the Exam Room: Impacting Health Outcomes Through Civic Engagement
August marks Civic Health Month, a time to showcase the link between voting and health and celebrate efforts that ensure every voter can support their community’s health at the ballot box. At the same time, the United States is grappling with a health care system ranked 37th globally despite consuming 17 percent of the country’s GDP. With 26 million Americans uninsured and 43 million underinsured, the gap in access to care continues to widen. This crisis will deepen as critical ACA subsidies expire at the end of 2025, potentially leaving 3.8 million more Americans without coverage, in addition to new federal cuts to Medicaid and changes to how coverage is accessed through the health insurance marketplace, which could result in as many as 20 million Americans losing their health insurance.
Protecting Ballot Measures to Protect Democracy
Access to abortion care in Ohio. The chance to support city candidates with democracy vouchers in Seattle. Promoting judicial ethics in Colorado. An $11 an hour minimum wage in Arkansas. What do these policy changes have in common? They were all enacted through the ballot initiative process, and they all support healthy, thriving communities, both in process and in outcome. But multiple states are seeing efforts to curtail the ballot measure process, limiting the voices of voters.
GIH Health Policy Exchange 2025
The GIH Health Policy Exchange provides policy-engaged funders with information on current issues, access to leading thinkers, and connections with grantmaking peers. This year’s theme is Protecting the Freedom to Give. Against a backdrop of recent federal funding cuts, executive orders, and threats to philanthropy, it is more important than ever for health funders to educate, advocate, and collaborate to support the people, places, and things that are important to us. This year’s Health Policy Exchange will be held November 18 – 21, 2025, at The Westin Arlington in Arlington, VA.
Infosheet: Key Provisions in the House-passed Reconciliation Bill—H.R. 1, the ‘One Big Beautiful Bill Act’
An infosheet provides analysis of key health, philanthropy, and nonprofit provisions in H.R. 1, the budget reconciliation bill passed by the U.S. House of Representatives on May 22, 2025. Changes include an estimated $715 billion reduction in federal Medicaid spending including work requirements, new eligibility requirements to the Affordable Care Act that will reduce access to the ACA’s Advanced Premium Tax Credits, $300 billion in reductions to Supplemental Nutrition Assistance Program (SNAP) benefits, an excise tax on foundations, and new authority for the Secretary of the Treasury to remove the tax-exempt status of nonprofits the administration deems as “terrorist support organizations.”
Act Now to Protect Philanthropy, Medicaid, and SNAP
Right now, Congress is finalizing a massive budget reconciliation bill that threatens philanthropy’s freedom to give and endangers the health and well-being of many millions of Americans. We are reaching out today to raise awareness of three critical developments in the ongoing budget reconciliation process and to encourage you to act.
Cara V. James Speaks Up on Federal Disruption with Inside Philanthropy
Grantmakers In Health (GIH) President and CEO Cara V. James was interviewed for an Inside Philanthropy article published on April 30, 2025. The piece outlines philanthropy’s reactions to the sweeping cuts to public health infrastructure in the United States, the consequences of these cuts, and the importance of remaining committed to our values.
Philanthropy, Stewarding a Just America
In a time of intensive action to dismantle policies and practices that protect the well-being of all Americans, where chaos is the principal strategy to overthrow the will of and care for the American people, philanthropy must remain rooted in what is legally and morally right.
Investing in Civic Infrastructure: The Rise of a New Foundation in a Rural, Disinvested Community
When people hear about our work in Imperial Valley, they often exclaim, “How exciting to build a new foundation!” But I gently redirect them: We’re not building another institution— the last thing our communities need is another organization competing for resources. Instead, we’re building civic infrastructure to create the framework for lasting, community-led change.