Opinion
Defunding equity: The Big Beautiful Bill and the broader crisis in women’s health innovation

By Melissa Wallace, CEO & Founding Partner, Fierce Foundry
Imagine if half the population were quietly being cut off from funding, resources, and opportunity. No protests, no headlines—just policies dressed up as reform.
For women, and for those building what little infrastructure exists to support us, this isn’t fiction. It’s policy in action.
Funding is quietly frozen. Grant programmes disappear overnight. Tax policy gets “revised.” And somehow, always, it’s the programmes that support women’s health, economic mobility, and safety that end up on the chopping block.
It’s important to share what this really means but also identify ways we can push back.
A Coordinated Attack Disguised as ‘Efficiency’
Earlier this year, the Department of Justice’s Office on Violence Against Women pulled all open funding opportunities from its site with zero warning.
At the time of writing, the OVW’s homepage showed no active grants available, an eerie confirmation of the freeze.
This isn’t theoretical. These are grants that keep crisis hotlines open. That put lawyers in courtrooms to help women file restraining orders. That ensures shelters can literally keep their lights on.
Then the only federal program focused solely on family planning, Title X, froze $65 million in funding. Again, just look at their homepage.
Providers forced out because of a revived gag rule. Entire counties with no reproductive health access. Proving again, this is not just about budgets.
And more importantly, there’s the NIH.
What was and should always be the gold standard of American medical research, the NIH is now being slowly gutted from the inside out, facing capped indirect costs, grant freezes, and the loss of over 1,000 employees.
Research on maternal mortality, reproductive health, and gender-based health disparities is stalled or abandoned at a time when women’s health outcomes in the U.S. are already in crisis.
Grad programs are pausing admissions. Institutions are rescinding job offers.
It’s crazy to think that if your research centers on women, you’re no longer a priority.
Female Founders Are Feeling It Too
At our Venture Studio, Fierce Foundry, we co-build FemTech companies led by women, so we see firsthand how policy disruptions are stifling innovation.
Leslie Feinzaig at the Female Founders Alliance recently surveyed hundreds of women entrepreneurs. The numbers are brutal:
- 47 per cent say today’s economy is hurting their business, not because their ideas are weak, but because they’re navigating a toxic mix of cautious buyers, inflation, and frozen grant programmes.
- 46 per cent say the political climate is actively harming them, with NIH, DoD, and EPA listed as the most disrupted funding sources.
- Even those who raised money in early 2025: 48 per cent still report negative fallout because the ground keeps shifting beneath them.
We’re not witnessing random cuts. We’re watching a playbook unfold.
When the only thing more unstable than the market is the government meant to support it, you create an environment where risk tolerance drops to zero, and guess who pays the price in a system already biased against women?
Enter H.R.1, the Velvet Hammer
Otherwise known as the ironically named “One Big Beautiful Bill Act”, Congress recently passed H.R.1, a 600+ page legislative mic drop wrapped in “anti-corruption” branding.
In reality, it’s another blow to the nonprofit and startup sectors, especially the ones working in women’s health, climate, education, and equity.
This new law:
- Complicates how nonprofits advocate, effectively muting mission-driven organisations with compliance red tape
- Disincentivises charitable giving by eliminating the universal charitable deduction
- Weakens the Johnson Amendment, opening the door to political manipulation inside nonprofits
Layer this over the already shaky landscape created by the administration’s targeted funding cuts, and you get what looks a lot like a strategic dismantling of the nonprofit sector, death by a thousand policy decisions.
This Isn’t Just Budgeting—It’s a Turning Point
It’s tempting to see these cuts as routine cost-saving measures.
But the patterns tell another story, and it demands our attention.
When funding consistently disappears from domestic violence shelters, reproductive healthcare, scientific research, and community-led nonprofits, we have to ask:
What kind of future are we shaping?
When accountability measures are framed as anti-corruption but silence the very voices meant to advocate for equity, it’s not just government that shrinks, it’s trust, access, and progress.
And those bearing the brunt? Women. Especially women of colour. Especially those building solutions in sectors already under-resourced. Especially those who believed our public systems were meant to include them.
But here’s the opportunity: recognising these patterns allows us to shift course. To build systems that are transparent, equitable, and truly serve the public good.
We have a chance to reimagine not just restore what support for women can and should look like.
So What Now?
This is our moment of reckoning and of responsibility.
If you’re outraged, good. But outrage without action changes nothing.
Call your representatives. Ask them where they stand on funding for the NIH, Title X, and nonprofit protections.
Demand they reverse the cuts that are crippling women’s health and innovation.
Join organisations like the National Council of Nonprofits, League of Women Voters, and Protect Our Care that are tracking these shifts and mobilising action.
Subscribe to policy trackers like G2G, and stay engaged on federal rule changes
affecting women’s health innovation.
Support women-led startups and nonprofits, especially the ones filling gaps left by the government.
And if you have a platform, use it.
Encourage your company to support advocacy coalitions or match donations to affected nonprofits.
The future of FemTech depends on more than great ideas and breakthrough science, it depends on a system willing to invest in women’s health, protect equity-driven founders, and fund the research that saves lives.
When the scaffolding holding up women’s progress collapses, it’s not just women who fall; it’s all of us.
Research proves that when women are economically empowered, communities thrive.
Countries with greater gender equality have stronger economies, healthier families, and more resilient democracies.
When we support women, we don’t just protect half the population; we invest in the whole.
References
- “Trump DOJ freezes domestic violence grants, leaving shelters and legal services scrambling”
Politico, March 1, 2025
https://www.politico.com/news/2025/03/01/funding-freeze-domestic-violence-00206807
- “Trump administration halts Title X family planning funding in 23 states”
TIME Magazine, April 2025
https://time.com/7276543/title-x-funding-freeze-threatens-states
- “Planned Parenthood Faces Steep Financial Losses Amid Trump Budget Cuts”
Wall Street Journal, May 2025
https://www.wsj.com/politics/policy/planned-parenthood-abortion-trump-supreme-court-a0c54920
- “Second Presidency of Donald Trump” (NIH Grant Freeze and Layoffs) Wikipedia summary based on multiple government sources, 2025 https://en.wikipedia.org/wiki/Second_presidency_of_Donald_Trump
- “I Am Seeing My Community of Researchers Decimated” The New Yorker, February 2025
https://www.newyorker.com/news/deep-state-diaries/i-am-seeing-my-community-of-researchers-decimated
- “Trump Administration Slashes Millions in NIH Funding for Maternal Health, HIV, and Other Research”
Protect Our Care, 2025
https://www.protectourcare.org/its-a-bloodbath-trump-administration-slashes-millions-in-nih-funding
- “2025 Female Founder Sentiment Survey”
Female Founders Alliance / Leslie Feinzaig, Q2 2025
(Direct data provided – no public link currently available)
- “New Tax Law Threatens Nonprofits’ Ability to Serve Communities” National Council of Nonprofits, April 2025
- “Congress Passes Major Tax Package—Nonprofits Directly Impacted” National Council of Nonprofits, April 2025
- “4 Key Elements of H.R.1”
League of Women Voters, March 2025
https://www.lwv.org/blog/4-key-elements-hr1
11.“Trump’s War on the Nonprofit Sector”
The Guardian, April 2025
https://www.theguardian.com/us-news/2025/apr/10/trump-administration-authoritarian
News
Why advocacy-orientated CPD matters for the future of cardiology

By Women As One
At the 2026 Alliance Annual Conference, Women As One presented a poster that asked a powerful question: What if continuing professional development (CPD) did more than teach clinical knowledge— and instead helped shape the future of the workforce itself?
For decades, professional education in medicine has focused primarily on what clinicians know and how they practice. That work remains essential.
But persistent gender gaps across cardiology—from leadership positions to research participation and speaking opportunities—demonstrate that knowledge alone is not enough to ensure equitable advancement.
To truly strengthen the field of cardiology, professional development must also support who clinicians become, the opportunities they access, and the voices that shape the future of cardiovascular medicine.
Our poster, More Than Education: Elevating Equity and Identity Through CPD, explores how a new model of advocacy-orientated CPD can help close these gaps.
Advocacy-orientated CPD expands the traditional model of professional education. In addition to building clinical expertise, it intentionally supports the structural elements that shape career advancement—mentorship, sponsorship, leadership development, visibility, and professional networks.
By integrating these elements into professional education, CPD can become a powerful engine for advancing equity—and ultimately improving patient care.
Why this matters
Gender inequities in medicine are not simply workforce issues. They influence research priorities, clinical trial representation, leadership decision-making, and ultimately the care patients receive.
When women clinicians have equitable opportunities to lead, research, and shape clinical practice, the entire healthcare system benefits.
Yet structural barriers remain. Women physicians often have less access to mentorship, sponsorship networks, and leadership pathways—factors that are critical for career advancement.
This is where advocacy-orientated CPD comes in.
By intentionally designing programs that foster mentorship, build leadership skills, create visibility, and support long-term professional growth, organizations can help ensure that the next generation of cardiovascular leaders reflects the diversity of the patients they serve.
Turning opportunity into impact
Since its founding, Women As One has supported thousands of women cardiologists across more than 100 countries, expanding access to mentorship, research opportunities, and leadership development.
Through programs like CLIMB, RISE, Mentorship Awards, and our global digital community, The Pulse, thousands of women cardiologists have gained mentorship, leadership training, and opportunities that accelerate their careers and expand their influence.
Today, the outcomes of these programs are shaping the field in tangible ways:
- Women As One alumnae are leading clinical trials and advancing cardiovascular research
- Clinicians supported through our programs are building registries, launching new care models, and expanding access to specialized care
- Women cardiologists are gaining greater representation on speaker panels, advisory boards, and leadership pathways
- A global community of more than 3,000 women cardiologists is strengthening collaboration, mentorship, and visibility across the profession
These outcomes demonstrate what becomes possible when professional development goes beyond traditional education to intentionally support leadership, identity, and community.
A call to the cardiovascular community
Advancing equity in cardiology is not the responsibility of one organization—it requires a collective effort across the entire ecosystem of clinicians, educators, institutions, and industry partners.
For women cardiologists, this means engaging in the programs, mentorship networks, and leadership opportunities that help shape the future of the field. Whether through CLIMB, RISE, research initiatives, or participation in The Pulse community, your involvement strengthens a growing movement dedicated to advancing women in cardiology.
For our partners and supporters, this work demonstrates the powerful impact that strategic investment in equity-focused professional development can have on the workforce and the patients we ultimately serve.
Together, we can redefine what professional development looks like in medicine—not just as a pathway for learning, but as a catalyst for leadership, opportunity, and lasting change.
Explore the poster
We invite you to explore the poster below (click here to download it) to learn more about the evidence, framework, and real-world impact behind this work—and to join us in continuing to expand what professional development can achieve for the future of cardiovascular medicine.
Learn more about Women As One at womenasone.org

Opinion
What Maternal Mental Health Month reveals about where postpartum support actually breaks down

By Morgan Rose, chief science officer at Ema, and Lauren Scocozza, vice president of product at Willow
May is Maternal Mental Health Month, and every year it surfaces a familiar set of statistics: 1 in 5 new mothers experiences postpartum depression or anxiety, most go unscreened, and the majority who are screened don’t receive adequate follow-up care.
The conversation is important. But the numbers obscure something that anyone who has worked in this space knows to be true: postpartum mental health distress rarely arrives with a label.
It arrives as exhaustion. As “I’m not sure I’m doing this right.”
As a question about supply, pumping, whether it’s okay to feel this disconnected from something you were supposed to love immediately.
Willow integrated Ema, AI built for women’s health, with the goal of closing the maternal care and data gap.
The pattern mentioned above appears consistently in Ema’s conversational data through the Willow app.
A mother reports mastitis symptoms.
Ema walks her through the clinical presentation, confirms she should keep pumping, and then she questions if she is using her pump correctly. In the same thread, within a few exchanges, she says she’s “feeling too sad.” Then: “I don’t know. I think I’m depressed. I am not enjoying my postpartum.”
She did not come to the app to talk about her mental health.
She came about a breast infection. The mental health disclosure came through the already-opened door.
The Weight Underneath the Technical Question
New motherhood involves an enormous amount of problem-solving at a time when cognitive and emotional reserves are depleted. The pump has to work. The baby has to eat. The body has to recover.
Work comes back. Sleep doesn’t. Feeding their babies requires skill, and the learning curve sits atop it all.
What Ema’s conversation data shows is that the emotional load of navigating these challenges is not separate from mental health. It is mental health.
When a mother writes, “I’m postpartum and overwhelmed and tired,” and then, in the same breath, asks about flange sizing, she is telling us what the postpartum experience actually feels like from the inside.
The technical question and the emotional state are one and the same.
Breastfeeding carries particular weight here.
The desire to breastfeed, the guilt when it doesn’t go as planned, and the identity questions that come with feeding choices are not peripheral to the postpartum mental health conversation.
In our conversations, women navigating supply concerns often reveal deeper anxieties: about whether they are good mothers, whether their bodies are “working,” and whether the difficulty they are experiencing means something about them.
These are the signals worth asking about.
What Screening Looks Like in Practice
Ema is trained on the Edinburgh Postnatal Depression Scale and is equipped to offer the EPDS when a conversation warrants it.
The value is being present for the moment when a woman is ready to name what she’s feeling.
That moment rarely comes as a direct request for mental health support. It comes when someone is already in a conversation about something else, and something shifts.
A woman dealing with mastitis says she feels sad. A woman worried about supply says she doesn’t feel like herself. A woman managing the logistics of going back to work with a wearable pump says she’s not sure she can keep up with it all — and the “it all” isn’t about the pump.
Ema is designed to hear that. She doesn’t stay on the clinical or technical track when the conversation moves. She follows the person.
And when the moment is right, she offers the screening as a natural next step.
In one exchange, a woman was offered the EPDS after disclosing depressive feelings. She declined.
Ema acknowledged that and asked if she wanted to talk about something else. That’s the right response. The offer was made without pressure. The door stays open.
Sometimes what matters most is that someone asked at all.
The Continuity Problem
One of the most persistent structural failures in maternal mental health care is fragmentation.
A woman sees her OB at six weeks postpartum for a brief screening. She may get a call from a nurse. She may be given a referral she never follows up on because she doesn’t have the capacity to navigate a new care relationship while managing a newborn.
The clinical touchpoints are too few, too far apart, and too often siloed from one another.
The postpartum period lasts far longer than the six-week checkup implies. Mental health symptoms can emerge weeks or months after delivery, shift in character over time, and interact with physical challenges in ways that don’t fit neatly into any single provider’s lane.
A lactation concern becomes an anxiety spiral. A supply drop triggers a grief response. A difficult return to work surfaces a postpartum depression that wasn’t fully recognized at six weeks.
Ema sits inside these moments because she’s embedded in the platform women are already using. She doesn’t require a separate appointment, a referral, or the cognitive bandwidth to seek out a new resource.
She’s in the Willow app that mom is already using multiple times a day to manage her pump.
When Ema identifies a woman who may need more support than she can provide, she routes to the right resource — whether that’s a SimpliFed lactation consultant for feeding-related concerns or a clinical professional for mental health follow-up.
The conversation leads to the handoff with someone who can do more.
What the Month of May Means for the Rest of the Year
Maternal Mental Health Month is a useful moment of attention. The awareness campaigns, the social media posts, and the statistics shared in newsletters matter.
But the gap in postpartum mental health care is not really an awareness problem.
Most people in the perinatal space and beyond know the statistics. The problem is access, timing, and continuity.
AI doesn’t close that gap on its own.
What it can do is be present in the spaces where women already are, at the times when they need something, and attentive enough to recognise that a conversation about a pump, a clogged duct, or a supply concern is also a conversation about how someone is doing.
The question behind the question is often the more important one.
For Willow, the conversation data Ema generates is a map of where mothers are struggling, what they reach for when they need help, and when they are ready to say more than they came to say.
That information, used well, shapes better resources, better onboarding, and a more connected experience across the full arc of the postpartum year and beyond.
Building the infrastructure to support maternal mental health is a year-round project.
Willow is doing one part of that, and the conversations happening on the Willow platform every day are evidence that women want support that meets them where they are… in their app, in their moment, without having to ask for it twice.
About the authors
Morgan Rose is Chief Science Officer at Ema, an AI platform for women’s health. Ema partners with healthcare organisations and femtech companies to deliver clinically grounded AI support across the perinatal journey.
Lauren Scocozza is the Vice President of Product at Willow Innovations, Inc. For women by women, Willow is building a maternal care platform to address the interconnected challenges of postpartum.
Opinion
Femtech’s next chapter: Building a truly equal and comprehensive health tech category

By Wolfgang Hackl, MD, CEO OncoGenomX, Allschwil, Switzerland
FemTech is moving from a promising niche to a foundational part of modern healthcare.
Over the next decade and beyond, its real promise will not only be better products, but a more equitable system: one where women’s health is treated as an equal area for innovation, investment, clinical care, and public policy.
That shift matters because women’s health has long been under-researched, underfunded, and too often managed through systems that were not designed with female biology and life stages in mind.
The opportunity now is to change that trajectory.
If stakeholders act deliberately, FemTech can become a category that improves outcomes, expands access, and creates measurable value across the HealthTech ecosystem.
From niche to infrastructure
The most important change ahead is a mindset shift. FemTech should no longer be seen as a narrow consumer segment focused only on logging symptoms.
It should be understood as health infrastructure spanning puberty, fertility, pregnancy, postpartum recovery, menopause, pelvic health, chronic disease, mental health, and long-term preventive care.
This broader framing creates a more durable market and a stronger social case. It also encourages innovation that serves people across the full life course, rather than only at highly visible moments.
In practical terms, this means building tools that are clinically relevant, integrated into care pathways, and designed to work for different populations and health systems.
What needs to change
For FemTech to become a truly equal healthcare category and a genuine societal priority, several layers need to move together.
First, the evidence base must deepen. More sex-disaggregated data, more women-inclusive clinical studies, and more research on conditions that disproportionately affect women are essential.
Without stronger evidence, product development, diagnosis, reimbursement, and clinical adoption all remain constrained.
Second, policy and regulation must mature. Privacy protections need to be strong enough to build trust in highly sensitive health data.
Regulatory pathways should be clear enough to help innovators bring safe, effective products to market without unnecessary delay.
Reimbursement frameworks also need to evolve so that useful digital tools are not limited to those who can pay out of pocket.
Third, healthcare systems must become more open to integration. The best FemTech products should not sit outside the care journey as standalone apps.
They should connect with clinicians, diagnostics, telehealth, and care coordination so that patients experience continuity rather than fragmentation.
Finally, society needs a broader cultural shift. Women’s health should be discussed as a mainstream public health and economic issue, not as a side topic or a private concern.
That means normalizing conversations around menopause, miscarriage, postpartum health, chronic pain, infertility, and long-term preventive care.
The role of each stakeholder
A healthier FemTech future depends on the full value chain.
Founders and product teams need to design for clinical relevance, usability, and trust. The strongest solutions will be those that solve real problems, use data responsibly, and fit into everyday life and care.
Investors can help by backing long-term value creation rather than only consumer growth. FemTech deserves capital that supports rigorous validation, regulatory readiness, and scalable business models.
Healthcare providers and systems play a critical role in adoption. By integrating FemTech into clinical workflows, they can reduce delays in care, improve monitoring, and make support more continuous and personalised.
Payers and insurers can accelerate access by recognising the downstream value of early intervention, prevention, and better self-management. Coverage decisions will strongly shape which innovations become standard practice.
Policymakers and regulators should create environments where safety, innovation, and privacy coexist. Clear standards and supportive reimbursement policy can make the difference between isolated success and category-wide growth.
Employers and public institutions also have a role. Women’s health affects productivity, retention, and long-term wellbeing, which means workplace benefits and public programs can help expand access and reduce inequity.
FemTech is not only “women for women.” It is “everyone to solve a health and social issue that has been ignored for far too long.”
When stakeholders across the value chain recognise women’s health as a shared responsibility, FemTech moves from a segmented category to a mainstream force for better outcomes, fairer access, and stronger social impact.
Why the upside is larger than the market
The benefit of getting this right is not only commercial.
Better women’s health tools can improve early detection, support self-management, reduce avoidable complications, and lower the burden on social and healthcare systems.
They can also help close persistent gaps in access and outcomes that affect families, workplaces, and economies.
For HealthTech innovators, this is an opportunity to build products that are both mission-driven and scalable. For health systems, it is a chance to improve care quality and efficiency. For society, it is a way to move women’s health from an afterthought to an equal priority.
Actions that will move the field forward
The right direction will not happen automatically. It requires deliberate action across the ecosystem.
- Build products around real clinical needs, not only consumer engagement.
- Invest in women-inclusive research and validation from the start.
- Design privacy and governance into the product architecture.
- Create reimbursement models that reward prevention and continuity.
- Integrate FemTech into mainstream care pathways.
- Expand education for clinicians, employers, and the public.
- Expand the category to the invisible concerns to cover the full range of women’s health needs.
When these actions align, FemTech can mature into something larger than a market category. It can become a model for how health innovation should work: evidence-based, inclusive, trusted, and built to improve lives at scale.
A strong FemTech future is not just possible. It is a practical next step if the ecosystem chooses to treat women’s health as what it truly is: a core healthcare priority and a major driver of innovation.
Table: FemTech Focus Areas
| Field | Approximate number of active solutions/companies |
| Reproductive health & fertility | 120+ |
| Pregnancy & maternal care | 80+ |
| Menstrual health | 60+ |
| General women’s health & wellness | 50+ |
| Diagnostics & monitoring | 45+ |
| Menopause & perimenopause | 40+ |
| Pelvic & uterine health | 30+ |
| Chronic women’s health / integrated care | 30+ |
| Sexual health & wellness | 25+ |
Legend: FemTech is becoming a multi-category healthcare layer. Reports also show that software/apps remain the largest product type overall, while reproductive health continues to dominate as an application area. Best-effort estimates based on category listings, company directories, and market reports, not audited totals.
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