Breakthroughs to Follow-Through
Closing the gap between discovery and delivery
The Breakthroughs to Follow-Through (B2F) initiative seeks to ensure that existing medical breakthroughs actually reach the people who need them. The initiative will help states and local jurisdictions jump start progress on closing the discovery-to-delivery gap, beginning with hepatitis C, and expanding to tackle other illnesses – like HIV and ‘curable’ cancers – for which there is an effective care intervention that is not reaching the people who need it at scale.
By strengthening coordination across the health sector, investing in innovation, and leveraging technology, the B2F initiative will empower health teams to better identify, engage, treat, and follow through with patients, ultimately helping more people receive lifesaving therapies.

The Opportunity
Wave 2 Call for Proposals
The Coalition is inviting state, local, and tribal organization jurisdictions interested in participating in the Breakthroughs to Follow-Through initiative to submit proposals for consideration as part of the initiative’s second wave of awardees.
Selected jurisdictions will join B2F’s growing network of partners working to strengthen the systems, partnerships, and infrastructure needed to at least double hepatitis C cure rates in their communities. The deadline to submit a proposal is October 22, 2026 at 11:59 PM Eastern Time. The second wave of B2F awardees will be announced in December.
Proposals should be submitted as PDFs to B2F@CommonHealthCoalition.org.


At least doubling hepatitis C cure rates
Science is no longer the barrier to curing hepatitis C. A highly effective oral medication can cure more than 95% of patients living with hepatitis C in as little as 8-12 weeks.
Yet despite this remarkable medical breakthrough, 40 Americans still die unnecessarily from hepatitis C every day, and hundreds of thousands more – nearly two out of every three people living with the disease – remain untreated each day, leaving them at risk for severe and sometimes fatal liver damage.
The challenge now lies in ensuring that the cure reaches the people who need it through better coordination between public health, health care delivery systems, and community-based non-profits.

Equipping jurisdictions with the expertise and technology they need to cure more residents
The Common Health Coalition will work with state health departments, clinical organizations, and community partners to implement local, innovative solutions to at least double each jurisdiction’s cure rate. OpenAI Foundation has invested $100 million in supporting this initiative.
Breakthroughs to Follow-Through will support local collaborations through technical assistance, implementation expertise, cross-jurisdiction learning, evaluation, and the responsible deployment of AI-enabled tools, equipping frontline teams with the resources and knowledge needed to double hepatitis C cure rates in their communities.
EqualCure, a national leader in hepatitis C treatment, will lead the Hepatitis C Center of Excellence for the initiative, providing clinical and technical expertise for local collaborations. A suite of expert advisors will provide additional technical assistance and support across data management, community engagement, workforce, and clinical innovation.
Bridging the breakthroughs to follow-through gap
At every stage of a patient's cure journey, technology can help public health agencies, health care providers, and community-based organizations work more effectively together. Technology should serve to strengthen the relationships between providers and patients, and across the health sector, not replace them.
By improving coordination and streamlining workflows, technology can enhance both the patient experience and the performance of our care systems. AI-enabled tools can help care teams identify people who have fallen out of care, synthesize medical records, reduce administrative burden, and give clinicians more time to build trust with patients. Used responsibly, these technologies expand the capacity of the health workforce while keeping human connection at the center of care.
The Breakthroughs to Follow-Through Initiative seeks to equip care teams with the technology and coordination needed to identify, engage, treat, and follow through with treatment, ultimately leading to more patients being cured.
Responsible Use of AI
Artificial intelligence has the potential to be used responsibly in service of healthier communities. To do so, the Common Health Coalition believes that implementation of AI tools should be grounded in community leadership, human partnership, and responsible stewardship. We are committed to ensuring that the innovations we support advance equity, strengthen local capacity, minimize environmental impact, and improve health outcomes for all.
Read our Principles for Responsible AI UseBreakthroughs to Follow-Through Indirect Cost Policy
The Common Health Coalition requires all grantees and subgrantees receiving funding through the Breakthroughs to Follow-Through (B2F) initiative to apply an indirect cost rate of no more than 10% to B2F-funded activities.
This policy is intended to maximize the share of B2F funding directed toward program implementation and achievement of the initiative’s goals. Organizations may apply their standard indirect cost rate if it is less than 10%; however, indirect costs charged to B2F funds may not exceed 10%.
