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‘I’m trying to send a signal’: Melinda French Gates on her $215 million women’s health push

Emma Hinchliffe
By
Emma Hinchliffe
Emma Hinchliffe
Most Powerful Women Editor
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Emma Hinchliffe
By
Emma Hinchliffe
Emma Hinchliffe
Most Powerful Women Editor
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June 4, 2026, 11:19 AM ET
Melinda French Gates touring a former abortion clinic in Tuscaloosa, Alabama. Her grant helped the clinic reopen to provide other women's health services after the overturn of Roe v. Wade.
Melinda French Gates touring a former abortion clinic in Tuscaloosa, Alabama. Her grant helped the clinic reopen to provide other women's health services after the overturn of Roe v. Wade. Courtesy Pivotal Ventures

Earlier this month, I took a trip to Tuscaloosa, Alabama. I was there to meet up with Melinda French Gates.

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It was also her first time in Tuscaloosa—but she’s already had a major impact on the city. She was there to visit WAWC, a former abortion clinic that briefly shut down after the overturn of Roe v. Wade. Her firm Pivotal’s $5 million grant helped the clinic reopen providing other women’s health services, from pregnancy and midwife care to mental health support. It moved to a stately brick home that used to house a software company—and that the clinic’s director calls their “dream house.”

This grant is just one of several French Gates will support through a new $215 million commitment to women’s health, which she spoke with me about exclusively before announcing her new strategy today. The commitment brings Pivotal’s total money toward women’s health up to $600 million. And this is all still considered a “testing phase” that French Gates expects to last two to three years. Right now, her women’s health strategy is focused on access to care during women’s reproductive years, health during midlife and menopause, and mental health. Some of Pivotal’s initial partners include the research-focused Wellcome Leap (previously announced); the Menopause Society, which trains health care professionals on the life stage; and Co‑Impact, which works to embed mental health into maternal care around the world. The deep dive into women’s health will play out across Pivotal’s three signature pillars, which in addition to philanthropy include policy advocacy and investment in startups and funds.

I just published a long interview with French Gates about this work—as well as the message she hopes it sends. “I’m trying to send a signal,” she told me. To other philanthropists and other billionaires—who either haven’t believed in the category or are scared to touch it for fear of retaliation from the Trump administration.

We talked at length about why she believes in women’s health as a place to put her money, whether she’s disappointed in her fellow billionaires (answer: some of them), and what’s “freeing” about this era of her life and career. You can read our full interview here—and stay tuned on social for more clips.

Emma Hinchliffe
emma.hinchliffe@fortune.com

The Most Powerful Women Daily newsletter is Fortune’s daily briefing for and about the women leading the business world. Subscribe here.

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This is the web version of MPW Daily, a daily newsletter for and about the world’s most powerful women. Sign up to get it delivered free to your inbox.
About the Author
Emma Hinchliffe
By Emma HinchliffeMost Powerful Women Editor
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Emma Hinchliffe is Fortune’s Most Powerful Women editor, overseeing editorial for the longstanding franchise. As a senior writer at Fortune, Emma has covered women in business and gender-lens news across business, politics, and culture. She is the lead author of the Most Powerful Women Daily newsletter (formerly the Broadsheet), Fortune’s daily missive for and about the women leading the business world.

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