Maryland Citizens Health Initiative Education Fund

aka Maryland Health Care for All! Coalition   |   Baltimore, MD   |


The mission of the Maryland Citizens' Health Initiative Education Fund, Inc. (MCHI) is to expand access to quality affordable health care for all Marylanders.

The diverse board, staff, consultants, and volunteers of MCHI collectively envision the establishment of an inclusive, affordable, and high quality health care system in Maryland.  We fundamentally believe that all Marylanders should have secure access to well-coordinated preventive and restorative medical care. We remain committed to bringing all stakeholders to the table to create and successfully advocate for sustainable and effective solutions to our health system's current inefficiencies and injustices.

Ruling year info


Board President and Executive Director

Mr. Vincent DeMarco

Main address

2600 St Paul St

Baltimore, MD 21218 USA

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NTEE code info

Alliance/Advocacy Organizations (R01)

Public Health Program (E70)

Citizen Participation (W24)

IRS filing requirement

This organization is required to file an IRS Form 990 or 990-EZ.

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Programs and results

What we aim to solve

SOURCE: Self-reported by organization

Health care is a human right and Maryland is home to world-class medical institutions. Yet, it can be difficult to obtain necessary medical care in a timely, affordable fashion. The Maryland Citizens' Health Initiative Education Fund, Inc. (MCHI) was founded to educate and engage Marylanders in efforts to ensure that everyone has access to quality affordable health care. MCHI built the state's largest and most diverse coalition of health care consumers, better known as the Health Care for All! Coalition. Through collective action, strategic policy analysis and advocacy, we have earned a reputation as a powerful force for "turning public will into political power." In the two decades since our organization was founded, the state's uninsured rate has gone from 15% to 6.5%, disparities in coverage rates among Marylanders who identify as Black and Hispanic have decreased, and in 2022 the Maryland Health Benefit Exchange reported an all-time record high of number of 182,000 insured lives!

Our programs

SOURCE: Self-reported by organization

What are the organization's current programs, how do they measure success, and who do the programs serve?

Expand access to quality, affordable health care in Maryland

Maryland's full implementation of the Affordable Care Act contributed to historically low rates of uninsured residents in our state. To further improve upon this expansion, our organization advocated for a first-in-the-nation Easy Enrollment system which allows uninsured state income tax filers to use the information on their tax return to enroll into health care coverage. More than 100,000 uninsured Marylanders can use this system to enroll into free or very low-cost subsidized care. Our coalition is now working with the state to ensure that this new program is implemented well. Our organization's president and board member serve on the state's Health Insurance Protection Commission. Through this work we are leading advocacy efforts to promote insurance coverage and stabilize premiums on our health insurance market place.

Population(s) Served

Our organization was responsible for the nation's first law to create a Prescription Drug Affordability Board, a watch dog agency to make expensive medications more affordable. This landmark victory has inspired subsequent measures to rein in rising drug costs for Maryland consumers including a ban on "gag rules" that prevent your pharmacist from telling you how to get your prescriptions at the lowest price. Reducing extreme prescription drug costs will help more Marylanders be able to afford their treatments and lower premiums overall. Staff also provide technical assistance to advocates in other states working to replicate this model.

Population(s) Served

Where we work


Andy Hyman Award, for MCHIEF President Vincent DeMarco 2020

Grantmakers in Health

Our results

SOURCE: Self-reported by organization

How does this organization measure their results? It's a hard question but an important one.

Number of coalition members

This metric is no longer tracked.
Totals By Year
Related Program

Prescription Drug Affordability Initiative

Type of Metric

Output - describing our activities and reach

Direction of Success


Context Notes

The number of organizations from across the state that have endorsed our Prescription Drug Affordability Initiative.

Number of policies formally established

This metric is no longer tracked.
Totals By Year
Related Program

Expand access to quality, affordable health care in Maryland

Type of Metric

Outcome - describing the effects on people or issues

Direction of Success

Holding steady

Context Notes

2021-Maryland Health Equity Resource Communities Act. 2020-Prescription Drug Affordability Board and Maryland Easy Enrollment Health Insurance Program

Our Sustainable Development Goals

SOURCE: Self-reported by organization

Learn more about Sustainable Development Goals.

Goals & Strategy

SOURCE: Self-reported by organization

Learn about the organization's key goals, strategies, capabilities, and progress.

Charting impact

Four powerful questions that require reflection about what really matters - results.

MCHI is focused on addressing access, costs and quality in our health care system. Throughout each of these initiatives, MCHI is guided by a deep concern for promoting equitable access and outcomes for people of color and other vulnerable populations.

MCHI works with our partners to promote access to health care through maximizing health care coverage in our state. This work includes close collaboration with the state's insurance marketplace, the Maryland Health Connection and Medicaid program to raise awareness of enrollment opportunities and coverage benefits. The organization has also worked to streamline the enrollment process and maximize coverage rates through smart policy change that makes it easier (and more affordable) to get covered.

Our work to address costs by reining in the rising cost of prescription drugs. Prescription drugs are a primary cost driver in rising premiums and create significant financial burden on vulnerable Maryland families.

Finally, our work to address quality involves representing consumers at the table when major changes are made to our health care system. While government agencies and private stakeholders negotiate changes to payment structures and other policies which directly impact the quality of care patients receive, MCHI is there to speak up on behalf of consumers to ensure that the outcome truly reflects the patient's best interests.

MCHI works at the grassroots level with hundreds of organizations across the state to better understand barriers to quality affordable health care. Together, we learn more about these issues and build support for systemic change through feasible and effective policy solutions to address them. MCHI is active at the local, state and federal level on each of these initiatives. MCHI works closely with a sister 501c4 entity to support strategic direct and grassroots lobbying when necessary to enact these proposals.

MCHI has earned a reputation for effective public health advocacy, thanks to highly visible and successful campaigns that we lead year after year. The core components of our approach include partnerships with nationally recognized policy experts to generate evidence based-policy solutions. Then these policies are tested by professional pollsters. MCHI shares these proposals and polling data with our coalition partners across the state which include representatives from labor, business, faith, professional and community-based organizations. As the coalition of supporters grow, MCHI works with key media outlets to promote broad awareness of the issue and make it a priority for policy makers. MCHI celebrates every victory, assists with implementation and monitors each measure for long-term impact.

MCHI has used this model effectively since 1999 on campaigns which led to historic coverage gains, raised taxes on alcohol and tobacco products, protected the ACA and prohibited price gouging on certain prescription drugs.

MCHI has championed several policies which have helped hundreds of thousands of Marylanders gain coverage, rein in rising health care costs and improve the quality of care for all. Recent victories include:

Advancing Health Equity: In 2020, our coalition launched the Health Equity Resource Initiative which the Maryland General Assembly passed in 2021. The new emergency law immediately allocates $59M of funding over five years to support local efforts to improve more equitable access to health care and improve disparities in outcomes. It is based on a successful Health Enterprise Zones pilot in five jurisdictions across the state of Maryland.

Creating the nation's first Prescription Drug Affordability Board and Easy Enrollment Health Insurance Program: In 2019 Maryland enacted two landmark laws that will rein in rising drug costs for state and local governments and make it easier for uninsured state residents to enroll into coverage using information on their tax forms. In the critical early months of the 2020 pandemic, this program helped thousands of Marylanders gain access to health insurance quickly.

Banning “Gag Rules” on Pharmacists: In 2018 Maryland became the eleventh state in the nation to ban the so-called “gag rule” by which some Pharmaceutical Benefit Managers prohibit pharmacists from telling consumers about the least expensive way to purchase their drugs.

Promoting Quality and Affordability: In 2018 we helped pass legislation to 1) create a reinsurance program to stabilize premiums on the individual market, 2) provide protections against proposed federal rules to expand substandard limited-duration plans and association health plans, and 3) compel the Health Insurance Coverage Protection Commission to study and report on creating a statewide individual mandate to replace the federal mandate that will no longer be effective starting in 2020 as well as the Basic Health Plan.

Preventing Prescription Drug Price-Gouging: In 2017, we helped Maryland become the first state to grant the Attorney General the authority to hold pharmaceutical companies accountable for “unconscionable” increases in the prices of generic or off-patent drugs.

Putting Maryland First: The Maryland Health Benefit Exchange recently celebrated its 10th anniversary. Thanks to our coalition's advocacy Maryland remains at the forefront of states implementing and building upon the ACA to achieve historic reductions in the percentage of uninsured state residents.

Saving kids from alcohol and tobacco: The Maryland General Assembly’s decision to increase the sales tax on alcohol by 3%, the tax on cigarettes by $1.00, the tax on little cigars to 70 percent of the wholesale price and double the tax on smokeless (chew or spit) tobacco, has saved thousands of young lives from addiction to these deadly products. MCHI made sure that revenue from these taxes went toward health care programs like Medicaid to serve hundreds of thousands of Marylanders.

How we listen

SOURCE: Self-reported by organization

Seeking feedback from people served makes programs more responsive and effective. Here’s how this organization is listening.

done We shared information about our current feedback practices.
  • How is your organization using feedback from the people you serve?

    To make fundamental changes to our programs and/or operations, To inform the development of new programs/projects, To strengthen relationships with the people we serve

  • Which of the following feedback practices does your organization routinely carry out?

  • What challenges does the organization face when collecting feedback?

    We don't have any major challenges to collecting feedback


Maryland Citizens Health Initiative Education Fund

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The people, governance practices, and partners that make the organization tick.


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  • Access beautifully interactive analysis and comparison tools
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Connect with nonprofit leaders


Build relationships with key people who manage and lead nonprofit organizations with GuideStar Pro. Try a low commitment monthly plan today.

  • Analyze a variety of pre-calculated financial metrics
  • Access beautifully interactive analysis and comparison tools
  • Compare nonprofit financials to similar organizations

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Maryland Citizens Health Initiative Education Fund

Board of directors
as of 11/22/2022
SOURCE: Self-reported by organization
Board co-chair

Mr. Vincent DeMarco

Maryland Citizens' Health Initiative Education Fund, Inc.

Term: 1999 -

Board co-chair

Dr. Darrell Gaskin

Johns Hopkins Bloomberg School of Public Health

Joel Rabin


Glenn Schneider

Horizon Foundation of Howard County

Susan Talbott, RN

No Affiliation

Mark Derbyshire

Park Moving and Storage

Isazetta Spikes

NAACP Maryland

Anna Davis

Advocates for Children and Youth

Jamal Lee

Breasia Productions

Toby Gordon

Johns Hopkins University

Angelica Newsome

Former Intern, Clinical Social Worker

Board leadership practices

SOURCE: Self-reported by organization

GuideStar worked with BoardSource, the national leader in nonprofit board leadership and governance, to create this section.

  • Board orientation and education
    Does the board conduct a formal orientation for new board members and require all board members to sign a written agreement regarding their roles, responsibilities, and expectations? No
  • CEO oversight
    Has the board conducted a formal, written assessment of the chief executive within the past year ? No
  • Ethics and transparency
    Have the board and senior staff reviewed the conflict-of-interest policy and completed and signed disclosure statements in the past year? Yes
  • Board composition
    Does the board ensure an inclusive board member recruitment process that results in diversity of thought and leadership? Yes
  • Board performance
    Has the board conducted a formal, written self-assessment of its performance within the past three years? No

Organizational demographics

SOURCE: Self-reported; last updated 4/5/2022

Who works and leads organizations that serve our diverse communities? Candid partnered with CHANGE Philanthropy on this demographic section.


The organization's leader identifies as:

Race & ethnicity
Gender identity
Male, Not transgender
Sexual orientation
Heterosexual or Straight
Disability status
Person without a disability

Race & ethnicity

Gender identity

Transgender Identity

Sexual orientation


Equity strategies

Last updated: 02/18/2020

GuideStar partnered with Equity in the Center - an organization that works to shift mindsets, practices, and systems to increase racial equity - to create this section. Learn more

  • We analyze disaggregated data and root causes of race disparities that impact the organization's programs, portfolios, and the populations served.
  • We employ non-traditional ways of gathering feedback on programs and trainings, which may include interviews, roundtables, and external reviews with/by community stakeholders.
  • We disaggregate data by demographics, including race, in every policy and program measured.
Policies and processes
  • We use a vetting process to identify vendors and partners that share our commitment to race equity.
  • We seek individuals from various race backgrounds for board and executive director/CEO positions within our organization.
  • We have community representation at the board level, either on the board itself or through a community advisory board.
  • We engage everyone, from the board to staff levels of the organization, in race equity work and ensure that individuals understand their roles in creating culture such that one’s race identity has no influence on how they fare within the organization.