2026 Health Action Conference Awards Nomination Form

Each year at Families USA’s Health Action Conference, we recognize leaders, advocates, and organizations who are making extraordinary contributions to advancing a health care system that is just, affordable, and equitable. Please use this form to nominate individuals or organizations for the 2026 Awards.

We will be accepting nominations between 9/5/2025 and 10/31/2025.

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* 1. Your Name

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* 2. Your Organization (if applicable)

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* 3. Your Email

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* 4. Your Relationship to the Nominee

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* 5. What is your nominee's name?

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* 6. What is your nominee's email address?

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* 7. What is your nominee's organization?

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* 8. Which Area Did Your Nominee's Work Have the Most Impact?

Health Equity and Justice- Recognizes individuals or organizations working to eliminate health disparities and promote racial, economic, and social justice in health care.

Health Care Affordability and Value- Honors those who have worked to make health care more affordable while improving value, quality, and outcomes for consumers.

Health Care Coverage- Recognizes efforts to expand, protect, or strengthen health care coverage, ensuring more people have access to the care they need.

Consumer Protections- Honors those who safeguard patients and families from harmful practices, ensuring fairness, accountability, and transparency in health care.

Emerging Advocate- Honors a rising leader (early-to-mid career) who demonstrates outstanding potential and dedication to advancing health advocacy.

Lifetime Achievement- Celebrates an individual who has dedicated their career to advancing health care justice, equity, and consumer advocacy, leaving a lasting legacy.

Storytelling- Recognizes an individual who has powerfully shared their lived experience to advance health justice, shape policy change, and inspire action. This award honors the courage and impact of those who use their personal story as a tool for advocacy, bringing visibility to inequities and lifting up the voices of communities often left unheard.

For questions #9-15, please proceed to the question corresponding to your answer from question #8.

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* 9. If you selected Health Equity and Justice: This category recognizes individuals or organizations working to eliminate health disparities and promote racial, economic, and social justice in health care.

Who are you nominating? (Full name/Organization)

Please describe how the nominee has advanced health equity and justice in their work.

What measurable or visible impact has the nominee’s advocacy had in communities?

How does this nominee’s work inspire or influence others in the fight for equity and justice?

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* 10. If you selected Health Care Affordability and Value: This category honors those who have worked to make health care more affordable while improving value, quality, and outcomes for consumers.

Who are you nominating? (Full name/Organization)

How has the nominee advanced affordability and value in health care?

Please provide examples of policies, programs, or initiatives led or influenced by this nominee.

How has their work improved access or outcomes for consumers?

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* 11. If you selected Health Care Coverage: This category recognizes efforts to expand, protect, or strengthen health care coverage, ensuring more people have access to the care they need.

Who are you nominating? (Full name/Organization)

How has the nominee worked to expand or defend health care coverage?

What specific communities or populations have benefitted from their work?

Please describe the broader impact of this nominee’s coverage advocacy.

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* 12. If you selected Consumer Protection: This category honors those who safeguard patients and families from harmful practices, ensuring fairness, accountability, and transparency in health care.

Who are you nominating? (Full name/Organization)

What issue(s) has the nominee addressed to protect consumers?

Please provide examples of advocacy, policies, or actions taken by the nominee.

How has this nominee’s work directly improved consumer protections in health care?

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* 13. If your nominee is an emerging advocate, we encourage you to tell us more about them below.

An emerging advocate is a rising leader (early-to-mid career) who demonstrates outstanding potential and dedication to advancing health advocacy.

In what ways has this individual demonstrated leadership and promise as an emerging advocate?

Please describe a specific initiative or example that highlights their impact.

How does this nominee stand out as a future leader in the movement for health justice?

Please write out short answers to these questions here.

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* 14. We always want to celebrate our long-time advocates, if you believe your nominee fits into our lifetime achievement category, please answer the questions below.

This category celebrates an individual who has dedicated their career to advancing health care justice, equity, and consumer advocacy, leaving a lasting legacy.

Please describe the nominee’s lifetime contributions to health advocacy.

How has this individual influenced or inspired the field over time?

What impact has their work had on communities, policy, or the broader health justice movement?

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* 15. The storyteller category recognizes an individual who has powerfully shared their lived experience to advance health justice, shape policy change, and inspire action. This award honors the courage and impact of those who use their personal story as a tool for advocacy, bringing visibility to inequities and lifting up the voices of communities often left unheard.

Who are you nominating? (Full name)

Please describe the nominee’s lived experience and how they have used their story to advocate for change.

What specific examples demonstrate the impact of their storytelling (e.g., influencing policy, shifting narratives, mobilizing communities)?

How has this nominee inspired others or created space for additional voices to be heard?

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* 16. Upload any additional supporting materials (articles, testimonials, reports, etc.).

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

2026 Health Action Conference Awards Nomination Form

Question Title

* 1. Your Name

Question Title

* 2. Your Organization (if applicable)

Question Title

* 3. Your Email

Question Title

* 4. Your Relationship to the Nominee

Question Title

* 5. What is your nominee's name?

Question Title

* 6. What is your nominee's email address?

Question Title

* 7. What is your nominee's organization?

Question Title

* 8. Which Area Did Your Nominee's Work Have the Most Impact?

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* 9. If you selected Health Equity and Justice: This category recognizes individuals or organizations working to eliminate health disparities and promote racial, economic, and social justice in health care.

Question Title

* 10. If you selected Health Care Affordability and Value: This category honors those who have worked to make health care more affordable while improving value, quality, and outcomes for consumers.

Question Title

* 11. If you selected Health Care Coverage: This category recognizes efforts to expand, protect, or strengthen health care coverage, ensuring more people have access to the care they need.

Question Title

* 12. If you selected Consumer Protection: This category honors those who safeguard patients and families from harmful practices, ensuring fairness, accountability, and transparency in health care.

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* 13. If your nominee is an emerging advocate, we encourage you to tell us more about them below. An emerging advocate is a rising leader (early-to-mid career) who demonstrates outstanding potential and dedication to advancing health advocacy.

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* 16. Upload any additional supporting materials (articles, testimonials, reports, etc.).

* 13. If your nominee is an emerging advocate, we encourage you to tell us more about them below.

An emerging advocate is a rising leader (early-to-mid career) who demonstrates outstanding potential and dedication to advancing health advocacy.