Google has announced the transfer of its Open Health Stack initiative to the Linux Foundation, establishing the Open Health Stack Software Foundation (OHS-SF) to oversee the project as a community-led, vendor-neutral organization. Originally launched in 2023 in partnership with the World Health Organization, the Open Health Stack was designed to address the fragmented state of global digital health infrastructure, which currently leaves an estimated 4.6 billion people without access to essential medical services. By moving the codebase and associated assets under Linux Foundation stewardship, Google aims to ensure long-term sustainability and broader developer adoption. The newly formed foundation will be supported by a $3 million grant from Google.org and has already secured backing from major technology and health organizations, including Anthropic, Microsoft, Endless Health, PATH, and several regional health networks across Asia and Africa. A core mandate of the OHS-SF is to remove financial and administrative barriers, enabling local startups, small enterprises, and independent developers to participate directly in the project governance and technical direction. Operational initiatives will be structured around three primary pillars. The first focuses on FHIR foundations, expanding original OHS libraries to streamline integration with modern healthcare data standards. The second pillar introduces a multi-platform deployment toolkit designed to reduce implementation timelines for health technology developers. The third establishes an AI commons to foster collaborative development of safe, effective artificial intelligence models tailored for medical applications. All components are grounded in global open standards for health data and AI ethics. Over the past three years, the Open Health Stack has powered digital health deployments across Sub-Saharan Africa, South Asia, and Southeast Asia. Technical partners including Argusoft, Ona, IntelliSOFT, IPRD Solutions, KushiBaby, and Living Goods have utilized the framework to build capacity and drive localized, standards-compliant innovation. The transition to the Linux Foundation marks a strategic shift toward global stewardship, ensuring that critical digital health infrastructure remains freely accessible and continuously evolved by the international developer community. This structural reorganization is expected to accelerate the deployment of AI-enabled health solutions, ultimately narrowing health equity gaps in low-resource environments and establishing a scalable foundation for the next generation of global public health technology.