Infosheet: Key Provisions in the House-passed Reconciliation Bill—H.R. 1, the ‘One Big Beautiful Bill Act’
An infosheet provides analysis of key health, philanthropy, and nonprofit provisions in H.R. 1, the budget reconciliation bill passed by the U.S. House of Representatives on May 22, 2025. Changes include an estimated $715 billion reduction in federal Medicaid spending including work requirements, new eligibility requirements to the Affordable Care Act that will reduce access to the ACA’s Advanced Premium Tax Credits, $300 billion in reductions to Supplemental Nutrition Assistance Program (SNAP) benefits, an excise tax on foundations, and new authority for the Secretary of the Treasury to remove the tax-exempt status of nonprofits the administration deems as “terrorist support organizations.”
From Recovery to Resilience: Investing in Collaborative Infrastructure for Health and Equity
After the 2018 Camp Fire – the most destructive and deadly wildfire in California’s history – the California Accountable Communities for Health Initiative (CACHI) understood that the community needed more than programming to recover. In response, the region’s Accountable Community for Health (ACH) was created – a community-rooted, cross-sector collaborative that invests in local leadership to shift systems, influence policy, and address both long-standing inequities and urgent crises.
Broken Triangle: A Framework for Reparative Philanthropic Relationships
Traditional philanthropic practices have often created imbalanced power dynamics and barriers for Black-led, Black-serving organizations. When the REACH Healthcare Foundation performed a portfolio review in 2018 that revealed this same exclusion within the foundation’s grantmaking investments, REACH committed to reshaping their funding approach, which aims to repair previously neglected —and in some cases, damaged —relationships.
Quick Poll Results: Voter Engagement Efforts
GIH’s August/September 2020 Quick Poll asked foundations if they fund voter engagement efforts.
Voter Engagement Messaging and Activities for Private Foundations
The Alliance for Justice’s Bolder Advocacy initiative has released a new collection of resources specifically geared to help private foundations get engaged in the upcoming election. Private foundations can help get out the vote in a number of ways and these guides clarify what activities are permissible.
Creating A Force Multiplier – Why Advocates for Rural Health and Health Equity Should Work Together
Investment in rural communities and in organizations led by people of color is disproportionately low compared to their population size and need. There are relatively small groups of dedicated researchers, advocates, and policymakers committed to progress in each area. Funders can bring these groups together, thereby creating a force multiplier effect that could lead to significant improvements in health for all.
20 Years of Progress – Two Tobacco Ways in Indian Country
In order to respectfully and effectively address the harmful epidemic of cigarette smoking among American Indian adults, ClearWay Minnesota listened carefully to Native communities and adopted a model that focused on the dangers of commercial tobacco use while honoring the traditional healing traditions of tobacco. This model is referred to as the “two tobacco ways” framework and serves as an instructive illustration of how context is important in addressing health disparities and heath equity across communities.
The Air That We Breathe
We and many colleagues believe that, in order to strengthen responses to the pressing crises we face, we must consider some converging determinants of health—racism, climate change, and COVID-19—together. Doing so is essential, not just for crisis management, but also for building resilient systems and infrastructure that enable everyone, particularly Black, Indigenous, and people of color communities, to breathe.
Managing America’s Crises Means Addressing the Political Determinants of Health
Too often we stop at these social drivers of inequities, however, and miss the link between social determinants of health and their political roots. Every social determinant of health is preceded by a political action, inaction, or impetus. Political determinants of health create the social drivers—including poor environmental conditions, inadequate transportation, unsafe neighborhoods, and lack of healthy food options—that affect all other dynamics of health.