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.
Call for Nominations: 2021 Terrance Keenan Leadership Award in Health Philanthropy
The Terrance Keenan Leadership Award in Health Philanthropy is presented each year to an outstanding grantmaker whose work is distinguished by leadership, innovation, achievement, creativity, and boldness. GIH invites you to nominate individuals for the 2021 award.
Call for Nominations: 2021 Andy Hyman Award for Advocacy
The Andy Hyman Award for Advocacy is presented each year to an outstanding advocacy grantee who embodies a commitment to principled action, leadership to advance social change, and dedication to making progress in policy and practice despite challenging political environments. GIH invites its Funding Partners to nominate individuals for the 2021 award.
Pandemic Policy Playbook: Assessing Legal Responses to COVID-19
The Network for Public Health Law has joined with public health law partners to produce a report that includes critical analyses and recommendations from 50 national experts convened to assess the U.S. policy response to the crisis to date. This new report offers policy recommendations on 35 wide-ranging topics, including pandemic preparedness, access to health care, voter health and safety, protections for essential workers, food insecurity and immigration policy.
Pacing Ourselves for the Struggle of a Lifetime
As we head into Fall, let us take a moment to rest, recharge, and to care for one another so that we are prepared to meet the challenges ahead. Let us also remain hopeful, knowing that together we can accomplish anything.
