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.
Healing Justice Guidance to Philanthropy During COVID-19, the Uprisings, and Beyond
Funders for Justice Healing Justice Strategy Group members recently released strategic guidance for funders on how to incorporate a healing justice lens into grantmaking.
Prodding New Thinking and New Action: The Crucial Power of Foundations
It is no longer sufficient to be a “good grantmaker.” More and more foundations are grappling with philanthropy’s defining question: “What will we do to make the world a better place, especially for people who have historically been denied the opportunity to lead full, healthy lives?”
New Report: Exploring LTSS Social Insurance Strategies in 6 States
The new report characterizes the status of emerging state-based social insurance programs. Using a qualitative, case-study approach, the researchers describe the nature and evolution of the long-term services and supports (LTSS) finance reform(s) taking place in 6 states.
Quick Poll Results: Provision of General Operating Support to Grantees and Other Nonprofits
GIH’s July 2020 Quick Poll asked foundations about the provision of general operating support to help current grantees and other nonprofits weather the financial impacts of COVID-19.
Education Is Our Passport to A More Just and Equitable Future
The pandemic and ensuing social unrest have led to myriad conversations focused on how to use this moment to create a more equitable health system, rebuild our public health infrastructure, and reimagine police practices. I would encourage us to also consider this moment an opportunity to rethink our educational system, given the strong relationship between education, income, wealth, and health.