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.
The Commonwealth Fund: October 2024
The Commonwealth Fund released a report, Mirror, Mirror 2024: A Portrait of the Failing U.S. Health System, to compare health system performance in 10 countries, including the United States, to glean insights for United States improvement. It conducted an analysis of 70 health system performance measures in five areas: access to care, care process, administrative efficiency, equity, and health outcomes.
Philanthropy @ Work – Grants and Programs – October 2024
The latest on grants and programs from the field.
New Grantmakers In Health Survey Finds Leadership and Staff of Health Funders More Diverse than Broader Philanthropic Field
A new Grantmakers In Health survey of health funder leadership, staff, and boards found that health funder organizations are more racially and ethnically diverse than the broader field of philanthropy.
New America Report Examines Subminimum Wage for Disabled Workers
Under the Fair Labor Standards Act, employers are allowed to pay disabled workers less than the federal minimum wage, which has significant impacts on these workers’ health and well-being. A report from New America examines, state by state, the policies that drive the use or elimination of the subminimum wage, as well as the programs each state provides to more comprehensively support individuals with disabilities as they seek meaningful employment and fair wages.
Supporting Communities Recovering from Hurricanes Helene and Milton
Grantmakers In Health (GIH) is saddened by the devastation wrought by Hurricane Helene in communities across the southeastern United States, affecting many of our Funding Partners and the people they serve. However, we are heartened to see the strong show of support from philanthropy, government, businesses, and individuals to help those affected by the storm recover.