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.
Rethink Outside: Telling a New Story about Healthier Communities
As a philanthropy-serving organization that focuses on expanding investments to advance environmental literacy and connect people to nature, Blue Sky Funders Forum seeks to bridge silos and unite funders who share the belief that the benefits of meaningful time spent outdoors lead to stronger and healthier people, communities, and ecosystems.
Our Accomplishments—and the Challenges Ahead
In November 2012, I was named president and CEO of GIH. Shortly afterward, I described the opening phases of what I called GIH 3.0, a term I chose because I was GIH’s third president. GIH 3.0 built on the past accomplishments of the organization, while positioning it to continue being a relevant and high-quality resource for the field.
WebMD/John A. Hartford Foundation Survey Finds Older Adults and Their Caregivers are Misinformed
Care of older adults is mired in misinformation, with most older patients and caregivers mistakenly believing that sharp declines in quality of life are inevitable, according to a new survey from The John A. Hartford Foundation (JAHF) and WebMD.
Creating Effective Health Care Markets
Disagreement about the role of markets lies at the root of many of our fiercest health care controversies. One side believes that unleashing market forces will rescue our health care system. From this viewpoint, government involvement is inherently destructive, except in rare circumstances. Many opponents of the Affordable Care Act share this opinion.
Creating an Age-Friendly Public Health System: Challenges, Opportunities, and Next Steps
National, state, and local public health officials; aging experts, advocates, and service providers; and health care officials came together to discuss how public health could contribute to an age-friendly society and improve the health and well-being of older Americans.
Health Affairs: Community Care for High Needs Patients
Almost everyone wants to live in their own home and community as they age. Yet for many, later age brings frailty and the accumulation of chronic conditions. This month’s issue of Health Affairs examines how we can best provide care in the community for people with advanced illness.