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.
Episcopal Health Foundation: August 2019
Texans say health care is the toughest living expense for them to afford. More than half (55 percent) of Texans say it’s difficult for them to pay for health care, including more than a quarter (27 percent) who say it’s “very difficult.”
Foundation for Opioid Response Efforts RFP: August 2019
Inaugural grants will fund projects at the national, state, and community levels focused on innovative and creative ways to remove barriers to treatments and improve services across the continuum of care.
Cone Health Foundation and Kate B. Reynolds Charitable Trust: August 2019
The analysis updates a 2014 report, providing a county-by-county look at the number of jobs, new Medicaid enrollees and economic growth that would result from the state expanding Medicaid.
On the Road toward Equity: Leveraging Mixed-Income Communities and Health
We live in a complex world. One in which the solutions to society’s greatest problems are not easily identified or implemented. Within that complexity lies both challenges and opportunities to building better communities where all residents can thrive.
Philanthropy @ Work – Transitions – August 2019
The latest on transitions from the field.
Helping Philanthropy Be Its Best
We asked our colleagues to reflect on the 2019 GIH annual conference theme of Ideas. Innovations. Impact. The resulting articles pursue a variety of themes, but collectively they make abundantly clear that the central role played by PSOs—making connections among funders in order to stimulate lasting change and improve quality-of-life—continues to be vitally important.