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.
What’s Coming Up in 2019 for GIH and Health Philanthropy?
In 2019, there are several trends we will be following. These trends show that, in general, funders are grappling with the changing environments of service delivery, health in communities, and organizational effectiveness.
The New York State Health Foundation Report: January 2019
A new New York State Health Foundation-produced data snapshot examines opioid prescribing trends by county in New York from 2010 to 2015.
Blue Cross Blue Shield of Massachusetts Foundation: Jan 2019
The study sought to quantify the wait times for outpatient mental health office visits in Massachusetts, better understand the experiences of clients seeking an appointment, and identify facilitators and barriers to accessing mental health services.
de Beaumont Foundation: Jan 2019
A new report from the de Beaumont Foundation and Johns Hopkins Bloomberg School of Public Health, Using Electronic Health Data for Community Health, is a roadmap for how to overcome perceived barriers to using electronic health data for public health activities.
Philanthropy @ Work – Grants and Programs – January 2019
The latest on grants and programs from the field.
Philanthropy @ Work – Transitions – January 2019
The latest on transitions from the field.