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.
StartStrong: Transforming the System of Care to Reduce Infant Mortality
It is a dichotomy to think that the United States, with the sophisticated medical care available here, has higher infant mortality rates than most other developed countries. A higher rate of premature births in the United States is the main reason for this poor ranking.
Recounting Thirty Years of Health Philanthropy
In 1987, the opportunity to lead a new health foundation was appealing enough for me to leave a partnership in a thirty-five-person law firm. I believed the new job would permit reacquaintance with my wife and three young children and the opportunity to make the world a little better.
How Foundations Can Accelerate Health System Improvement by Investing in Capacity Building Across Sectors
At a time when the health care system is facing a host of challenges, many with attributes that are impossible to solve alone, we see organizations from across the health and social sectors combining their skills and expertise through interesting partnerships to crack the “impossible” together.
Funding Upstream Solutions is Key to Remedy the Social Ills of Trauma
The root cause philanthropy cannot ignore, regardless of the outcomes we seek or the population we serve, is exposure to trauma. Trauma is defined as the effects of a single event, a series of events, and ongoing circumstances that are experienced or perceived as physically or emotionally harmful and life threatening.
Gun Violence Prevention
A key topic of conversation at this year’s GIH board retreat was the role of health philanthropy and GIH in responding to gun violence.