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.
Understanding Community Engagement: An Outsider-Turned-Insider’s Perspective of Philanthropy
Community engagement has become a somewhat ubiquitous term within the social sector, which often oversimplifies a deep and complex process.
Grantmakers and the Health Care Workforce
Recently, I’ve written about issues that are top of mind with current and past GIH board members. My series concludes with a look at the health care workforce, a pressing and complex issue that encompasses aspects of quality, equity, and delivery system reform.
Philanthropy @ Work – Grants and Programs – November 2017
The latest on grants and programs from the field.
Blue Cross of California Foundation Report: November 2017
Blue Shield of California Foundation sponsored a survey of adult Californians to understand their views on sexism, inequality, and domestic violence.
Episcopal Health Foundation Report: November 2017
The Episcopal Health Foundation (EHF) significantly expanded the variety and geographic reach of its investments in 2016, including overseeing nearly $30 million total in community investments. That is just one of the conclusions of EHF’s 2016 Evaluation Report, which measured the impact and effectiveness of the foundation’s wide range of investments across 57 Texas counties.