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.
Transforming Health Care Delivery
A new GIH report describes an innovative and transformative approach to health care delivery called the Nuka System of Care.
Reimagining a Patient-Centered Health Care System
NYSHealth’s approach for putting patients at the center is to support efforts–at the individual, system, or policy level—that empower patients to be drivers of and partners in their own health and health care.
The Power of Collaboration for Environmental Health and Justice
Eboni Cochran knows when there has been a chemical release from one of the manufacturing facilities near her home in west Louisville, Kentucky. Not because of a warning siren, but because she smells it, then feels the symptoms almost immediately: sinus pain, headache, trouble breathing.
Maximizing Our Investments: Five Ingredients for Accelerating Impact in Health Philanthropy
The 2016 Terrance Keenan Institute fellows gathered to discuss leadership, collaboration, and best practices in grantmaking. Several prominent issues emerged, including how to effectively demonstrate the impact of philanthropic investments.
Peer Review: A Reflective Look at Our Grantmaking Operations
The Phoenixville Community Health Foundation (PCHF) was approaching its 20th anniversary and a leadership succession via CEO retirement. The foundation’s board and staff thought that it was a good time to take stock in where we started, where we were, and where we were going.