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.
No More Half Measures: The Case for Bigger, Bolder Advocacy Support
It is increasingly clear that advocacy and policy change is deeply entrenched in and dependent on political institutions and the political process. This is the perfect time for foundations to furnish themselves with a broad range of tools, helping to ensure that the fights we have always had will not be the fights we always have.
Awarding Excellence in Advocacy and Philanthropy
On March 14, GIH announced that Chet Hewitt, President and CEO of the Sierra Health Foundation, is the 2017 recipient of the Terrance Keenan Leadership Award in Health Philanthropy, and that Ron Pollack, the Founding Executive Director of Families USA, is the 2017 recipient of the Andy Hyman Award for Advocacy.
Better Health Through Better Philanthropy: Our Work Continues
Major changes to the landscape of American health care are taking shape before our eyes. Upcoming decisions related to health insurance coverage, immigration, environmental protections, and other federal, state, and local policies will all affect the health and wellness of our families, friends, and communities—especially those who are the focus of health philanthropy.
Philanthropy @ Work – Grants and Programs – April 2017
The latest on grants and programs from the field.
Philanthropy @ Work – Transitions – April 2017
The latest on transitions from the field.
Interact for Health Report: April 2017
Interact for Health’s 2016 Ohio Health Issues Poll (OHIP) asked Ohio adults to rate their general health.