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.
Act Now to Protect Philanthropy, Medicaid, and SNAP
Right now, Congress is finalizing a massive budget reconciliation bill that threatens philanthropy’s freedom to give and endangers the health and well-being of many millions of Americans. We are reaching out today to raise awareness of three critical developments in the ongoing budget reconciliation process and to encourage you to act.
Health and Well-Being Threatened in The First 100 Days
Statement from GIH President and CEO Cara V. James on First 100 Days
Power to the People: Advancing Impact Through Participatory Budgeting
Who is best positioned to determine how health funding should be allocated? At the Community Health Commission of Missouri (CHCM), we believe the answer is clear: the people most affected by health disparities.
Philanthropy, Stewarding a Just America
In a time of intensive action to dismantle policies and practices that protect the well-being of all Americans, where chaos is the principal strategy to overthrow the will of and care for the American people, philanthropy must remain rooted in what is legally and morally right.
How Pew Is Learning to Improve Health Policy
Antibiotics revolutionized medical treatment and are a cornerstone of modern health care. However, the global rise of antibiotic-resistant bacteria is making infections costlier and deadlier. After a 2008 report commissioned by The Pew Charitable Trusts highlighted these concerns, the organization invested in multiple projects to set limits on the use of antibiotics and to spur the development of new drugs.
The Value of Convening Grantees to Navigate Uncertainty Together
In moments of chaos, it’s natural for nonprofits to feel uncertain—unsure of what’s next and how to move forward. But uncertainty can also be a powerful catalyst for connection and action. During the COVID-19 pandemic, The Healthy Food Community of Practice doubled down on its efforts to bring nonprofits together and helped them build lasting relationships, collaborate in new ways, and innovate around shared challenges.