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.
United Hospital Fund Report: July 2016
A new report provides an analysis of enrollment and financial data on New York’s individual health insurance market—before and after the rollout of the Affordable Care Act—showing how New York’s implementation breathed new life into the individual market.
Episcopal Health Foundation Report: July 2016
The percentage of Texans without health insurance has dropped by 30 percent since the Affordable Care Act (ACA) went into effect, cutting the state’s uninsured rate below 1999 levels. That’s one of the conclusions of a new report by the Episcopal Health Foundation and Rice University’s Baker Institute for Public Policy.
A Few Thoughts 15 Years Later
As part of GIH’s ongoing work to support new conversion foundations, we invited Frances Sheehan, founding President and CEO of Brandywine Health Foundation, to share insights and advice on starting a health foundation.
Developing the Culture for Long-Term Success
As part of GIH’s ongoing work to support new conversion foundations, we invited Kim Moore, founding President of United Health Ministry Fund, to share insights and advice on starting a health foundation.
Call for Nominations: 2017 Terrance Keenan Leadership Award in Health Philanthropy
Nominate an outstanding health grantmaker to receive the 2017 Terrance Keenan Leadership Award in Health Philanthropy. Nominations must be submitted by Friday, November 4, 2016.
Age-Friendly Communities: Cross-sector Collaboration at Work
For our communities to thrive and work for residents of all ages, we need to promote and support inclusive processes for engagement—processes that focus on improving communities for everyone as they age.