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.
A Lawyer’s Role: Ensuring the Health of Children and Youth in Foster Care
Too often, legal professionals only come into contact with children and youth when they are involved in some type of court action—whether before a judge independency cases, for delinquency or status offenses, or in domestic relations proceedings (such as custody, visitation, child support, and domestic violence).
Mark D. Smith Selected 2014 Terrance Keenan Award Recipient
Mark D. Smith of the California HealthCare Foundation has been selected as the 2014 Terrance Keenan Award recipient.
GIH Announces New Board Members
Patricia Baker, Patricia Doykos, Octavio Martinez, and Scott Moyer have been elected to the GIH Board.
Oregon’s 1115 Medicaid Demonstration: New Partnerships to Power Up a Transformed System of Care
The ACA challenged states to rebuild a heath care system universally viewed as broken. Oregon embraced the challenge with a mix of quality improvement and cost containment strategies reflected in its approved 1115 Medicaid Demonstration.