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.
Preventing Prematurity
Prematurity is the leading cause of infant and newborn deaths in the United States. Each year, one out of every nine infants is born prematurely (CDC 2013).
Working at the Intersection of Healthy Eating, Active Living, and Violence Prevention
This field note describes Kaiser Permanente’s work at the intersection of obesity prevention, violence prevention/reduction, and, increasingly, social and emotional health. It focuses on Kaiser’s experience in advancing multidimensional community-based prevention efforts in Northern California, one of seven regions where it is undertaking this work.
The Pregnant Elephant in the Room: The U.S. Maternity Care Crisis
Maternity and newborn care cost the United States over $50 billion annually—the largest category of hospital costs for Medicaid and commercial insurers—yet the United States ranks 50th in the world for maternal mortality and 36th for neonatal mortality.
The Role of Evaluation in Designing CHOMPERS! and Bringing Dental Care to Kids
In response to the clear and urgent need to improve the dental health of young children living in poverty in western and central New York, the Health Foundation for Western and Central New York launched CHOMPERS! Because the foundation was taking a brand new approach in implementing the Cavity Free Kids curriculum as part of the initiative, a strong evaluation was critical.
2013 Call for GIH Board Nominations
GIH seeks nominations for its board of directors for terms beginning immediately following the annual meeting in March 2014. Nominations are due by Friday, September 6.