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.
Sustaining Health Care Improvement Initiatives through Policy
Many foundations now recognize their own responsibility and the opportunity to improve the sustainability of grant projects by taking active roles in advocating for important public and private policy changes. By partnering with grantees and by capitalizing on their unique roles, foundations can work with policymakers to continue successful programs through ongoing policies that sustain transformative efforts.
Philanthropy: Terrance Keenan Style
The Terrance Keenan Institute for Emerging Leaders in Health Philanthropy launched in 2010 in honor of a giant in philanthropy, the late Terrance Keenan.
2014 GIH Annual Meeting: Call for Sessions
GIH is now accepting proposals for the 2014 GIH Annual Meeting. The submission deadline is July 26, 2013.
Linking Medical Services and Community-Based Care: A Step toward Aging with Dignity, Choice, and Independence
Filling the care gap between a hospital (or skilled nursing) discharge and re-entry at home often means connecting individuals with services that live outside traditional health care settings.
Call for Nominations: 2014 Terrance Keenan Leadership Award in Health Philanthropy
Nominate an outstanding health grantmaker to receive the 2014 Terrance Keenan Leadership Award in Health Philanthropy. The nomination deadline is Friday, September 6.