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.
James Kimmey Selected 2013 Terrance Keenan Award Recipient
James R. Kimmey, MD, MPH, former founding president and CEO of the Missouri Foundation for Health, has been selected the 2013 recipient of GIH’s Terrance Keenan Leadership Award in Health Philanthropy.
Coming Soon? The Ongoing Effort to Promote Better Depression Services in Primary Care
Depression is one of the most common disabling and debilitating health conditions in the United States and internationally. To ensure better depression care for older patients, The John A. Hartford Foundation has advocated for the Improving Mood–Promoting Access to Collaborative Treatment (IMPACT) model as the standard approach to the delivery of mental health services in primary care.
Conceptualizing Best Practices for Maternal and Child Health
The Association of Maternal and Child Health Programs (AMCHP) is committed to sharing effective and promising maternal and child health practices so that programs may maximize on existing knowledge and learn from peers. AMCHP aims to do so through its Best Practices program and the Innovation Station, a searchable, on-line database of programs that work.
Improving Systems of Care for Children with Special Health Care Needs
When children with chronic conditions are acutely ill, they generally receive high-quality, comprehensive medical care. Once the acute stage has passed, however, families typically find that ongoing care for a child with complex needs involves a series of discontinuous, uncoordinated, and costly services and programs.