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.
Integrative Medicine: Rethinking Health Care Delivery
Fifteen years ago I was a consulting psychologist with a newly minted doctorate, happy, and engaged in checkbook philanthropy on the side. But in the deep of winter, a diagnosis of breast cancer upended my world.
Margaret O’Bryon Selected 2012 Terrance Keenan Award Winner
Margaret O’Bryon, president and CEO of the Consumer Health Foundation, has been named the 2012 recipient of Grantmakers In Health’s Terrance Keenan Leadership Award in Health Philanthropy.
Jandel Allen-Davis and Anthony Iton Named to GIH Board
Grantmakers In Health is pleased to announce the addition of Jandel Allen-Davis and Anthony Iton to its board of directors. Their board terms begin after the 2012 GIH Annual Meeting on Health Philanthropy.
Grant Agreements and Lobbying
Have you read your grant agreement or grant award
letter recently? Not just scanned it to make sure the
reporting dates have been updated, but read every
paragraph or clause to make sure the agreement says what you
think it says…and what you want it to say? If not, it is time to
do it now.
Changing Expectations for Care at the End of Life
The culture and system of care at the end of life present unnecessary emotional, physical, and financial burdens for patients and their loved ones. Although this is what we have come to expect, other realities are possible.