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.
Cultivating the Next Generation of Philanthropic Leadership
Fellows from the inaugural Terrance Keenan Institute for Emerging Leaders in Health Philanthropy share their thoughts on how the field of philanthropy can help cultivate the next generation of leaders.
Guide to Impact Investing
Read GIH’s latest report, Guide to Impact Investing, which offers a framework to help funders think strategically about the potential of impact investing, part of a growing practice that incorporates environmental, social, and governance criteria into investment decisionmaking.
GIH State Grant Writing Assistance Fund
Grantmakers In Health, with support from the Robert Wood Johnson Foundation, announces the availability of the GIH State Grant Writing Assistance Fund. The fund will provide up to $15,000 in matching funds per state to grantmakers who are interested in offering grant writing support to state government agencies.
GIH Announces State Grant Writing Assistance Fund Awards
GIH is pleased to announce the 11 states that received awards under the GIH State Grant Writing Assistance Fund.
Promoting Family-Centered Care for Children with Special Health Care Needs
There are approximately 10.2 million children in the United States with special health care needs, which translates into one out of every five households (MCHB 2007).