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.
Paid Sick Days: A Health Policy for Everyone
When the H1N1 pandemic broke out, the Centers for Disease Control and Prevention urged sick people to stay home. Unfortunately, for many Americans, staying home meant losing income, losing a good shift, or worse, losing their job.
2010 Inaugural Class of the Terrance Keenan Institute Fellows Announced
Grantmakers In Health is pleased to announce that the following individuals have been selected to participate in the inaugural Terrance Keenan Institute for Emerging Leaders in Health Philanthropy.
The State of State Budgets
At a recent meeting of state health policymakers, California team members were asked to compare their budget problems with the Titanic’s sinking and determine which health initiatives were essential and worthy of being loaded into a lifeboat. One member quipped, “We’re just trying to figure out whom to EAT in the lifeboat!”
Philanthropy’s Response to Haiti
Learn what grantmakers and other organizations are doing in response to the disaster in Haiti.
Integrative Medicine Offers Opportunity for Shared Learning and Collaboration
There is growing interest in the field known as integrative medicine. A 2007 national survey by the Centers for Disease Control and Prevention found that 38.3 percent of all adults, up from 36 percent in 2002, accessed some form of complementary and alternative medicine through visits to acupuncturists, chiropractors, massage therapists, among others.