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.
Shifting Paradigms in Promoting Oral Health for Young Children
Tooth decay remains the single most prevalent chronic disease of America’s children, affecting 44 percent by age six (Dye et al. 2007). Grantmakers, government, and the professions have long focused energy and resources on getting children into dental care to repair the ravages of this preventable disease and to eliminate associated pain and infection.
Honoring Community Voices to Enhance Health Grantmaking
In philanthropic circles we spend a lot of time discussing the importance of how foundations can meet the needs of and strengthen communities. We expect our grants and program support will prompt change and improve lives, but how often do we end up doing things “to” a community as opposed to working “with” a community to achieve common goals?
Doing a Lot with a Little: The Gulf Coast Fund
“Doing a Lot with a Little” is an occasional series of the GIH Bulletin showcasing small foundations that have creatively leveraged resources to achieve meaningful change.
Making Money in the Nonprofit Sector: Social Enterprises to Support Missions
During the economic downturn, America’s social sector organizations are rising to the challenge. One way in which organizations are investing in a more sustainable future is through social enterprise. The Social Enterprise Alliance (2009) defines a social enterprise as “an organization or venture that achieves its primary social or environmental mission using business methods.”