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.
Cara V. James and Lindsay Goldman in The Well News: The Older Americans Act Is Not Keeping Pace With Today’s Older Adults
Grantmakers In Health President and CEO Cara V. James and Grantmakers In Aging Chief Executive Officer Lindsay Goldman cowrote a commentary on the need to renew and modernize the Older Americans Act for The Well News, which was published on Monday, May 13, 2024: “We have known for years that the Older Americans Act and…
Exploring the Tides Foundation’s Efforts to Support Civic Engagement and Protect Reproductive Health
Funders can play a major role in promoting a healthy democracy, and increasingly, grantmakers like the Tides Foundation are investing in civic engagement. To learn more about Tides’ work in this area, along with their support of ballot initiatives on reproductive health, Grantmakers In Health’s Miranda Wesley spoke with the Tides Foundation’s Program Officer of Civic Engagement and Democracy, Beth Huang.
Addressing the Heart of Inequity: Tackling Cardiovascular Disease in Underserved Communities
Cardiovascular disease (CVD) is the leading cause of death globally and in the United States, with a disproportionate impact on underserved communities. To discuss the Bristol Myers Squibb Foundation’s focused strategy on addressing these disparities and driving equitable access to cardiology care, Grantmaker In Health’s Miranda Wesley spoke with the Bristol Myers Squibb Foundation’s Senior Program Director, Adrienne Gonzalez.
Peterson Health Technology Institute: April 2024
Digital diabetes management tools do not deliver meaningful health benefits that justify their cost, according to a new report from the Peterson Health Technology Institute (PHTI). PHTI’s independent, evidence-based assessments fill a critical gap in the search for and adoption of high-value healthcare technologies. The first-of-its-kind report and PHTI’s forthcoming assessments help payers, providers, and innovators know what tools work and are worth it.
Montana Healthcare Foundation: April 2024
The Montana Healthcare Foundation released its latest issue brief, The Critical Role of Primary Care in Supporting Montanans with Behavioral Health Needs. The report outlines how the Medicaid population in Montana receives behavioral health care from primary care providers and what primary care providers need to effectively address mental health issues.