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.
A Conversation with Jill Shumann, Grantmakers In Health’s New Vice President for Programming
This month, Grantmakers In Health (GIH) President and CEO Cara V. James sat down with Jill Shumann, GIH’s new Vice President for Programming, to learn more about Jill’s long career in health and how her experience applies to GIH’s mission of advancing better health for all through better philanthropy. Jill discussed her formative years as a Peace Corps Volunteer, her work on international public health in Africa, and her recent tenure at the National Alliance on Mental Illness.
Purpose-Driven Investments: Advancing Equity by Diversifying Foundations’ Asset Managers
In 2020, none of the Health Forward Foundation’s assets were managed by Black, Latina, or Latino managers. Struck by that stark reality, Health Forward began the process of diversifying the asset managers in its investment portfolio as part of a larger strategy to align the Foundation’s capital with its purpose.
Cara V. James in The Well News: As the COVID-19 Emergency Ends, We Must Not End Our Commitment to Advance Health Equity
Grantmakers In Health (GIH) President and CEO Cara V. James was quoted in a December 18, 2022 Politico Magazine article about the Black community’s distrust of the health care system.
Missouri Foundation for Health: May 2023
The Missouri Foundation for Health released a new report that examines the challenges Black and Latino Missourians faced during the early months of the pandemic. The report highlights how inequities in response efforts hampered their reach and effectiveness, further exacerbating the COVID-19 pandemic’s impact on Black and Latino communities.
Blue Cross Blue Shield of Massachusetts Foundation: May 2023
The Blue Cross Blue Shield of Massachusetts Foundation Massachusetts released a new report, “Closing the Coverage Gaps: Reducing Health Insurance Disparities in Massachusetts.” The foundation noted that Massachusetts has been exemplary in developing health insurance coverage policies to cover its residents.