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.
Achieving Better Health for All Requires Transforming the Way We Do Business
This year has been an exciting time of renewal and transition at Grantmakers In Health. We celebrated our 40th anniversary and began implementing an ambitious five-year strategic plan, that included work to identify when and how GIH would use its voice to advance policies that support better health for all and at long last returned to in-person convenings with our annual conference, Fall Forum, and other events.
The Burke Foundation: November 2022
In this Health Affairs article, authors share the challenges faced by the two pilots that the Burke Foundation has funded, and the lessons learned to create working conditions where community doulas can thrive.
Always Future Focused: Reflecting on Grantmakers In Health’s 40th Year
From the Annual Conference to the Fall Forum, 2022 has been a year of celebration to mark 40 years of Grantmakers In Health. We launched this milestone occasion with a new five-year strategic plan and complementary vision, Better Health For All Through Better Philanthropy. Our renewed vision for health philanthropy has served as a point…
Novo Nordisk, Inc.
We are excited about the new direction NNI is taking with our charitable giving strategy, focusing on reducing the burden of chronic disease for vulnerable populations. By committing funding to projects specifically geared toward prevention by way of community-based health education and nutrition equity/food access, we are focused on supporting capacity building of local, on-the-ground organizations to design solutions tailored for the needs of the communities they serve. This in turn is designed to ultimately lead to better health outcomes.
Funding Health Advocacy in Turbulent Times: Three Practices to Adopt
Effective health advocacy is not an easy endeavor, but when executed correctly, the results can be game-changing. Health advocates, whether operating through organizations, coalitions, campaigns, or movements, are accustomed to spending long periods of time with no outwardly visible activity or tangible progress, followed by an immediate sense of urgency and action to seize a window of opportunity. In many ways COVID-19 was one of those windows with phrases like health disparities becoming crystal clear to many.
Promoting Health Equity and Combating Racism Through Health Policy
Not every foundation is comfortable with trying to affect health policy.
Nevertheless, for philanthropies committed to promoting health equity, shaping governmental action at every level is a powerful tool that deserves close examination.