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.
What Do We Stand For?
At a moment when so much has been described as “unprecedented”, and so much of what we value is being attacked, we need to ask ourselves as individuals, organizations, and a field, what do we stand for? What values do we hold, and what will we do and say to defend them?
The Clock Is Ticking—Medicaid is Under Imminent Threat
A new issue brief from Grantmakers In Health (GIH) and Leavitt Partners offers a detailed look at what Medicaid cuts will mean for the country.
Data Show That The Majority of Adult Medicaid Enrollees are Working
Amid renewed interest in Medicaid work requirements as part of a broader legislative package designed to significantly reduce federal Medicaid spending, KFF has updated its analysis of the work status and demographic characteristics of Medicaid enrollees with the latest data.
Supporting Southern California Wildfire Recovery Efforts
Grantmakers In Health (GIH) is watching with the rest of the country as Southern California continues to battle wildfires devastating communities in and around the Los Angeles metropolitan area. Our thoughts are with the many thousands of people who have been displaced from their homes and seen their neighborhoods and towns destroyed. There is much that philanthropy can do to augment local, state, and federal government recovery efforts. Find out how you can help engage your organization’s support.
The Health Sector is a Critical Voice in Climate Advocacy
Founded 120 years ago, the American Lung Association is the leading organization working to save lives by improving lung health and preventing lung disease through research, education, and advocacy. Central to our work is a mission imperative to champion clean air for all. We work tirelessly to protect public health from air pollution to ensure that all people have air that is safe and healthy to breathe, including through advocacy to address climate change and advance clean air policy at every level of government.
Let’s Take Courageous Steps Together in 2025
At the Kate B. Reynolds Charitable Trust, this has been a challenging year for North Carolina, where we live and work. Hurricane Helene devastated the western part of NC and the surrounding region, and we endured an election that divided our state and nation.
We also know that we are not alone facing the challenges of 2024 and those we will take on in 2025. Many of us in the Grantmakers In Health (GIH) community are wondering how to persevere through these uncertain times. At the Trust, we acknowledge the heaviness of the moment—because we anticipate policy changes that will negatively impact people who are already being left behind.