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.
Q&A: How the Chicago South Side Birth Center is Championing a Better Approach to Maternal Health
Grantmakers In Health (GIH) recently spoke with Jeanine Valrie Logan, Founder + Lead Steward of the Chicago South Side Birth Center, and Shruti Jayaraman, Chief Investments Officer of Chicago Beyond, to learn how the Chicago South Side Birth Center and Chicago Beyond are working together to improve maternal health outcomes for mothers in one of Chicago’s most underserved communities. This interview has been edited for style and clarity.
Medicaid Managed Care Contracts are a Powerful Tool for Change; Philanthropy has a Role to Play
As a foundation, the mission of the United Methodist Health Ministry Fund is to improve the health of all Kansans. Our success, in large measure, depends on investments we make in advancing positive policy and systems changes that affect the state and communities. So, with large numbers of the state’s most vulnerable people relying on Medicaid for health coverage and care, we focus on leveraging the opportunities this program offers to sustain improved health outcomes and make progress on health equity.
Investing in Inclusion: How Health Philanthropy Can Prioritize the Needs and Perspectives of Individuals with Disabilities
One in five children in the United States has a special health care need requiring more than routine health services, and one in four adults report having a disability. As 70 million adults and 14.5 million children in the United States have a disability, the population impacted by issues in the aging out process and in the health care system more broadly is far from insignificant. Despite these numbers, disability-related grants represent just 2 percent of total philanthropic giving and are primarily directed towards services and supports that seek to fix or cure disabilities and perpetuate the ableist assumption that people with disabilities are unable to make decisions about their own care.
Sustainability? No, It Is about Building Durability!
Philanthropy has forever espoused the term “sustainability.” We ask in grant applications and in our conversations with grant partners: “What’s your sustainability plan?” and “How do you plan to sustain your program once the grant ends?” Thanks to the influence of Tom Klaus, formerly of Tenacious Change, my thinking has shifted and evolved over the past few years to “durability.”
Merck Foundation: December 2024
Merck Foundation has launched a new initiative – the Collaborative for Equity in Cardiac Care to advance equitable access to high-quality, culturally responsive cardiac care for people living with heart conditions in underserved United States communities. The foundation is committing $17 million over five years to support the development and implementation of innovative, comprehensive programs for cardiac health care across the country as well as promote cross-sectoral collaborations to address barriers to care associated with social drivers of health.