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.
Tiffany Hall to Be Honored with the Andy Hyman Award for Advocacy
Tiffany Hall, Executive Director of Recover Alaska will receive Grantmaker In Health’s (GIH) 2021 Andy Hyman Award for Advocacy.
Applying Contribution Analysis in Policy and Advocacy settings
The Center for Evaluation Innovation has released a brief by Laura Hopkins summarizing tools and tips for implementing contribution analysis.
Compassionate Care to the Very End of Life
Over the past seven years, the George Family Foundation has supported organizations that encourage individuals to invest time in end-of-life discussions and planning with our loved ones and with health care teams.
Beyond Programs: Funding Systems Change to Improve Care for All
At The Duke Endowment, we seek to improve the health status of the communities we serve and promote health equity for disadvantaged populations. This objective, which I believe is broadly shared, is challenged by the reality that unmet needs within our existing health care system far outweigh private philanthropy’s resources.
Seeking Affordability and Transparency, Five States Join the Peterson-Milbank Program for Sustainable Health Care Costs
Seeking affordability and transparency, five states have been selected to join the Peterson-Milbank Program for Sustainable Health Care Costs. Connecticut, Oregon, Nevada, New Jersey, and Washington will receive technical assistance as they implement statewide health care cost growth targets.
Equity-Centered Approaches to Maternity Care
People of color, particularly Black and Indigenous women, death from pregnancy-related causes has reached crisis proportions. New research from the Commonwealth Fund evaluates a wide range of community-based approaches could improve maternal health outcomes and patients’ experiences while also potentially reducing costs.