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.”
Act Now to Protect Philanthropy, Medicaid, and SNAP
Right now, Congress is finalizing a massive budget reconciliation bill that threatens philanthropy’s freedom to give and endangers the health and well-being of many millions of Americans. We are reaching out today to raise awareness of three critical developments in the ongoing budget reconciliation process and to encourage you to act.
Cara V. James Speaks Up on Federal Disruption with Inside Philanthropy
Grantmakers In Health (GIH) President and CEO Cara V. James was interviewed for an Inside Philanthropy article published on April 30, 2025. The piece outlines philanthropy’s reactions to the sweeping cuts to public health infrastructure in the United States, the consequences of these cuts, and the importance of remaining committed to our values.
Philanthropy, Stewarding a Just America
In a time of intensive action to dismantle policies and practices that protect the well-being of all Americans, where chaos is the principal strategy to overthrow the will of and care for the American people, philanthropy must remain rooted in what is legally and morally right.
Investing in Civic Infrastructure: The Rise of a New Foundation in a Rural, Disinvested Community
When people hear about our work in Imperial Valley, they often exclaim, “How exciting to build a new foundation!” But I gently redirect them: We’re not building another institution— the last thing our communities need is another organization competing for resources. Instead, we’re building civic infrastructure to create the framework for lasting, community-led change.