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.
Democracy and Philanthropy in These Times
What do attacks on trans rights have to do with voting rights for Black communities? How is birthright citizenship linked to the unfinished work of Reconstruction and equality under the law? And why are laws and practices protecting reproductive justice central to all of it? These aren’t just academic questions—they’re the battle lines of our…
Ballot Measures: Advancing Health Policy through Direct Democracy
The citizen-initiative process, also known as direct democracy, gives the people the power to directly propose and pass new laws or constitutional amendments (depending on the state) by putting them up for a vote at the statewide or local level. 25 U.S. states and the District of Columbia allow for citizen-initiated ballot measures, which have been used to advance a broad range of health policy goals, including reproductive rights, Medicaid expansion, gun safety reform, minimum wage increases, and paid leave. This webinar explored recent ballot initiative campaigns and highlight the roles of health funders in building community power through direct democracy. Speakers included Chris Melody Fields Figueredo of the Ballot Initiative Strategy Center, Becky Gould of Nebraska Appleseed, and Ashley Dietz of the Florida Philanthropic Network.
Raising the Bar on Voting Accessibility in Missouri
Missouri Foundation for Health has developed a policy brief with recommendations supporting the efforts of the disability community across the state to make voting processes more accessible for all Missourians.
GIH Health Policy Exchange 2024
We discussed the election results’ impact on philanthropy’s work advancing better health for all, delved into critical policy issues that affect the country, and received updates from the Hill. Other topics explored by participants included opportunities for cross-sector collaboration in public health, updates on health policy at the state level, philanthropy and the Supreme Court, the changing landscape of women’s health, and philanthropy’s role in supporting systems change.