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.
Staying Committed to Advancing the Long Game
Cara V. James, President and CEO, reflects on the 2024 election, the road ahead, and the work we need to do.
Marin Community Foundation: October 2024
Episcopal Health Foundation’s (EHF) annual poll shows continuing health care affordability and access crisis in Texas. EHF’s poll found that 64 percent of Texans said they skipped or postponed some sort of health care because of the cost. That includes things like check-ups, treatments, tests, filling prescriptions, and dental care. That percentage is slightly down from the 68 percent who said they skipped care last year – the highest percentage in the six-year history of EHF’s poll.
Illinois Children’s Healthcare Foundation’s Persistent Journey toward Equity
Since 2019, the Illinois Children’s Healthcare Foundation (ILCHF) has embarked upon a journey of perspective transformation—challenging ourselves to know, think, and believe differently so we will decide, engage, and act more equitably. Through consistent commitment and action, our Board of Directors, leadership, and staff have moved equity, diversity, and inclusion (EDI) work beyond “box checking” activities, institutionalizing long-term, individual, organizational, community, and cultural changes.
Supporting Community Health Workers to Achieve Their Full Potential: What Role Can Philanthropy Play?
Community Health Workers (CHWs)—frontline public health professionals who have a unique and trusted relationship with the communities they serve—have proven their ability to help create just, equitable, and thriving communities. As a CHW for over a decade and a CHW ally for over 35 years, we have never witnessed a time of greater interest and investment in the CHW workforce. Amidst a rapidly changing CHW funding landscape, the philanthropic community has an important role to play in assuring that CHWs are able to make an optimum contribution to communities and to the health system.
Ending Girls’ Incarceration in California is Possible When We Listen to Young People and Invest in Their Healing
The United States leads the world in incarceration rates of women and girls—we account for only 4 percent of the world’s population of women and girls but 30 percent of women held in prison and jails. Many girls are incarcerated not because they pose a threat to the public but because of concerns for their own safety in the community—such as abusive home environments. California incarcerates more girls than any state other than Texas and can lead the way on ending girls’ incarceration nationwide.
Safeguarding Health Care Access for Transgender Communities
For decades, LGBTQ+ Americans have been at the forefront of powerful movements championing the freedom for all individuals to be themselves and pursue their dreams. This grassroots organizing has led to unprecedented public support for LGBTQ+ equality and increased visibility for transgender people within our society. However, despite growing acceptance, a dangerous political backlash threatens the progress made in securing health care access for transgender communities.