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.
It’s Up to You
The Ad Council and the COVID Collaborative have launched a new campaign to educate the American public and build confidence around the COVID-19 vaccines.
Centering Equity in Sugary Drink Tax Policy: Tax Design and Policy Research Recommendations
Healthy Food America has released the Sugary Drink Tax Equity Workgroup’s recommendations on how to design equitable sugary drink tax policy. Based on a year-long participatory process, the recommendations are focused on helping advocates and policymakers design sugary drink taxes that are centered in equity and benefit communities most negatively impacted by the beverage industry and sugary drink products.
New State Palliative Care Budget and Policy Tracking Tool
The National Academy for State Health Policy has created an interactive map tracking new state palliative care legislation and related budget initiatives that are designed to promote and expand access to palliative care.
Philanthropy’s Rural Blind Spot
This timely analysis of shows how two aspects of distress—lack of human capital and economic disadvantage—predict communities’ likelihood of both applying for and receiving funding, explores the reasons for these inequities, and provides real-world examples of how funders can better serve these communities.
Grantmaking with a Racial Justice Lens
Join the Philanthropic Initiative for Racial Equity (PRE) on March 10 for a training on Grantmaking with A Racial Justice Lens, a guide providing grantmakers with reflections, frameworks, and tools built from the direct experience of activists and funders for advancing racial justice in any philanthropic setting.
Strategies for Building Confidence in the COVID-19 Vaccines
This rapid expert consultation describes a variety of public engagement and communication strategies that can be implemented at the national, state, and local levels to change patterns of interaction with the public, address hesitancy about the vaccines, and build trust.