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.
Black Americans Are Getting Vaccinated at Lower Rates Than White Americans
A new KHN analysis finds that in the 16 states that have released data by race, white residents are being vaccinated at significantly higher rates than Black residents.
Health, Equity, and Race during COVID-19
New findings from a national, ongoing poll show that the pandemic has not demonstrably shifted views on the connection between race and health among those most affected by COVID-19, despite communities of color and those with lower incomes being hit the hardest.
Mistrust Is the Biggest Health Crisis Facing the United States Today
Events over the last year put a spotlight on the significant health, economic, and social disparities in our country. In the few days that have elapsed in 2021, that spotlight has focused in on the division our country faces, fueled by mistrust.
Transforming Communities Through the Social Determinants of Health
Six years ago, Palm Health Foundation made a risky decision. Dissatisfied with the short-term gains of traditional responsive grantmaking, we launched the Healthier Together initiative in an effort to forge a deeper connection to community through the social determinants of health.
Bringing “Invisible” Communities Out from the Shadows: A Community-Centered Approach
COVID-19 has not been an equal opportunity pandemic. It has impacted Latinx, Black, and Indigenous communities; immigrants, older adults, and the uninsured more profoundly than the general population. At the start of the public health crisis and several weeks after, the impact on these communities remained invisible with devastating health consequences.