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.
Moving Ahead Together: A Framework for Integrating HIV/AIDS and Aging Services
More than half of the 1.2 million people living with HIV in the U.S. are 50 or older. By 2030, that figure is estimated to rise to 70-percent. This new Grantmakers In Aging (GIA) report offers a detailed set of recommendations for bringing health care (HIV, geriatrics, primary, and specialty care), behavioral health care, psychosocial support, and social services into closer cooperation.
States Are Getting Ready to Distribute COVID-19 Vaccines. What Do Their Plans Tell Us So Far?
KFF has released an issue brief reviewing the preliminary vaccine distribution plans submitted to the U.S. Centers for Disease Control and Prevention by the states and the District of Columbia.
Weaving DEI Into a Foundation’s Everyday Work
At The Colorado Health Foundation, we are relentlessly committed to advancing health equity and believe it exists when there are no avoidable, unfair or systemically-caused differences in health status. To live into this, we have implemented principles of diversity, equity and inclusion into our vision and cornerstones, and our daily operations. While we are not experts, we can offer a glimpse of what some of this experimentation looks like in practice in our grantmaking, evaluation, and communications functions.
Supporting Clinics to Serve as Community Hubs for Health in Central Texas
In Texas, the lack of access to health care, coupled with inadequate and under-resourced systems, has had a profoundly negative impact on communities of color and underserved areas. COVID-19 has laid bare the severity of these issues even more so. These factors, and our commitment to achieving health equity, have informed the St. David’s Foundation’s primary care safety net strategy.
Philanthropy Uniquely Positioned to Address Innovations in Safety Net Health
Health Forward Foundation is celebrating 15 years of grantmaking. In this time, the foundation has anchored access to safety net health care for those most in need in the Kansas City region. Along the way, we have learned valuable lessons about maximizing our investments through innovations and partnerships to benefit those most in need.
Maximizing Impact in a Limited Time: Time-Limited Programs and Foundations
Some foundations institute time-limited initiatives to maximize resources. Others adopt a spend-down approach to have impact within a short organizational lifespan. Both situations provide opportunity for a health-focused foundation to accomplish goals with urgency, but pose the challenge of doing so without the luxury of time. ClearWay Minnesota and Missouri Foundation for Health have embraced strategic and tactical advantages of being life-limited and having time-limited programs, respectively, to address persistent health issues.