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.
Growing Local Philanthropy to Improve Health
Community foundations are often in the best position to bring partners together, across sectors and geographies, and to tackle the complex set of issues facing their residents. They represent a network that can serve as a powerful force, including to improve health outcomes. Recognizing this, Kansas Health Foundation launched the Giving Resources to Our World Initiative with the goal of strengthening local philanthropy in communities across Kansas.
RRF Foundation for Aging RFP: November 2020
Accepting proposal applications for the next grant cycle in four priority areas: Caregiving,
Economic Security in Later Life,
Housing, Social and Intergenerational Connectedness.
New York State Health Foundation RFP: November 2020
Request for Proposals to support projects that seek system improvements, practice innovations, or interventions designed to give patients of color a meaningful role in their health care at the individual and systems levels.
Tufts Health Plan Foundation: November 2020
A new report offers insights from communities’ response during the COVID-19 pandemic and demonstrates their nimbleness in creating more inclusive and equitable systems to support older people.
RCHN Community Health Foundation: November 2020
A new analysis reports on the experience of the nation’s community health centers over a six-month period.