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.
New York State Health Foundation: November 2020
a new report analyzes issues related to food scarcity in New York State during the initial months of the coronavirus pandemic, finding that 1 in 10 households experienced food scarcity.
Kentucky Voices for Health: November 2020
An estimated 45,000 Kentucky children were uninsured last year, a number that has increased about 29 percent since 2016, according to a new report released by the Georgetown University Center for Children and Families.
The California Endowment: November 2020
The California Endowment released a report detailing investments made to Black, Indigenous, and People of Color (BIPOC)-led organizations over the last 10 years through the organization’s Building Healthy Communities initiative.
Blue Cross Blue Shield Foundation of Massachusetts: November 2020
A released report estimates 55,000-129,000 Massachusetts residents may forgo or disenroll from MassHealth coverage and 27,000-63,000 residents are in households that may disenroll from or forgo Supplemental Nutritional Assistance Program (SNAP) benefits.
Philanthropy @ Work – Grants and Programs – November 2020
The latest on grants and programs from the field.