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.
Innovation in the Safety Net
This country’s safety net health system has always been a place of innovation. The safety net includes community health centers and public hospitals that serve the 100 million patients who either have Medicaid or lack health insurance entirely. With limited resources and patients with complex medical, social, and behavioral health needs, the safety net has long had to innovate out of necessity.
Health Equity: Our Way Forward …Through COVID-19 and Beyond
Eric Kelly, President, Quantum Foundation For health funders, it is essential that we realize that even given all of the unforeseen devastation of COVID-19, and the compounding social crises in its wake, many of our communities began 2020 already in a health crisis. These pre-existing conditions allowed a global pandemic that does not discriminate to…
Pioneering Health-Wealth Solutions for Children
Today, as we navigate the pandemic, deep racial and economic inequities in health and wealth outcomes have been revealed and amplified for children—especially children of color. Health and wealth are inextricably linked. Investments to improve health outcomes using the social determinants of health and to promote financial well-being across families are mutually supportive. The ultimate goal is to ensure that all children are healthy, financially secure, and live in families without daily financial stressors because of assets and wealth.
Can We Have It All? Balancing Key Factors in Evaluating a Grant Portfolio
Like many funding organizations, Methodist Healthcare Ministries of South Texas, Inc., has been on a journey to incorporate strategic evaluation into its grantmaking, and in 2019, completed an ambitious suite of impact evaluations. The evaluation had multiple aims, including: determining the portfolio’s impact; examining the impact of each intervention via program-level studies; and supporting grantees’ use of and capacity to engage in these and future evaluations.
Building an Equitable Future for Health and Well-Being
FORESIGHT is the name for a partnership of 17 philanthropies that is catalyzing a vision for the future of health and well-being centered on two things: the game-changing trends, challenges, and opportunities on the horizon; and the aspirations of a diversity of communities throughout the U.S.
