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.
Health and Social Care Integration: Five Years of Progress on a National Academies Report
Historically, social determinants of health (SDOH) have not been addressed in health care visits. However, whether someone has a safe place to live or healthy food to eat directly impacts health. Other SDOH outlined by the Office of Disease Prevention and Health Promotion include economic stability, education access and quality, neighborhood and build environment, social and community context, and healthcare access and quality. It is critical that health care providers understand individuals’ experience of these domains; without this, the care provided is not patient-centered and does not fully address health and well-being.
Vitalyst Health Foundation: October 2024
Vitalyst Health Foundation launched its Systems Change Grant request for proposals. The Systems Change Grants support coalitions in implementing their desired systems change. By the end of the grant period, coalitions will have either fully implemented or made significant advancements toward their systems change project.
Missouri Foundation for Health: October 2024
In the Speak Up MO report, residents’ top responses identified several priorities for improving health, including expanding health care coverage or implementing universal health care, lowering health care costs, and addressing the cost of living.
John A Hartford Foundation: October 2024
A national survey, “Meeting the Growing Demand for Age-Friendly Care: Health Care at the Crossroads,” released by Age Wave and The John A. Hartford Foundation, found 82 percent of older adults say the United State health care system is not prepared for the growing and changing needs of America’s aging population. After reviewing all survey findings, five key recommendations were identified to improve health care for older adults and promote healthier, happier aging.
Episcopal Health Foundation: October 2024
Episcopal Health Foundation’s (EHF) annual poll shows continuing health care affordability and access crisis in Texas. EHF’s poll found that 64 percent of Texans said they skipped or postponed some sort of health care because of the cost. That includes things like check-ups, treatments, tests, filling prescriptions, and dental care. That percentage is slightly down from the 68 percent who said they skipped care last year – the highest percentage in the six-year history of EHF’s poll.