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 Equity … It’s a Journey, Not a Destination
COVID-19 has struck with a vengeance, hitting African Americans, older adults, and those with chronic health conditions the hardest. Simultaneously, our nation is experiencing a moment of reckoning, resulting from a long history of racism that has shaped the foundation of this country and thus permeates every system and institution.
Muslim Chaplaincy: Cultural and Faith Based Leadership for Better Health
For years, hospitals have offered interfaith chaplains to provide faith support for Muslim families. But over 95 percent of these chaplains come from Christian backgrounds. In Minnesota, which has a Muslim population of about 150,000, it has become clear that it could be enormously beneficial to integrate appropriate faith leaders into systems of care in order to overcome significant cultural gaps between community and health care providers and provide meaningful support to families facing critical life questions.
Health Equity and the Earned Income Tax Credit (EITC): COVID-19 Spotlights the Need for Cross-Sector Collaborations
Three years ago, the EITC Funders Network started more deeply exploring the growing body of research on the intersections between the Earned Income Tax Credit and health outcomes. This research became a foundation for fostering cross-sector discussions and collaborations to promote both economic opportunity and health equity.
RCHN Community Health Foundation: September 2020
A new analysis finds that as a result of the COVID-19 pandemic, the nation’s community health centers are facing critical revenue losses that could significantly affect their ability to sustain operations.
New York State Health Foundation: September 2020
A new report finds that New York mothers have high rates of serious complications related to childbirth, with significant disparities across racial and ethnic groups. It also highlights local and statewide efforts to improve maternal health and reduce these disparities.