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.
Educating Health Care Teams by the Zip Code
In 2016, the Robert Wood Johnson Foundation, Josiah Macy Jr. Foundation, Gordon and Betty Moore Foundation, and John A. Hartford Foundation envisioned a national program to support advanced practice nurse faculty members to create sustained and vibrant academic-community partnerships with the goal of improving population health in their own communities and zip codes.
Investing in Rural Communities to Achieve Health Equity
Some years ago, in reference to Georgia’s economy, the claim was made of the existence of two Georgias: one, the vibrant metropolitan areas of the state; the other, rural Georgia – described as its poor economic cousin. Today, this Two Georgias distinction applies to the growing disparities in health and health care between the metropolitan areas and rural communities, home to nearly 2 million Georgians.
Lies, Bots, and Coronavirus: Misinformation’s Deadly Impact on Health
We know social media has been awash in lies, rumors, and distortions about COVID-19 and vaccines, among many other subjects. Research has shown that bots, autonomous programs that can spread spam or a virus over a network like the internet, that operate within social media are accelerating the spread of these lies at light speed.
RCHN Community Health Foundation: July 2020
A new report provides an examination of data on how COVID-19 has affected the operational capacity of community health centers.
The California Endowment: July 2020
A recent survey of low-income Californians and communities of color reveals widespread concern about the health and economic impacts of COVID-19.