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.
Philanthropy @ Work – Grants and Programs – June 2020
The latest on grants and programs from the field.
Reflections from 2020 Andy Hyman Award for Advocacy Recipient
My organization, the Maryland Citizens’ Health Initiative (MCHI) Education Fund, has made tremendous progress in expanding access to quality, affordable health care and improving public health. These achievements have only been possible because of our great fortune to work with a bold philanthropic community that is invested in strategic advocacy and public health.
COVID-19: Why We Need Palliative Care More Than Ever
Peggy Maguire, President, Cambia Health FoundationSenior Vice President, Palliative Care Solutions, Cambia Health Solutions Cambia Health Foundation, the corporate foundation of Cambia Health Solutions, purposefully invests in health care system transformation, making the journey more person-focused and economically sustainable from birth to natural completion of life. Through our signature program, Sojourns®, we invest in palliative…
Reflections from 2020 Terrance Keenan Leadership Award in Health Philanthropy Recipient
Terrance Keenan believed that people and ideas are the heart of philanthropic leadership. He observed that grantmakers need “an astute sense of what is significant—not only the quality of the ideas underlying the proposal but the quality of the people behind the ideas.” In his view, effective grantmakers “proactively and constantly seek out the best ideas, people, and institutional systems to advance a foundation’s goals.” Terrance Keenan’s beliefs and observations have never been more relevant than today.