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.
COVID-19: The Eleventh Plague
In a time of crisis, the usual response of the philanthropic world is to focus on the provision of direct assistance. While such a response is admirable in most crisis situations, COVID-19 presents new challenges that may call for us to go against that initial impulse.
Philanthropy’s Role in Health Justice, Before and After COVID-19
So many people here in Connecticut and across the country live deep beneath the affluent surface. This virus, like the infrared technology, has highlighted the fault lines in our fragmented health care system through which many of them are falling.
Impact Investing: A Unique Partnership, Opening the Door to Increased Access to Health Care
The Salem Health and Wellness Foundation was created with the proceeds from the sale of the nonprofit Memorial Hospital of Salem County when it was converted from nonprofit to for-profit status in 2002.
Smaller Foundations, Balancing Community Needs and Self-Sustainability
But we know that making a dent in deep societal issues and in drivers of health outcomes and health equity—like systemic oppression, institutionalized racism, and generational poverty—takes a lot more than writing a check.
Eight Ways to Build a Healthier Tomorrow as a Small Foundation
But we know that making a dent in deep societal issues and in drivers of health outcomes and health equity—like systemic oppression, institutionalized racism, and generational poverty—takes a lot more than writing a check.
The Urgent Need for Nature During and After COVID-19
Mounting research, combined with our personal and professional experience, suggest that improving equity in access to greenspace may help combat health inequities. Access to safe, nearby nature must be prioritized as critical public health infrastructure and not just an amenity for a few.