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.
Maine Health Access Foundation: October 2019
A data brief presents a statistical analysis of uninsured non-elderly adults age 18-64 with no children and lower incomes, the population newly eligible for MaineCare through expansion.
Philanthropy @ Work – Transitions – October 2019
The latest on transitions from the field.
Philanthropy @ Work – Grants and Programs – October 2019
The latest on grants and programs from the field.
Expanding Access—Mobile Health and Telehealth
In September, I delivered a keynote speech at the Annual Mobile Health Clinic Conference of the Mobile Healthcare Association, and the occasion was an opportunity for me to learn more about the contributions of mobile clinics to population health and the delivery of safety-net services.
Suicide in Older Adults: A Quiet Epidemic
There is a widespread and dangerous popular misconception that permeates our society that aging and despair—and even depression—go hand in hand. One of the most drastic consequences of such marginalization is the resultant isolation and feelings of burdensomeness that, when exacerbated with key risk factors, may drive suicide in older adults.
Tackling the Challenge of American Health Coverage
Foundations deserve tremendous credit for helping millions of families in America obtain basic access to health care. It started with children. Soon after Senators Hatch (R-UT) and Kennedy (D-MA) passed the Children’s Health Insurance Program in 1997, foundations across America helped policymakers develop and implement innovative strategies to enroll eligible children.