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.
Farming the Road: Working with Rural Communities
Farming the road is a mindset that closes that thousand-mile gap in the Eisenhower quote and allows funders to fully support rural communities as equal partners in the quest toward better health and brighter futures.
Including People with Disabilities in the Good You Are Doing
As philanthropy works to solve upstream and immediate challenges to health, people with disabilities are a key group whose health and accessibility needs should be taken into consideration.
Catalyzing Anchor Institutions to Invest in Healthy Local Economies
Health care is uniquely positioned to serve as an anchor sector because of its evolving mission toward more holistically addressing community and well-being, its stable role as one of the largest, community-rooted employers, and its mostly nonprofit and public status.
Robert Wood Johnson Foundation RFP: August 2019
Through this funding opportunity, RWJF seeks to support and engage black community members, persons of lower socioeconomic status, and rural residents in the South and Midwest in order to increase their ability to advocate for stronger, locally, or regionally driven tobacco-control and prevention policies and practices.
RCHN Community Health Foundation: August 2019
Building on estimates of coverage losses among Medicaid beneficiaries subject to work experiments, the new brief presents estimates of the potential impact of Medicaid work experiments on beneficiaries who are patients of health centers, and ultimately, the implications for health centers and the wider communities they serve.
Montana Healthcare Foundation: August 2019
These reports focus on Montana’s Medicaid program and recommend ways to strengthen the state’s benefit package as it relates to homelessness, detailing the business case for doing so.