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.
Reflections on Good Deeds Done Well
As funders and leaders of philanthropic support organizations, we have been given great responsibility and trust to do our best for those we encounter in our work, similar to the responsibility and trust given to the physicians, nurses, and technicians who deliver health care.
Achieving Latinx Health Equity in California: Real Impact through Innovative Philanthropy
There are many obstacles to achieving Latinx health equity, but there are also promising practices for change — with the ultimate goal of increasing philanthropic support for Latino-serving organizations advancing health equity.
Racial Equity Requires Funding to Build Power
By focusing on power building to reverse the longstanding inequities that prevent communities of color and low-income communities from thriving, philanthropy can help build safe, strong, and stable communities for all of us.
Productive Partnerships
Twenty years ago, a small group of grantmakers launched a Health and Environmental Funders Network (HEFN), seeking to bridge health and environmental philanthropy and to focus more attention on links between human, wildlife, and ecosystem health. One of my first tasks as HEFN’s first staffer was to try to engage health funders in this enterprise.
New Tools to Combat Ageism
The idea that we live in a rapidly aging society is not news, but here is an important fact: in ten years (by 2030), the United States will have more people over the age of 65 than children under 18 for the first time in its history. And yet, our society has not responded to the opportunities or the challenges that this change provides.
Creating a Neutral Space, Pursuing a Common Mission
Importantly, FCAA created a neutral space for funders; one where individual organizational agendas took a back seat to a unifying mission. This space became an incubator for philanthropic action.