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.
The David & Lucile Packard Foundation: September 2024
The David & Lucile Packard Foundation published its 2023 Grantee Perception Report, which includes feedback from the foundation’s grantees through results from the Grantee Perception Survey administered by the Center for Effective Philanthropy (CEP). The report outlines five areas of improvement based on the results.
Mother Cabrini Health Foundation: September 2024
Mother Cabrini Health Foundation released its 2023-2024 Impact Report, which outlines the foundation’s mission and strategies to address the health and wellbeing of vulnerable New Yorkers. The report outlines the foundation’s grantmaking process and the direct results of this year’s grants on a statewide level. This year, the foundation awarded 514 grants totaling $172 million to support nonprofit organizations addressing community health needs and disparities across New York State.
Greater Rochester Health Foundation: September 2024
2023 Annual Highlights “Partnering for Healthier Communities” showcases the impactful work of the foundation’s grantee partners across various areas and efforts to improve health equity. In 2023, Greater Rochester Health Foundation committed more than $8.1 million to 85 organizations, addressing critical issues such as mental health, racial equity, and public health, with grant-funded work reaching more than 75,000 individuals.
The Commonwealth Fund: September 2024
This brief reports on responses from community health centers leaders who were surveyed about care delivery, technology, workforce, and more. Findings highlight critical staff shortages amid rising demand for care and limited resources.
The California Endowment: September 2024
The California Endowment released its 2024 Annual Report, which highlights the work and initiatives of the foundation and its grantees over the past year.
Philanthropy @ Work – Grants and Programs – September 2024
The latest on grants and programs from the field.