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 Art and Practice of Rural Philanthropy
Newly formed conversion foundations and community foundations, often with rural areas in their grantmaking territories, have identified the absence of significant regional and national philanthropic attention to rural America.
From 100-Day Challenge to Systems Change: An Unlikely Journey for Opioid Stakeholders in Palm Beach County
Palm Beach County, Florida became an epicenter for the nation’s deadly opioid crisis, with the number of opioid-related deaths hitting epidemic proportions in 2016.
Building the Will, and the Way, to Advance Equity at the Maine Health Access Foundation
In 2016, the Maine Health Access Foundation (MeHAF) Board approved an extension of its strategic plan, as a bridge between the founding CEO and a new leader. Two issues were added to MeHAF’s work: equity, and the opiate epidemic. We had ideas about how to tackle the latter. We did not know where to start with the former.
Philanthropy @ Work – Transitions – April 2019
The latest on transitions from the field.
Supporting Health Care and Community-Based Organization Partnerships to Address Social Determinants of Health
Increasingly, health systems, providers, and payers recognize the significant influence that social factors such as housing, food insecurity, employment status, and transportation have on well-being and health care spending.
A Grantmaker Affinity Group Informs the Field, Inspires Innovation, and Ignites Action
Early and often, health funders are asked to fund oral health. It has become clear, however, that equally, if not more essential, are investments to eliminate the systemic inequities that concentrate disease in specific populations.