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 Rippel Foundation Report: March 2018
The Rippel Foundation released the findings from a study conducted in 2016 that set out to find the communities best positioned to participate in ReThink Health’s Ventures initiative.
Con Alma Foundation Report: March 2018
The number of grandparents raising their grandchildren continues to rise in New Mexico and across the country. This study provides an understanding of the causes and issues behind the growing trend and how stakeholders, including the families affected, can best support this population.
Upstream, Systems-Based Solutions to the Oral Health Epidemic
At the turn of this century, then Surgeon General Dr. David Satcher put out the first Surgeons’ General Report on oral health and declared that poor oral health was a “silent” epidemic that impacted much of the United States. That declaration was a pivotal moment that increased salience and spurred action around the issue.
Clean and Safe Drinking Water: A Cornerstone of Healthy Lives
In California, where our foundation is based, upwards of 1 million residents lack access to clean and safe drinking water in their homes. Their drinking water is contaminated by nitrates from fertilizer, industrial solvents, naturally-occurring arsenic, and other harmful elements.
Hospital Anchor Mission and Community Health: Implications for Health Funders
A group of funders, working in partnership with Grantmakers In Health developed a health funder learning journey to understand health care evolution and examine how hospitals and health systems can more effectively advance health equity in partnership with health funders.
Putting the ‘Community’ Back in Community Health
When the New York State Health Foundation (NYSHealth) launched the Healthy Neighborhoods Fund, we knew access to healthy and affordable food, opportunities for physical activity, and the overall built environment of neighborhoods greatly influenced health outcomes. But we also knew that community leaders were the key to making any real change.