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.
Harvey, Irma, and Maria: Reflections on Building Community Resilience
Equity is an intrinsic part of building community resilience, just as it should be part of the recovery process. Acknowledging and addressing racial, ethnic, and economic inequities that existed before the disaster is essential.
Lessons from Abroad: Investing in Youth Mental Health
Now, more than ever, America stands to gain important insights from other countries that have developed comprehensive and effective approaches to youth mental health.
Confronting a Public Health Crisis: Solitary Confinement in U.S. Prisons
A lack of quality care inside correctional facilities often results in damaging outcomes, including increased incidence of violence, mental health crises, and high rates of recidivism.
A Model for Advocacy: How One Foundation’s Unconventional Investment is Shaping Health Policy
The Colorado Health Foundation’s unprecedented journey to creating and endowing Healthier Colorado —a nationally unique 501(c)(4) organization—arose when the Foundation began its transition from a public charity to a private foundation in 2011.
Philanthropy @ Work – Grants and Programs – October 2017
The latest on grants and programs from the field.
Philanthropy @ Work – Transitions – October 2017
The latest on transitions from the field.