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.
Mat-Su Health Foundation Report: May 2017
The Mat-Su Health Foundation (MSHF) has released the third and final report of its Behavioral Health Environmental Scan. The new report focuses on prevention of child maltreatment.
New York State Health Foundation Report: May 2017
A new NYSHealth-funded report by the Manhattan Institute finds that user-generated ratings of hospitals in New York State do align with more objective quality measures and that Yelp star ratings can be a valid proxy, providing free, accurate, and easy-to-understand quality indicators for hospital care.
Foundation for a Healthy Kentucky Report: May 2017
Kentuckians who are familiar with needle exchange programs are more likely to favor them, according to the latest Kentucky Health Issues Poll (KHIP), an annual poll of Kentucky adults about health issues, funded jointly by the Foundation for a Healthy Kentucky and Interact for Health.
New York State Health Foundation RFP: April 2017
The New York State Health Foundation (NYSHealth) announced an upcoming Request for Proposals (RFP) to support hospitals in New York State in adopting OpenNotes.
The Benefits of External Eyes
How is our work going, really? Can staff answer that question with a sufficient degree of critical appraisal? Can we rely on the complete honesty of funded partners, who are thrilled that we have recognized their causes as ours, to gain a sense of our impact? Is our board prepared, engaged and yet distant enough to provide a wise response to this fundamental question of success?
Philanthropic Moral Courage: A Compass for Leading Boldly
Moral courage and risk-taking were hot topics of conversation during our experience as fellows of the 2016 Terrance Keenan Institute for Emerging Leaders.