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.
Blue Cross Blue Shield of Massachusetts Foundation Report: November 2016
Four years ago Massachusetts signed into law Chapter 224 of the Acts of 2012, “An Act Improving the Quality of Health Care and Reducing Costs through Increased Transparency, Efficiency and Innovation.” Recently, the Blue Cross Blue Shield of Massachusetts Foundation released the third edition of the Chapter 224 Tracking Tool which provides a detailed description of the law’s key components and highlights the progress the state has made in its implementation as of September 2016.
RCHN Community Health Foundation Report: November 2016
A new report prepared by the Geiger Gibson/RCHN Community Health Foundation Research Collaborative examines how health centers and state Medicaid programs in a number of Medicaid expansion states are working to reform Medicaid in order to promote efficiency and quality, and more actively integrate health centers into states’ broader payment reform efforts.
Con Alma Health Foundation Report: November 2016
Con Alma Health Foundation is releasing a new report assessing how the Patient Protection and Affordable Care Act has been implemented in New Mexico. This comprehensive study focuses on ACA measures intended to increase health equity, in which everyone has an equal chance at living a healthy life regardless of a person’s ethnicity, income, or zip code.
How Foundations Can be Engaged This Election Year
Election season presents tremendous opportunities for philanthropic organizations to educate voters and candidates on the issues core to their charitable missions. Through strategies such as civic engagement and public policy advocacy, nonprofit organizations can expand the reach and impact of their activities.
Co-Funding in Texas: Lessons for National and Regional Partnerships
When grantmakers partner on issues of mutual concern, they can leverage their funds in ways that make significant progress at the emerging intersection between health and early childhood.
Ending Mass Incarceration is a Public Health Imperative
Ending mass incarceration in the United States is one of the major social, political, civil rights, and economic challenges of our time. Government officials, practitioners, advocates, and philanthropists working in the fields of public health and medicine have important and distinct roles to play.