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.
A Healthy Public Needs More Than Public Health: Lessons for Addressing Substance Use
The longstanding invisibility of substance use disorders simply cannot continue if we truly want to improve communities. We have a window of opportunity to make great strides if physical and behavioral health policymakers, advocates, and foundations work together.
In Memory of Andy Hyman
The field of health philanthropy lost one of its greatest champions when Andy Hyman of Robert Wood Johnson Foundation passed away on February 25, 2015.
The Health Care Neighborhood: Philanthropy’s Role in Aging Well
Many primary care physicians do not feel confident in their capacity to meet their patients’ social needs, and they believe this impedes their ability to provide quality care. Despite evidence that social determinants such as education, employment, and economics can influence health outcomes, a service coordination gap remains.
All Politics are Local: Preemption and Public Health
To accelerate progress toward healthier communities, one of the most important things foundations can do is protect local control by helping their grantees, policymakers, public health advocates and the general public “get smart” about preemption.
Youth Mental Health First Aid: Implementation Lessons from Pennsylvania
In the fall of 2013, the Brandywine Health Foundation and key area leaders learned from the Pennsylvania Youth Survey about the high rates of depression among Coatesville-area youth compared with youth in the remainder of Chester County and the state as a whole.