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.
What We Learned from the First Open Enrollment Period, and What to Expect from the Second
As work gets rolling for the second open enrollment period, it is an opportune time to reflect on lessons learned from the first open enrollment period, especially since the second one is shorter and there are fewer navigator resources available from the federal government.
Starting Early: Obesity Prevention in Early Childhood
In late 2009 The Boston Foundation shifted its health grantmaking focus from access to prevention in order to address the rising tide of preventable chronic illness and the escalating health care costs stemming from the obesity epidemic.
The Legacy of The Bravewell Collaborative: Transforming Health Care through Integrative Medicine
A sea change is well underway in the United States regarding health, medicine, and health care delivery. By the early 2000s it was inescapable that obesity rates were climbing while medical costs were becoming unsustainable.
Supporting ACA/Medicaid Expansion Enrollment in Essex County, New Jersey
The goal of the Affordable Care Act—to provide access to health care to virtually all Americans through affordable health insurance that covers all essential services—coincides with The Healthcare Foundation of New Jersey’s mission to bring quality, affordable health care to the most underserved and vulnerable people in its community.
Working to Fill the Information Gaps in Cancer Care
Upon hearing the words “you have cancer” many questions are apt to run through a patient’s mind. Key among them is: Where do I go to get the best care? Today, meaningful information to help patients answer this question is lacking. The California HealthCare Foundation is funding projects to try to fill this gap.
Optimizing Health Insurance Marketplace Enrollment through Collaboration, Technical Assistance, and Promotion
The passage of the Affordable Care Act provided many health foundations an unprecedented opportunity to expand affordable coverage to lower-income and vulnerable people through the new health insurance marketplaces.