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.
Lights, Camera, Take Action: Spotlighting Public Health for the Next Generation
What do zombies, “Salad Man,” and Academy Award-nominated director Gus Van Sant have in common? They have all played a role in Northwest Health Foundation’s efforts to bring the importance of a fully functioning public health system into the hearts and minds of the people – especially the youth – of Oregon.
The Role of Philanthropy in Implementing Federal Health Reform
In March 2010 President Obama signed both the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act into law. These two laws will dramatically affect the health insurance system and the delivery of care in America.
Paving the Way for Change: Implementing CLASS
The historic passage of the 2010 Patient Protection and Affordable Care Act was in many ways a homerun for health advocates who have been working toward meaningful reform for decades. The new law lays the groundwork for sweeping changes in the American health care system, expanding access, coverage, and personal responsibility for care suited to individual needs.
Prison Diversion Programs: Compelling Social Investments for Foundations
As a relatively small, regional niche foundation, Staunton Farm Foundation reasoned that “improving behavioral health” was too broad an area for us to make a significant impact. Hence, the foundation chose to focus on criminal justice.