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.
Collaboration Among Local Public Health Departments Preparing for Accreditation
The Kansas Health Foundation believes that all residents of Kansas deserve equal levels of public health protection and access to services regardless of where they live in the state. In partnership with the Kansas Association of Local Health Departments (KALHD), the foundation has worked to explore how regional collaboration among local health departments might strengthen these departments and support their efforts to become accredited.
A National Foundation Undertakes a Regional Strategy in the South
The Health Reform Program of the Public Welfare Foundation supports advocacy so that the voices of the people served by the health care system can be informed and effective. Poverty, health disparities, and underfunded advocacy capacity describe the South.
Collaborating Where Health Happens
At the Robert Wood Johnson Foundation (RWJF), our mission is to improve health and health care for all Americans. But improving health for the most vulnerable requires acknowledging that factors such as poverty, violence, inadequate housing, and education contribute to poor health.
The Value of Interdisciplinary Research Networks
In this time of economic hardship, foundations – like us all – are searching for the most creative and productive strategies for getting the most out of constrained budgets. Many foundations that support research, as well as health care delivery, have become aware that in attempting to understand complex issues related to human health, behavior, and well-being, it is often most useful, even necessary, to employ an interdisciplinary approach.