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.
Ensuring the Health of America’s Children: Progress and Opportunities
Behind the headlines of a weakened U.S. economy and rising unemployment are two related developments: the transformation of health care coverage into an issue of real salience to working families and the middle class, and the ways in which states have crafted, and will continue to craft, an effective response.
Community Advisory Committees: Collaboration and Shared Learning
As a result of turmoil in world financial markets and a faltering economy in the United States, economic pressures on communities have intensified the risk of many people being overlooked or ignored; many are not receiving the health care they and their families need.
Evaluating Programs: Can We Measure the Value of Health Grantmaking?
Partnering with policymakers and members of the business community is an effective way to increase the impact of health grantmaking by working cross-sectorally, and evaluating the effectiveness of these partnerships will help sustain interest in such collaborations.
Transforming Health Care: Services for Older Adults Can Drive High Quality Chronic Care for All
The health of older adults in this country is an increasingly critical concern, with ramifications for every sector of society and philanthropy. It is time to plan seriously for the demographic change now happening.