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.
How Philanthropy Can Support Los Angeles Homeless Providers Facing Challenges Accessing California Housing Services
In 2022, Cedars-Sinai, HealthNet, and the California Community Foundation launched a philanthropic partnership to support a learning collaborative for 11 providers that serve the unhoused to receive capacity building, policy guidance, and other assistance to take advantage of the new CalAIM Community Supports (CS) housing services. Nonprofit Finance Fund engaged providers and provided capacity building and support to each organization to explore CalAIM and plan for their potential engagement in the Medi-Cal service model. Corporation for Supportive Housing is working on an advocacy agenda with the provider cohort as they experienced challenges and barriers during the process. The goal was for their learnings to inform current and future policy and advocacy discussions about the opportunities, challenges, and needs related to Community Supports to promote the highest quality of care for individuals and families who are at risk of becoming unhoused or who are already unhoused.
Cross-Sector Collaboration to Expand Early Access to Whole-Person, Supportive Cancer Care
For many common cancers, the rates of incidence are on the rise. In 2024, first-time new cases of cancer in the United States are expected to reach two million, or almost 5,500 cancer diagnoses a day, with Black, Indigenous, and People of Color (BIPOC) communities experiencing a higher incidence. Within the health care system, there are multiple challenges to equitable care related to gaps in health insurance, access to care and culturally relevant care models, and discrimination and bias in care and treatment.
Driving Change through Public-Private Collaboration at Age + Action 2024
On May 7, 2024, Grantmakers In Health (GIH) and Grantmakers In Aging (GIA) cohosted a funders-only meeting at the National Council on Aging’s Age + Action 2024 conference. The session, “Driving Change through Public-Private Collaboration,” focused on bridging connections between the public and private sectors to improve the health and well-being of older adults in…
United Hospital Fund: May 2024
The United Hospital Fund of New York released a report, The Ripple Effects of the Adolescent Behavioral Health Crisis, which analyzes the behavioral health crisis in the United States and groups who are disproportionately affected. The report also quantifies the impact of the adolescent behavioral health crisis on medical costs, productivity, and wages.
The Kate B. Reynolds Charitable Trust: May 2024
The Kate B. Reynolds Charitable Trust recently published a 10-year evaluation of Healthy Places NC, its signature place-based initiative to improve health in rural NC communities. The Healthy Places NC evaluation provides insights for fellow funders in various sectors who want to shift norms, systems, power dynamics, and other conditions that produce inequity, particularly in rural communities.
In July of 2020, the Foundation worked with partners to conduct a survey of over 1,000 Missouri adults to understand firearm-related beliefs, attitudes, perceptions, and behaviors within the state with the intent of informing stakeholders interested in firearm injury and death prevention. Topics for the reports include firearm suicide beliefs and practices, perceptions and storage practices, background checks, and more.