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.
Nurse-Managed Health Centers
Safety-net providers are an essential source of health care for vulnerable populations, including the uninsured, the underinsured, and undocumented immigrants. Cuts in Medicaid funding further threaten this already fragile infrastructure. Policymakers, advocates, and foundations can all play a role in shoring up safety net providers.
Availability and Use of Local Health Data
Public education, advocacy, and community-based programs can be very powerful vehicles for improving health. There is growing recognition that such efforts are most effective when driven by specific information about communities.
Improving the Quality of Health Care for All Americans
Ensuring access to quality health care is one of the major goals of The Robert Wood Johnson Foundation (RWJF), as is improving the quality of health care for people with chronic conditions. Working toward this goal means that we must eliminate the unacceptable gaps in health care experienced by racial and ethnic minorities.
Designing the Public Health System for a Healthier U.S.
Philanthropic organizations and others involved in supporting public health have begun to focus on ways to improve an ailing system so that it protects the people it serves. This View from the Field spotlights the national Turning Point initiative.
Creating a Healthier Future for Children: Precaution Is Prevention
With chronic childhood diseases and an array of learning and developmental disabilities on the rise, a burgeoning body of science is illuminating links between environmental exposures and children’s health. Health funders interested in childhood development and lifelong health are increasingly moving upstream to support precautionary action as a critical prevention strategy.
Advancing the Use of Health Data
With a few actions, grantmakers can boost the use of health data in their communities. This article draws upon the work of The Health Foundation of Greater Cincinnati and describes how it is using data and creating new data resources for its grantees and others in its service area – Cincinnati, Ohio and 20 surrounding counties in Ohio, Kentucky, and Indiana.