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.
Addressing the Mental Health Needs of Immigrants and Refugees
Resettling in a new country brings a unique set of mental health challenges for immigrants and refugees. Most immigrant parents who arrive in new communities are faced with immediate challenges to their survival – securing a job, finding a place to live, buying food, and enrolling their children in school.
Grantmakers Partner to Improve Children’s Development
The rallying cry “Think nationally, act locally” has proven to be remarkably successful for Healthy Steps for Young Children. Spearheaded by The Commonwealth Fund and launched at 24 sites around the country, Healthy Steps’ success is due in no small part to the commitment and organizational and financial support provided by a partnership of national, community, and new health foundations.
Using Strategic Philanthropy to Advance State Health Care Reform: Maine’s New Dirigo Health Plan
Learn about development of Maine’s innovative Dirigo Health Plan, an ambitious, comprehensive health care reform initiative. Dirigo Health will offer a health insurance product to individuals, the self-employed, and small businesses; expand eligibility in Maine’s Medicaid program; and improve quality and contain costs.
Taking Action in Aging Issues: Creating an Agenda, Finding Common Ground
Explore intersections between health and aging that could benefit from funder collaboration, including environment, disability, family caregiving, civic engagement, elder abuse, exercise and wellness, and workforce development.
Giving Voice to the Voiceless: The Case for Advocacy Funding
Funding public policy work is as important to health improvement as funding for direct services. Lessons learned from funding advocates include the importance of providing core operating support, the need to engage the grassroots, and how to empower community members.