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.
Support Cover the Uninsured Week: Making Uninsured Americans a Priority on the Nation’s Agenda
The issue of the uninsured is one of America’s biggest health challenges, and the situation is growing worse. In response, health philanthropies from coast to coast and some of the nation’s most influential organizations in the United States are joining together to support Cover the Uninsured Week from March 10-16, 2003. We hope you will join us in supporting this unprecedented foundation-led educational effort so that we can speak with one voice on behalf of the nation’s uninsured.
If the Dow Breaks, Will Health Philanthropy Fall? Strategic Grantmaking During Economic Uncertainty
If we were measuring the health of our foundations by financial growth over the past two years, some of us might be considering life-support systems. Fortunately for the field, and for those we support through our grantmaking, the health of our organizations is not measured by dollars alone. The measure of our work is defined in people
Efficient Philanthropy: Modest Beginnings at The Health Funders Partnership of Orange County
A recently released report from The Center for Effective Philanthropy, Indicators of Effectiveness, comments on foundations’ growing understanding and interest in assessing their overall performance, noting that many are “convinced that better performance assessment will lead to greater effectiveness and, in turn, to more social impact on the people and issues they affect.”
Putting Knowledge to Work for Mental Health
A challenge to the philanthropic community: do better when it comes to funding for mental health. Dr. Garduque describes how grantmakers can – and should – play a key role in charting new territory, challenging service systems to do better, and promoting the adoption of evidence-based practices.
What Patient Safety is Teaching Us
This Views from the Field spotlights the Pittsburgh Regional Healthcare Initiative, a regional health care quality and patient safety improvement program. With initial funding from the Jewish Healthcare Foundation and support from a wide variety of community stakeholders, this initiative has evolved into a nationally recognized model for improving health care quality.