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.
Missouri Foundation for Health: May 2024
The Missouri Foundation for Health recently released a series of publications based on the findings of its Missouri Firearms Survey.
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.
Foundation for Opioid Response Efforts: May 2024
The Foundation for Opioid Response Efforts (FORE) released its 2023 annual report, which highlights the progress its grantees have made in addressing the opioid crisis last year.
Episcopal Health Foundation, Methodist Healthcare Ministries of South Texas, Inc., and St. David’s Foundation (TX): May 2024
Episcopal Health Foundation, Methodist Healthcare Ministries of South Texas, Inc., and St. David’s Foundation sponsored a report from Altarum, Economic Impact of Health Disparities in Texas, finding that Texas is losing over $7 billion annually due to excess medical spending and productivity loss. The report includes economic impact estimates for all 254 counties in Texas and highlights both the human cost and economic burden of health disparities.
The Commonwealth Fund: May 2024
The Commonwealth Fund recently released its 2024 State Health Disparities Report underscoring the racial and ethnic health disparities that persist across the United States. The report also outlines policy recommendations to make U.S. health care more equitable.
Philanthropy @ Work – Grants and Programs – May 2024
The latest on grants and programs from the field.