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.
The Blue Cross Blue Shield Foundation of Massachusetts: January 2024
Blue Cross Blue Shield Foundation of Massachusetts partnered with Manatt Health to develop a vision, framework, and proposed statewide Health Equity Action Plan that offers an organizing structure, process, and set of practical steps for collectively achieving a racially and ethnically equitable health care delivery system in Massachusetts.
Blue Shield of California Foundation: January 2024
Lack of paid family caregiving and medical leave policy at the national level makes the United States a global outlier. In the absence of a national guarantee, more than a dozen states have passed and implemented necessary paid family and medical leave.
Philanthropy @ Work – Grants and Programs – January 2024
The latest on grants and programs from the field.
Paid Leave and Job Protection for Parents, People Who Are Sick and People Who Have Sick Family Members
Lack of paid family caregiving and medical leave policy at the national level makes the United States a global outlier. In the absence of a national guarantee, more than a dozen states have passed and implemented necessary paid family and medical leave. WORLD Policy Analysis Center has developed a database and policy briefs that describe paid leave laws and policies.