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.
Philanthropy @ Work – Grants and Programs – May 2023
The latest on grants and programs from the field.
Birth Equity Funders’ Summit: 2022 Report
The 2022 Birth Equity Funders’ Summit brought together over 100 funders in person and 35 virtually to reflect on the role of philanthropy in reducing racial disparities in birth outcomes and identify opportunities to better collaborate and align in service of this goal. This report serves as an overview of the event, as well as offers key takeaways and practical recommendations for funders.
We Can’t Fix What We Don’t Measure: Why the Youth Risk Behavior Survey is Critical
In 2021, 1 in 6 high school students was electronically bullied or bullied at school. That same year, 22 percent of high school students, and 45 percent of students who identified as LGBTQ+, seriously considered attempting suicide. We know this information because of the Youth Risk Behavior Survey, which along with other state and local surveys, comprises the Youth Risk Behavior Surveillance System.
Exploring the Impact of Vaccine Equity Grants in Rural Communities of Color
The Rx Foundation launched a rapid response Vaccine Equity grant program in March 2021 as it became clear that communities had unequal access to newly available COVID-19 vaccines. The goal was to fund organizations that were positioned to improve access to vaccines for groups marginalized by or unable to access existing systems and to do outreach and have conversations with people about their vaccine concerns and questions.
New York State Foundations Working Together to Preserve Health Insurance Coverage for Millions of New Yorkers
In March 2020, the United States declared a public health emergency and enacted historic COVID-19 relief legislation. It increased Medicaid funding to states contingent on several conditions, including a “continuous enrollment” requirement that prohibited states from terminating Medicaid enrollees’ coverage until after the public health emergency had ended. How well this worked is a rare silver lining of the pandemic: an estimated 20.2 million people gained coverage since March 2020, and the uninsured rate dropped across the country.
