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.
SASH: Health Equity Begins at Home
A decade ago, primary care practices and housing non-profits in Vermont partnered to reduce chronic conditions among older adults and younger adults with a disability in collaboration with the state’s Blueprint for Health. Today, as an extender of the Blueprint, Support and Services at Home (SASH), which supports healthy aging in place, is helping to advance health equity in the state.
The Gun Violence Epidemic: Lessons From Newark, New Jersey
The Newark, New Jersey community has made remarkable progress improving community safety and reducing gun violence. This past June, a seminal report, The Future of Public Safety: Exploring the Power and Possibility of Newark’s Reimagined Public Safety Ecosystem, was released by Equal Justice USA, the City of Newark, and the Newark Community Street Team. Researchers utilized community participatory research to assess Newark’s impactful approaches to improving public safety.
What Can Be Done About Disparities in Birth Outcomes? Follow The BIPOC Leaders
There has long been a movement of Black, Indigenous, and People of Color (BIPOC) birth and reproductive justice leaders addressing the impact of racism and oppression on pregnant and birthing people and their families. Their work has galvanized funders and policymakers to focus their efforts on ending the inequities in birth outcomes, opening up a national conversation about advancing community driven solutions to our country’s perinatal health crisis as well as creating opportunity for change within philanthropy.
RRF Foundation for Aging
“U.S. Census Bureau projections foresee the number of people age 65 and older rising dramatically in the next decade. With an aging population, there is a growing need to provide training and self-care relief, sustainable systems, and better resources for the nation’s 53 million unpaid family caregivers currently serving a vital role in our long-term care health system.
