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.
Blue Cross Blue Shield of Massachusetts Foundation: January 2023
The Blue Cross Blue Shield of Massachusetts Foundation announced a call for proposals for its two responsive grantmaking programs: Special Initiative and Catalyst Funds.
VNA Foundation: January 2023
VNA Foundation recently released the report, “Utilizing a Mixed-Methods Analysis to Differentiate Models of Healthcare for PSH Residents.” In it, the foundation describes a data project that was piloted to determine how healthcare can be best provided to residents in permanent supportive housing.
RRF Foundation: January 2023
The RRF Foundation for Aging released a call to action to address Older Adult Debt Burden. In The Call to Action, RRF Foundation for Aging illuminates a problem hidden for too long and calls on advocates, researchers, service providers, funders, and others to get involved with addressing this urgent issue.
MetroWest Health Foundation: January 2023
Concerned about the health impacts associated with the lack of affordable housing, the foundation released a report detailing the affordable housing crisis in the MetroWest area of Massachusetts. The report, “Shut Out: Understanding the affordable housing crisis in MetroWest,” details the high costs of and instability in the region’s housing market over the past decade, and how the pandemic has intensified these issues.
Blue Cross Blue Shield of North Carolina: January 2023
A recent external evaluation and new report from the Blue Cross and Blue Shield of North Carolina Foundation, “Centering Equity in Grantmaking,” has identified several successes as well as lessons learned related to the foundation’s efforts to center equity and to design a grantmaking process that is inclusive and accessible.
Blue Cross Blue Shield of Massachusetts Foundation: January 2023
This report, “A Focus on Health Care: Five Priorities for the Next Administration,” synthesizes the findings from stakeholder interviews, describing five health care priorities for the new governor and legislative leaders to immediately pursue.