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.
Impact Investing Opportunities to Advance Water, Health, and Equity
A new report from the Environmental Policy Innovation Center and supported by the Robert Wood Johnson Foundation outlines ways that philanthropy can use strategic investments to help ensure that drinking water is safe for all.
New Manual Provides Guidance on Civic Health
The Civic Health Alliance, a nonpartisan group of health and civic leaders, published The Civil Health Compact, a new manual for health care systems to advocate voter participation and other civic responsibilities to patients to advance community health outcomes.
RRF Foundation for Aging Releases Call to Action to Address Older Adult Debt Burden
In a new Call to Action, RRF Foundation for Aging illuminates a problem hidden for too long – older adult debt – and calls on advocates, researchers, service providers, funders and others to get involved with addressing this urgent issue.
Committing to the Long Game of Advancing Better Health Through Public Policy
As people across the country prepare to vote in state and local elections, those of us working in health philanthropy should take a moment to reflect on what we can do to support policies to advance better health outcomes.
Promoting Diversity, Equity, and Inclusion in the Health Care Workforce
The Josiah Macy Jr. Foundation is the only national foundation solely dedicated to improving the public’s health by advancing change in the education of health professionals. The Foundation’s current focus is the clinical learning environment where the health care workforce both acquires skills and delivers care.
The Gilead Foundation: Advancing Health Equity Through Education Equity in the U.S.
While the COVID pandemic and most recent racial reckoning galvanized the traditional health philanthropy community, many corporate funders made their first foray into supporting racial and social justice efforts as well as health equity. Corporate social responsibility efforts were, and continue to be, scrutinized as merely cosmetic public relations efforts with no real long-term, institutional commitments to driving meaningful change in Black and Brown communities that have long been historically, intentionally marginalized.