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.
Lessons from a Long Season of Disaster Response
By the time this article is published, we’ll be marking several anniversaries of devastating natural disasters in Louisiana, all of which arrived late in summer. Hurricanes Katrina and Rita infamously decimated the Southern Louisiana area in 2005. Fifteen years later, in the span of just two consecutive summers, Hurricanes Laura, Delta, Zeta, and Ida battered a weary state still mired in the thick of COVID-19.
Activating the Potential of Residents to Lead Community Transformation, Collaboratively
In 2019, the Virginia-based Danville Regional Foundation (DRF) set a new strategic vision—to help more people believe in the transformation of the region and embrace their role in achieving it. A region formerly dominated by tobacco and textiles, the Dan River Region has made great strides toward reinvention. DRF recognized that increasing collaboration and building the civic capacity of the region would be critical to its economic transformation.
Achieving Racial Justice and Health Equity Through Housing Justice
Having a stable, safe, and affordable place to call home impacts our ability to be healthy. But because America’s foundational housing policies and systems intentionally excluded Black, Indigenous, and other people of color, far too many people in our nation are at risk of poorer health because a home is out of reach.
Merck Foundation
No one strategy is sufficient to reach people from underserved communities who are living with diseases like cancer, diabetes, and HIV/AIDS with the high-quality health care they deserve. That’s why the Merck Foundation has focused on making longer-term and more flexible philanthropic investments that support an array of promising and comprehensive approaches. Further, collaboration is critical to tackle complex health disparities and build healthier communities. Through our initiatives, we bring together health care providers, community leaders, and academics from across the United States and around the world to test and expand innovative solutions to improve the delivery of health care in their communities.
New York Health Foundation: August 2022
Funding is available through a New York Health Foundation (NYHealth) Request for Proposals (RFP): Sponsoring Conference Participation in Support of Healthy Food, Healthy Lives; Consumer Empowerment; and Veterans’ Health.