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.
Investing in Asian American, Native Hawaiian, and Pacific Islander Communities through Strategic Philanthropic Partnerships
May is Asian American Pacific Islander heritage month, celebrating the fastest-growing racial group in the United States. Recent priorities for grantmakers have focused on racial equity, health and well-being, and immigrant rights. Yet, investments for Asian American, Native Hawaiian, and Pacific Islanders have been under-resourced and deprioritized, receiving only 0.26 percent of philanthropic dollars and 0.17 percent of research funding from the National Institutes of Health.
Beyond the Headlines: Towards a New Narrative for Health Philanthropy in Haiti
Contrary to the narrative that all philanthropic investments have been ineffective in Haiti, Partners In Health, Build Health International, and Health Equity International have had immense positive impacts on the health sector in Haiti over the last decade. With sustained funding from the W.K. Kellogg Foundation, these nongovernmental organizations are committed to tackling systemic inequities embedded in the health care system.
Filling Youth Mental Health Gaps by Funding Innovation
The gap is widening between mental health care and our nation’s youth. The continued impacts of the COVID-19 pandemic, racial injustices, and climate change are deepening this crevice and weighing on young people. The U.S. Surgeon General issued a stark warning on youth mental health, and doctors, hospitals, mental health organizations, and young people are also sounding the alarm.
Multiplying Funder Impact Through Multisector Collaborations: Models for Creating Racial and Health Equity
Multisector collaborations epitomize the expression “the whole is greater than the sum of its parts.” Working together toward common goals, organizations from different sectors that listen and work directly with communities can multiply their impact compared to what they can accomplish working separately. Because of this, funders too can expand their impact by investing in and encouraging these multisector collaborations that serve as engines for lifting up community voices and promoting equity.
Reducing Pollution: Critical Pathway for Cancer Prevention
Health professionals and health advocacy groups are learning how they can elevate environmental chemicals as an important element of cancer prevention, including in research design, clinical practice, policy advocacy, and in cancer initiatives such as the Beau Biden Moonshot and states’ 5-year cancer prevention and control plans. When health leaders are given the opportunity to examine barriers to cancer prevention, including those they may contribute to, they gain confidence in their ability—and responsibility—to use their power as trusted messengers to call for dramatic reductions in carcinogens.
