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.
How Local Health Departments Can Commit to Transformative Change through Racial Healing
In this new era of public health care and practice, as our global community continues to endure the impact of a pandemic, we have a unique opportunity and responsibility to ensure we do not fall back into old patterns. This is our chance as a larger health-focused collective to use our expertise, influence, and resources to change the landscape of health. Governmental agencies, nonprofits, clinical and non-clinical groups, and funders have an important role in the future of public health.
Incarceration and Public Health: Going Bold to Achieve Health Equity
Two years into the COVID-19 pandemic, the field of public health has sprinted a marathon to address the ongoing crisis — we have implemented mass vaccination plans, pushed back against misinformation campaigns, and taken action in the face of slashed budgets and outright assaults on our lives. But as a public health researcher and advocate, I believe there is a critical place where we have fallen short, and with dire consequences: connecting the dots between incarceration and health.
Investing in Nutrition Security Post-Pandemic
During the first year of the pandemic, despite being a rural agricultural region with over 4,000 small farms, the food insecurity rate across the North Country counties of New York rose from 11 to 15 percent. In March 2020, with funding from New York State Health Foundation (NYSHealth), the Adirondack Foundation, and the Cloudsplitter Foundation, AdkAction partnered with the Hub on the Hill, a nonprofit food hub, to launch its Emergency Food Packages (EFP) project to assist local families facing food insecurity due to the COVID-19 pandemic. EFP succeeded in delivering thousands of healthy, locally produced food packages to people in need while also supporting hard working farmers across the region.
On the Precipice: Why Health Funders Should Care about Abortion Access
Reproductive health and justice in the United States are at a crossroads. We are seeing positive developments such as growing (though still inadequate) attention to maternal health and reinstatement of the family planning safety net after years of reductions in access to these services. We invite funders focused on health more broadly to join us in an effort to support the dignity of women and families; protect women’s lives; and mitigate the health, economic, and social harms that can result from being denied an abortion.
MetroWest Health Foundation’s Adolescent Health Survey
The MetroWest Health Foundation recently released the results from its 2021 MetroWest Adolescent Health Survey, a biennial survey of middle and high school students in the 25-region served by the foundation. Survey findings found that rates of vaping and marijuana use have declined but mental health issues and cyberbullying have increased.
Advocacy That Builds Power
The California Endowment supported the Center for Evaluation Innovation and Gigi Barsoum to examine what it takes for advocacy to build power through an evaluation of advocacy efforts that were part of the 10-year Building Healthy Communities initiative.