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.
The Effectiveness of Policies to Improve Primary Care Access for Underserved Populations
This report reviews the research literature to assess the evidence supporting whether policy initiatives targeting primary care access in each of these five dimensions have been effective in reducing health care disparities. The policy initiatives considered vary widely in terms of the decisionmakers best suited to implement them and therefore require multi-sector collaborative solutions to improve access to primary care in underserved areas.
Mindfulness and Healing Justice
The Kataly Foundation’s Mindfulness and Healing Justice program hosted a discussion with grantee partners to explore the connections between healing, collective transformation, and power-building. The conversation highlighted the need to meaningfully resource mindfulness and healing justice work led by Black and Indigenous people and all communities of color.
Realizing Parity, Reducing Stigma, and Raising Awareness
The Department of Health & Human Services, Department of Labor, and Department of the Treasury have released the 2022 Mental Health Parity and Addiction Equity Act report to Congress. The new report provides updates on compliance, enforcement, and consumer protection efforts.
Behavioral Health Data Added to Health Equity Tracker
The Health Equity Tracker, supported by the Satcher Health Leadership Institute at Morehouse School of Medicine, Annie E. Casey Foundation, CDC Foundation, Gilead Sciences, Google.org, and AARP, recently announced the creation of a behavioral health category and the addition of six indicators related to mental health and substance use.
Older Adults’ Mental Health Needs
A new report from The Commonwealth Fund compares older adults’ mental health needs and access to treatment in the United States and other high-income countries to better understand coverage gaps and opportunities for improvement.
New York State Health Foundation Brief Examines Food Scarcity’s Influence on Mental Health
A new issue brief authored by the New York State Health Foundation, “Food Scarcity’s Influence on Mental Health During the COVID-19 Pandemic in New York State,” builds of previous analyses foundation analyses that documented increased rates of poor mental health and food scarcity among New York residents. Using national research as the basis, this new report explores the association between experiencing food scarcity and poor mental health during the pandemic.