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.
New Archstone Report Reflects on 30 Years of Palliative Care Investment
For three decades the Archstone Foundation has focused investments on improving the care and experience of people with serious illness. Their portfolio has championed numerous palliative care and end-of-life initiatives at the local, state, and national levels. Reflecting on this body of grantmaking, the foundation has released a new legacy report that examines this work, grantee achievements, and the enduring impact of this investment.
The Power of Partnerships in Improving Health Care Access and Outcomes
Partnerships are essential to improving health care access, and outcomes, and forming partnerships require listening, learning, transparency, and flexibility.
Resolutions for a Revolution in Philanthropy
Heading into the new year, we are now asking one another, “What risks did our foundations take during these past two years that we may want to continue? What has philanthropy done differently over the last two years that perhaps has made our sector more effective, inclusive, and responsive? We highlight three ways our foundations changed for the better during the pandemic, strategies funders are using to support building or shifting power to nonprofit partners.
Homelessness and Health Equity: Health Funders’ Alignment and California’s Next Medicaid Waiver
California has a new plan under its recently-approved Medicaid waiver that builds on innovations implemented in recent state programs and is centered on health equity, especially for people experiencing homelessness.
All Hands on Deck: The Importance of Pursuing Funder Partnerships to Address Perinatal Mental Health
Today, too many new mothers and birthing people are isolated and their well-being is overlooked, with severely negative consequences for maternal and child health and society.
