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 Time is Now: A Call for Philanthropic Engagement in the Implementation of the New 988 Mental Health Crisis Hotline
The Sozosei Foundation believes that 988 provides a once in a lifetime philanthropic opportunity to create the mental health and crisis response services that, frankly, have never been properly resourced. We believe that this will help to decriminalize mental illness and significantly move the needle on our overarching goal of eliminating the use of jails and prisons for the diagnosis and treatment of mental illness.
Moving the Needle on Black Birth Equity – A Call to Action
Philanthropy has an urgent responsibility and opportunity to address the structural factors leading to birth inequities. Healthier pregnancies, labors, and postpartum recoveries not only benefit birthing individuals, but also result in healthier children and families. Focusing attention on those who need it most could have positive implications for entire communities harmed by systemic racism for future generations. There is much work to do, but not enough philanthropic organizations are supporting these issues to tackle them at scale. We need all hands-on deck to truly move the needle. We five funders— from different states and coming to this issue from different angles—are reaching out to our fellow funders with a call to action to join us to in this work.
The Rippel Foundation: November 2021
The Rippel Foundation published Creating an Equitable Future for Health and Well-Being, a report on major findings from its FORESIGHT initiative. FORESIGHT is an equity focused futuring project that aims to envision a new future for health and well-being—and how we get there, together.
Richard M. Fairbanks Foundation: November 2021
A new report finds that Black and Hispanic students in Marion County, Indiana are likely to experience a disproportionate and chronic lack of access to a high-quality education from birth all the way through college.
BUILD Health Challenge: November 2021
Review BUILD’s new Listening Tour report and discover learnings from the field, testimonials from community leaders, and how BUILD is reimagining the future of community health.