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.
Philanthropy @ Work – Grants and Programs – November 2021
The latest on grants and programs from the field.
Understanding Power Building Ecosystems
This study offers analysis of the conditions and strategies that enhance or stymie power-building in relation to three ballot initiative issues, each of which has the potential to improve community health outcomes: Affordable Housing, Medicaid Expansion, Criminal Justice Reform.
The Path to Achieving Health Equity Begins with The Data
As we work towards a more just and equitable future, we must ensure that we have the data needed to measure the things we are trying to improve. It is no longer acceptable to say we do not know.
Addressing Gaps in Firearm Violence Prevention Research – Lessons from a National Partnership
Whether by directly funding new research or calling on Congress to increase funding, philanthropic institutions can help build the evidence that leads to more effective gun policies and invest in initiatives for improved firearm data at the local, state, and federal levels.
TRAILS: A Landmark Public-Private Partnership for Youth Mental Health
As funders, we recognize that expansive challenges often require expansive solutions—and that building sustainable mental health support requires broad community buy-in. Our work with the University of Michigan organization TRAILS exemplifies this effort: by embedding mental health services directly into schools, TRAILS works to ensure that all students have access to the care they need.