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.
Bristol Myers Squibb: October 2021
Bristol Myers Squibb announced a Request for Proposal for the “Development and Implementation of Innovative Interventions that Effectively Address Health Disparities in Access to Care for Medically Underserved Communities”.
New York State Health Foundation: October 2021
New York State Health Foundation recently released a new report: “Getting a Fair Shot: Progress and Disparities in Early Childhood Vaccination in New York State.”
The Blue Cross Blue Shield of Massachusetts Foundation: October 2021
The Blue Cross Blue Shield of Massachusetts Foundation recently released a new report, “Opening the Door to Behavioral Health Open Access in Massachusetts: A Look at the Experience and Opportunities to Support Implementation.”
Philanthropy @ Work – Grants and Programs – October 2021
The latest on grants and programs from the field.
New Resources for Investing in Farm to Early Care and Education
Farm to early care and education initiatives work across systems, linking health, education, and agriculture to support young children’s cognitive, physical, and social-emotional development; improve community nutrition; and build sustainable local food systems. The W.K. Kellogg Foundation has released a set of new resources based on the learnings from their five-year, five-state (Georgia, Iowa, North Carolina, Pennsylvania, and Wisconsin) investment in farm to early care and education.