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 Montana Healthcare Foundation: August 2021
“Medicaid in Montana: The Critical Role of Medicaid Expansion in Supporting Montana’s Behavioral Health System” shows how Medicaid expansion significantly increases access to care for mental illness and substance use disorders and supports a long-needed transformation in Montana’s behavioral health system.
Philanthropy @ Work – Grants and Programs – August 2021
The latest on grants and programs from the field.
COVID-19 Grants and Programs – August 2021
The latest on COVID-19 grants and programs from the field.
New Report Gives Voice to Food Insecurity in Northern Virginia During the Pandemic
To help spur decisionmakers to enact the changes necessary to create a stronger regional food system, the “Route 1 Lived Experiences Report,” documents the stories of 15 county residents living along the Route 1 Corridor, one of the region’s “islands of disadvantage.”
New Rockefeller Report Quantifies the True Cost of the Food System
A new report from the Rockefeller Foundation, “True Cost of Food: Measuring What Matters to Transform the U.S. Food System,” outlines the true cost of food, including the impacts on health, the environment, biodiversity, and livelihoods.
COVID-19 Community Response: Emerging Themes Across Sentinel Communities
A COVID-19 Synthesis Report, released in July 2021, summarizes the yearlong path that nine of these communities traveled with respect to COVID-19 vaccination, health and well-being, economic recovery, equitable housing, and in-person schooling.