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 Pew Charitable Trusts: December 2024
In the Speak Up MO report, residents’ top responses identified several priorities for improving health, including expanding health care coverage or implementing universal health care, lowering health care costs, and addressing the cost of living.
Philanthropy @ Work – Grants and Programs – December 2024
The latest on grants and programs from the field.
Youth Access to Gender Affirming Care at the Supreme Court: What to Know
Ahead of December 4 arguments in a Supreme Court case (U.S. v. Skrmetti) challenging the constitutionality of Tennessee restrictions for gender affirming care for minors, KFF explores the background of the case and potential rulings.
Reimagining Public Health Advocacy: Findings from a National Scan of Public Health and Community Power-building Groups
Drawing on a national scan of nongovernmental public health and community power-building groups, this report explains how Human Impact Partners approaches work to shift the field of public health, the research they conducted to better understand the gaps between public health and community power-building organizations, and the implications of what has been learned.
What Is Budget Reconciliation?
With narrow Republican majorities in the Senate and House, congress is expected to use budget reconciliation to pass the new administration’s legislative agenda. in this article, the Peter G. Peterson Foundation explains what budget reconciliation is and how it might be used.