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.
What Will Our Philanthropic Racial Equity Legacy Be?
I have worked in philanthropy for over a decade—and believe we are at a pivotal time in our field’s history when taking action for equity is our only option in our quest for a just future.
The Illusion of Inclusive Workspaces and the Psychological Safety of BIPOC Colleagues
When thinking about equity and justice, funders should ask themselves if we are operating from an authentically inclusive space—or under the illusion of inclusion.
Say What You Want – Putting Racial Equity Front and Center in COVID-19 Funding
It is undeniable that violence, threats of violence, and discrimination contribute to toxic stress and social isolation on a community level—and these factors are connected to negative health outcomes.
One Year Later
For us, 2020 was defined by two watershed moments: the onset of the COVID-19 pandemic and the day the world learned George Floyd’s name. More than a year later, here is what we have learned.
Funding Justice is the Only Path to a More Equitable Future
Our philanthropic giving shapes both our leaders and our future. Investing in racial justice is the only strategy to get to a more just world.
