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.
Mary Black Foundation: May 2021
The Mary Black Foundation considers grantmaking to be an investment in Spartanburg, South Carolina that will contribute to improved health, wellness, and success. Therefore, it seeks to invest in strong, well-run organizations that are clear about what results they will achieve and how the results will be measured.
Philanthropy @ Work – Grants and Programs – May 2021
The latest on grants and programs from the field.
The Impact of Chronic Underfunding on America’s Public Health System
Trust for America’s Health has released its annual report examining federal, state and local public health funding trends and recommending investments and policy actions to build a stronger public health system, prioritize prevention, and address the ways in which social and economic inequities create barriers to good health.
Why Redistricting Matters
Vitalyst Health Foundation has released a policy brief which describes the Arizona Independent Redistricting Commission (AIRC) and discusses which eight of Arizona’s 19 charter cities conduct their own local process. The brief also explores the multiple ways people can engage to provide input so that community well-being can get the representation and resources it deserves.
How Philanthropy Can Help Communities Benefit from the American Rescue Plan Act
The American Rescue Plan Act provides $1.9 trillion in programs and tax policies across nearly all sectors of government to provide relief to individuals, families, communities, and states. There are several ways in which philanthropy can help to minimize the risk that we squander this opportunity to strengthen our communities.
Tracking Health Policy Trends in Texas
The Episcopal Health Foundation recently released the latest Texas Health Policy Poll Report, a statewide public opinion survey that gathers Texans’ opinions on a variety of important state health policy issues. Our objective is to use the poll findings to inform the discussion on state health policy priorities.