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.”
The Rippel Foundation
“Now more than ever, philanthropy can play a crucial role in bringing people together to focus on values we all agree can move us toward a future where all people thrive, no exceptions. The Rippel Foundation and ReThink Health enjoy a special role as a catalyst in pursuing this ambitious goal—helping others see their power and having the courage to use it to bring about transformational change. Right now, we must resist further fracturing and distraction and commit to making serious investments in the vital conditions to advance shared values of justice and fairness. There is no shortcut to a thriving future, especially now, and we have a track record of supporting individuals, organizations, and regions to courageously plan and invest for long-term, intergenerational impact.”
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.
REACH Healthcare Foundation and United Methodist Health Ministry Fund: May 2025
The United Methodist Health Ministry Fund and REACH Healthcare Foundation recently partnered with experts from Manatt Health to shed light on the potential impacts of $880 billion in cuts to the Medicaid program on Kansas.
Lucile Packard Foundation for Children’s Health: May 2025
The Lucile Packard Foundation for Children’s Health released a report titled “No Place to Hide: Children Will be Hurt by Medicaid Cuts” that outlines the federal proposals of Medicaid funding reductions and explains the implications of those proposals on children and families.
Morgan Stanley Alliance for Children’s Mental Health: May 2025
The National Peanut Board (NPB) is accepting inquiries for its second annual request for proposals (RFP) for food allergy research grants. The call for applications is open through May 9, 2025. This year, NPB has increased the total availability of grant funding up to $550,000, which will be awarded to qualified projects designed to advance food allergy solutions.
Con Alma Health Foundation: May 2025
The National Peanut Board (NPB) is accepting inquiries for its second annual request for proposals (RFP) for food allergy research grants. The call for applications is open through May 9, 2025. This year, NPB has increased the total availability of grant funding up to $550,000, which will be awarded to qualified projects designed to advance food allergy solutions.
Philanthropy @ Work – Grants and Programs – May 2025
The latest on grants and programs from the field.