Healthcare for Small Business

Latest Health Reform News

On Thursday, May 4, the U.S. House of Representatives passed an amended version of the American Health Care Act (AHCA), legislation that starts the process of repealing and replacing Obamacare by eliminating most of the law’s taxes and mandates. The final vote total was 217-213. Read NFIB’s full statement >>

NFIB’s Small Business Health Reform Principles

Small businesses deserve health insurance that is affordable, flexible, and predictable. Repeal of the ACA is not enough. A replacement that repairs the health insurance markets is the only suitable outcome for small businesses. Read NFIB’s Small Business Health Reform Principles >>

WATCH: NFIB member tells Congress about his challenges with healthcare

WATCH: NFIB testifies to Congress on reform that works for small business


  • Text of H.R. 1628: American Health Care Act of 2017 (as reported) PDF | XML

Amendment #32 offered by the Hon. Gary Palmer (AL) and David Schweikert (AZ) PDF
The amendment creates a $15 billion risk sharing program to help states lower premiums for health coverage offered in the individual market. Section-by-Section Summary PDF

Amendment #33 offered by the Hon. Thomas MacArthur (NJ) PDF
The amendment allows states to waive essential health benefits, age rating, and community rating. Health insurers would not be allowed to [deny coverage,] discriminate based on gender or [limit access based on] preexisting conditions. States must explain how the waiver will reduce average premiums for patients, increase enrollment for residents, stabilize the state’s health insurance market, stabilize premiums for individuals living with preexisting conditions, or increase patients’ health care plan options. Section-by-Section Summary PDF

Amendment #34 offered by the Hon. Fred Upton PDF
The amendment increases the Patient and State Stability Fund by $8 billion from 2018 to 2023 to States with an approved community rating waiver, as established by the MacArthur Amendment, for providing assistance to reduce premiums or other out-of-pocket costs to individuals who may who may be subject to an increase in their monthly premium rates as a result of the States waiver. The amendment also resolves two minor technical drafting amendments, including the correction of an inaccurate cross-reference and to ensure proper labeling of subsections. Section-by-Section Summary PDF


State Issues

Choose Your State


YEF Foundation Research Center Legal Foundation

Member Benefits