Skip to content

ICYMI: Iowa Small Business Owner Marcie Strouse Testifies Before U.S. House Ways & Means Health Subcommittee

ICYMI: Iowa Small Business Owner Marcie Strouse Testifies Before U.S. House Ways & Means Health Subcommittee

February 13, 2025

NFIB Iowa Member spoke on solutions to address rising health care costs in the small group market

Marcie Strouse, Iowa Small Business Owner and member of the National Federation of Independent Business (NFIB) testified before the U.S. House Committee on Ways & Means Health Subcommittee at a hearing titled, “Modernizing American Health Care: Creating Healthy Options and Better Incentives.”

Strouse spoke on how Congress can address the health insurance affordability crisis in the small group market to help strengthen the role small businesses play in building a healthier America.

Click here to watch Strouse’s testimony.

Strouse testified:

“Small companies are being priced out; they pay nearly twice as much for health care as large companies. In my home county, family premiums in the small group market have increased 85% in eight years. Across the country, small business participation in the small group market has dropped nearly 50% since 2014. Today, only 30% of small firms provide health benefits, down from almost 50% in 2000.

“Employers are being squeezed out, and employees are left with fewer options.

“Yet, small businesses play a critical role in building a healthier America. Nearly half of the private workforce is employed by a small business, and these businesses contribute nearly half the country’s GDP. When employers have more flexibility and better options, they do not just offer coverage; they drive healthy outcomes. They implement wellness programs, encourage preventive care, and create workplace environments prioritizing health.

“With the right reforms, tools and flexibility, small businesses are uniquely positioned to help American communities get healthier”

Read Strouse’s full testimony here. Watch her opening remarks here.

Get to know NFIB

NFIB is a member-driven organization advocating on behalf of small and independent businesses nationwide.

Receive our newsletter and email notification
Knowledge is power. Let us help you stay informed with breaking legislative news, regulatory updates, business tips, and more.

Related Articles

A Doctor and a patient sitting down at a hospotail and looking over some medical charts at the office.
Related
July 20, 2026
NEW NFIB REPORT: Texas Small Businesses Report Insurance Challenges Five Points Worse Than National Average
State-specific report finds insurance affordability and availability concerns are five points worse in Texas than across the country
Read More
Related
July 20, 2026
NFIB Releases New Ads in Iowa Urging Sen. Chuck Grassley and Congress to Permanently Repeal Beneficial Ownership Information Mandate 
Radio, digital ads in Iowa urge Congress to protect small business owners’ privacy, repeal unconstitutional BOI mandate
Read More
Related
July 10, 2026
NFIB Celebrates John Deere Settlement And What it Means For Iowa Small Businesses
NFIB Iowa State Director explains why Right to Repair is beneficial for small businesses
Read More
Related
July 9, 2026
NFIB VT In the News: Vermonters Deserve Affordable Healthcare Options
Vermont State Director pens op-ed calling for major healthcare reforms.
Read More

© 2001 - 2026 National Federation of Independent Business. All Rights Reserved. Terms and Conditions | Privacy Policy | Accessibility