Healthcare for Small Business

Latest Health Reform News

On July 25, the Senate voted to begin debate on the American Health Care Act (AHCA). NFIB labeled the Senate healthcare vote a “key vote” for our How Congress Voted report. See our letter to the Senate announcing the Key Vote >> 

NFIB President and CEO Juanita Duggan said in a post-vote statement, “We are pleased to see that the Senate took a crucial first step toward repealing Obamacare. The skyrocketing cost of healthcare has been the number-one problem for small business owners for more than 30 years. What small business owners want is a system that is affordable and predictable, with choices.” Read our full press release >>

Also on July 25, the Senate failed to pass an amendment that would have repealed and replaced the Affordable Care Act (ACA). They will move on to additional amendments, such as an amendment that would repeal the ACA and provide a two-year wind down to design a replacement and an amendment that would return the bill to the Senate Finance Committee for further deliberation.

Please check back here for updates.

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


  • NFIB comments to the Department of Health and Human Services recommending changes to problematic Affordable Care Act regulations. These comments are just one piece of NFIB’s fight for affordable, flexible, and predictable health insurance solutions for small business owners. Read NFIB’s comments >>
  • View NFIB President and CEO Juanita D. Duggan’s interview on Fox Business Network’s Cavuto: Coast to Coast
  • Senate Bill: Better Care and Reconciliation Act of 2017 | PDF
  • 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


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