Healthcare for Small Business

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Small businesses deserve health insurance that is affordable, flexible, and predictable. NFIB supports legislative and regulatory solutions that better meet the needs of our nation’s small business owners as they purchase health insurance for themselves and their employees.

Twenty years ago, almost half of our nation’s small businesses offered health insurance to their employees. When the Affordable Care Act (ACA) passed in 2010, that number had fallen to just under 40%. Today, it stands at just 31%. The high cost of health insurance is driving small employers from offering this important benefit and hurting the ability of business owners to obtain coverage. NFIB is advocating for small business owners and their employees to have access to affordable health insurance. Read NFIB’s Small Business Health Reform Principles >>

Small Business Fights Single Payer Healthcare Proposals in Congress and States

On Feb. 17, 2022, in response to a U.S. House subcommittee hearing entitled Exploring Pathways to Affordable, Universal Health Coverage, NFIB urged lawmakers to lower health costs to benefit small businesses and all Americans under the existing model of private health insurance, not a transition to a single payer system.

Small business owners continue to face the challenge of providing affordable health insurance coverage for their employees. Since the Affordable Care Act’s passage, for employers with less than 50 employees, the average employee-only premium has increased 42% and the number of small businesses offering coverage has dropped to 31%. Read NFIB’s letter to the subcommittee.

NFIB Provides Comments to Congressional Healthcare Reform Taskforce

NFIB is working to ensure that the needs of small business owners are heard as Congressional leaders work to formulate new policies to reshape the health insurance landscape. Read NFIB’s letter to the Republican Healthy Futures Taskforce.

NFIB Supports Fairness for Small Business Owners in the Purchase of Health Insurance

Small business owners should be able to purchase health insurance under the same favorable tax treatment as regular wage earners. Read NFIB’s Letter in Support of the Bipartisan Tax Fairness for the Self-Employed Act.

Surprise Billing Reforms Should Not Raise Costs on Small Employers

Last year, Congress passed important reforms to ensure patients with insurance do not receive surprise medical bills when seeking emergency services. As this legislation is implemented, the Biden Administration must carefully ensure that these reforms do not raise already expensive health insurance premiums. Read NFIB’s Letter to the Biden Administration on Surprise Billing Reform.


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