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