January 7, 2026
This bill is considered an NFIB Key Vote for the 119th Congress
What it means: NFIB issued a Key Vote to track how lawmakers voted for the Lower Health Care Premiums for All Americans Act in the 119th Congress. This bill would give small businesses access to more affordable health care options.
Our take: “Since the turn of the century, small employers have seen their premiums increase by over 120%, and a recent study shows that 98% of small business owners fear they will not be able to afford to offer health benefits to their employees within the next five years,” said NFIB President Brad Close.”
Take action: Urge the Senate to pass the bill for affordable health care options.
Health care affordability remains a major challenge for small businesses. The U.S. House of Representatives passed The Lower Health Care Premiums for All Americans Act, or H.R. 6703, which will give small businesses affordable health care options that have been a top problem for decades. NFIB sent a letter to the U.S. House in support of the legislation and announced it as a Key Vote for the 119th Congress.
The bill includes provisions that expand health care options for small business owners and facilitate transparency to Pharmacy Benefit Managers (PBMs). It also allows small businesses to leverage purchasing power and lower costs by joining Association Health Plans (AHPs). This encourages competition and freedom of choice, lowering costs and allowing the flexibility small businesses need to provide health care for their employees.
NFIB members have consistently ranked the cost of health care as their number one problem in NFIB’s Problems and Priorities Survey every year since 1986. The U.S. House recently passed this bill, so now it goes to the Senate for a vote. Read the full letter of support for H.R. 6703.
Take Action: Push for support of the Lower Health Care Premiums for All Americans Act.
NFIB is a member-driven organization advocating on behalf of small and independent businesses nationwide.
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