WASHINGTON, D.C. (July 21, 2026) – The National Federation of Independent Business (NFIB), the nation’s leading small business advocacy organization, sent a letter to Representative Eric Burlison (MO-07) in support of H.R. 8324, the Great American Healthcare Plan, which would expand Health Savings Accounts (HSAs) and give greater flexibility to small businesses to offer health coverage to their employees.

“The rising cost of health insurance has been a top concern for small businesses for decades,” said Tyler Dever, NFIB Principal of Federal Government Relations. “This legislation provides a common sense, immediate solution by modernizing and expanding the HSAs American’s already rely on to save on and pay for healthcare expenses. The Great American Healthcare Plan would be an important step toward more affordable health coverage for small businesses and their employees.”

For over 40 years, rising health insurance costs have been identified by small business owners as their number one problem. In a recent NFIB member ballot, 94% of NFIB members believe that the federal government should allow individuals to use tax-free dollars from a Health Savings Account to pay for medical expenses not covered by insurance. A whopping 98% of small business owners cited that their ability to provide health insurance benefits to their employees will become unsustainable in the next 5-10 years, according to NFIB’s 2023 health insurance survey.

Read NFIB’s full letter here.