Skip to content
Home / Policy Agenda /

Healthcare

Healthcare

Affordable. Flexible. Predictable. Healthcare that works for small business

Pharmacy Benefit Manager (PBM) Reform

Anti-competitive behavior and a lack of transparency on the part of Pharmacy Benefit Managers (PBMs) have resulted in significant barriers to affordable healthcare. PBMs have created barriers to competition in the delivery of pharmacy services in community pharmacy settings, resulting in increased costs and reduced choices for small business owners and employees.

NFIB supports reforms to ensure healthy competition and affordability by increasing transparency and ending anti-competitive behavior that harms small businesses and small business pharmacies.

NFIB is a founding member of the Coalition for PBM Reform to engage and amplify the voices of small businesses regarding how PBMs threaten broad and affordable access to local healthcare. The goals of our coalition are:

  • Patient choice of pharmacy
  • Patient access to lowest-cost medications
  • Transparent pharmacy reimbursement
  • Full transparency of true drug costs to employers/plan sponsors

Your Chance to Influence

Healthcare Reform, General
Reform the Broken Health Insurance System
Take Action
PBM Reform
Tell Congress to Reform PBMs! Contact your elected officials to reform the PBM industry.
Take Action

Featured

Small Business Health Insurance Survey
Health insurance has long been a challenge for small business owners, wheth…
View PDF View PDF
House Budget Health Care Task Force Response
NFIB Submits Response to House Budget Health Care Task Force request for in…
View PDF View PDF
H.R 5378, the Lower Costs, More Transparency Act
NFIB Key Votes in support of H.R 5378, the Lower Costs, More Transparency A…
View PDF View PDF
The Healthcare Transparency Act
NFIB Supports Key Committee’s Legislation – The Healthcare Transparency…
View PDF View PDF

Healthcare in NFIB Press Releases

A Doctor and a patient sitting down at a hospotail and looking over some medical charts at the office.
May 8, 2026
Mystery Health Insurance Tax Is Wrong For New Hampshire
Senate Bill 498 creates a new tax on health insurance coverage.
Read More Read More
East Front of United States Capitol
May 8, 2026
NFIB Urges Congressional Leaders to Include Small Business Priorities in Additional Reconciliation Bill
New package should further unleash small business success with targeted tax, regulatory, and healthcare reforms
Read More Read More
May 5, 2026
Small Businesses Demand Increased Health Care Transparency, Flexibility, and Affordability
NFIB urges Congress to pass legislation increasing transparency, flexibility, and health care access for small businesses.
Read More Read More
May 5, 2026
Colorado Employers Warn SB 178 Will Increase the Cost of Health Care
Ahead of the Senate Appropriations Committee hearing, NFIB Colorado warns SB 178 will push health insurance costs higher.
Read More Read More

© 2001 - 2026 National Federation of Independent Business. All Rights Reserved. Terms and Conditions | Privacy Policy | Accessibility