Affordable Care Act

On November 6, Small Business Majority submitted a statement for the record in response to a Senate Homeland Security and Governmental Affairs Committee Permanent Subcommittee on Investigations hearing titled "Assessing the Damage Done by Obamacare.” The statement highlights the vital role the Affordable Care Act (ACA) Marketplace has played in expanding access to affordable health coverage for a record number of small business owners and employees since 2014.

On October 22, Small Business Majority submitted a statement for the record in response to a U.S. Senate Special Committee on Aging hearing titled “Modernizing Health Care: How Shoppable Services Improve Outcomes and Lower Costs.” The statement underscores the importance of extending the Affordable Care Act’s (ACA) enhanced premium tax credits which help lower healthcare premium costs for more than 4.4 million small business owners and entrepreneurs enrolled in the ACA Marketplace. 

This week, Small Business Majority network member Andrea Deutsch participated in a press event hosted by Economic Security Project Action and Representative Adam Gray (D-CA) in support of the Protecting Health Care and Lowering Costs Act of 2025.

The legislation would repeal the One Big Beautiful Bill Act’s cuts to Medicaid and the Affordable Care Act and make enhanced premium tax credits permanent, strengthening access to affordable coverage for small business owners and their employees.

This week, National Small Business Council member Mindelyn Anderson joined a press call hosted by the Democratic Women’s Caucus to explain how the credit helps her manage a $1,784.82 monthly premium with a $1,070 credit. Without it, her health insurance costs could rise significantly, creating added financial strain on her business and family. 

Watch the full press call to hear Mindelyn Anderson’s story and insights.

On September 2, Small Business Majority, alongside more than 200 partner organizations and small businesses, sent a letter to House and Senate leadership urging Congress to take immediate action to extend the Affordable Care Act’s (ACA) enhanced premium tax credits, which are set to expire at the end of this year.

If the enhanced premium tax credits (PTCs) expire at the end of this year, millions of small business owners and employees who rely on Affordable Care Act (ACA) Marketplace coverage will face steep premium increases. To learn more about why these enhanced credits are critical to the small business community, check out Small Business Majority’s new fact sheet.

On August 7, the Small Business Tax Reform Coalition (SBTRC)—a joint initiative of Small Business Majority and Main Street Alliance—submitted a statement for the record in response to a recent U.S. House Ways & Means Committee hearing on the One Big, Beautiful Bill Act.

On August 4, Small Business Majority Founder & CEO John Arensmeyer submitted a statement for the record in response to a recent U.S. House Committee on Ways & Means field hearing in Simi Valley, California regarding the passage of the ‘One Big, Beautiful Bill’ (OBBB). The statement outlines how the over $1 trillion in cuts to Medicaid and the Affordable Care Act enacted in OBBB will strip affordable healthcare coverage from millions of small business owners and employees. 
 

On July 16, Small Business Majority sent a letter to the U.S. Senate Committee on Health, Education, Labor, and Pensions (HELP) in opposition to the Association Health Plans Act (S. 1847), which would destabilize small business health insurance markets by broadening access to Association Health Plans (AHPs) for small businesses and entrepreneurs. The expansion of AHPs, which are not subject to many Affordable Care Act (ACA) regulations, would result in higher premium costs for small group markets and leave small business owners and employees with inadequate coverage.