On June 30, Small Business Majority submitted a statement for the record in response to a U.S.
On June 10, Small Business Majority submitted a statement for the record to the U.S. House Committee on Energy & Commerce Subcommittee on Health in response to the hearing titled “Lowering Health Care Costs for All Americans: Examining Policies to Increase Health Care Transparency.” The statement urges lawmakers to advance bipartisan proposals, including the Patients Deserve Price Tags Act, that enhance healthcare price transparency requirements and drive down costs for small businesses and their employees.
Small Business Majority submitted an updated memorandum in support of New York's Fair Pricing Act (S705/A2140), which would provide needed relief to thousands of New York small business owners and employees and save more than $1 billion annually in healthcare spending in the state.
On May 19, Small Business Majority sent a letter to the U.S. House Committee on Small Business in opposition of H.R. 5498, the Small Business Health Options Awareness Act of 2025, which directs the Small Business Administration (SBA) to promote the availability of Individual Coverage Health Reimbursement Arrangements (ICHRAs) to small businesses.
Small Business Majority offers this Memorandum to outline the necessary healthcare policy actions that small businesses require in the wake of federal cuts to Medicaid and the longtime epidemic of healthcare unaffordability in the state.
Lack of access to affordable healthcare has, for a long time, been a major barrier to entrepreneurship in this country, and New York has the second highest health expenditures per capita, following only the District of Columbia, with more than 740,000 New Yorkers reporting having medical debt.
On April 30, Small Business Majority State Policy & Advocacy, Vice President Awesta Sarkash submitted written testimony requesting an amendment to Senate Bill 26-178, which would provide stopgap funding for the Health Insurance Affordability Enterprise (HIAE). This is a critical measure that would help lower healthcare costs for Coloradans on the individual market.
Over the past several months, Small Business Majority hosted five roundtable discussions with nearly 50 small business owners in Cortland, Long Island, Queens and Manhattan focusing on many of the biggest challenges small businesses are facing today, including rising healthcare costs, unpredictable tariffs, rising inflation and unaffordable living, difficulty accessing capital, workforce shortages and childcare access. The entrepreneurs also shared how running a business in 2026 can require mental and physical sacrifice as these challenges continue to escalate.
This national opinion poll of likely voters, conducted for Small Business Majority by Lake Research Partners, reveals overwhelming bipartisan support for small businesses and pro-small business policies. Voters believe by dramatic margins that the success of small business is better for their families and the economy than the success of large corporations, and it’s personally important to them that local small businesses in their communities thrive.
On April 14, Small Business Majority, The National Alliance of Healthcare Purchaser Coalitions, and Families USA held a briefing on Capitol Hill for congressional staff on the need for healthcare price transparency reform. Access to affordable, high-quality healthcare provides a critical safety net for entrepreneurs and their employees; it also helps small firms recruit and retain talented workers.
On March 27th, Small Business Majority State Policy & Advocacy Vice President Awesta Sarkash sent a letter to Colorado Senate Health & Human Services Committee in opposition to SB26-140. This legislation would prevent Colorado’s Prescription Drug Affordability Board (PDAB) from reviewing the cost of hundreds of commonly prescribed medications that Coloradans struggle to afford every day.
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