Healthcare

On January 22, Small Business Majority submitted a statement for the record in response to a recent U.S. House Committee on the Budget hearing titled “Reverse the Curse: Skyrocketing Health Care Costs and America’s Fiscal Future.” The statement details how extending the ACA’s enhanced subsidies, strengthening healthcare price transparency and implementing site-neutral payment reform across healthcare settings will increase competition in healthcare and lower costs for small businesses and consumers. 
 

On January 9, Small Business Majority sent a letter urging the Senate to swiftly pass the bipartisan three-year extension of the Affordable Care Act’s enhanced premium tax credits (EPTCs) that was approved by the House on January 8. Since the EPTCs expired in December, millions of small business owners and employees are facing significantly higher premium costs this year, threatening their ability to maintain health coverage and keep their doors open.

North Carolina is home to more than 1 million small businesses, employing 1.8 million people and accounting for 99.6% of all businesses in the state. They play a significant role in our state economy and workforce. However, national economic uncertainty coupled with an especially fast-changing business landscape has required small businesses to adapt, yet again.

Small Business Majority recently released its 2026 federal policy agenda, The Agenda for America’s Entrepreneurs, which outlines policies to empower small businesses to build a thriving and equitable economy.

On December 10, Small Business Majority sent a letter to House and Senate leadership underscoring the urgent need for Congress to pass a clean extension of the Affordable Care Act’s (ACA) enhanced premium tax credits (EPTCs), which are set to expire on December 31. With open enrollment nearing its end, millions of small business owners and entrepreneurs face steep premium hikes next year if lawmakers fail to act in the coming days.

On December 8, Small Business Majority submitted a statement for the record in advance of a Senate Permanent Subcommittee on Investigations hearing titled “Defining Our Healthcare Problem, and Principles We Should Follow to Solve it.” The statement outlines the critical role the Affordable Care Act (ACA) Marketplace and the expansion of the premium tax credits have played in strengthening access to affordable healthcare coverage for small business owners and employees.

Small Business Majority submitted a statement for the record in response to a U.S. Senate Finance Committee hearing titled “The Rising Cost of Health Care: Considering Meaningful Solutions for all Americans.” The statement urges Congress to immediately extend the Affordable Care Act’s enhanced premium tax credits (EPTCs) to prevent millions of small business owners and employees from seeing their healthcare premium payments skyrocket next year.