Healthcare

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. 

On October 21 and 22, Small Business Majority hosted 20 small business owners for an advocacy opportunity in Washington, D.C. The fly-in brought small business owners from our network to Capitol Hill to discuss key issues facing entrepreneurs today, including protecting affordable healthcare, extending the Affordable Care Act’s enhanced premium tax credits and advancing tariff relief.

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.

On September 10, Small Business Majority hosted a congressional staff briefing highlighting the need to extend the Affordable Care Act’s (ACA) enhanced premium tax credits (PTCs), which enable millions of small business owners, self-employed entrepreneurs and employees to access affordable, quality health coverage through the Marketplace each year. The briefing was held in partnership with Senators Jeanne Shaheen (NH) and Ron Wyden (OR), Families USA, the National Women’s Law Center, and Your Health Idaho.

On September 5, Small Business Majority joined 25+ organizations in sending an Assembly Floor Alert in support of AB 1415 (Bonta), which ensures that the Office of Health Care Affordability (OHCA) can fully review increasingly complex healthcare merger’s impacts on consumer access and affordability, including private equity mergers in healthcare. 

On September 5, Small Business Majority signed onto a letter with 50 other organizations calling on California Governor Gavin Newsom to sign SB 81, which would safeguard access to healthcare facilities for all Californians by protecting people’s immigration status and place of birth information from being disclosed and prohibiting healthcare providers from granting access to nonpublic areas of healthcare facilities for immigration enforcement purposes.

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.

On August 21, Small Business Majority Colorado Director Hunter Nelson testified in support of  HB25B-1006, legislation that would loan $100 million from the Unclaimed Property Tax Cash Fund (UPTF) to the Health Insurance Affordability Enterprise (HIAE) in order to help fund programs under the enterprise that help lower healthcare costs for Coloradans on the individual market in the event that Congress fails to reauthorize the enhanced Premium Tax Credits (PTCs).