Our Research: Healthcare
Small Business Majority uses extensive scientific and opinion research to provide small business owners, advocates, policymakers and others with the information and tools they need to navigate through complex healthcare-related issues.
Since the U.S. Supreme Court overturned Roe v. Wade in 2022, reproductive healthcare access has changed dramatically across the country. These changes aren’t just affecting individuals—they’re also impacting small businesses. To develop a deeper understanding of how access to reproductive health services impacts entrepreneurs, Small Business Majority held three focus group discussions in January 2025 with 16 diverse small business owners from across nine states.
Small businesses are rebounding from issues stemming from the pandemic, but rising healthcare costs are hurting their bottom lines and limiting their growth. New opinion polling reveals that small business owners strongly support bipartisan policy solutions that lower costs by setting price caps, increasing transparency and promoting competition in the healthcare industry.
One year after the U.S. Supreme Court’s decision to overturn Roe v. Wade, Small Business Majority conducted an opinion poll of women small business owners to understand the importance of reproductive rights to their economic well-being and to the entire small business ecosystem. They support improved and expanded access to reproductive healthcare, including birth control and abortion.
As entrepreneurs continue to navigate business and economic challenges stemming from pandemic, Small Business Majority surveyed small business owners and operators in Colorado to assess business conditions and the rising costs of healthcare.
California lawmakers are weighing a proposal to require proof of COVID-19 vaccination or a negative test for customers at consumer-facing businesses and to similarly require employers to mandate vaccinations or negative COVID-19 tests for employees. New opinion polling from Small Business Majority reveals that small businesses in California are supportive of proposals to mandate vaccinations and testing at places of business to help ensure local economies can operate safely, amid setbacks from the current surge in COVID-19 cases.
Historically, small businesses have struggled to access health coverage due to the cost, representing a disproportionate number of the working uninsured prior to the implementation of the Affordable Care Act (ACA). And when they have been able to afford it, small businesses often paid more than their larger counterparts. These barriers are now being exacerbated by the COVID-19 pandemic, as small businesses are forced to lay off or furlough employees and make cuts to benefits in order to survive the ongoing economic crisis. A recent national survey of small business owners sheds light on these ongoing issues facing small businesses, as well as their views on policy solutions that could help them access and afford coverage into the future.
During a series of three focus groups across the state of Colorado, Small Business Majority facilitated discussions with a variety of small business owners and self-employed workers to better understand their personal experiences that could inform policy conversations regarding Medicaid expansion, healthcare costs and coverage. These roundtable discussions occurred while COVID-19 dramatically impacted business and local economies. While the pandemic’s effect was often brought up by participants, this issue brief focuses on the broader impact of Medicaid expansion and of small business owners’ experiences and observations about Medicaid expansion and health insurance.
The COVID-19 pandemic has strained Georgia’s economy and public health system, while small businesses across the state continue to face significant financial setbacks that are hampering their recovery. A new survey sheds light on the state of small business in Georgia, as well as their views on policy solutions that can boost their businesses and provide important support to their employees.
It’s no secret that California has been hard hit by the spread of COVID-19, with a vast 2.7 million applying for unemployment in the past four weeks, and the impacts have been particularly severe on small businesses that have seen their revenues take a nosedive overnight. With the economy on pause, Main Street has been left to cope with how to stay afloat during this unprecedented time.
It’s no secret that the spread of COVID-19 around the country has already had a devastating impact on small businesses. With the economy on pause and uncertainty gripping communities across the country, Main Street has been left to cope with how to stay afloat during this unprecedented time.
