Affordable Care Act (ACA) health plans
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Small Business Owners Facing 114% Spike in Health Costs
PYMNTS.comยท 2025-11-11 19:24
Core Insights - The Affordable Care Act (ACA) is projected to become less affordable for small business owners and their employees, with premiums expected to surge by an average of 114% in 2026 due to the expiration of COVID-era tax credits [2][3] Group 1: Impact on Small Businesses - Small business owners, such as Gladys Harrison, are facing significant increases in health insurance premiums, which could nearly quadruple in 2026 [3] - Higher ACA premiums may hinder small businesses' ability to attract talent, as larger companies' employer-provided health plans become more appealing [4] - Increased costs could lead to reduced hiring, job cuts, or even business closures, negatively impacting economic growth [4][5] Group 2: Economic Implications - The potential rise in ACA premiums could discourage individuals from leaving larger companies to start their own businesses, further affecting the entrepreneurial landscape [4] - Research indicates that half of small and medium-sized businesses (SMBs) rely on day-to-day sales or existing bank balances for operations, highlighting their financial fragility [6] - SMBs with declining revenues are over four times more likely to lack access to cash compared to those with robust revenues, indicating a growing dependence on working capital [6][7]