Health Care Blog

Upholding the Affordable Care Act is a Win for Small Businesses

The Supreme Court’s decision this week to uphold the Affordable Care Act is a historic win for the nation’s 6 million small businesses and their 54 million employees who will see fewer administrative headaches, pay lower premiums, and receive help to make the cost of covering employees more affordable. Those who claim that the law will place new burdens on small employers misunderstand and misrepresent how it will actually work – putting small businesses on a more competitive footing with larger firms.

Below are just some of the ways that the Affordable Care Act helps small businesses:

• Tax credits for certain small businesses that choose to offer coverage.  Small businesses that have fewer than 25 employees and provide health insurance can qualify for a tax credit of up to 35 percent (up to 25 percent for non-profits) to offset the cost of insurance. This credit will increase in 2014 to 50 percent (35 percent for non-profits) for small businesses newly offering insurance through private insurance marketplaces called Exchanges. This will dramatically lower the cost of providing health insurance. These tax credits for small businesses are already helping cover an estimated two million workers at the approximately 360,000 small employers who received the credit in 2011.
  • For example, Louisa McQueeney, a small business owner in Florida, has already saved $7,400 thanks to the tax credits. You can watch Louisa tell her story here.
• Lowering premiums by cutting red tape and increasing competition among insurers. The Congressional Budget Office  estimates the Affordable Care Act would cause premiums would fall up to 4 percent in the small group market, and up to 11 percent for firms receiving tax credits. Today, administrative costs run as high as 30 percent for small firms, compared with 7 percent for large employers.
  • CBO explains that these costs savings would be the result of cutting red tape and more competition: “[small group] policies would have lower administrative costs, on average, than the policies those firms would buy under current law, particularly for very small firms. The primary sources of administrative cost savings for small employers would be the economies of scale and relative standardization of benefits in the exchanges noted above..." 
• Spurring entrepreneurship and increasing competition by giving talented workers flexibility to join a small businesses or startup. By making coverage more affordable, thelaw will help spur entrepreneurial activity by increasing the incentives for talented Americans to launch their own companies and help end the phenomenon of "job lock," in which workers are reluctant to leave a job with health insurance out of fear that they will not be able to find affordable coverage when they strike out on their own.
• No insurance requirement for small businesses. Every small business with fewer than 50 employees is completely exempt from the law’s employer responsibility provisions. That means the overwhelming majority – 96 percent of all firms in the U.S. or 5.8 million out of 6 million total firms – of businesses in the country are exempt from the requirement to contribute to the coverage of their employees. Almost all (93 percent)of larger small businesses with 50-199 employees already offer coverage.

Natoma Canfield's Letter to President Obama

A letter from Natoma Canfield, a woman from Ohio that President Barack Obama met who didn’t have health insurance, hangs on the wall in the hall between the Oval Office and the President's Private Office in the West Wing. June 28, 2012. (Official White House Photo by Lawrence Jackson)

This letter in my office is a reminder of how health reform benefits Americans. Today's victory is 1 for all of us. -bo twitter.com/ObamaWhiteHouse/sta…

— The White House (@whitehouse) June 28, 2012

In his remarks on the Supreme Court's decision to uphold the Affordable Care Act, President Obama spoke about a letter from a woman named Natoma Canfield. The letter, sent to the President during the health care debate, still hangs in his office as a reminder of what the Affordable Care Act means for Americans around the country.

Today, the President told Natoma's story and explained why he carried it with him every day of the fight to pass this law:

For years and years, Natoma did everything right.  She bought health insurance.  She paid her premiums on time.  But 18 years ago, Natoma was diagnosed with cancer.  And even though she’d been cancer-free for more than a decade, her insurance company kept jacking up her rates, year after year.  And despite her desire to keep her coverage -- despite her fears that she would get sick again -- she had to surrender her health insurance, and was forced to hang her fortunes on chance.
 
I carried Natoma’s story with me every day of the fight to pass this law.  It reminded me of all the Americans, all across the country, who have had to worry not only about getting sick, but about the cost of getting well.
 
Natoma is well today.  And because of this law, there are other Americans -- other sons and daughters, brothers and sisters, fathers and mothers -- who will not have to hang their fortunes on chance.  These are the Americans for whom we passed this law.