Legislative fix would help protect small businesses from risk of increased healthcare costs

Our country’s small and mid-sized businesses owners and their employees make our economy run. We are both former small business owners, and we understand both the long hours and financial pressures facing entrepreneurs looking to get their business off the ground, as well as their commitment to providing a positive working environment for their employees. The Americans powering our small businesses are our family, our friends and our neighbors, and they deserve common-sense solutions to the challenges they face.

Many businesses have long struggled to provide affordable healthcare coverage, and we applaud them for offering this important benefit to their employees. Under the Affordable Care Act, the definition of small group market is scheduled to expand from employers with up to 50 employees to include employers with up to 100 employees.


A recent actuarial report projects that approximately two-thirds of mid-sized businesses, their employees and their families could see an average 18 percent premium increase due to how the Affordable Care Act expands the definition of the small group market.

That’s why we’ve come together to introduce the Protecting Affordable Coverage for Employees (PACE) Act to protect small and mid-sized businesses from disruption and potential premium increases. Premium increases could destabilize the market in these newly expanded small group markets, and a disruption could worsen over time as more and more mid-sized employers opt to avoid the new requirements and related premium increases.  Those left in the newly expanded small group market could see significant premium hikes, according to experts. 

Republicans and Democrats must continue to work together on improving healthcare laws that impact our small and mid-size businesses. Expanding the definition of the small group market could disrupt the small group insurance market.  For example, many mid-size employers (51-100) would be unable to keep their current health insurance plans. Rather than incur additional costs associated with these rules, mid-sized companies whose employees are generally healthy could elect to leave the newly expanded small group market – either opting to self-fund so they will not be subject to the ACA rules, or dropping coverage entirely.

In order to prevent potential premium hikes, our bi-partisan legislation would allow states to maintain the health care status quo for employee coverage by keeping the current small group market definition in place. We’re thankful to be joined by cosponsors Senate Finance Committee Chairman Orrin HatchOrrin Grant HatchTrump awards Medal of Freedom to racing industry icon Roger Penske Trump holds more Medal of Freedom ceremonies than predecessors but awards fewer medals Trump to award Medal of Freedom to former Attorney General Edwin Meese MORE (R-Utah), and Sens. Michael BennetMichael Farrand BennetPress: Another billionaire need not apply Democrats debate how to defeat Trump: fight or heal Overnight Energy: EPA watchdog slams agency chief after deputy fails to cooperate in probe | Justices wrestle with reach of Clean Water Act | Bipartisan Senate climate caucus grows MORE (D-Colo.), Chris CoonsChristopher (Chris) Andrew CoonsCentrist Democrats seize on state election wins to rail against Warren's agenda Bill Gates visits Capitol to discuss climate change with new Senate caucus The Memo: ISIS leader's death is no game-changer for Trump MORE (D-Del.), Joe DonnellyJoseph (Joe) Simon DonnellyWatchdog accuses pro-Kavanaugh group of sending illegal robotexts in 2018 Lobbying world Trump nominees meet fiercest opposition from Warren, Sanders, Gillibrand MORE (D-Ind.), Johnny IsaksonJohnny IsaksonEleven GOP senators sign open letter backing Sessions's comeback bid Juan Williams: Republicans flee Trump Democrats will win back the Senate majority in 2020, all thanks to President Trump MORE (R-Ga.), Lisa MurkowskiLisa Ann MurkowskiGoogle sparks new privacy fears over health care data This week: House kicks off public phase of impeachment inquiry GOP senators plan to tune out impeachment week MORE (R-Alaska), Pat RobertsCharles (Pat) Patrick RobertsEleven GOP senators sign open letter backing Sessions's comeback bid Pressure builds on Pompeo as impeachment inquiry charges ahead GOP lawmakers fear Trump becoming too consumed by impeachment fight MORE (R-Kan.) and Jon TesterJonathan (Jon) TesterOvernight Defense: Protests at Trump's NYC Veterans Day speech | House Dems release Pentagon official's deposition transcript | Lawmakers ask Trump to rescind Erdogan invite Overnight Defense: Top diplomat changes testimony to indicate quid pro quo | Dem offers measure on Turkish human rights abuses in Syria | Warren offers plan to address veteran suicide rates Manchin says he wouldn't back Sanders against Trump in presidential race MORE (D-Mont.). Additionally, nearly 20 groups representing small and mid-sized businesses, state and local legislators and health policy experts from both parties, and consumer advocates from across the country support this fix.

We can all agree that keeping costs down for small and mid-sized businesses and the workers who depend on them makes sense. Time is of the essence. Congress must act now to avoid disruption and premium hikes in policies that take effect in 2016.  Working together, we can put in place this common-sense solution and help all of our communities.

Scott is South Carolina’s junior senator, serving since 2013. He sits on the Banking, Housing and Urban Affairs; the Finance; the Health, Education, Labor and Pensions; and the Small Business and Entrepreneurship committees.  Shaheen is New Hampshire’s senior senator, serving since 2009. She sits on the Appropriations; the Armed Services; the Foreign Relations; and the Small Business and Entrepreneurship committees.