Hawkeye Reporter

Marcie Strouse, a small business owner from Iowa and a member of the National Federation of Independent Business (NFIB), presented her testimony before the U.S. House Committee on Ways & Means Health Subcommittee. The hearing was titled “Modernizing American Health Care: Creating Healthy Options and Better Incentives.”

During her testimony, Strouse addressed the affordability crisis in health insurance within the small group market. She emphasized how this issue affects the ability of small businesses to contribute to building a healthier America.

Strouse highlighted that "small companies are being priced out; they pay nearly twice as much for health care as large companies." She noted that in her home county, family premiums in the small group market have surged by 85% over eight years. Nationwide, participation by small businesses in this market has decreased by nearly 50% since 2014, with only 30% currently offering health benefits compared to almost 50% in 2000.

She expressed concern that "employers are being squeezed out, and employees are left with fewer options." Despite these challenges, Strouse underscored the significant role of small businesses in promoting public health. Nearly half of the private workforce is employed by small businesses, which also contribute nearly half of the country’s GDP.

Strouse stated that "when employers have more flexibility and better options, they do not just offer coverage; they drive healthy outcomes." She mentioned that these businesses implement wellness programs, encourage preventive care, and create workplace environments prioritizing health.

With appropriate reforms and tools, she believes that "small businesses are uniquely positioned to help American communities get healthier."