KFF Health News November 6, 2025
Amanda Seitz

Small-business owners and their employees are worried about their health care and their livelihoods as insurance prices surge.

John Cleveland is ready to pay a lot more for his health insurance next year.

He hasn’t forgotten the pile of hospital bills that awaited him after he had a seizure while tending to customers in his Austin, Texas, barbershop four years ago. Once doctors hurriedly removed the dangerous tumor growing on his brain, a weeklong hospital stay, months of therapy, and nearly $250,000 worth of medical expenses followed.

The coverage he has purchased for years through the Affordable Care Act marketplace covered most of those bills.

“That saved my ass,” said Cleveland, who owns three barbershops across the city.

Even with...

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