Employee Benefit News December 24, 2025
Steven Abbott

As Congress gets ready to reconvene, small business owners still face a crisis: The cost of healthcare is unsustainable. According to Gusto research, the median health insurance premium for small businesses in America has risen 23% since 2022, outpacing inflation by 13% over the period.

Last year, when asked what they wanted the new Administration and Congress to prioritize, small business owners cited healthcare costs as their top concern, ranking it above even taxes and other critical policy matters. For the country’s 33 million small businesses, this isn’t an abstract policy debate. It’s a day-to-day question of whether they can afford to compete for talent and keep their employees covered.

Our research shows small businesses that offer healthcare have...

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