ACA Changes Spark Concern Among Small business Owners as Open Enrollment Begins
WASHINGTON – As open enrollment for Affordable Care Act (ACA) plans begins, small business owners are expressing alarm over changes slated for 2026 that could substantially increase healthcare costs. These changes stem from a bill passed by Republican lawmakers this summer, impacting premium subsidies and cost-sharing reductions.
Approximately half of the tens of millions enrolled in ACA plans are either small business owners or employees of small businesses. Angel Strobel, a Georgia-based entrepreneur who distributes personal protective equipment and safety supplies, exemplifies these concerns. While her premium costs are expected to remain relatively stable, Strobel faces a more than doubled deductible and a nearly tripled out-of-pocket maximum.
A key worry is the removal of repayment caps on premium tax credits. Currently, individuals who overestimate their income and receive larger subsidies than eligible must repay the excess. The new legislation eliminates these caps, perhaps requiring Strobel to repay up to 62% of her income in a high-earning year, even if she incurs significant medical expenses.
“I’m irate. I’m pissed off,” Strobel stated, expressing frustration that policies intended to support small businesses appear to be creating financial hardship. She highlighted the difficulty of accurately projecting annual income, especially given factors like tariffs affecting import costs.
While Congress could potentially extend enhanced premium subsidies, the repayment cap issue is not currently part of ongoing political discussions.
Open enrollment is underway, and individuals are encouraged to review their options and understand how these changes may affect their healthcare coverage.
