House Passes Bipartisan Bill to Provide Affordable Health Care Options to Small Businesses

Words: Dan KesterOn July 26, by a vote of 263 to 165, the U.S. House of Representatives passed the Small Business Health Fairness Act (H.R. 525), a bill that will significantly expand access to health coverage for many of the 45 million Americans who are currently uninsured. The bill creates association health plans (AHPs) which will allow small businesses to band together through associations like MCAA and purchase quality health care for workers and their families at a lower cost.

As many of our members are all too well aware, small business owners and their employees are clamoring for relief from the high costs of health insurance. Health insurance premiums have been steadily increasing for the last several years, and in more and more instances, employers are being forced to drop coverage altogether or pass along more of those costs to their workers. Approximately 45 million Americans lack health insurance and more than 60 percent of these uninsured work for a small business or are dependent upon someone who does.

Small businesses in many states are stuck with disproportionately high costs because they have fewer providers from which to choose. Association Health Plans would offer businesses more options to choose from. By giving small businesses the opportunity to pool their resources and increase their bargaining power, AHPs will help employers reduce their health insurance costs. It is estimated that through this increased bargaining power, AHPs would give small businesses freedom from costly state-mandated benefit packages and lower their overhead by as much as 30 percent - benefits that large corporations and unions already enjoy because of their larger economies of scale.

This legislation is a top priority for the Mason Contractors Association. We have been working very hard to get a bill to the President's desk. While the House of Representatives has passed a bill for the last several years, the Senate has yet to act. Senator Mike Enzi (R-WY), the Chairman of the Senate Health, Education, Labor and Pensions Committee, has been working on a draft bill which we expect to be introduced after the August recess. The legislation may not be everything that we want in a bill aimed at reducing the health care costs of small businesses, but if we could push the Senate to pass a bill and get to conference with the House, the leadership we would have from proponents of AHPs would, in my judgment, do everything they could to report out a reasonable proposal.

As always, please let me know if you have any questions.

Using Respirators for Silica Exposure
July 2025

Some in the masonry industry have expressed interest in respirator use as protection from harmful exposure to silica. This topic is of paramount importance due to its impact on our workers and the serious health effects of silica exposure. For those new t

From Bikes to Buildings: The Importance of Embracing Rainscreen Wall Designs and the New Building Codes.
July 2025

Have you ever been asked to do a project over the course of your lifetime? For example, when my kids were little, my wife asked me to assemble their bicycles. So, I opened the box, dumped out the contents, and cast aside whatever I thought was unnecessary

Laying the Foundation for Growth: Concrete Masonry Checkoff Unveils Five-Year Vision for Industry
July 2025

The Concrete Masonry Checkoff (CMC) put the finishing touches on an ambitious five-year vision for the industry, targeting a 20% increase in market share, driven by increased demand for concrete masonry products. “This is about building exquisite, enduri

Five of the Seven Chimneys Have Been Saved: Project Chimney Update
July 2025

In the wake of the devastating January wildfires that swept through Los Angeles's Pacific Palisades, a remarkable preservation effort is underway, spearheaded by Project Chimney, an initiative led by Evan Hall, founding director of the non-profit House Mu