Repeal of ACA Small-Business Provision Creates Natural Experiment in States
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<p>Last year, Congress passed a law modifying the Affordable Care Act (ACA) to allow states to choose whether they want to expand the definition of a small business. Originally, the maximum number of employees was to rise from 50 employees to 100 in 2016. </p><p>In a new blog post, Georgetown University’s Sabrina Corlette, Ashley Williams, and Kevin Lucia explain that the change came in response to concerns about premium increases and a rise in the number of employers electing to self-insure, or take on the full risk of paying employee health claims.</p>
<p>The four states that have expanded their small-group markets, the authors say, may be able help other states assess both the benefits and risks of doing so.</p>