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Trump's effort to quell MAGA revolt over Epstein files seems to add fuel to the fire; As public sentiment shifts, MN watchdog criticizes ICE tactics; IN food pantries hit by SUN Bucks blackout; EPA employees on paid leave after signing "declaration of dissent."

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Trump threatens Russia with secondary sanctions, some of the president's allies want him to fire Federal Reserve chair, and farmers and doctors worry about impact of budget cuts on rural communities.

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Rural Americans brace for disproportionate impact of federal funding cuts to mental health, substance use programs, and new federal policies have farmers from Ohio to Minnesota struggling to grow healthier foods and create sustainable food production programs.

Study: TX small businesses want lower health care costs, higher transparency

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Tuesday, January 2, 2024   

A new survey of the nation's small business owners showed a major challenge to successful operations is trying to provide health care for their employees.

The survey by the group Small Business for America's Future polled more than 1,000 small business owners, including 110 in Texas.

Dr. Erika Gonzalez, co-chair of the group, reported 74% of respondents said they were not in a position to offer employees health insurance, which she said puts them at a disadvantage to hire or retain top talent.

"If you're not able to offer that, a lot of employees are going to pass," Gonzalez pointed out. "Even if it's a good opportunity, they're going to pass on if it means they can get better coverage and security for their families elsewhere."

The survey revealed a bipartisan concern and consensus about the issue, with a nearly equal representation of Republican, Democratic and independent small business owners. Gonzalez noted respondents supported regulating anticompetitive practices and boosting price transparency in billing in order to bring down the costs.

Recent legislation passed by Texas lawmakers could open up the health care marketplace by eliminating anticompetitive clauses in health insurance contracts.

Gonzalez called it a step in the right direction but argued more is needed.

"They're also looking at legislation that would help with the facility fees that sometimes are added on by hospitals," Gonzalez explained. "All of this would reflect back on knowing why they're paying for what they're paying and giving them transparency as to the bills that they're getting."

She admitted the health care challenge will not be solved overnight, but changes need to be implemented to determine if they improve the overall system in two to three years. The Small Business for America's Future survey found annual premiums for employer-sponsored family health coverage were nearly $24,000 in 2023.


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