MSA Recommendations for State Health Exchanges
As states across the country take steps to move forward with health reform, the Main Street Alliance released an updated set of small business recommendations for the design and governance of new competitive marketplaces for health insurance, called health insurance exchanges. The recommendations aim to ensure that the exchanges maximize benefits for participating small businesses and avoid conflicts of interest.
Click here to download the recommendations
November 10: Small Business Owners Demand Banks, Health Insurers, Oil Companies Come Clean on Dark Money
Small Business Owners to Banks, Insurers, Energy Companies: “How Are You Spending Our Money?”
Washington, DC—Small business owners in the Main Street Alliance network launched the “Business Against Dark Money” campaign today, calling on banks, health insurers, and oil companies to fully disclose their “dark money” spending – dues and contributions to trade associations and other third parties that can then be used for political purposes, often to advance big business interests at the expense of small businesses, without disclosure of the original source.
Click here to view the full press release
Small Businesses Provide Good Value. We Deserve Nothing Less from Our Insurers.
Brianne Harrington, owner of The Painted Pot in Helena and a leader with the Montana Small Business Alliance, had an op-ed printed in the Helena Independent-Record making the case for implementing the new value for premiums (medical loss ratio) requirement.

