North Dakota small business owners lament rising healthcare costs, credit card swipe fees
Sen.
Small business owners expressed concerns about rising healthcare costs and credit card transaction fees during a roundtable discussion Monday with North Dakota Rep.
The discussion organized by the
At Riverwood RV in
"That's about
Fedorchak, a Republican, said the cost of healthcare has skyrocketed since the Affordable Care Act was implemented.
Rep.
"Obviously, there's a lot of work to be done there," Fedorchak said. She added some healthcare reforms could be included in a 2026 tax reconciliation package that would require a majority vote in each chamber of
"I think the healthcare system is broken because the people who are using it are completely disconnected from the process," she said. "I think the central piece of the solution in healthcare is putting the people who are getting the healthcare back in the driver's seat, not the insurance companies."
The enhanced premium tax credits for people purchasing health insurance through the Affordable Care Act marketplace expired at the end of 2025, leading to higher cost plans in 2026.
Fedorchak said healthcare costs continued to increase after the enhanced premium tax credits were implemented in 2021 and were not working to lower costs.
Hoeven, also a Republican, said implementing a test to ensure those with lower income levels have access to the credits and sending the tax credit to the individual instead of the insurance company would allow consumers to purchase the coverage they want.
"That's empowering the individual," Hoeven said.
At
"Our transactions are small and that
She said if the transaction fees remain unchanged, it could lead to increasing coffee prices for customers.
"In order to make up for that, we're going to have to start charging
Hoeven said consumers have benefited from the cash back and other benefits attached to their credit cards, but a solution to increasing swipe fees needs to be fair to the consumer and the business.
"We need to keep working on it and come up with something that works," Hoeven said.
In 2025, about
"Right now, on a
"It's a complex issue and there's not an easy solution," Larson said. He added the NFIB supports the Credit Card Competition Act, which would give small businesses options when selecting a credit card processing network.
North Dakota Monitor reporter
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