Skip to main content
Join Now

The Small Business Health Coverage Act – Senate Bill 1011

Give Michigan small businesses more power to purchase health coverage

Senate Bill 1011 would allow eligible Michigan small businesses and self-employed individuals to join together through a trusted statewide association to purchase state-regulated health coverage as a larger group.

How we got here

The Problem

Michigan small businesses have reached a tipping point. The rising cost of employee health coverage is limiting business growth, and employers continue to face substantial increases with no relief in sight.

Small business insurance increases.

Many small groups are absorbing double-digit premium increases year after year. For a business covering 25 employees, a $2,000 increase per employee adds $50,000 in annual costs. That is money the business cannot use to:

  • Hire another employee
  • Increase wages
  • Improve benefits
  • Invest in equipment
  • Grow the business

Small businesses and sole proprietors solve tough problems every day. But when it comes to health coverage, their options are limited. Hospital, pharmaceutical, and other health care costs continue to rise, while small employers have fewer tools than large employers to manage those increases. SB 1011 would give them another option.

What the Bill Does

  1. Pooling Power
    • Eligible businesses could join together through a qualified statewide business association instead of purchasing coverage only as an individual small group.
  2. Comprehensive coverage
    • Plans would include required essential health benefits and would remain subject to consumer-protection and coverage standards
  3. Strong Consumer Protections
    • The bill prohibits health-status discrimination, requires licensing, reserves, audited financial statements, and state oversight.
  4. Access for Eligible Self-Employed Individuals
    • Qualifying sole proprietors and independent contractors without employees could participate if they meet the bill’s eligibility requirements.

Who the program is designed to serve:

  1. Small Businesses
    • Michigan-based businesses with fewer than 500 employees across their operations and affiliated entities that are members in good standing of an eligible sponsoring association.
  2. Eligible Self-Employed individuals
    • Established sole proprietors and independent contractors who meet the bill’s requirements.

Where it stands now:

The bill has unanimously passed the Senate with a vote of 35 to 0. The bill now awaits further consideration in the House.

SB 1011 Steps to becoming law

Additional Resources

Frequently Asked Questions

To help you better understand how an association health plan will work, we have answered the most frequently asked questions.

Don’t see an answer to your question? Email us at sbam@sbam.org.

Read the FAQs
image representing the 20 senate bills passed

Read the Full Bill

Senate Bill 1011 allows Michigan-based small businesses (and even sole proprietors) to band together, across industries, through a trusted association and combine their employees into a single pool, structured as an association health plan. By allowing cross-industry pools to form based on geographic commonality, the bill gives small employers the same purchasing power and benefit design leverage that large companies already enjoy.

SB 1011 Details

Watch SBAM’s Testimony

SBAM’s Chief Revenue Officer, Michelle Beebe, testified alongside Gregory Brogan, Managing Partner of Brogan, before the Senate Health Policy Committee in support of Senate Bill 1011. During the testimony, they highlighted the growing burden of rising health insurance costs on small businesses and discussed how the legislation would allow small employers to band together to form cross-sector association health plans – offering a more sustainable path forward.

Watch Here