A survey conducted by Small Business for America's Future, involving over 1,000 small business owners, highlighted a significant obstacle to their operations: the struggle to provide health care for employees. In Texas alone, 74% of respondents stated they couldn't afford to offer health insurance, impacting their ability to attract and retain top talent. The bipartisan survey indicated widespread concern, with both Republican and Democratic small business owners supporting regulations against anticompetitive practices and increased price transparency to lower costs. Recent Texas legislation aimed to address these issues, removing anticompetitive clauses and considering measures to control hospital facility fees. Despite acknowledging progress, experts stress the need for further comprehensive changes, recognizing that solving the healthcare challenge will take time, with a focus on evaluating improvements to the system within the next two to three years.