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CMS survey: 11 million small company workers could observe higher premiums under health law Nearly two-thirds of small businesses will see their medical health insurance premiums increase under the ACA, according to a fresh Centers for Medicare & Medicaid Services report. Democrats counter that the report ignores subsidies for premiums. The Wall Street Journal: Increasing Premiums May Hit Small Firms A federal government actuarial survey predicts that 65 % of smaller businesses will see their health-insurance premiums boost under area of the Affordable Treatment Act. The report, from the Centers for Medicare and Medicaid Services Office of the Actuary, is the latest piece of bad information for the president's signature domestic achievement.