The Top 10 Cities Where Small-Biz Jobs Are Growing
Small businesses have been hiring, though at a slower rate than this time last year, according to the Paychex|IHS job index.
For the 11th month in a row, Dallas’s small businesses have shown the most employment gains. The city boasts the top 12-month growth rate at 1.38 percent. Detroit (1.35 percent), San Diego (1.27 percent), Baltimore and St. Louis (both 1.13 percent) round out the top five. Houston’s recent performance is also impressive, with a rebound in growth rates over the past three months compared with declines during the rest of the year.
Related: This Is the Best Time Since the Recession to Get a Small Business Loan
Only five states saw positive gains in employment rates over the past year, and none of them increased by a full statistical point. One notable state is Michigan, which ranks second behind Wisconsin, as the state with the highest employment gains in small businesses since 2004. It also came in second for highest gains in the past year.
The index numbers used by Paychex for cities and states is based on the current small business employment rate as compared with 2004. Paychex uses 2004 as the base period to compare current gains against because it was a year of expansion for small businesses. Below 100, and the rate is lower than in 2004. Above 100, and the rate is higher than in 2004.
The charts below rank the cities and states based on their index levels.
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Increasing Number of Americans Delay Medical Care Due to Cost: Gallup
From Gallup: “A record 25% of Americans say they or a family member put off treatment for a serious medical condition in the past year because of the cost, up from 19% a year ago and the highest in Gallup's trend. Another 8% said they or a family member put off treatment for a less serious condition, bringing the total percentage of households delaying care due to costs to 33%, tying the high from 2014.”
Number of the Day: $213 Million
That’s how much the private debt collection program at the IRS collected in the 2019 fiscal year. In the black for the second year in a row, the program cleared nearly $148 million after commissions and administrative costs.
The controversial program, which empowers private firms to go after delinquent taxpayers, began in 2004 and ran for five years before the IRS ended it following a review. It was restarted in 2015 and ran at a loss for the next two years.
Senate Finance Chairman Chuck Grassley (R-IA), who played a central role in establishing the program, said Monday that the net proceeds are currently being used to hire 200 special compliance personnel at the IRS.
US Deficit Up 12% to $342 Billion for First Two Months of Fiscal 2020: CBO
The federal budget deficit for October and November was $342 billion, up $36 billion or 12% from the same period last year, the Congressional Budget Office estimated on Monday. Revenues were up 3% while outlays rose by 6%, CBO said.
Hospitals Sue to Protect Secret Prices
As expected, groups representing hospitals sued the Trump administration Wednesday to stop a new regulation would require them to make public the prices for services they negotiate with insurers. Claiming the rule “is unlawful, several times over,” the industry groups, which include the American Hospital Association, say the rule violates their First Amendment rights, among other issues.
"The burden of compliance with the rule is enormous, and way out of line with any projected benefits associated with the rule," the suit says. In response, a spokesperson for the Department of Health and Human Services said that hospitals “should be ashamed that they aren’t willing to provide American patients the cost of a service before they purchase it.”
See the lawsuit here, or read more at The New York Times.
A Decline in Medicaid and CHIP Enrollment
Between December 2017 and July 2019, enrollment in Medicaid and the Children's Health Insurance Program (CHIP) fell by 1.9 million, or 2.6%. The Kaiser Family Foundation provided an analysis of that drop Monday, saying that while some of it was likely caused by enrollees finding jobs that offer private insurance, a significant portion is related to enrollees losing health insurance of any kind. “Experiences in some states suggest that some eligible people may be losing coverage due to barriers maintaining coverage associated with renewal processes and periodic eligibility checks,” Kaiser said.
