According to some state proposals for expanded coverage, companies will have to pay into a state fund if they don't provide health insurance for their employees. This has some smaller companies worried because they are more likely not to provide group health plans.

Some larger companies could benefit from the proposals because of a reduction in the number of uninsured residents should decrease health care costs. Companies cover some of the cost of uncompensated care for uninsured residents through higher reimbursement rates paid to hospitals and other health care providers.