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It also would have established affordable coverage options for small businesses and the self-employed, curbed the abuses of pharmacy benefit managers (PBMs) that have jacked up the cost of prescription drugs, and protects self-funded employer plans from partisan state mandates like those in New York that jeopardize employers ability to keep health care costs down for more than 60 percent of covered workers

This composite rate is a combination of taxes imposed by governments at the federal, state, county and city level, as shown in the table below