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One in four small businesses saw rate increases of 20 percent or more in renewing their health insurance plans last year, a figure sure to stoke criticism of the Patient Protection and Affordable Care Act.

That figure, uncovered by the National Small Business Association as a result of its latest survey, follows on the heels of a Congressional Budget Report this week that forecast that the total number of hours worked will fall about 1.5 percent to 2 percent from 2017 to 2024 as a result of the health-care overhaul.

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