Small-business owners want to provide their employees with health insurance. But they’ve had a tough time affording it.

President Donald Trump and Canadian Prime Minister Justin Trudeau on Monday spoke about women in the workforce and the Advancement of Women Business Leaders-Female Entrepreneurs Task Force — and small-business owners, more and more of whom are women, are hoping for a say in how Obamacare is repealed and replaced.

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“Without affordable access to health care, that could discourage the formation of businesses, which would have a significant impact on our economy,” said Emilia DiMenco, president and CEO of the Chicago-based Women’s Business Development Center (WBDC), in a statement.

A recent survey conducted by WBDC and Health & Disability Advocates, a Chicago nonprofit, found that “small business owners across the Midwest say health insurance still costs too much and they struggle to find affordable plans for their workers,” Crain’s Chicago Business reported.

The group queried small-business owners in five states to better understand the challenges of providing health insurance, wellness initiatives, and the impact of Obamacare.

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“If the new ideas percolating in Congress are going to have any success, we need to be looking at small businesses and making them somewhat of a focal point,” Barbara Otto, CEO of Health & Disability Advocates, told Crain’s. “They really are the economic engines of our economy.”

Small businesses are defined as having fewer than 500 workers. They make up the majority of businesses nationwide, and over the past 16 years employment by women-owned businesses is up 10 percent; their revenues have grown 63 percent, Morning Consult reported.

Today, 10 million U.S. businesses are owned by women. They generate more than $1.4 trillion in revenues and employ 8.4 million people.

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Small employers overwhelmingly support coverage for preexisting conditions, but want changes that will make it easier for small employers to apply for a tax credit they can use to buy health plans for their workers.

The survey found that only 53 percent of employers with fewer than 50 workers offered health insurance in 2016 compared to 96 percent of businesses with at least 100 employees. More than half of respondents said costs were a main barrier to offering coverage.