Senate LDA data Updated quarterly Lobbying disclosures

Health Issues Lobbying

Heavy-volume Senate LDA filings on Health Issues: the largest registrant books in this issue code report quarterly LD-2 outlays and named contacts.

All issues → Methodology

The verdict

PlainInfluence tracks $893.2M in itemized Health Issues lobbying disclosures across 3,332 filers, among them CHAMBER OF COMMERCE OF THE U.S.A., NATIONAL ASSOCIATION OF REALTORS, PHARMACEUTICAL RESEARCH AND MANUFACTURERS OF AMERICA, ranking #2 of 79 tracked issues by spend.

#2
of 79 issues by spend
$893.2M
tracked Health Issues lobbying
3,332
organizations lobbying
$268K
average per filer

Issue code: HCR · 3332 organizations lobbying on this issue

Total Lobbying Spend
$893.2M
Organizations
3,332

Health Issues filing shape

Health Issues (HCR) drew $893.2M in tracked LDA spending across 3,332 filers, among the heavier issue codes in the Senate bulk.

CHAMBER OF COMMERCE OF THE U.S.A. leads this issue's filer table with $142.2M in all-issue lobbying; filings remain spread across 10 named organizations rather than collapsing into one registrant.

Because many distinct organizations file on Health Issues, the LD-2 stream here is a useful map of competing advocacy priorities before hearings or rulemakings register in outcomes.

Top Spenders

Rank Organization Total Lobbying
#1 CHAMBER OF COMMERCE OF THE U.S.A. $142.2M
#2 NATIONAL ASSOCIATION OF REALTORS $140.6M
#3 PHARMACEUTICAL RESEARCH AND MANUFACTURERS OF AMERICA $65.7M
#4 AMERICAN HOSPITAL ASSOCIATION $55.3M
#5 AMERICAN MEDICAL ASSOCIATION $47.6M
#6 BUSINESS ROUNDTABLE $47.5M
#7 AMAZON.COM SERVICES LLC $39.1M
#8 AARP $38.9M
#9 ALTRIA CLIENT SERVICES $33.7M
#10 PHARMACEUTICAL CARE MANAGEMENT ASSOCIATION $33.7M
#11 NCTA - THE INTERNET & TELEVISION ASSOCIATION $32.1M
#12 GOOGLE CLIENT SERVICES L.L.C. $30.9M
#13 PFIZER INC. $28.8M
#14 AMGEN INC. $28.5M
#15 BOEING $27.9M
#16 AMERICA'S HEALTH INSURANCE PLANS (AHIP) $27.0M
#17 ORACLE CORPORATION $25.7M
#18 GENENTECH INC. $24.4M
#19 GILEAD SCIENCES, INC. $23.1M
#20 APPLE, INC. $22.8M
#21 MERCK & CO., INC. $22.1M
#22 HONEYWELL INTERNATIONAL $22.0M
#23 CVS HEALTH (AND SUBSIDIARIES) $21.5M
#24 UNITEDHEALTH GROUP INCORPORATED $21.1M
#25 JOHNSON & JOHNSON SERVICES INC $20.3M
#26 NATIONAL ASSOCIATION OF MANUFACTURERS $20.1M
#27 WALMART INC. $19.5M
#28 THE CIGNA GROUP AND SUBSIDIARIES (FORMERLY CIGNA CORPORATION AND SUBSIDIARIES) $18.7M
#29 NATIONAL RETAIL FEDERATION $18.5M
#30 ELI LILLY AND COMPANY $18.1M
#31 BIOTECHNOLOGY INNOVATION ORGANIZATION $18.0M
#32 AMERICAN BANKERS ASSOCIATION $17.8M
#33 AMERICAN CANCER SOCIETY CANCER ACTION NETWORK, INC. $16.7M
#34 FRESENIUS MEDICAL CARE NORTH AMERICA $15.8M
#35 BAYER CORPORATION (CONSOLIDATED REPORT) $15.8M
#36 AFLAC $15.8M
#37 ELEVANCE HEALTH, INC. $15.7M
#38 BRISTOL-MYERS SQUIBB COMPANY $15.4M
#39 UPS (UNITED PARCEL SERVICE) $15.1M
#40 NOVARTIS CORPORATION $14.7M
#41 BLUE CROSS AND BLUE SHIELD ASSOCIATION $13.9M
#42 NOVO NORDISK INC. $13.5M
#43 OPEN SOCIETY ACTION FUND $13.1M
#44 NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS (N.A.C.H.) $12.8M
#45 RAI SERVICES COMPANY $12.7M
#46 SANOFI US SERVICES INC $12.5M
#47 PMI US CORPORATE SERVICES INC. (FKA PMI GLOBAL SERVICES INC.) $12.2M
#48 AMERICAN HEALTH CARE ASSOCIATION $11.9M
#49 PALANTIR TECHNOLOGIES INC. $11.9M
#50 CENTENE CORPORATION $11.7M

Registrant concentration on Health Issues

Largest registrants by all-issue lobbying total among filers on code HCR (Senate LDA).

CHAMBER OF COMMERCE OF THE U…$142.2MNATIONAL ASSOCIATION OF REAL…$140.6MPHARMACEUTICAL RESEARCH AND …$65.7MAMERICAN HOSPITAL ASSOCIATION$55.3MAMERICAN MEDICAL ASSOCIATION$47.6MBUSINESS ROUNDTABLE$47.5MAMAZON.COM SERVICES LLC$39.1MAARP$38.9M
All-issue lobbying total among filers on Health Issues · official public datasets

Source: U.S. Senate Office of Public Records, Lobbying Disclosure Act filings LD-2 quarterly lobbying disclosure filings (issue codes, registrants, expenditures) · 2024 Aggregated from quarterly LD-2 filings for issue code HCR; covers 3,332 registered organizations across the 2023-2024 reporting period. Data current as of August 2026.

Questions on this issue code

How much is spent lobbying on Health Issues?
$893.2M was reported on Health Issues (HCR) by 3,332 organizations in 2023-2024 Senate LDA filings, a heavy code by tracked outlay. CHAMBER OF COMMERCE OF THE U.S.A. leads the filer list.
Who are the biggest spenders on Health Issues lobbying?
Top filers on Health Issues include CHAMBER OF COMMERCE OF THE U.S.A., NATIONAL ASSOCIATION OF REALTORS, PHARMACEUTICAL RESEARCH AND MANUFACTURERS OF AMERICA. Rankings use each organization's all-issue lobbying total among registrants that filed on code HCR.
How many organizations lobby on Health Issues?
3,332 organizations filed on Health Issues in 2023-2024, a broad filer field relative to other LDA issue codes.

Data: official public datasets, 2023-2024. Verify filings at lda.senate.gov.