Senate LDA data Updated quarterly Lobbying disclosures

Medicare/Medicaid Lobbying

Lobbying activity reported under the Lobbying Disclosure Act on this issue: registrants, expenditures, and specific bills lobbied, drawn from the Senate Office of Public Records quarterly LD-2 filings.

The verdict

PlainInfluence tracks $469.9M in itemized Medicare/Medicaid lobbying disclosures across 1,458 filers, among them CHAMBER OF COMMERCE OF THE U.S.A., PHARMACEUTICAL RESEARCH AND MANUFACTURERS OF AMERICA, AMERICAN HOSPITAL ASSOCIATION.

$469.9M
tracked Medicare/Medicaid lobbying
1,458
organizations lobbying
$322K
average per filer

Issue code: MMM · 1458 organizations lobbying on this issue

Total Lobbying Spend
$469.9M
Organizations
1,458

What the Medicare/Medicaid Lobbying Data Shows

Under Senate Lobbying Disclosure Act code MMM, 1,458 organizations reported federal lobbying activity on Medicare/Medicaid across the 2023-2024 reporting period, with combined expenditures of $469.9M. That volume of filings places Medicare/Medicaid among the issues where corporate, trade-association, and advocacy lobbying is actively shaping the legislative and regulatory agenda, with each registrant required to disclose specific bills, agencies contacted, and in-house lobbyists engaged.

CHAMBER OF COMMERCE OF THE U.S.A. leads all filers on this issue with $142.2M in tracked lobbying expenditures, and the top 10 reporting organizations - including CHAMBER OF COMMERCE OF THE U.S.A., PHARMACEUTICAL RESEARCH AND MANUFACTURERS OF AMERICA, AMERICAN HOSPITAL ASSOCIATION - typically account for a disproportionate share of total outlays, a concentration pattern that repeats across most LDA issue codes. Each of these organizations files quarterly LD-2 disclosures naming the lobbyists deployed and the chambers of Congress or executive agencies contacted.

The 1,458 filers tracked here represent a structured picture of who is paying to be heard on Medicare/Medicaid - useful context when evaluating hearings, committee markups, and rulemaking on related topics. Because LDA filings are a public-record trailing indicator, spending in the 2023-2024 window reflects priorities that will continue to ripple through the 118th and 119th Congresses before any policy outcomes register in the data.

Top Spenders

Rank Organization Total Lobbying
#1 CHAMBER OF COMMERCE OF THE U.S.A. $142.2M
#2 PHARMACEUTICAL RESEARCH AND MANUFACTURERS OF AMERICA $65.1M
#3 AMERICAN HOSPITAL ASSOCIATION $49.3M
#4 AMERICAN MEDICAL ASSOCIATION $42.7M
#5 AMAZON.COM SERVICES LLC $38.9M
#6 PHARMACEUTICAL CARE MANAGEMENT ASSOCIATION $33.7M
#7 AARP $28.3M
#8 PFIZER INC. $28.2M
#9 AMGEN INC. $27.8M
#10 AMERICA'S HEALTH INSURANCE PLANS (AHIP) $24.0M
#11 GENENTECH INC. $22.3M
#12 GILEAD SCIENCES, INC. $21.2M
#13 UNITEDHEALTH GROUP INCORPORATED $20.8M
#14 MERCK & CO., INC. $20.1M
#15 THE CIGNA GROUP AND SUBSIDIARIES (FORMERLY CIGNA CORPORATION AND SUBSIDIARIES) $18.7M
#16 CVS HEALTH (AND SUBSIDIARIES) $18.2M
#17 BIOTECHNOLOGY INNOVATION ORGANIZATION $17.9M
#18 JOHNSON & JOHNSON SERVICES INC $17.5M
#19 AMERICAN CANCER SOCIETY CANCER ACTION NETWORK, INC. $16.6M
#20 ELI LILLY AND COMPANY $15.9M
#21 ELEVANCE HEALTH, INC. $15.5M
#22 FRESENIUS MEDICAL CARE NORTH AMERICA $14.3M
#23 BAYER CORPORATION (CONSOLIDATED REPORT) $13.6M
#24 AMERICAN PROPERTY CASUALTY INSURANCE ASSOCIATION $12.3M
#25 NOVO NORDISK INC. $11.9M
#26 BLUE CROSS AND BLUE SHIELD ASSOCIATION $11.8M
#27 BRISTOL-MYERS SQUIBB COMPANY $11.0M
#28 ABBVIE $10.9M
#29 NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS (N.A.C.H.) $10.8M
#30 CENTENE CORPORATION $10.6M
#31 HUMANA INC. $10.5M
#32 SANOFI US SERVICES INC $10.3M
#33 DAVITA INC. $9.7M
#34 ABBOTT LABORATORIES $9.6M
#35 BOEHRINGER INGELHEIM USA CORPORATION $9.4M
#36 SELECT MEDICAL CORPORATION $9.4M
#37 AMERICAN HEALTH CARE ASSOCIATION $9.3M
#38 TAKEDA PHARMACEUTICALS AMERICA, INC. $9.2M
#39 BIOGEN INC. $9.2M
#40 AMERICAN ASSOCIATION FOR JUSTICE $8.8M
#41 NOVARTIS CORPORATION $8.5M
#42 ALZHEIMER'S ASSOCIATION $8.4M
#43 RELX INC. $8.3M
#44 NEUROCRINE BIOSCIENCES, INC. $8.1M
#45 GSK (FKA GLAXOSMITHKLINE INC.) $8.1M
#46 MEDTRONIC INC. $8.0M
#47 ALKERMES, INC. $7.6M
#48 AMERICAN ACADEMY OF FAMILY PHYSICIANS $7.5M
#49 ILLUMINA, INC. $7.5M
#50 WALGREEN CO $7.3M

Who spends the most on Medicare/Medicaid

Top organizations by reported lobbying spend on this issue code, from Senate LDA filings.

CHAMBER OF COMMERCE OF THE U.S.A.$142.2MPHARMACEUTICAL RESEARCH AND MANUFACTURERS OF AMERICA$65.1MAMERICAN HOSPITAL ASSOCIATION$49.3MAMERICAN MEDICAL ASSOCIATION$42.7MAMAZON.COM SERVICES LLC$38.9MPHARMACEUTICAL CARE MANAGEMENT ASSOCIATION$33.7MAARP$28.3MPFIZER INC.$28.2M
Lobbying spend on Medicare/Medicaid · U.S. Senate Office of Public Records (LDA)

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 MMM; covers 1,458 registered organizations across the 2023-2024 reporting period.

Frequently Asked Questions

How much is spent lobbying on Medicare/Medicaid?

A total of $469.9M has been spent lobbying on Medicare/Medicaid by 1458 organizations, according to Senate Lobbying Disclosure Act (LDA) filings for 2023-2024. The top spender is CHAMBER OF COMMERCE OF THE U.S.A., with $142.2M in total lobbying expenditures.

Who are the biggest spenders on Medicare/Medicaid lobbying?

The top organizations lobbying on Medicare/Medicaid include CHAMBER OF COMMERCE OF THE U.S.A., PHARMACEUTICAL RESEARCH AND MANUFACTURERS OF AMERICA, AMERICAN HOSPITAL ASSOCIATION. These organizations file lobbying disclosures with the Senate Office of Public Records, which are publicly available under the Lobbying Disclosure Act.

What is the Lobbying Disclosure Act (LDA)?

The Lobbying Disclosure Act of 1995 requires lobbyists and lobbying firms to register and file quarterly reports with the Secretary of the Senate and the Clerk of the House. These filings disclose the issues lobbied on, the amount spent, and the government entities contacted. PlainInfluence uses these filings to track lobbying activity by issue area.

How many organizations lobby on Medicare/Medicaid?

1,458 organizations have filed lobbying disclosures listing Medicare/Medicaid as a lobbying issue during the 2023-2024 reporting period. Each organization may file multiple times per year as lobbying activities continue across quarters.

Where does lobbying issue data come from?

All lobbying data is sourced from the Senate Office of Public Records, which collects filings under the Lobbying Disclosure Act. Organizations must disclose their lobbying expenditures, the specific issues they lobby on (using standardized issue codes), and the government bodies they contact. Data shown covers 2023-2024 filings.

Data: Senate Lobbying Disclosure Act (LDA) filings, 2023-2024. Verify filings at lda.senate.gov.

Data sourced from official public datasets. See our methodology for details. Retrieved and formatted by PlainInfluence Editorial

Every figure on PlainInfluence is rendered directly from official FEC, Senate LDA and USAspending records, no number is typed in by an editor. Lobbying-issue disclosure totals are aggregated directly from Senate LDA bulk data, no figure is hand-entered. Disclosed contributions, lobbying, and contracts are lawful, regulated activities, appearing on this page is not an allegation of wrongdoing. See our editorial standards & corrections policy, the methodology behind these numbers, our disclaimer, or report a data error. Data current as of 2023-2024.