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.

Issue code: MMM · 201 organizations lobbying on this issue

Total Lobbying Spend
$10.0M
Organizations
201

What the Medicare/Medicaid Lobbying Data Shows

Under Senate Lobbying Disclosure Act code MMM, 201 organizations reported federal lobbying activity on Medicare/Medicaid across the 2023-2024 reporting period, with combined expenditures of $10.0M. 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.

ARDELYX, INC. leads all filers on this issue with $1.1M in tracked lobbying expenditures, and the top 10 reporting organizations — including ARDELYX, INC., AMERICAN COLLEGE OF CLINICAL PHARMACY, LANTHEUS HOLDINGS, INC. — 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 201 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 ARDELYX, INC. $1.1M
#2 AMERICAN COLLEGE OF CLINICAL PHARMACY $920K
#3 LANTHEUS HOLDINGS, INC. $835K
#4 DAVITA INC. $650K
#5 UNITEDHEALTH GROUP INCORPORATED $540K
#6 AMERICAN MEDICAL REHABILITATION PROVIDER ASSOCIATION $475K
#7 CHILDREN'S HOSPITAL ASSOCIATION F/K/A NAT'L ASSOCIATION OF CHILDREN'S HOSPITALS $470K
#8 HOSPICE COMPASSUS $415K
#9 HEALTHCARE LEADERSHIP COUNCIL $370K
#10 AMERICAN CHIROPRACTIC ASSOCIATION $342K
#11 PHARMACEUTICAL CARE MANAGEMENT ASSOCIATION (PCMA) $340K
#12 AMERICAN ASSOCIATION OF NURSE ANESTHETISTS $320K
#13 ALLIANCE FOR RURAL HOSPITAL ACCESS $300K
#14 DOCTORS HOSPITAL AT RENAISSANCE $300K
#15 AMERICAN AMBULANCE ASSOCIATION $275K
#16 SEATTLE CHILDREN'S HOSPITAL RESEARCH AND FOUNDATION $270K
#17 COHERUS BIOSCIENCES $260K
#18 ZIMMER BIOMET HOLDINGS, INC. $260K
#19 GUARDANT HEALTH $260K
#20 PHRMA $230K
#21 AMERICAN UROLOGICAL ASSOCIATION, INC. $228K
#22 JEWISH FEDERATIONS OF NORTH AMERICA $220K
#23 UNIVERSITY OF KENTUCKY $219K
#24 AMERICAN MEDICAL REHABILITATION PROVIDERS ASSOCIATION INC. $215K
#25 ALKERMES, INC. $200K
#26 IGNITE MEDICAL RESORTS $195K
#27 ASCENSION HEALTH ALLIANCE D/B/A ASCENSION $180K
#28 BLUE CROSS BLUE SHIELD OF MASSACHUSETTS $180K
#29 TRIAD LIFE SCIENCES, INC. $170K
#30 NOVO NORDISK INC. $170K
#31 CAMBIA HEALTH SOLUTIONS (FORMERLY KNOWN AS THE REGENCE GROUP) $160K
#32 QUEST DIAGNOSTICS INCORPORATED $160K
#33 OMEROS CORPORATION $155K
#34 POINT OF CARE TESTING ASSOCIATION $150K
#35 PROTHROMBIN-TIME SELF TESTING COALITION $150K
#36 TRINITY HEALTH $150K
#37 ADVOCATE AURORA HEALTHCARE $150K
#38 ENVISION HEALTHCARE CORPORATION $150K
#39 BAXTER INTERNATIONAL $150K
#40 CASTLE BIOSCIENCES, INC. $150K
#41 VILLAGE PRACTICE MANAGEMENT COMPANY HOLDINGS, LLC $150K
#42 AMERICAN SOCIETY OF CATARACT & REFRACTIVE SURGERY $144K
#43 COALITION FOR THE 21ST CENTURY $140K
#44 MEDICAID AND MEDICARE ADVANTAGE PRODUCTS ASSOCIATION OF PUERTO RICO $140K
#45 NATIONAL ASSOCIATION OF POSTAL SUPERVISORS $140K
#46 BAYLOR SCOTT AND WHITE HEALTH -- FORMERLY BAYLOR HEALTH CARE SYSTEM $132K
#47 MARSHFIELD CLINIC HEALTH SYSTEM $130K
#48 AIR METHODS CORPORATION $130K
#49 WW INTERNATIONAL (FORMERLY KNOWN AS WEIGHT WATCHERS) $120K
#50 MAIMONIDES MEDICAL CENTER $120K

Who spends the most on Medicare/Medicaid

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

Lobbying spend on Medicare/Medicaid · U.S. Senate Office of Public Records (LDA)

ARDELYX, INC.$1.1MAMERICAN COLLEGE OF CLINICAL PHARMACY$920KLANTHEUS HOLDINGS, INC.$835KDAVITA INC.$650KUNITEDHEALTH GROUP INCORPORATED$540KAMERICAN MEDICAL REHABILITATION PROVIDER ASSOCIATION$475KCHILDREN'S HOSPITAL ASSOCIATION F/K/A NAT'L ASSOCIATION OF CHILDREN'S HOSPITALS$470KHOSPICE COMPASSUS$415K
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 201 registered organizations across the 2023-2024 reporting period.

Frequently Asked Questions

How much is spent lobbying on Medicare/Medicaid?

A total of $10.0M has been spent lobbying on Medicare/Medicaid by 201 organizations, according to Senate Lobbying Disclosure Act (LDA) filings for 2023-2024. The top spender is ARDELYX, INC., with $1.1M in total lobbying expenditures.

Who are the biggest spenders on Medicare/Medicaid lobbying?

The top organizations lobbying on Medicare/Medicaid include ARDELYX, INC., AMERICAN COLLEGE OF CLINICAL PHARMACY, LANTHEUS HOLDINGS, INC.. 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?

201 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.

Related

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