Senate LDA data Updated quarterly Lobbying disclosures

Medicare/Medicaid Lobbying

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

The verdict

PlainInfluence tracks $520.2M in itemized Medicare/Medicaid lobbying disclosures across 1,465 filers, among them CHAMBER OF COMMERCE OF THE U.S.A., PHARMACEUTICAL RESEARCH AND MANUFACTURERS OF AMERICA, AMERICAN HOSPITAL ASSOCIATION, ranking #4 of 79 tracked issues by spend.

#4
of 79 issues by spend
$520.2M
tracked Medicare/Medicaid lobbying
1,465
organizations lobbying
$355K
average per filer

Issue code: MMM · 1465 organizations lobbying on this issue

Total Lobbying Spend
$520.2M
Organizations
1,465

Medicare/Medicaid filing shape

Medicare/Medicaid (MMM) drew $520.2M in tracked LDA spending across 1,465 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 Medicare/Medicaid, 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 PHARMACEUTICAL RESEARCH AND MANUFACTURERS OF AMERICA $65.7M
#3 AMERICAN HOSPITAL ASSOCIATION $55.3M
#4 AMERICAN MEDICAL ASSOCIATION $47.6M
#5 AMAZON.COM SERVICES LLC $39.1M
#6 AARP $38.9M
#7 PHARMACEUTICAL CARE MANAGEMENT ASSOCIATION $33.7M
#8 PFIZER INC. $28.8M
#9 AMGEN INC. $28.5M
#10 AMERICA'S HEALTH INSURANCE PLANS (AHIP) $27.0M
#11 GENENTECH INC. $24.4M
#12 GILEAD SCIENCES, INC. $23.1M
#13 MERCK & CO., INC. $22.1M
#14 CVS HEALTH (AND SUBSIDIARIES) $21.5M
#15 UNITEDHEALTH GROUP INCORPORATED $21.1M
#16 JOHNSON & JOHNSON SERVICES INC $20.3M
#17 THE CIGNA GROUP AND SUBSIDIARIES (FORMERLY CIGNA CORPORATION AND SUBSIDIARIES) $18.7M
#18 ELI LILLY AND COMPANY $18.1M
#19 BIOTECHNOLOGY INNOVATION ORGANIZATION $18.0M
#20 AMERICAN CANCER SOCIETY CANCER ACTION NETWORK, INC. $16.7M
#21 FRESENIUS MEDICAL CARE NORTH AMERICA $15.8M
#22 BAYER CORPORATION (CONSOLIDATED REPORT) $15.8M
#23 ELEVANCE HEALTH, INC. $15.7M
#24 BRISTOL-MYERS SQUIBB COMPANY $15.4M
#25 NOVARTIS CORPORATION $14.7M
#26 AMERICAN PROPERTY CASUALTY INSURANCE ASSOCIATION $13.9M
#27 BLUE CROSS AND BLUE SHIELD ASSOCIATION $13.9M
#28 NOVO NORDISK INC. $13.5M
#29 NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS (N.A.C.H.) $12.8M
#30 SANOFI US SERVICES INC $12.5M
#31 AMERICAN HEALTH CARE ASSOCIATION $11.9M
#32 CENTENE CORPORATION $11.7M
#33 HUMANA INC. $11.6M
#34 ABBVIE $11.5M
#35 DAVITA INC. $11.1M
#36 HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY ("HCSC") $10.7M
#37 ABBOTT LABORATORIES $10.6M
#38 AMERICAN ASSOCIATION FOR JUSTICE $10.4M
#39 VERTEX PHARMACEUTICALS INCORPORATED $10.0M
#40 GSK (FKA GLAXOSMITHKLINE INC.) $9.9M
#41 BOEHRINGER INGELHEIM USA CORPORATION $9.5M
#42 SELECT MEDICAL CORPORATION $9.4M
#43 RELX INC. $9.3M
#44 TAKEDA PHARMACEUTICALS AMERICA, INC. $9.3M
#45 BIOGEN INC. $9.3M
#46 WALGREEN CO $9.3M
#47 MEDTRONIC INC. $9.0M
#48 NAREIT $8.8M
#49 ALKERMES, INC. $8.5M
#50 ILLUMINA, INC. $8.4M

Registrant concentration on Medicare/Medicaid

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

CHAMBER OF COMMERCE OF THE U…$142.2MPHARMACEUTICAL RESEARCH AND …$65.7MAMERICAN HOSPITAL ASSOCIATION$55.3MAMERICAN MEDICAL ASSOCIATION$47.6MAMAZON.COM SERVICES LLC$39.1MAARP$38.9MPHARMACEUTICAL CARE MANAGEME…$33.7MPFIZER INC.$28.8M
All-issue lobbying total among filers on Medicare/Medicaid · 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 MMM; covers 1,465 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 Medicare/Medicaid?
$520.2M was reported on Medicare/Medicaid (MMM) by 1,465 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 Medicare/Medicaid lobbying?
Top filers on Medicare/Medicaid include CHAMBER OF COMMERCE OF THE U.S.A., PHARMACEUTICAL RESEARCH AND MANUFACTURERS OF AMERICA, AMERICAN HOSPITAL ASSOCIATION. Rankings use each organization's all-issue lobbying total among registrants that filed on code MMM.
How many organizations lobby on Medicare/Medicaid?
1,465 organizations filed on Medicare/Medicaid 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.