Patterns of Federal Lobbying by the Hospital Industry

Which hospitals and hospital associations are most active in federal lobbying, who lobbies on their behalf, and what does this reveal about hospitals’ role in shaping health policy?In this cross-sectional study of federal lobbying disclosures from 355 hospital-related organizations, the hospital industry spent $116.13 million on federal lobbying in 2024, with 60.7% from hospitals and the remainder from associations. Of all hospitals, 94.9% employed professional lobbying firms, many outspent their state hospital associations, and for-profits were overrepresented among top spenders.This cross-sectional study found that hospitals invest substantially in lobbying, suggesting they are not merely influenced by health policy but actively shape it.

Corresponding Author: Lauren A. Taylor, PhD, MDiv, Department of Population Health, NYU Grossman School of Medicine, 227 E 30th St, New York, NY 10016 (lauren.taylor@nyulangone.org).

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