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Caught Our Eye

Taxes top health care as #1 lobbying issue, data shows

Posted by Keturah Hetrick on March 28, 2022

Taxation reigns as the top issue for Washington lobbyists. But that wasn't the case as recently as a few months ago, according to a new LegiStorm analysis of lobbying data.

For eight consecutive quarters, lobbying groups had spent more on health care than any other legislative issue - until last year's fourth quarter, when lobbying groups spent an estimated $102.9 million to lobby on tax issues. Groups spent another $96.9 million on health-care issues the same time period. Other top lobbying issues by estimated spending include budget/appropriations, Medicare/Medicaid, defense, trade, energy/nuclear, finance, transportation and telecommunications.

While lobbying groups may shell out the most for tax lobbying, other legislative issues are growing even faster in their lobbying demand. Energy and nuclear issues grew by 415 percent from 2020 Q4 to 2021 Q4. Chemicals, air-and-water quality and Medicare/Medicaid also each saw growth of at least 164 percent.