Research Report: The Lobbying Surrounding Long-Term Care

This is a shortened version of a previously published report: Long-Term Care Lobbying

With a new election on the horizon, renewed interest is being placed on the debate surrounding the Health Care Reform law. The federal government recently announced it was ending the CLASS Act program, which was originally proposed to provide a public option for long-term care and was intensely debated. The question now being asked is what comes next?

The First Street Research Group has explored some of the lobbying activity behind recent long-term care legislation and profiles one of the major long-term care associations, the Alliance for Quality Nursing Home Care (AQHNC). Since 1993, Congress has introduced 290 bills that directly address long-term care. Since 2004, 148 long-term care bills have been introduced, 108 of which have been lobbied.

This report reveals some of the high powered groups that will be involved in shaping the long-term care advocacy strategy going forward.

Overall Highlights

  • AQNHC has spent almost $15 million on its lobbying activity since 2006
  • Since 2006 AQNHC has spent over $10 million on 12 different lobbying firms.
  • AQNHC has lobbied on 29 pieces of legislation since 2006
  • S.159: Confidence in Long-Term Care Insurance Act of 2011 was lobbied on by 8 organizations that combined spent nearly $23 million on all of their lobbying activity in 2011.
  • H.R.63: Long-Term Care Insurance Reform Act of 2011 was lobbied on by 8 organizations that combined had spent over $23 million on all of their lobbying activity in 2011
  • S.1486: Long-Term Care Hospital Improvement Act of 2011 was lobbied on by just 1 organization that spent spent $800,000 on all of its lobbying activity during 2011 Q1.

Coalition Builder Image of AQNHC Lobbying Activity

Alliance for Quality Nursing Home Care (AQNHC)

Description: The AQNHC is a coalition of skilled nursing home providers which conducts advocacy on related health policy issues

Alan Rosenbloom

Registered Lobbyist – Alliance For Quality Nursing Home Care (2006 – Present)

Institutions Lobbied by AQNHC Since 2006

Centers for Medicare & Medicaid Services (CMS)

Department of Health and Human Services

Medicare Payment Advisory Commission (MedPAC)

Office of Management and Budget (OMB)

The Executive Office of the President

Amount Spent on Lobbying Activity by AQHNC since 2006

Filing Period Lobbying Report Amount
2011 2Q LD2  $810,000
2011 1Q LD2  $810,000
2010 4Q LD2  $870,000
2010 3Q LD2  $990,000
2010 2Q LD2  $820,000
2010 1Q LD2  $820,000
2009 4Q LD2  $1,040,000
2009 3Q LD2  $870,000
2009 2Q LD2  $559,367
2009 1Q LD2  $533,238
2008 4Q LD2  $578,125
2008 3Q LD2  $573,416
2008 2Q LD2  $505,100
2008 1Q LD2  $427,000
2007 Year-End LD2  $1,750,000
2007 Mid-Year LD2  $980,000
2006 Year-End LD2  $980,000
2006 Mid-Year LD2  $1,020,000
Total Spent on Lobbying since 2006 $14,936,246

Lobbying Firms Hired by AQHNC to Lobby on their Behalf since 2006

Name Filing Quarter Lobbying Report Amount
Alston & Bird, LLP 2011 2Q LD2  $20,000.00
Barbour Griffith & Rogers, LLC d/b/a BGR Holding 2011 2Q LD2  $90,000.00
Patton Boggs LLP 2011 2Q LD2  $100,000.00
Peck, Madigan, Jones & Stewart, Inc. 2011 2Q LD2  $100,000.00
Podesta Group, Inc. 2011 2Q LD2  $90,000.00
The Mizeur Group, LLC 2011 2Q LD2  $60,000.00
Alston & Bird, LLP 2011 1Q LD2  $20,000.00
Barbour Griffith & Rogers, LLC d/b/a BGR Holding 2011 1Q LD2  $90,000.00
Patton Boggs LLP 2011 1Q LD2  $100,000.00
Peck, Madigan, Jones & Stewart, Inc. 2011 1Q LD2  $130,000.00
Podesta Group, Inc. 2011 1Q LD2  $120,000.00
The Mizeur Group, LLC 2011 1Q LD2  $80,000.00
Alston & Bird, LLP 2010 4Q LD2  $30,000.00
Barbour Griffith & Rogers, LLC d/b/a BGR Holding 2010 4Q LD2  $90,000.00
Patton Boggs LLP 2010 4Q LD2  $100,000.00
Peck, Madigan, Jones & Stewart, Inc. 2010 4Q LD2  $135,000.00
Podesta Group, Inc. 2010 4Q LD2  $120,000.00
The Mizeur Group, LLC 2010 4Q LD2  $90,000.00
Alston & Bird, LLP 2010 3Q LD2  $30,000.00
Barbour Griffith & Rogers, LLC d/b/a BGR Holding 2010 3Q LD2  $90,000.00
Patton Boggs LLP 2010 3Q LD2  $110,000.00
Peck, Madigan, Jones & Stewart, Inc. 2010 3Q LD2  $135,000.00
Podesta Group, Inc. 2010 3Q LD2  $120,000.00
The Mizeur Group, LLC 2010 3Q LD2  $90,000.00
Alston & Bird, LLP 2010 2Q LD2  $30,000.00
Barbour Griffith & Rogers, LLC d/b/a BGR Holding 2010 2Q LD2  $90,000.00
Patton Boggs LLP 2010 2Q LD2  $100,000.00
Peck, Madigan, Jones & Stewart, Inc. 2010 2Q LD2  $170,000.00
Pickering & Associates, LLC 2010 2Q LD2  < $5,000
Podesta Group, Inc. 2010 2Q LD2  $120,000.00
The Mizeur Group, LLC 2010 2Q LD2  $90,000.00
Alston & Bird, LLP 2010 1Q LD2  $30,000.00
Barbour Griffith & Rogers, LLC d/b/a BGR Holding 2010 1Q LD2  $90,000.00
Michael Alexander and Associates (Formerly Integrated Solutions Group – Illinois) 2010 1Q LD2 $10,000.00
Patton Boggs LLP 2010 1Q LD2  $110,000.00
Peck, Madigan, Jones & Stewart, Inc. 2010 1Q LD2  $160,000.00
Pickering & Associates, LLC 2010 1Q LD2  $12,500.00
Podesta Group, Inc. 2010 1Q LD2  $120,000.00
The Mizeur Group, LLC 2010 1Q LD2  $90,000.00
Alston & Bird, LLP 2009 4Q LD2  $30,000.00
Barbour Griffith & Rogers, LLC d/b/a BGR Holding 2009 4Q LD2  $90,000.00
Michael Alexander and Associates (Formerly Integrated Solutions Group – Illinois 2009 4Q LD2  $40,000.00
Patton Boggs LLP 2009 4Q LD2  $100,000.00
Peck, Madigan, Jones & Stewart, Inc. 2009 4Q LD2  $170,000.00
Pickering & Associates, LLC 2009 4Q LD2  $37,500.00
Podesta Group, Inc. 2009 4Q LD2  $120,000.00
The Mizeur Group, LLC 2009 4Q LD2  $90,000.00
Alston & Bird, LLP 2009 3Q LD2  $40,000.00
Barbour Griffith & Rogers, LLC d/b/a BGR Holding 2009 3Q LD2  $90,000.00
Michael Alexander and Associates (Formerly Integrated Solutions Group – Illinois 2009 3Q LD2  $20,000.00
Patton Boggs LLP 2009 3Q LD2  $100,000.00
Peck, Madigan, Jones & Stewart, Inc. 2009 3Q LD2  $165,000.00
Podesta Group, Inc. 2009 3Q LD2  $120,000.00
The Mizeur Group, LLC 2009 3Q LD2  $75,000.00
Alston & Bird, LLP 2009 2Q LD2  $40,000.00
Barbour Griffith & Rogers, LLC d/b/a BGR Holding 2009 2Q LD2  $90,000.00
Patton Boggs LLP 2009 2Q LD2  $100,000.00
Peck, Madigan, Jones & Stewart, Inc. 2009 2Q LD2  $140,000.00
Podesta Group, Inc. 2009 2Q LD2  $120,000.00
The Mizeur Group, LLC 2009 2Q LD2  $75,000.00
Alston & Bird, LLP 2009 1Q LD2  $40,000.00
Barbour Griffith & Rogers, LLC d/b/a BGR Holding 2009 1Q LD2  $90,000.00
Peck, Madigan, Jones & Stewart, Inc. 2009 1Q LD2  $80,000.00
Podesta Group, Inc. 2009 1Q LD2  $120,000.00
The Mizeur Group, LLC 2009 1Q LD2  $90,000.00
Alston & Bird, LLP 2008 4Q LD2  $40,000.00
Barbour Griffith & Rogers, LLC d/b/a BGR Holding 2008 4Q LD2  $90,000.00
Peck, Madigan, Jones & Stewart, Inc. 2008 4Q LD2  $90,000.00
Podesta Group, Inc. 2008 4Q LD2  $120,000.00
The Mizeur Group, LLC 2008 4Q LD2  $90,000.00
Alston & Bird, LLP 2008 3Q LD2  $60,000.00
Barbour Griffith & Rogers, LLC d/b/a BGR Holding 2008 3Q LD2  $90,000.00
Peck, Madigan, Jones & Stewart, Inc. 2008 3Q LD2  $80,000.00
Podesta Group, Inc. 2008 3Q LD2  $120,000.00
The Mizeur Group, LLC 2008 3Q LD2  $90,000.00
Alston & Bird, LLP 2008 2Q LD2  $90,000.00
Barbour Griffith & Rogers, LLC d/b/a BGR Holding 2008 2Q LD2  $90,000.00
Peck, Madigan, Jones & Stewart, Inc. 2008 2Q LD2  $80,000.00
Podesta Group, Inc. 2008 2Q LD2  $120,000.00
The Mizeur Group, LLC 2008 2Q LD2  $90,000.00
Alston & Bird, LLP 2008 1Q LD2  $80,000.00
Barbour Griffith & Rogers, LLC d/b/a BGR Holding 2008 1Q LD2  $90,000.00
Peck, Madigan, Jones & Stewart, Inc. 2008 1Q LD2  $70,000.00
Podesta Group, Inc. 2008 1Q LD2  $120,000.00
Quinn Gillespie & Associates 2008 1Q LD2  $50,000.00
Abernathy Consultants, Cathy 2007 Year-End LD2  < $10,000
Alston & Bird, LLP 2007 Year-End LD2  $140,000.00
Barbour Griffith & Rogers, LLC d/b/a BGR Holding 2007 Year-End LD2  $180,000.00
Peck, Madigan, Jones & Stewart, Inc. 2007 Year-End LD2  < $10,000
Podesta Group, Inc. 2007 Year-End LD2  $260,000.00
Quinn Gillespie & Associates 2007 Year-End LD2  $280,000.00
Abernathy Consultants, Cathy 2007 Mid-Year LD2  < $10,000
Alston & Bird, LLP 2007 Mid-Year LD2  $140,000.00
Barbour Griffith & Rogers, LLC d/b/a BGR Holding 2007 Mid-Year LD2  $180,000.00
Peck, Madigan, Jones & Stewart, Inc. 2007 Mid-Year LD2  < $10,000
Podesta Group, Inc. 2007 Mid-Year LD2  $240,000.00
Quinn Gillespie & Associates 2007 Mid-Year LD2  $280,000.00
Abernathy Consultants, Cathy 2006 Year-End LD2  $100,000.00
Alston & Bird, LLP 2006 Year-End LD2  $140,000.00
Barbour Griffith & Rogers, LLC d/b/a BGR Holding 2006 Year-End LD2  $180,000.00
Peck, Madigan, Jones & Stewart, Inc. 2006 Year-End LD2  < $10,000
Podesta Group, Inc. 2006 Year-End LD2  $20,000.00
Quinn Gillespie & Associates 2006 Year-End LD2  $280,000.00
Abernathy Consultants, Cathy 2006 Mid-Year LD2  $120,000.00
Alston & Bird, LLP 2006 Mid-Year LD2  $100,000.00
Barbour Griffith & Rogers, LLC d/b/a BGR Holding 2006 Mid-Year LD2  $180,000.00
Patton Boggs LLP 2006 Mid-Year LD2  < $10,000
Peck, Madigan, Jones & Stewart, Inc. 2006 Mid-Year LD2  $160,000.00
Quinn Gillespie & Associates 2006 Mid-Year LD2  $280,000.00
Total Amount Spent on Outside Lobbying Firms By AQNHC Since 2006 $10,645,000.00

Legislation Lobbied on by AQNHC Since 2006

  • 111 H.R.1237: Fairness in Nursing Home Arbitration Act of 2009
  • 111 H.R.4853: Tax Relief, Unemployment Insurance Reauthorization, and Job Creation Act of 2010
  • 111 S.512: Fairness in Nursing Home Arbitration Act
  • 111 H.R.4872: Health Care and Education Reconciliation Act of 2010
  • 111 S.3793: Job Creation and Tax Cuts Act of 2010
  • 111 H.R.3590: Patient Protection and Affordable Care Act
  • 111 H.R.3962: Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010
  • 111 S.647: Nursing Home Transparency and Improvement Act of 2009
  • 111 H.R.3200: America’s Affordable Health Choices Act of 2009
  • 111 S.1679: Affordable Health Choices Act
  • 111 S.1796: America’s Healthy Future Act of 2009
  • 111 H.R.1721: CLASS Act
  • 111 S.697: CLASS Act
  • 110 H.R.3162: Children’s Health and Medicare Protection Act of 2007
  • 110 H.R.6126: Fairness in Nursing Home Arbitration Act of 2008
  • 110 H.R.6331: Medicare Improvements for Patients and Providers Act of 2008
  • 110 H.R.800: Employee Free Choice Act
  • 110 S.1041: Employee Free Choice Act of 2007
  • 110 S.1893: Children’s Health Insurance Program Reauthorization Act of 2007
  • 110 S.2041: False Claims Act Correction Act of 2007
  • 110 S.2641: Nursing Home Transparency and Improvement Act of 2008
  • 110 S.2838: Fairness in Nursing Home Arbitration Act
  • 110 S.3101: Medicare Improvements for Patients and Providers Act of 2008
  • 110 H.R.5613: Protecting the Medicaid Safety Net Act of 2008
  • 110 H.CON.RES.312: Revising the congressional budget for the United States Government for fiscal year 2008,  establishing the congressional budget for the United States Government for fiscal year 2009, and setting forth appropriate budgetary levels for fiscal years 2010 through 2013.
  • 110 H.R.5140: Recovery Rebates and Economic Stimulus for the American People Act of 2008
  • 110 S.2499: Medicare, Medicaid, and SCHIP Extension Act of 2007
  • 110 H.R.976: Small Business Tax Relief Act of 2007
  • 109 S.1932: Deficit Reduction Omnibus Reconciliation Act of 2005

Long-Term Care Legislation and its Lobbying Activity in 2011

S.159: Confidence in Long-Term Care Insurance Act of 2011
Congress: 112th Congress
Purpose: A bill to improve consumer protections for purchasers of long-term care insurance, and for other purposes.
Sponsor: Sen. Herb Kohl (D-WI)
Co-Sponsor(s):

  • Sen. Amy Klobuchar (D-MN) joined 1/25/2011
  • Sen. Ron Wyden (D-OR) joined 1/25/2011

Lobbying Activity: The firms that lobbied S.159 spent nearly $23 million on their lobbying activity during the first half of 2011.

S.1486: Long-Term Care Hospital Improvement Act of 2011
Congress: 112th Congress
Purpose: A bill to amend title XVIII of the Social Security Act to clarify and expand on criteria applicable to patient admission to and care furnished in long-term care hospitals participating in the Medicare program, and for other purposes.
Sponsor: Sen. Pat Roberts (R-KS)
Co-Sponsor(s):

  • Sen. Scott Brown (R-MA) joined 10/6/2011
  • Sen. Robert Menendez (D-NJ) joined 9/19/2011
  • Sen. Mike Crapo (R-ID) joined 8/2/2011
  • Sen. Dean Heller (R-NV) joined 8/2/2011
  • Sen. Bill Nelson (D-FL) joined 8/2/2011
  • Sen. Pat Toomey (R-PA) joined 8/2/2011
  • Sen. Ron Wyden (D-OR) joined 8/2/2011

Lobbying Activity: The one firm that lobbied this bill spent $800,000 on its lobbying activity.

Lobbyist(s) Lobbying Firm Client Filing Quarter Amount
Jack Armstrong, Douglas Foster Bennett, Amy Forester, Paul Mattera Liberty Mutual Group Liberty Mutual Group 2011 1Q $850,000

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