BLUE CROSS BLUE SHIELD ASSOCIATION

Total Lobbying Spend

Filings

688

Firms Hired

Active Period

1999–2025

Spending by Year

Annual lobbying expenditures

Year	Total Spent	Filings	Firms
2025	—	13	4
2024	—	18	6
2023	—	25	6
2022	—	26	7
2021	—	29	7
2020	—	32	9
2019	—	43	11
2018	—	43	10
2017	—	37	9
2016	—	36	8
2015	—	33	8
2014	—	36	9
2013	—	40	10
2012	—	40	11
2011	—	39	9
2010	—	35	8
2009	—	32	8
2008	—	32	8
2007	—	15	8
2006	—	15	8
2005	—	9	5
2004	—	9	5
2003	—	9	5
2002	—	17	6
2001	—	9	5
2000	—	12	5
1999	—	4	3

Most frequently reported lobbying issues

Issue Code	Description	Reports
Health Issues	—	597
Medicare/Medicaid	—	263
Taxation/Internal Revenue Code	—	159
Budget/Appropriations	—	126
Insurance	—	73
Pharmacy	—	25
Accounting	—	17
Homeland Security	—	16
Government Issues	—	13
Postal	—	10
Trade (domestic/foreign)	—	6
Labor Issues/Antitrust/Workplace	—	3
Transportation	—	2
Financial Institutions/Investments/Securities	—	2
Defense	—	2
Computer Industry	—	2
Banking	—	2
Agriculture	—	1
Telecommunications	—	1
Small Business	—	1

Lobbying firms retained by this client

Source: Senate Lobbying Disclosure Act (LDA) filings.