Drug, Device Makers Spend $74 Mln to Lobby in '97, Study Says
Bloomberg News December 3, 1998, 12:01 a.m. ET
Washington, Dec. 2 (Bloomberg) -- Pharmaceutical and medical device manufacturers spent $74 million last year, more than any other industry, to lobby Congress and the Clinton administration on issues that included seeking speedier marketing approvals of their products, a report says.
Insurers were the second highest spenders, investing $66 million as it fought HMO patient protection legislation backed by physicians and consumer groups, according to the study by the Center for Responsive Politics, a non-profit research group that tracks the influence of money in elections and policy making.
The big spending paid off. Insurers succeeded in defeating the HMO legislation, while the pharmaceutical and medical device industries won sweeping changes in how the Food and Drug Administration approves medical products for sale to the public.
''These people would not be spending this kind of money if they weren't getting results,'' said Larry Makinson, executive director of the Center for Responsive Politics. ''They've been getting a pretty good dividend on their investment.''
To be sure, not everyone in the industry came out winners in the last Congress. The American Medical Association, the nation's largest doctor group, spent $17.3 million on lobbying in 1997, more than any other organization, the report says. The doctors lost their battle with the insurers for HMO reforms that would have given patients a wider choice of physicians and increased access to health services.
AMA Success
Still, the AMA succeeded in 1997 in minimizing the hit that doctors took in the balanced-budget law, which cut the growth of the Medicare government health insurance program for the elderly by $115 billion over five years.
The growth of Medicare physician payments was reduced by $5.3 billion over five years, compared to a $40 billion hit taken by hospitals for overnight and outpatient care.
Philip Morris Cos. Inc. outspent all other companies on lobbying in 1997, logging $15.8 million in expenses as the tobacco industry tried to contain efforts to further regulate and tax tobacco, the report says. The industry defeated sweeping tobacco legislation, but was forced to settle for an increase in cigarette excise taxes to pay to provide more children with health insurance.
Pfizer Inc. was the biggest spender in pharmaceutical industry, racking up $10 million in lobbying expenses last year.
About $5.5 million was spent on lobbying at the federal level while the rest went for lobbying activities at the state level, said Pfizer spokesman Bob Fauteux.
Pfizer's Issues
Among the many issues targeted by Pfizer were FDA reform and trade legislation that the company believes will lead to increased protection of its products from being ripped off in other countries, Fauteux said.
''We believe new (trade) agreements will lead to improved intellectual property protection on a global basis,'' he said.
The company also lobbied in the last Congress on coverage of its drugs by government health insurance programs, including its blockbuster impotence treatment, Viagra. Specifically, the company successfully fought efforts by congressional appropriators to limit Medicaid coverage of Viagra to prostate cancer patients with impotence, Fauteux said.
Other drug makers spent heavily on lobbying as well. Merck & Co. spent $5.1 million, Eli Lilly & Co., Bristol-Myers Squibb Co. and Glaxo Wellcome each racked up $3.8 million in lobbying costs, the report says. Both Glaxo and SmithKline were embroiled in a lobbying battlen that ended up allowing Medicare coverage of oral anti-nausea cancer drugs made by both companies.
Schering-Plough Corp., which has been trying to win changes in patent laws that could help it win extensions on the patent for its top-selling allergy drug, Claritin, spent $2.7 million on lobbying in 1997, the report says.
Informed Lawmakers
Pfizer spokesman Fauteux, along with a spokesman for the pharmaceutical makers trade group, said drug makers are one of the most heavily regulated industries. ''We must be able to inform lawmakers about who we are, what we do, how we do it and the challenges we face,'' said Jeff Trewhitt, spokesman for the Pharmaceutical Research and Manufacturers of America. ''Informed members of Congress pass more responsible laws.''
The health insurance industry, on the other hand, is mostly regulated by the states, not the federal government. HMOs and other health insurers spent heavily on lobbying in the last Congress, though, because they faced a drive to pass federal legislation that would give consumers greater control over coverage decisions by their insurers. The balanced-budget law also made changes to Medicare that affected insurers, including cuts in the growth in payments to health plans that serve senior citizens.
The Blue Cross and Blue Shield association of health plans spent $8.8 million on lobbying in 1997 while the Health Insurance Association of America spent $4.8 million, according to the Center's report. Prudential Insurance spent $2.9 million, while Aetna Inc. spent $2 million.
Insurer Contributions
The Health Insurance Association wasn't immediately available for comment. Earlier this year, Chip Kahn, the Health Insurance Association's chief operating officer, said the threat HMO legislation caused insurers to boost their contributions to the trade group's political action committee.
Insurers providing more than health coverage faced other major issues on Capitol Hill. The American Council on Life Insurance was major lobbying force on the banking bill and worked to craft compromise language concerning regulation of the bank's sale of insurance from branches.
The council spent $4.9 million on lobbying in 1997, the Center's report says. While the banking bill died, ''it seemed to have a real chance of making it across the finish line'' in the last Congress, said Phil Anderson, the council's vice president for federal affairs. ''That consumed an awful amount time and resources,'' he said.
--Paul Heldman (202) 624-1842, with reporting by Rob Wells / mfr |