AT A TIME when lawmakers are wrestling with cost, access and regulatory questions, health care industry power players continued to dominate the Beacon Hill lobbying world last year, spending the most on employing influential insiders who sway development of public policy.
The Massachusetts Association of Health Plans spent $1.3 million on lobbyists in 2024, more than any other individual client in the Bay State, according to data from Secretary of State William Galvin’s office. The organization representing insurers newly supplanted the Massachusetts Health and Hospital Association, which topped lobbying spending in 2022 and 2023 but ranked second last year with $1.1 million.
Those organizations were the only two clients that spent more than $1 million apiece on lobbying last year.
Many health care- and pharmaceutical-adjacent groups ranked near the top in 2024 lobbying spending, too, including the Massachusetts Biotechnology Council ($866,139), Massachusetts Nurses Association ($519,191), Blue Cross Blue Shield of Massachusetts ($460,403) and the Association for Behavioral Healthcare ($459,070).
Health care policy is one of the thorniest and most complex topics for lawmakers to tackle. The Legislature enacted a pair of major reform bills in 2024, including one intended to lower prescription drug costs and another imposing more financial oversight on hospitals following the collapse of Steward Health Care.
But the problems plaguing both providers and patients remain potent. Sen. Cindy Friedman, the Senate’s point person on health care reforms, warned last week that the health care system is “falling apart.”
The total amount paid to lobbyists by all clients across different topics crossed into nine figures in 2024, climbing to $104.1 million.
The same top lobbying shops continue to command the most money from clients.
Each of the five top-earning firms in 2023 retained the same ranking in 2024, led by Smith, Costello and Crawford, which hauled in $6.2 million last year.
Like many lobbying entities around Beacon Hill, Smith, Costello and Crawford counts well-connected former public officials among its ranks. The firm is partly led by former Democrat Reps. Michael Costello, and another former representative, Carlo Basile, is a senior policy advisor. That’s the same title held by Marylou Sudders, who served as health and human services secretary under Gov. Charlie Baker.
Smith, Costello and Crawford’s top-paying client — $180,000 last year — was energy giant Avangrid, a key figure in the state’s push to build out cleaner energy sources including offshore wind.
Tremont Strategies Group earned the second-most of any lobbying firm with about $4.5 million. Former Congressman Chet Atkins, who also served in the Massachusetts House and Senate, is a partner at Tremont.
Rounding out the five top-earning firms were O’Neill and Partners ($4.28 million), Dempsey Associates ($3.77 million) and Kearney, Donovan and McGee ($3.5 million).
The next five ranking spots were all captured by the same firms as 2023, but in a slightly different order. ML Strategies jumped from seventh-most in earnings in 2023 to sixth-most in 2024, flipping with Bay State Strategies Group. Similarly, Issues Management Group climbed from ninth in 2023 to eighth in 2024, swapping places with TSK Associates. The Suffolk Group landed in 10th both years, earning about $2.26 million in 2024.
No individual lobbyist earned more in 2024 than former Senate President Robert Travaglini, who founded what is now known as TSK Associates after leaving the Legislature.
Travaglini hauled in $854,000 from his lobbying clients in 2024, according to data from Galvin’s office. Basile, who was the top earner in 2023, landed in second last year with $830,000 in lobbying salary.
The private sector can be much more lucrative for lawmakers than remaining in the Legislature. The current Senate president, Karen Spilka, earned $203,286 in total pay last year, according to state payroll records, less than one-quarter as much as Travaglini brought in from lobbying clients.
Fourteen lobbyists earned more than half a million dollars from their firms last year, and 56 brought in at least $250,000.
Three other registered lobbyists were paid at least $250,000 directly by clients: Mass. Association of Health Plans President Lora Pellegrini ($469,233 from MAHP), Clark University Vice President for Government and Community Affairs Joseph Corazzini (nearly $235,000 from the Trustees of Clark University), and OpenCape CEO Steven Johnston ($246,159 from OpenCapeCorporation).
The post Health care cash rained on Mass. lobbying world in 2024 appeared first on CommonWealth Beacon.