Washington, District of Columbia — Major health insurance companies are intensifying lobbying efforts on Capitol Hill as congressional Republicans debate whether to extend enhanced Affordable Care Act subsidies, even as campaign finance records show several insurers have shifted their political donations toward Democrats in recent election cycles.
According to data compiled by OpenSecrets, Humana historically favored Republicans by wide margins between 2000 and 2012. That trend narrowed after 2014 and nearly reversed in 2020, when Humana’s political action committee contributed more to Democrats than Republicans. Since then, the company’s giving has been roughly evenly split, marking a sharp departure from its earlier alignment with the GOP.
A similar pattern has emerged at Elevance Health, which once gave Republicans more than double what it donated to Democrats. While Elevance still contributes strategically to key Republican figures, including House Speaker Mike Johnson, its overall giving has become more balanced and at times tilted toward Democrats between 2018 and 2022.
Despite these shifts, insurance lobbyists are now targeting centrist Republicans as party leadership remains skeptical of extending the expanded ACA subsidies enacted during the COVID-19 pandemic. Speaker Johnson has opposed bringing an extension to the House floor, though four Republicans recently joined Democrats to force a vote, signaling potential cracks in GOP unity.
Supporters of the subsidies argue they help keep coverage affordable, especially in rural areas, while critics contend they inflate insurer profits at taxpayer expense. With hundreds of thousands of dollars flowing monthly into lobbying efforts, insurers appear determined to shape the outcome of a debate with significant financial stakes.
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