Expecting final push on health-care reform, interest groups rally for big finish

By Dan Eggen
Washington Post Staff Writer
Sunday, February 28, 2010

Washington interest groups have burst back into action in hopes of bolstering or defeating a new Democratic push on health-care reform legislation, sparking another wave of rallies, lobbying efforts and costly advertising campaigns.

The fresh round offers a clear signal that the industries and advocacy groups most likely to be affected view the coming weeks as the final battle in determining whether Democratic proposals become law.

Their efforts suggest a return to the frenzied pace of last year's health-care debate, which prompted more than $200 million in advocacy ads and broke records for lobbying. Companies and trade groups last year hired more than 4,500 lobbyists to influence health reform -- amounting to about eight lobbyists for each member of Congress, according to an analysis released last week by the Center for Public Integrity.

Reacting to President Obama's recent statements that he will move ahead with legislation, health insurance companies have enlisted hundreds of lobbyists in a full-court press against the proposed overhaul, which would force dramatic cuts and increased regulation on the industry. At the same time, insurers are pushing back against a separate bill approved by the House last week that would remove the industry's antitrust exemption.

Pharmaceutical lobbyists are also targeting Obama's plan, which includes administration proposals to secure an extra $10 billion in cuts from the industry and to ban deals between brand-name and generic drugmakers that keep cheaper medicines off the market.

The ramped-up effort is particularly evident among conservative advocacy organizations, many of which had optimistically halted spending after Democratic reform plans were cast into doubt by the January loss of a Senate seat in Massachusetts. The 60 Plus Association, a conservative group, announced a $500,000 television advertising campaign last week aimed at 18 centrist House Democrats, all of whom voted in favor of reform legislation last fall but whose support is now seen as wobbly.

The National Right To Life Committee -- which strongly opposes the Senate version of the health-care package -- has launched its own grass-roots campaign to pressure dozens of antiabortion Democrats in the House, who are crucial to passage of a final bill. Americans for Prosperity, a conservative Arlington-based group, also says it bought $250,000 worth of television advertising last week and is laying plans for more ads and rallies in March.

"I think a lot of people thought we had it licked, so it was natural to let up a little bit," said Tim Phillips, president of the Arlington group, which organized hundreds of antireform demonstrations over the past year. "All those thoughts are gone now. We are re-engaged in a big way."

Democratic and liberal activist groups, meanwhile, are rallying with their own efforts in hopes of pushing legislation across the finish line.

MoveOn.org, for example, said that a "virtual march" organized Tuesday bombarded lawmakers with more than 1 million pro-reform e-mails. The group also released a television ad Friday targeting House Minority Leader John A. Boehner (R-Ohio) for opposing the antitrust bill.

"We have the votes; let's get it done," said Ilyse Hogue, the group's political advocacy director. "We're focused on sending that clear message to the House and Senate."

One glaring exception to the renewed activity is AARP, the 40 million-member seniors group, which has spent millions on advertising and other efforts over the past year in favor of Obama's health-care plans. A. Barry Rand, the group's chief executive, called on other groups last week to lower the temperature in the debate so that "compromise is possible."

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