Most of the groups that lobbied are supporters of the law, called the Patient Protection and Affordable Care Act.
The AFL-CIO spent $29.7 million last year on health and other issues, with additional support from its super PAC, the AFL-CIO Workers' Voice PAC. The American Hospital Association and the AARP spent $13 million and $12 million, respectively.
Groups ranging from the American Cancer Society to the NAACP Legal Defense Fund lobbied in support of health care, as well.
The chief opponent to the law was the U.S. Chamber of Commerce. With the highest profile on Capitol Hill, the analysis says, the group spent $29.9 million on health care and other major policy issues. The Christian, anti-abortion Family Research Council also spent money lobbying against the law.
Several groups that lobbied on health filed briefs arguing that the law cannot stand if the Supreme Court strikes down its requirement that most individuals buy health insurance policies. America's Health Insurance Plan, which spent $6 million lobbying on its issues, said Congress did not intend for the law to stand without the mandate, which assures that healthy as well as sick people will buy insurance. The National Restaurant Association, which spent $2.1 million on lobbying last year, raised similar concerns.
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