Hospitals & Nursing Homes Spent $98 Million On State Politics -- Now They Want Immunity

Health care players have bankrolled politics in the states where they are seeking get-out-of-jail free cards during a surge of nursing home deaths during the pandemic 

Yesterday, TMI published a major investigative report showing how New York Gov. Andrew Cuomo granted liability immunity to hospital and nursing home executives after his political machine received huge donations from the industries seeking those protections. But it’s not just a New York thing.

As nursing home deaths spike during the COVID crisis, hospital and nursing home companies are pushing for state laws all over America that would shield their corporate executives, board members and owners from civil litigation and government prosecution. 

A review of campaign finance data suggest that these industries are well positioned to influence state politicians in their lobbying: hospital and nursing homes have collectively pumped more than $98 million into state politics in the last election cycle and the current one, according to data from the National Institute on Money In Politics. 

$44 Million Dumped Into States That Already Granted Immunity

$44 million of that cash haul flooded into the 19 states that have already issued new executive orders or laws granting some form of liability protection to hospital and nursing home corporations.

Among the states that have granted that immunity, the largest streams of cash flowed into Massachusetts ($25 million), Illinois ($5.6 million), New York ($5.2 million), Arkansas ($1 million) and Michigan ($1 million). 

Millions More Flooding Into States Where Governors Are Being Lobbied

As the hospital and nursing home industry now aims to get more states to pass such immunity laws, it is setting its sights on states where it has already spent big money tilling the political soil. For example:

  • The industry is pressing California Democratic Gov. Gavin Newsom to issue an executive order shielding health care industry executives from legal liability during the pandemic. Hospital and nursing home interests have delivered more than $21 million to California candidates and political committees since 2017. That includes more than $2.8 million to the California Democratic Party.

  • The industry is pushing Florida Republican Gov. Ron DeSantis for immunity. The industry has given more than $3.2 million to Florida candidates and political committees since 2017. That includes more than $800,000 to the Florida Republican Party

These tallies do not include the additional cash that pours into state politics from national groups like the parties’ governors associations. 

For instance, in the last two election cycles, the American Health Care Association, which represents nursing homes, has given the Democratic Governors Association $200,000 and the Republican Governors Association $150,000. In that same time period, HCA, the giant hospital chain, has given the Democratic Governors Association $75,000 and the Republican Governors Association $425,000.

To be clear -- when considering all this money, it’s worth noting that some of it did not go to candidates or party committees, but instead to ballot measures (including ballot measures to limit corporate liability). 

But the larger point stands: governors and legislators all know that the hospital and nursing home industries have been huge political players in their elections. They also know those industries have enormous resources to use in the upcoming election should they not obtain the get-out-of-jail-free cards that they are seeking.


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