Wednesday, March 15, 2023

ChatGPT 4: Watch, As It Lays Out a Lobbying Strategy for Medicare Legislation

In a prior blog, we asked CHATGPT 4 to give strategic advice to the CEO of a genomics lab  - here.

In this blog, we chat with GPT 4 on a legislative strategy for a Medicare fix on the Hill.


AI-generated lobbyist (Canva)

I am a lobbyist in Washington DC.  My client has drafted legislation to raise the payment for cancer radiation therapy at Medicare.  We have a Republican sponsor in the House, and a Democratic sponsor in the Senate.  We have two problems.

1) You should have a Democrat and a Republican in both House and Senate (total of 4 sponsors.). We’re having trouble finding the extra 2 we need.

2) None of our sponsors hold key committee positions like chairman, which would help advance the bill.

Please advise us on introducing the bill and helping it get passed as law.  You are an expert.


As an expert on this subject, I would suggest the following steps to introduce the bill and help it get passed into law:

Identify bipartisan co-sponsors: To secure the support of a Democrat and a Republican in both the House and the Senate, research legislators who have a history of supporting healthcare or cancer-related issues. Look into their voting records, sponsored bills, and public statements on relevant topics. You can also analyze their constituents' demographics and needs to assess if they might be interested in supporting the legislation.

Build a coalition: Collaborate with other stakeholders, such as healthcare providers, patient advocacy groups, medical associations, and industry groups. These organizations can help you gain support for the bill by reaching out to their networks, sharing resources, and providing expert testimony in hearings.

Lobby for committee assignments: Work with your existing sponsors to request that they seek positions on relevant committees, such as the House Committee on Energy and Commerce and the Senate Committee on Health, Education, Labor, and Pensions. These committees have jurisdiction over Medicare and healthcare issues, making them crucial in advancing the bill. Additionally, you may want to approach members of these committees to see if they are interested in co-sponsoring the bill.

Craft a compelling narrative: Develop a compelling narrative around the legislation, emphasizing the benefits it would provide to patients, healthcare providers, and the overall healthcare system. Use data, research, and real-life stories to build your case.

Engage the media: Utilize media outlets to raise awareness about the bill and its benefits. Write op-eds, pitch stories to journalists, and coordinate interviews for your sponsors and coalition partners.

Build grassroots support: Mobilize grassroots support for the bill by engaging constituents, particularly those who would directly benefit from the legislation. Encourage them to reach out to their representatives and senators, expressing their support for the bill. Organize events, town halls, or webinars to educate the public about the proposed changes and gather support.

Prepare for hearings and markups: Collaborate with your sponsors and coalition partners to prepare for committee hearings and markups. This includes preparing testimony, gathering expert witnesses, and addressing potential concerns or opposition to the bill.

Monitor progress and adapt your strategy: As the bill advances through the legislative process, keep track of its progress, potential roadblocks, and any changes made to the legislation. Adapt your lobbying strategy accordingly, addressing new concerns or opposition as they arise.

Maintain relationships and communication: Throughout the process, maintain open communication with your sponsors, coalition partners, and other stakeholders. Keep them informed about the bill's progress and any obstacles that may arise.

Celebrate successes and learn from setbacks: If the bill is passed into law, celebrate your success and acknowledge the hard work of everyone involved. If the bill does not pass, analyze what went wrong and learn from the experience to improve your efforts in the future.

By following these steps, you can increase the likelihood of your bill being introduced and ultimately passed into law. Remember that persistence and adaptability are key in navigating the complex legislative process.


Do you think it would help to discuss our plan with the Medicare agency and its senior policymakers, or could that backfire?


Discussing your plan with the Medicare agency and its senior policymakers can be a double-edged sword. There are potential benefits and risks involved, so it's crucial to weigh them before deciding on this approach.

Potential benefits:

Obtain valuable insights: Engaging with Medicare officials and senior policymakers can help you gather insights about the agency's perspective on the issue, potential challenges, and the overall feasibility of your proposal. This information can be invaluable in refining your strategy and addressing concerns.

Demonstrate transparency and collaboration: By involving Medicare officials in the conversation, you show that you are committed to transparency and collaboration. This approach can help establish trust and credibility, which may increase the likelihood of gaining support for your legislation.

Identify potential allies: Engaging with the Medicare agency may help you identify policymakers who are supportive of your proposal or have a vested interest in the issue. These individuals could become valuable allies and advocates for your legislation.

Potential risks:

Alerting opposition: Discussing your plan with the Medicare agency may alert potential opponents, who could mobilize resources to block or delay your legislation. This risk is particularly relevant if some senior policymakers or agency officials have conflicting interests or perspectives.

Revealing strategic information: Engaging with the Medicare agency could inadvertently reveal information about your strategy, making it easier for opponents to counter your efforts.

Negative feedback: If the Medicare agency or senior policymakers express concerns or opposition to your proposal, it could make it more difficult to gain support from lawmakers and other stakeholders.

Given these potential benefits and risks, it's essential to carefully consider whether discussing your plan with the Medicare agency and senior policymakers is the right move for your specific situation. If you decide to proceed, make sure to approach the conversation strategically, focusing on building relationships, gathering insights, and identifying potential allies, while protecting sensitive information about your strategy.


Do you have any additional advice on mitigating these potential risks that you just mentioned?


Yes, here are some additional strategies to help mitigate the potential risks associated with discussing your plan with the Medicare agency and its senior policymakers:

  1. Conduct thorough research: Before approaching the agency, research the key officials and their past stances on similar issues. Understand their concerns, priorities, and potential conflicts of interest. This research will help you tailor your messaging and approach the right individuals.
  2. Establish a relationship first: Build relationships with the agency officials and senior policymakers before discussing your proposal in detail. Establishing a rapport and understanding their concerns will help you frame your proposal in a way that addresses their needs and interests.
  3. Be selective in sharing information: While it's essential to be transparent and collaborative, be cautious about revealing your entire strategy. Share information on a need-to-know basis and focus on the benefits and potential outcomes of your proposal rather than specific tactical plans.
  4. Focus on common ground: Emphasize areas of shared interest and common goals when discussing your proposal. Aligning your plan with the agency's objectives and highlighting the benefits to the Medicare program can help mitigate the risk of opposition.
  5. Be prepared to address concerns: Anticipate potential concerns or objections and be prepared with well-researched responses. Demonstrating a deep understanding of the issue and a willingness to address concerns can help build credibility and minimize opposition.
  6. Utilize third-party validators: Seek endorsements or support from respected experts, organizations, or other stakeholders who can validate the merits of your proposal. This external validation can help mitigate the risk of opposition from within the agency.
  7. Monitor the conversation: After discussing your plan with the Medicare agency and senior policymakers, closely monitor any developments or indications of opposition. This will allow you to react quickly and adapt your strategy if necessary.
  8. Engage in ongoing dialogue: Maintain an open line of communication with the Medicare agency and its senior policymakers throughout the legislative process. This ongoing dialogue can help address concerns as they arise and minimize the risk of opposition gaining momentum.

By implementing these strategies, you can help mitigate the potential risks associated with discussing your plan with the Medicare agency and its senior policymakers while still leveraging the benefits of engaging with them.