H.R.4818

H.R. 4818 (118th): Treat and Reduce Obesity Act of 2023

Reported by Committee Brad Wenstrup (R) HOUSE_BILL — 118th Congress
Plain English Summary

The Treat and Reduce Obesity Act of 2023 seeks to expand Medicare coverage for obesity treatment. It allows more healthcare providers, including specialists and non-primary care practitioners, to offer intensive behavioral therapy for obesity if they coordinate with a primary care provider. Additionally, the bill permits Medicare to cover prescription drugs used for obesity treatment and weight loss management.

Positive Media Summary

The Treat and Reduce Obesity Act of 2023 broadens access to essential obesity treatments for Medicare beneficiaries. By including specialists and non-primary care providers in the coverage, the bill ensures more comprehensive care options. It also addresses the need for medication-assisted weight management, potentially improving health outcomes for those struggling with obesity.

Negative Media Summary

Critics of the Treat and Reduce Obesity Act of 2023 argue that expanding Medicare coverage to include more providers and obesity medications could lead to increased healthcare costs. There are concerns about the effectiveness of these treatments and whether they will significantly impact obesity rates among Medicare beneficiaries.

Conflict of Interest Analysis Deep Analysis
7/10
Risk Level
High
Total Donations
$157,500,000
PAC Percentage
0%
Policy Area
Health

There is a significant overlap between the sponsor's top donor industry and the subject matter of the bill. The Health Professionals industry, which is directly affected by the Treat and Reduce Obesity Act, has donated a substantial $120,000,000 to the sponsor, Brad Wenstrup. This raises potential conflict of interest concerns as the sponsor may be influenced by the interests of his donors when drafting and voting on the bill. Furthermore, NSIGHT HEALTH, INC., a lobbying entity in the bill's policy area, is also a donor to the sponsor. However, the exact donation amount is undisclosed, making it difficult to assess the extent of this potential conflict. The high volume of donations from the Health Professionals industry and the involvement of a lobbying entity that is also a donor significantly increase the risk level.

Industry Overlap — Follow the Money

These industries are both affected by this bill and among the sponsor's top donors.

Industry Match Type Related Subject Donations
Health Professionals (H01) Sector Health $120,000,000
Total from overlapping industries $120,000,000
Lobbying Activity — Who's Pushing?

Organizations that lobbied on issues related to this bill's policy area. 1 lobbying client(s) are also sponsor donors.

Client Lobbying Firm Amount
NSIGHT HEALTH, INC. Also a Donor MONTICELLO ADVISORY GROUP undisclosed
MORONGO BAND OF MISSION INDIANS PACE, LLP $70,000
SALT RIVER PIMA MARICOPA INDIAN COMMUNITY PACE, LLP $65,000
NATIONAL ENERGY & FUELS INSTITUTE NATIONAL ENERGY & FUELS INSTITUTE $60,000
COLORADO RIVER INDIAN TRIBES PACE, LLP $40,000
ONEIDA TRIBE OF INDIANS OF WISCONSIN PACE, LLP $40,000
AMERICAN COMPOSITES MANUFACTURERS ASSOCIATION AMERICAN COMPOSITES MANUFACTURERS ASSOCIATION $20,000
LEONARDO DRS, INC HITHER CREEK STRATEGIES, LLC $15,000
SAN FRANCISCO BAR PILOTS ASSN PACE, LLP $10,000
HOPFLYT INC HITHER CREEK STRATEGIES, LLC $10,000
CLEARINGHOUSE CDFI MONTICELLO ADVISORY GROUP undisclosed
WING AVIATION LLC WING AVIATION LLC undisclosed
ROBERT TRENT JONES II LLC PLATINUM ADVISORS DC, LLC undisclosed
AMERICAN SOCIETY OF GOLF COURSE ARCHITECTS PLATINUM ADVISORS DC, LLC undisclosed
ALLIANCE OF PROFESSIONALS & CONSULTANTS ON BEHALF OF IBM CORP PLATINUM ADVISORS DC, LLC undisclosed

Source: Senate Lobbying Disclosure Act (LDA) filings, 2026

Sponsor's Top Donor Industries

Top industries funding Brad Wenstrup, ranked by total contributions.

Health Professionals $120,000,000
Individuals: $120,000,000 PACs: $0
Retired $37,500,000
Individuals: $37,500,000 PACs: $0

Source: OpenSecrets.org (Center for Responsive Politics)

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