Cabinet DepartmentFederal data + Paper Trail research
Department of Health & Human Services (HHS)
Oversees public health, medical research, Medicare, Medicaid, and health-related federal programs.
Total Obligations
$2.1T
Sep 9, 2025 through Sep 8, 2026
Federal Data
Last refreshed Sep 8, 2026
Headquarters
Hubert H. Humphrey Building, 200 Independence Avenue, SW, Washington, DC 20201
Paper Trail Research
What This Agency Does
Oversees public health, medical research, Medicare, Medicaid, and health-related federal programs.
Why It Matters
Controls enormous healthcare spending through agencies like CMS and NIH.
Federal Data
Spending Over Time
$1.7TFY 2022
$1.8TFY 2023
$1.9TFY 2024
$2TFY 2025
$2TFY 2026
Federal Data
Spending By Award Type
| Rank | Award Type | Obligations | Share |
|---|---|---|---|
| 1 | Direct payments | $1,165,504,794,729 | 55.6% |
| 2 | Grants | $895,982,061,217 | 42.7% |
| 3 | Contracts | $29,426,281,542 | 1.4% |
| 4 | Other assistance | $5,457,698,314 | 0.3% |
| 5 | Loans | $0 | 0.0% |
Federal Data
Top Recipients
| Rank | Recipient | Obligations | Share |
|---|---|---|---|
| 1 | MULTIPLE RECIPIENTS | $1,162,683,449,131 | 55.5% |
| 2 | HEALTH CARE SERVICES, CALIFORNIA DEPARTMENT OFUEI JE73CDQUAPA7 | $117,939,626,328 | 5.6% |
| 3 | NYS DEPARTMENT OF HEALTHUEI F863WQVMZSK7 | $73,378,097,047 | 3.5% |
| 4 | HEALTH & HUMAN SVC COMMN TXUEI G6JLG3FANUA9 | $39,444,660,536 | 1.9% |
| 5 | PA DEPARTMENT OF HUMAN SERVICESUEI FYVAZVJGDFA4 | $36,033,808,284 | 1.7% |
| 6 | OHIO DEPARTMENT OF MEDICAIDUEI HFRCKLH34V17 | $29,355,683,413 | 1.4% |
| 7 | NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICESUEI DKT3LLBWFVL3 | $29,185,059,711 | 1.4% |
| 8 | FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATIONUEI ULZMDBF4YKY7 | $27,973,498,863 | 1.3% |
| 9 | ILLINOIS DEPARTMENT OF HEALTHCARE & FAMILY SERVICESUEI UF4TC1RLR6K7 | $25,406,070,815 | 1.2% |
| 10 | MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICESUEI C2AQVDYYUAS7 | $24,395,704,036 | 1.2% |
| 11 | DEPARTMENT OF SOCIAL & HEALTH SERVICESUEI SEYQXMXJLUP5 | $20,741,373,465 | 1.0% |
| 12 | HUMAN SERVICES, NEW JERSEY DEPARTMENT OFUEI MLGMLZ76EMC3 | $20,273,830,834 | 1.0% |
| 13 | ARIZONA HEALTH CARE COST CONTAINMENT SYSTEMUEI LJGVPF5ULHJ3 | $19,007,561,459 | 0.9% |
| 14 | HEALTH SERVICES KENTUCKY CABINET FORUEI LECJQDCLHVE5 | $18,960,367,697 | 0.9% |
| 15 | VA DEPARTMENT OF MEDICAL ASSISTANCE SERVICEUEI V3KPBX5HSYG5 | $16,788,301,185 | 0.8% |
| 16 | THE COMMONWEALTH OF MASSACHUSETTSUEI FXV5JB3EPZ99 | $16,127,741,804 | 0.8% |
| 17 | OREGON HEALTH AUTHORITY-PUBLIC HEALTHUEI HFJRBHKCBPR5 | $15,867,403,883 | 0.8% |
| 18 | DEPARTMENT OF SOCIAL SERVICES MISSOUEI LFNCGSDCDYN3 | $15,690,429,350 | 0.7% |
| 19 | GEORGIA DEPARTMENT OF COMMUNITY HEALTHUEI UKB5A1E2CLK3 | $14,871,596,844 | 0.7% |
| 20 | INDIANA FAMILY AND SOCIAL SERVUEI ZHQ4KM8L3XS5 | $14,838,936,206 | 0.7% |
Federal Data
Top Subagencies And Offices
| Rank | Subagency / Office | Obligations | Share |
|---|---|---|---|
| 1 | Centers for Medicare and Medicaid ServicesCMS | $1,937,478,071,086 | 92.4% |
| 2 | Administration for Children and FamiliesACF | $67,645,309,369 | 3.2% |
| 3 | National Institutes of HealthNIH | $41,141,950,963 | 2.0% |
| 4 | Centers for Disease Control and PreventionCDC | $11,687,665,586 | 0.6% |
| 5 | Health Resources and Services AdministrationHRSA | $10,989,618,129 | 0.5% |
| 6 | Substance Abuse and Mental Health Services AdministrationSAMHSA | $10,137,880,659 | 0.5% |
| 7 | Indian Health ServiceIHS | $7,672,185,819 | 0.4% |
| 8 | Office of Assistant Secretary for Preparedness and Response | $3,183,616,281 | 0.2% |
| 9 | Administration for Community LivingACL | $2,353,057,412 | 0.1% |
| 10 | Food and Drug AdministrationFDA | $1,554,442,601 | 0.1% |
| 11 | Office of the Assistant Secretary for Financial ResourcesASFR | $1,256,620,171 | 0.1% |
| 12 | Office of the Assistant Secretary for AdministrationASA | $488,195,451 | 0.0% |
| 13 | Office of the Inspector GeneralOIG | $334,850,721 | 0.0% |
| 14 | Office of Assistant Secretary for Health | $298,761,540 | 0.0% |
| 15 | Agency for Healthcare Research and QualityAHRQ | $144,595,717 | 0.0% |
| 16 | Office of the National Coordinator for Health Information TechnologyONC | $4,014,298 | 0.0% |
Federal Data
Top Spending Categories
| Rank | Category | Obligations | Share |
|---|---|---|---|
| 1 | Grants to States for MedicaidAssistance Listing · 93.778 | $722,145,033,419 | 34.4% |
| 2 | Medicare Supplementary Medical InsuranceAssistance Listing · 93.774 | $559,148,605,371 | 26.7% |
| 3 | Medicare Hospital InsuranceAssistance Listing · 93.773 | $419,624,054,307 | 20.0% |
| 4 | Medicare Prescription Drug CoverageAssistance Listing · 93.770 | $178,681,299,306 | 8.5% |
| 5 | Children's Health Insurance ProgramAssistance Listing · 93.767 | $22,722,033,768 | 1.1% |
| 6 | Temporary Assistance for Needy FamiliesAssistance Listing · 93.558 | $17,021,822,906 | 0.8% |
| 7 | 1332 State Innovation WaiversAssistance Listing · 93.423 | $11,850,455,412 | 0.6% |
| 8 | Head StartAssistance Listing · 93.600 | $11,526,918,007 | 0.5% |
| 9 | Rural Health Transformation ProgramAssistance Listing · 93.798 | $10,000,000,000 | 0.5% |
| 10 | Child Care and Development Block GrantAssistance Listing · 93.575 | $8,373,512,065 | 0.4% |
| 11 | DRUGS AND BIOLOGICALSPSC · 6505 | $6,618,765,668 | 0.3% |
| 12 | Foster Care Title IV-EAssistance Listing · 93.658 | $5,906,269,347 | 0.3% |
| 13 | Health Center ProgramAssistance Listing · 93.224 | $5,310,890,463 | 0.3% |
| 14 | Tribal Self-Governance Program: IHS Compacts/Funding Agreements Assistance Listing · 93.210 | $4,809,259,706 | 0.2% |
| 15 | SUPPORT- PROFESSIONAL: OTHERPSC · R499 | $4,800,845,559 | 0.2% |
| 16 | Basic Health Program (Affordable Care Act)Assistance Listing · 93.640 | $4,714,234,154 | 0.2% |
| 17 | Child Support ServicesAssistance Listing · 93.563 | $4,670,360,005 | 0.2% |
| 18 | IT AND TELECOM - BUSINESS APPLICATION/APPLICATION DEVELOPMENT SUPPORT SERVICES (LABOR)PSC · DA01 | $2,916,604,950 | 0.1% |
| 19 | HEALTH R&D SERVICES; HEALTH CARE SERVICES; APPLIED RESEARCHPSC · AN12 | $1,481,830,214 | 0.1% |
| 20 | SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMSPSC · G007 | $1,268,401,026 | 0.1% |
| 21 | HEALTH R&D SERVICES; HEALTH CARE - OTHER; APPLIED RESEARCHPSC · AN42 | $844,621,777 | 0.0% |
| 22 | HEALTH R&D SERVICES; HEALTH CARE SERVICES; EXPERIMENTAL DEVELOPMENTPSC · AN13 | $653,422,960 | 0.0% |
| 23 | IT AND TELECOM - DATA CENTER AS A SERVICEPSC · DC10 | $616,449,113 | 0.0% |
| 24 | CONSTRUCTION OF LABORATORIES AND CLINICSPSC · Y1DB | $491,992,121 | 0.0% |
| 25 | IT AND TELECOM - IT MANAGEMENT SUPPORT SERVICES (LABOR)PSC · DF01 | $485,018,260 | 0.0% |
| 26 | CONSTRUCTION OF MISCELLANEOUS BUILDINGSPSC · Y1JZ | $444,027,824 | 0.0% |
| 27 | SUPPORT- PROFESSIONAL: LEGALPSC · R418 | $441,508,653 | 0.0% |
| 28 | IT AND TELECOM - BUSINESS APPLICATION/APPLICATION DEVELOPMENT SOFTWARE AS A SERVICEPSC · DA10 | $401,654,775 | 0.0% |
| 29 | SUPPORT- PROFESSIONAL: PROGRAM MANAGEMENT/SUPPORTPSC · R408 | $395,749,050 | 0.0% |
| 30 | IT AND TELECOM - BUSINESS APPLICATION SOFTWARE (PERPETUAL LICENSE SOFTWARE)PSC · 7A21 | $355,373,818 | 0.0% |
Federal Data · Geography Preview
Spending By State
| Rank | State | Obligations | Share |
|---|---|---|---|
| 1 | CaliforniaCA | $185,967,143,500 | 8.9% |
| 2 | MinnesotaMN | $185,939,816,240 | 8.9% |
| 3 | PennsylvaniaPA | $155,775,873,982 | 7.4% |
| 4 | KentuckyKY | $144,288,583,303 | 6.9% |
| 5 | IndianaIN | $141,501,964,579 | 6.7% |
| 6 | FloridaFL | $114,363,130,123 | 5.5% |
| 7 | New YorkNY | $110,959,299,120 | 5.3% |
| 8 | ConnecticutCT | $89,193,146,799 | 4.3% |
| 9 | North DakotaND | $88,209,056,149 | 4.2% |
| 10 | South CarolinaSC | $82,363,167,566 | 3.9% |
| 11 | WisconsinWI | $63,268,792,107 | 3.0% |
| 12 | TennesseeTN | $57,488,620,817 | 2.7% |
| 13 | TexasTX | $50,362,234,692 | 2.4% |
| 14 | MichiganMI | $43,458,929,685 | 2.1% |
| 15 | OhioOH | $40,319,959,928 | 1.9% |
| 16 | ArizonaAZ | $39,126,621,134 | 1.9% |
| 17 | IllinoisIL | $37,908,957,534 | 1.8% |
| 18 | MissouriMO | $36,824,959,979 | 1.8% |
| 19 | MassachusettsMA | $36,411,944,763 | 1.7% |
| 20 | North CarolinaNC | $35,211,685,193 | 1.7% |
| 21 | VirginiaVA | $30,699,470,382 | 1.5% |
| 22 | New JerseyNJ | $28,346,537,568 | 1.4% |
| 23 | MarylandMD | $24,712,940,911 | 1.2% |
| 24 | WashingtonWA | $24,615,046,117 | 1.2% |
| 25 | OregonOR | $23,374,525,994 | 1.1% |
| 26 | GeorgiaGA | $20,748,096,846 | 1.0% |
| 27 | LouisianaLA | $20,509,497,743 | 1.0% |
| 28 | ColoradoCO | $16,066,149,129 | 0.8% |
| 29 | Puerto RicoPR | $14,975,501,803 | 0.7% |
| 30 | OklahomaOK | $13,127,369,175 | 0.6% |
| 31 | New MexicoNM | $11,761,556,157 | 0.6% |
| 32 | NebraskaNE | $11,359,570,483 | 0.5% |
| 33 | AlabamaAL | $11,255,988,008 | 0.5% |
| 34 | ArkansasAR | $8,692,077,671 | 0.4% |
| 35 | NevadaNV | $8,088,545,033 | 0.4% |
| 36 | IowaIA | $7,812,720,011 | 0.4% |
| 37 | MississippiMS | $7,219,688,740 | 0.3% |
| 38 | District Of ColumbiaDC | $6,912,112,926 | 0.3% |
| 39 | West VirginiaWV | $6,799,826,814 | 0.3% |
| 40 | KansasKS | $6,331,131,704 | 0.3% |
| 41 | Rhode IslandRI | $5,858,977,452 | 0.3% |
| 42 | UtahUT | $5,688,726,108 | 0.3% |
| 43 | MaineME | $5,559,249,969 | 0.3% |
| 44 | AlaskaAK | $5,501,185,655 | 0.3% |
| 45 | IdahoID | $4,397,652,780 | 0.2% |
| 46 | HawaiiHI | $3,818,958,720 | 0.2% |
| 47 | DelawareDE | $3,422,318,047 | 0.2% |
| 48 | MontanaMT | $3,122,239,544 | 0.1% |
| 49 | New HampshireNH | $2,710,791,421 | 0.1% |
| 50 | South DakotaSD | $2,397,098,022 | 0.1% |
| 51 | VermontVT | $2,223,665,910 | 0.1% |
| 52 | WyomingWY | $934,027,819 | 0.0% |
| 53 | GuamGU | $272,015,981 | 0.0% |
| 54 | U.S. Virgin IslandsVI | $227,094,176 | 0.0% |
| 55 | Northern Mariana IslandsMP | $137,134,364 | 0.0% |
| 56 | American SamoaAS | $115,859,623 | 0.0% |
Documentation
Sources And Transparency
Obligations are commitments by the federal government to spend money. They are not necessarily cash already paid to a recipient.
- Federal Data Last Updated
- Sep 8, 2026
- Research Last Reviewed
- Not available