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
$1.9T
Oct 14, 2025 through Oct 13, 2026
Federal Data
Last refreshed Oct 13, 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
$2.1TFY 2026
$17.7MFY 2027
Federal Data
Spending By Award Type
| Rank | Award Type | Obligations | Share |
|---|---|---|---|
| 1 | Direct payments | $1,159,702,054,329 | 62.1% |
| 2 | Grants | $671,099,169,657 | 36.0% |
| 3 | Contracts | $30,009,909,780 | 1.6% |
| 4 | Other assistance | $5,180,645,134 | 0.3% |
| 5 | Loans | $0 | 0.0% |
Federal Data
Top Recipients
| Rank | Recipient | Obligations | Share |
|---|---|---|---|
| 1 | MULTIPLE RECIPIENTS | $1,158,717,090,236 | 62.1% |
| 2 | HEALTH CARE SERVICES, CALIFORNIA DEPARTMENT OFUEI JE73CDQUAPA7 | $86,642,559,855 | 4.6% |
| 3 | NYS DEPARTMENT OF HEALTHUEI F863WQVMZSK7 | $50,410,534,791 | 2.7% |
| 4 | HEALTH & HUMAN SVC COMMN TXUEI G6JLG3FANUA9 | $30,705,008,490 | 1.6% |
| 5 | PA DEPARTMENT OF HUMAN SERVICESUEI FYVAZVJGDFA4 | $26,958,331,310 | 1.4% |
| 6 | NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICESUEI DKT3LLBWFVL3 | $23,312,439,867 | 1.2% |
| 7 | OHIO DEPARTMENT OF MEDICAIDUEI HFRCKLH34V17 | $21,940,076,454 | 1.2% |
| 8 | FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATIONUEI ULZMDBF4YKY7 | $21,809,288,906 | 1.2% |
| 9 | ILLINOIS DEPARTMENT OF HEALTHCARE & FAMILY SERVICESUEI UF4TC1RLR6K7 | $19,883,859,258 | 1.1% |
| 10 | MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICESUEI C2AQVDYYUAS7 | $18,224,901,606 | 1.0% |
| 11 | DEPARTMENT OF SOCIAL & HEALTH SERVICESUEI SEYQXMXJLUP5 | $15,915,965,581 | 0.9% |
| 12 | ARIZONA HEALTH CARE COST CONTAINMENT SYSTEMUEI LJGVPF5ULHJ3 | $15,319,367,209 | 0.8% |
| 13 | HUMAN SERVICES, NEW JERSEY DEPARTMENT OFUEI MLGMLZ76EMC3 | $14,756,909,338 | 0.8% |
| 14 | HEALTH SERVICES KENTUCKY CABINET FORUEI LECJQDCLHVE5 | $13,734,257,933 | 0.7% |
| 15 | THE COMMONWEALTH OF MASSACHUSETTSUEI FXV5JB3EPZ99 | $12,907,918,984 | 0.7% |
| 16 | VA DEPARTMENT OF MEDICAL ASSISTANCE SERVICEUEI V3KPBX5HSYG5 | $11,903,885,592 | 0.6% |
| 17 | OREGON HEALTH AUTHORITY-PUBLIC HEALTHUEI HFJRBHKCBPR5 | $11,768,690,087 | 0.6% |
| 18 | GEORGIA DEPARTMENT OF COMMUNITY HEALTHUEI UKB5A1E2CLK3 | $11,420,529,644 | 0.6% |
| 19 | DEPARTMENT OF SOCIAL SERVICES MISSOUEI LFNCGSDCDYN3 | $10,874,304,768 | 0.6% |
| 20 | INDIANA FAMILY AND SOCIAL SERVUEI ZHQ4KM8L3XS5 | $10,424,728,945 | 0.6% |
Federal Data
Top Subagencies And Offices
| Rank | Subagency / Office | Obligations | Share |
|---|---|---|---|
| 1 | Centers for Medicare and Medicaid ServicesCMS | $1,723,021,007,312 | 92.3% |
| 2 | Administration for Children and FamiliesACF | $61,955,162,038 | 3.3% |
| 3 | National Institutes of HealthNIH | $41,430,146,581 | 2.2% |
| 4 | Health Resources and Services AdministrationHRSA | $12,903,131,656 | 0.7% |
| 5 | Centers for Disease Control and PreventionCDC | $7,365,104,158 | 0.4% |
| 6 | Substance Abuse and Mental Health Services AdministrationSAMHSA | $6,615,071,100 | 0.4% |
| 7 | Indian Health ServiceIHS | $4,783,056,955 | 0.3% |
| 8 | Office of Assistant Secretary for Preparedness and Response | $3,042,909,970 | 0.2% |
| 9 | Office of the Assistant Secretary for Financial ResourcesASFR | $2,700,676,442 | 0.1% |
| 10 | Food and Drug AdministrationFDA | $1,654,849,158 | 0.1% |
| 11 | Office of the Inspector GeneralOIG | $235,898,699 | 0.0% |
| 12 | Office of the Assistant Secretary for AdministrationASA | $176,027,532 | 0.0% |
| 13 | Agency for Healthcare Research and QualityAHRQ | $108,260,412 | 0.0% |
| 14 | Office of Assistant Secretary for Health | $476,888 | 0.0% |
Federal Data
Top Spending Categories
| Rank | Category | Obligations | Share |
|---|---|---|---|
| 1 | Medicare Supplementary Medical InsuranceAssistance Listing · 93.774 | $556,912,954,414 | 29.8% |
| 2 | Grants to States for MedicaidAssistance Listing · 93.778 | $545,141,153,538 | 29.2% |
| 3 | Medicare Hospital InsuranceAssistance Listing · 93.773 | $418,064,854,083 | 22.4% |
| 4 | Medicare Prescription Drug CoverageAssistance Listing · 93.770 | $178,728,097,917 | 9.6% |
| 5 | Temporary Assistance for Needy FamiliesAssistance Listing · 93.558 | $17,021,822,905 | 0.9% |
| 6 | Head StartAssistance Listing · 93.600 | $11,547,593,201 | 0.6% |
| 7 | Children's Health Insurance ProgramAssistance Listing · 93.767 | $11,300,888,518 | 0.6% |
| 8 | Child Care and Development Block GrantAssistance Listing · 93.575 | $8,382,378,934 | 0.4% |
| 9 | DRUGS AND BIOLOGICALSPSC · 6505 | $6,158,380,070 | 0.3% |
| 10 | Health Center ProgramAssistance Listing · 93.224 | $5,314,629,710 | 0.3% |
| 11 | SUPPORT- PROFESSIONAL: OTHERPSC · R499 | $4,906,408,217 | 0.3% |
| 12 | Basic Health Program (Affordable Care Act)Assistance Listing · 93.640 | $4,442,255,415 | 0.2% |
| 13 | Foster Care Title IV-EAssistance Listing · 93.658 | $4,435,548,390 | 0.2% |
| 14 | Allergy and Infectious Diseases ResearchAssistance Listing · 93.855 | $4,045,148,285 | 0.2% |
| 15 | Aging ResearchAssistance Listing · 93.866 | $3,877,336,848 | 0.2% |
| 16 | Low-Income Home Energy AssistanceAssistance Listing · 93.568 | $3,818,266,389 | 0.2% |
| 17 | Child Support EnforcementAssistance Listing · 93.563 | $3,511,607,087 | 0.2% |
| 18 | IT AND TELECOM - BUSINESS APPLICATION/APPLICATION DEVELOPMENT SUPPORT SERVICES (LABOR)PSC · DA01 | $3,045,954,223 | 0.2% |
| 19 | HEALTH R&D SERVICES; HEALTH CARE SERVICES; APPLIED RESEARCHPSC · AN12 | $1,412,229,560 | 0.1% |
| 20 | SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMSPSC · G007 | $1,193,455,275 | 0.1% |
| 21 | HEALTH R&D SERVICES; HEALTH CARE - OTHER; APPLIED RESEARCHPSC · AN42 | $881,289,441 | 0.0% |
| 22 | HEALTH R&D SERVICES; HEALTH CARE SERVICES; EXPERIMENTAL DEVELOPMENTPSC · AN13 | $865,713,578 | 0.0% |
| 23 | IT AND TELECOM - DATA CENTER AS A SERVICEPSC · DC10 | $580,974,756 | 0.0% |
| 24 | SUPPORT- PROFESSIONAL: PROGRAM MANAGEMENT/SUPPORTPSC · R408 | $541,405,576 | 0.0% |
| 25 | CONSTRUCTION OF LABORATORIES AND CLINICSPSC · Y1DB | $491,806,574 | 0.0% |
| 26 | CONSTRUCTION OF MISCELLANEOUS BUILDINGSPSC · Y1JZ | $479,870,508 | 0.0% |
| 27 | IT AND TELECOM - BUSINESS APPLICATION/APPLICATION DEVELOPMENT SOFTWARE AS A SERVICEPSC · DA10 | $477,522,837 | 0.0% |
| 28 | IT AND TELECOM - IT MANAGEMENT SUPPORT SERVICES (LABOR)PSC · DF01 | $461,814,019 | 0.0% |
| 29 | SUPPORT- PROFESSIONAL: LEGALPSC · R418 | $433,387,374 | 0.0% |
| 30 | HEALTH R&D SERVICES; HEALTH CARE SERVICES; BASIC RESEARCHPSC · AN11 | $427,363,392 | 0.0% |
Federal Data · Geography Preview
Spending By State
| Rank | State | Obligations | Share |
|---|---|---|---|
| 1 | MinnesotaMN | $181,357,726,864 | 9.7% |
| 2 | CaliforniaCA | $153,075,878,458 | 8.2% |
| 3 | PennsylvaniaPA | $146,358,598,807 | 7.8% |
| 4 | KentuckyKY | $139,093,155,554 | 7.5% |
| 5 | IndianaIN | $137,576,048,788 | 7.4% |
| 6 | FloridaFL | $107,480,470,636 | 5.8% |
| 7 | North DakotaND | $87,415,853,724 | 4.7% |
| 8 | ConnecticutCT | $87,035,821,412 | 4.7% |
| 9 | New YorkNY | $86,853,196,310 | 4.7% |
| 10 | South CarolinaSC | $80,321,018,621 | 4.3% |
| 11 | WisconsinWI | $59,469,864,212 | 3.2% |
| 12 | TennesseeTN | $54,618,779,784 | 2.9% |
| 13 | TexasTX | $40,600,617,067 | 2.2% |
| 14 | MichiganMI | $37,153,849,875 | 2.0% |
| 15 | ArizonaAZ | $34,817,607,636 | 1.9% |
| 16 | MassachusettsMA | $32,700,360,152 | 1.8% |
| 17 | OhioOH | $32,138,788,721 | 1.7% |
| 18 | IllinoisIL | $31,966,141,662 | 1.7% |
| 19 | MissouriMO | $31,802,288,293 | 1.7% |
| 20 | North CarolinaNC | $29,344,879,161 | 1.6% |
| 21 | New JerseyNJ | $22,029,432,377 | 1.2% |
| 22 | VirginiaVA | $21,533,330,789 | 1.2% |
| 23 | MarylandMD | $20,885,975,232 | 1.1% |
| 24 | WashingtonWA | $19,222,074,082 | 1.0% |
| 25 | OregonOR | $18,769,802,629 | 1.0% |
| 26 | GeorgiaGA | $16,290,923,750 | 0.9% |
| 27 | LouisianaLA | $15,488,941,944 | 0.8% |
| 28 | ColoradoCO | $12,574,319,008 | 0.7% |
| 29 | Puerto RicoPR | $11,048,152,201 | 0.6% |
| 30 | OklahomaOK | $10,263,378,623 | 0.6% |
| 31 | NebraskaNE | $9,904,666,427 | 0.5% |
| 32 | AlabamaAL | $9,229,617,039 | 0.5% |
| 33 | New MexicoNM | $8,616,603,768 | 0.5% |
| 34 | ArkansasAR | $6,676,523,690 | 0.4% |
| 35 | District Of ColumbiaDC | $6,076,484,720 | 0.3% |
| 36 | MississippiMS | $5,594,633,278 | 0.3% |
| 37 | IowaIA | $5,518,329,663 | 0.3% |
| 38 | NevadaNV | $5,393,807,502 | 0.3% |
| 39 | KansasKS | $4,912,389,898 | 0.3% |
| 40 | West VirginiaWV | $4,783,584,146 | 0.3% |
| 41 | Rhode IslandRI | $4,716,769,851 | 0.3% |
| 42 | UtahUT | $4,558,884,852 | 0.2% |
| 43 | MaineME | $4,267,976,654 | 0.2% |
| 44 | AlaskaAK | $3,628,686,226 | 0.2% |
| 45 | IdahoID | $3,249,487,856 | 0.2% |
| 46 | HawaiiHI | $2,967,768,609 | 0.2% |
| 47 | DelawareDE | $2,583,233,838 | 0.1% |
| 48 | MontanaMT | $2,271,933,619 | 0.1% |
| 49 | New HampshireNH | $1,827,546,984 | 0.1% |
| 50 | South DakotaSD | $1,630,150,963 | 0.1% |
| 51 | VermontVT | $1,574,280,873 | 0.1% |
| 52 | WyomingWY | $477,290,568 | 0.0% |
| 53 | Northern Mariana IslandsMP | $50,163,676 | 0.0% |
| 54 | U.S. Virgin IslandsVI | $32,698,751 | 0.0% |
| 55 | GuamGU | $28,000,130 | 0.0% |
| 56 | American SamoaAS | $3,334,054 | 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
- Oct 13, 2026
- Research Last Reviewed
- Not available