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Department of Health and Human Services

Federal outlays by Department of Health and Human Services — the total over time — plus its largest federal awards, top recipients, and where the money lands.

Data from USAspending

Outlays (latest FY)$2,794,349,803,089
Latest yearFY2025
Awards sampled100 · FY2025

Agency outlays over time

Department of Health and Human Services outlays by fiscal year
FYAgency outlays
2017$1,646,989,531,124
2018$1,679,128,003,254
2019$1,814,270,463,757
2020$2,198,882,208,892
2021$2,355,524,286,884
2022$2,452,969,781,323
2023$2,475,673,980,553
2024$2,518,647,728,971
2025$2,794,349,803,089

Largest awards (FY2025)

Top awards shown (largest first) — a sample of this agency's obligations, not the full award universe.

RecipientTypeAmountStateWhat for
Health Care Services, California Department OfCenters for Medicare and Medicaid Services Grant $100,102,109,892 CA MEDICAID ENTITLEMENT FOR 7 - FY 2026 - T19
Health Care Services, California Department OfCenters for Medicare and Medicaid Services Grant $91,989,754,968 CA MEDICAID ENTITLEMENT FOR 7 - FY 2025 - T19
Health Care Services, California Department OfCenters for Medicare and Medicaid Services Grant $80,547,538,707 CA MEDICAID ENTITLEMENT FOR 7 - FY 2024 - T19
Health Care Services, California Department OfCenters for Medicare and Medicaid Services Grant $80,533,569,865 CA MEDICAID ENTITLEMENT FOR 7 - FY 2023 - T19
Nys Department Of HealthCenters for Medicare and Medicaid Services Grant $56,792,111,760 NY MEDICAID ENTITLEMENT FOR 42 - FY 2026 - T19
Nys Department Of HealthCenters for Medicare and Medicaid Services Grant $54,306,306,498 NY MEDICAID ENTITLEMENT FOR 42 - FY 2025 - T19
Health & Human Svc Commn TxCenters for Medicare and Medicaid Services Grant $31,616,515,180 TX MEDICAID ENTITLEMENT FOR 54 - FY 2026 - T19
Nys Department Of HealthCenters for Medicare and Medicaid Services Grant $30,097,499,241 NY STATE INNOVATION WAIVER UNDER SECTION 1332 OF THE AFFORDABLE CARE ACT
Pa Department Of Human ServicesCenters for Medicare and Medicaid Services Grant $29,024,953,484 PA MEDICAID ENTITLEMENT FOR 46 - FY 2026 - T19
Health & Human Svc Commn TxCenters for Medicare and Medicaid Services Grant $28,428,287,024 TX MEDICAID ENTITLEMENT FOR 54 - FY 2025 - T19
Pa Department Of Human ServicesCenters for Medicare and Medicaid Services Grant $26,097,495,884 PA MEDICAID ENTITLEMENT FOR 46 - FY 2025 - T19
Ohio Department Of MedicaidCenters for Medicare and Medicaid Services Grant $26,062,737,878 OH MEDICAID ENTITLEMENT FOR 43 - FY 2026 - T19
North Carolina Department Of Health & Human ServicesCenters for Medicare and Medicaid Services Grant $24,819,288,393 NC MEDICAID ENTITLEMENT FOR 35 - FY 2026 - T19
Ohio Department Of MedicaidCenters for Medicare and Medicaid Services Grant $23,871,453,084 OH MEDICAID ENTITLEMENT FOR 43 - FY 2025 - T19
Florida Agency For Health Care AdministrationCenters for Medicare and Medicaid Services Grant $21,945,445,030 FL MEDICAID ENTITLEMENT FOR 14 - FY 2026 - T19
North Carolina Department Of Health & Human ServicesCenters for Medicare and Medicaid Services Grant $21,227,895,746 NC MEDICAID ENTITLEMENT FOR 35 - FY 2025 - T19
Florida Agency For Health Care AdministrationCenters for Medicare and Medicaid Services Grant $20,328,728,730 FL MEDICAID ENTITLEMENT FOR 14 - FY 2025 - T19
Illinois Department Of Healthcare & Family ServicesCenters for Medicare and Medicaid Services Grant $20,304,018,347 IL MEDICAID ENTITLEMENT FOR 20 - FY 2026 - T19
Illinois Department Of Healthcare & Family ServicesCenters for Medicare and Medicaid Services Grant $19,064,022,090 IL MEDICAID ENTITLEMENT FOR 20 - FY 2025 - T19
Michigan Department Of Health And Human ServicesCenters for Medicare and Medicaid Services Grant $18,777,363,690 MI MEDICAID ENTITLEMENT FOR 30 - FY 2026 - T19
Michigan Department Of Health And Human ServicesCenters for Medicare and Medicaid Services Grant $17,587,850,907 MI MEDICAID ENTITLEMENT FOR 30 - FY 2025 - T19
Arizona Health Care Cost Containment SystemCenters for Medicare and Medicaid Services Grant $15,778,870,139 AZ MEDICAID ENTITLEMENT FOR 6 - FY 2026 - T19
Health Services Kentucky Cabinet ForCenters for Medicare and Medicaid Services Grant $15,593,085,025 KY MEDICAID ENTITLEMENT FOR 24 - FY 2026 - T19
Arizona Health Care Cost Containment SystemCenters for Medicare and Medicaid Services Grant $15,075,060,908 AZ MEDICAID ENTITLEMENT FOR 6 - FY 2025 - T19
The Commonwealth Of MassachusettsCenters for Medicare and Medicaid Services Grant $14,899,684,232 MA MEDICAID ENTITLEMENT FOR 26 - FY 2026 - T19

Top recipients

  • Health Care Services, California Department OfCA $353,172,973,432
  • Nys Department Of HealthNY $141,195,917,499
  • Health & Human Svc Commn TxTX $60,044,802,204
  • Pa Department Of Human ServicesPA $55,122,449,368
  • Ohio Department Of MedicaidOH $49,934,190,962
  • North Carolina Department Of Health & Human ServicesNC $46,047,184,139
  • Florida Agency For Health Care AdministrationFL $42,274,173,760
  • Illinois Department Of Healthcare & Family ServicesIL $39,368,040,437
  • Michigan Department Of Health And Human ServicesMI $36,365,214,597
  • Arizona Health Care Cost Containment SystemAZ $30,853,931,047
  • Health Services Kentucky Cabinet ForKY $29,616,130,597
  • The Commonwealth Of MassachusettsMA $28,793,717,411
  • Human Services, New Jersey Department OfNJ $28,791,945,788
  • Va Department Of Medical Assistance ServiceVA $27,935,824,419
  • Indiana Family And Social ServIN $27,443,623,778

Rolled up across this agency's sampled awards.

Where it lands

  • CA $353,946,852,439
  • NY $142,708,872,572
  • TX $65,574,082,938
  • PA $57,961,969,252
  • OH $49,934,190,962
  • NC $46,047,184,139
  • FL $42,274,173,760
  • IL $39,368,040,437
  • VA $36,430,040,152
  • MI $36,365,214,597
  • MD $33,450,895,133
  • MA $31,978,685,556
  • AZ $30,853,931,047
  • KY $29,616,130,597
  • IN $28,899,745,161

Award dollars by recipient state of performance (from the sampled awards).