Federal agency

Department of Health and Human Services

FY2026 ended Sep 30 · data still posting · data as of 2026-11-01†

† DoD contract data posts to USAspending about 90 days after award.

Federal agency · top-tier · the money flowing out to recipients.

$2.2T
Obligated
FY2026 · data still posting
640
Recipients
182,196
Awards
17
Sub-agencies

In FY2026, the Department of Health and Human Services obligated $2.2T in federal awards to 640 recipients across 182,196 awards. Its largest recipient was California Department of Health Care Services, with 5% of the total. FY2026 ended Sep 30 and its data is still posting. Computed

Where this money goes

Source
DEPARTMENT OF HEALTH AND
TOP RECIPIENTS
Department of Health and Human Services
$2205.9B
FY2026 obligated
California Department
$117.3B
NYS Department
$73.4B
Health &
$39.1B
PA Department
$35.4B
Ohio Department
$29B
635 other recipients
$1911.7B
band width = obligations · FY2026 · source: USASpending.gov

Recipient breakdown available for 40% of obligations shown

Top recipients

California Department of Health Care Services$117.3B
NYS Department of Health$73.4B
Health & Human SVC Commn TX$39.1B
PA Department of Human Services$35.4B
Ohio Department of Medicaid$29B
North Carolina Department of Health & Human Services$28.9B
Florida Agency for Health Care Administration$27.9B
Illinois Department of Healthcare & Family Services$25.5B
Michigan Department of Health and Human Services$24.3B
Department of Social & Health Services$20.9B

How it spends

awards by typeComputed
134,626grants
31,146contracts
13,316direct payments
2,845contract vehicles
263other

What it funds

Grants to States for Medicaid$721.7B
Medicare Supplementary Medical Insurance$607.9B
Medicare Hospital Insurance$456.4B
Medicare Prescription Drug Coverage$197.7B
Children's Health Insurance Program$22.4B
Temporary Assistance for Needy Families$17B
1332 State Innovation Waivers$11.9B
Head Start$11.6B

Sub-agencies

Centers for Medicare and Medicaid Services$2T
Administration for Children and Families$70.9B
National Institutes of Health$41.4B
Health Resources and Services Administration$13B
Centers for Disease Control and Prevention$11.2B
Indian Health Service$7.5B
Substance Abuse and Mental Health Services Administration$6.6B
Office of Assistant Secretary for Preparedness and Response$3.3B
Office of the Assistant Secretary for Financial Resources$2.7B
Administration for Community Living$2.4B
Food and Drug Administration$1.7B
Office of Assistant Secretary for Health$345.9M
Office of the Inspector General$332.8M
Office of the Assistant Secretary for Administration$168.3M
Agency for Healthcare Research and Quality$108.3M
Department of Health and Human Services$102.3M
Office of the National Coordinator for Health Information Technology$4M

Key takeaways

Computed
FY2026 ended Sep 30 · data still posting · data as of 2026-11-01

Obligations by year

Computed
$1.7T
FY20
$1.7T
FY21
$1.7T
FY22
$1.8T
FY23
$1.9T
FY24
$2T
FY25
$2.2T
FY26 partial
▲ 21%
FY20 to FY25

Awards

Source

Largest FY2026 awards

Awards this agency made that started in FY2026, by the amount obligated on each so far.

AwardIDRecipientObligatedStartEndPlace
Medicaid Entitlement for 7 - Fy 2026 - T192605CA5MAPCalifornia Department of Health Care Services$110.4B2025-10-012026-09-30California
Medicaid Entitlement for 42 - Fy 2026 - T192605NY5MAPNYS Department of Health$61.3B2025-10-012026-09-30New York
Medicaid Entitlement for 54 - Fy 2026 - T192605TX5MAPHealth & Human SVC Commn TX$36.9B2025-10-012026-09-30Texas
Medicaid Entitlement for 46 - Fy 2026 - T192605PA5MAPPA Department of Human Services$31.8B2025-10-012026-09-30Pennsylvania
Medicaid Entitlement for 43 - Fy 2026 - T192605OH5MAPOhio Department of Medicaid$28.2B2025-10-012026-09-30Ohio
Medicaid Entitlement for 14 - Fy 2026 - T192605FL5MAPFlorida Agency for Health Care Administration$27.1B2025-10-012026-09-30Florida
Medicaid Entitlement for 35 - Fy 2026 - T192605NC5MAPNorth Carolina Department of Health & Human Services$25.9B2025-10-012026-09-30North Carolina
Medicaid Entitlement for 20 - Fy 2026 - T192605IL5MAPIllinois Department of Healthcare & Family Services$23.2B2025-10-012026-09-30Illinois

Largest awards by total value

Medicaid Entitlement for 7 - Fy 2026 - T19
awarded 2025$110.4B
Medicaid Entitlement for 7 - Fy 2026 - T19
awarded 2024$100.1B
Medicaid Entitlement for 7 - Fy 2025 - T19
awarded 2023$92B
Medicaid Entitlement for 7 - Fy 2024 - T19
awarded 2022$80.5B
Medicaid Entitlement for 7 - Fy 2023 - T19
awarded 2021$80.5B
Medicaid Entitlement for 7 - Fy 2022 Quarter 4 - T19
awarded 2022$71.7B
Medicaid Entitlement for 7 - Fy 2021 Quarter 1 - T19
awarded 2020$61.4B
Medicaid Entitlement for 42 - Fy 2026 - T19
awarded 2025$61.3B

The agency’s biggest individual awards by total value, largest first.

Congressional oversight

House Committee on AppropriationsHouse Committee on Energy and CommerceHouse Committee on Ways and MeansSenate Committee on AppropriationsSenate Committee on FinanceSenate Committee on Health, Education, Labor, and Pensions

Inferred the congressional committees whose jurisdiction covers this agency (curated). Oversight is context, not control, and not a claim of influence over any award.

Related

Why the labels? The graph is only worth anything if the links are trusted. Facts taken straight from a federal filing are Source; figures we calculate are Computed; links we infer (corporate parents, districts, similar contractors, connections between records) are Inferred, worded carefully, never asserted as fact and never a claim that one thing caused another. Spot an error? Tell us.