Federal agency · HHS · Treasury code 075
Department of Health and Human Services
Obligations in fiscal year 2026, reporting period 11 of 12, through August 31, 2026:
$2,803,832,148,217.51
about $2.80 trillionConfirmed from the official recordAn obligation is money the agency commits to pay: a signed contract, a grant award, a benefit payment. The figure in full is copied from the official record. The rounded reading beside it is ours.
Year by year
Budgetary resources are the Treasury's figure for the money available to the agency in the year, new and carried over from earlier years. Obligations are money the agency commits to pay. Outlays are money paid out. Fiscal year 2026 figures run through August 31, 2026.
| Fiscal year | Budgetary resources | Obligations | Outlays | Through |
|---|---|---|---|---|
| 2026 | $3,709,407,922,072.44 | $2,803,832,148,217.51 | $2,687,036,276,023.63 | August 31, 2026 (period 11 of 12) |
| 2025 | $3,129,725,212,729.56 | $2,794,349,803,088.60 | $2,722,170,048,224.94 | September 30, 2025 |
| 2024 | $2,864,471,437,234.22 | $2,518,647,728,970.53 | $2,474,861,136,576.60 | September 30, 2024 |
| 2023 | $2,841,385,336,401.95 | $2,475,673,980,552.70 | $2,423,434,619,295.49 | September 30, 2023 |
| 2022 | $2,735,930,560,735.86 | $2,452,969,781,323.39 | $2,386,740,700,799.28 | September 30, 2022 |
| 2021 | $2,660,484,066,315.10 | $2,355,524,286,884.46 | $2,168,495,354,978.76 | September 30, 2021 |
| 2020 | $2,439,717,280,285.41 | $2,198,882,208,891.79 | $2,080,749,483,939.36 | September 30, 2020 |
| 2019 | $1,923,633,100,271.38 | $1,814,270,463,757.37 | $1,745,367,137,434.98 | September 30, 2019 |
| 2018 | $1,757,688,780,468.86 | $1,679,128,003,253.74 | $1,630,585,110,564.70 | September 30, 2018 |
| 2017 | $1,681,686,676,899.37 | $1,646,989,531,123.68 | $1,599,100,322,689.42 | September 30, 2017 |
Awards by type
Awards are contracts, grants, loans and direct payments. The Treasury gives award obligations and total obligations in two separate reports. It gives contracts and standing contracts as two figures. Fiscal year 2026, through August 31, 2026.
| Award type | Obligations |
|---|---|
| Contracts | $24,852,862,783.45 |
| Direct payments | $1,162,090,896,624.80 |
| Grants | $894,558,120,092.91 |
| Standing contracts that the agency places orders against (indefinite delivery vehicles, IDVs) | $5,152,625,410.98 |
| Loans | $0.00 |
| Other | $5,180,645,134.04 |
| Award obligations, the Treasury's total | $2,091,835,150,046.18 |
| Total obligations, from the Treasury's yearly figures | $2,803,832,148,217.51 |
Sub-agencies
The offices and bureaus inside this agency. Top 10 of 16 sub-agencies, by obligations.
| Sub-agency | Obligations | Transactions | New awards |
|---|---|---|---|
| Centers for Medicare and Medicaid Services CMS | $1,933,886,990,795.26 | 11,253 | 6,136 |
| Administration for Children and Families ACF | $66,631,801,974.23 | 25,101 | 4,000 |
| National Institutes of Health NIH | $41,411,063,755.62 | 136,642 | 20,604 |
| Health Resources and Services Administration HRSA | $12,918,222,930.14 | 32,907 | 6,430 |
| Centers for Disease Control and Prevention CDC | $11,172,154,134.51 | 45,953 | 1,451 |
| Indian Health Service IHS | $7,531,718,353.69 | 17,047 | 3,390 |
| Substance Abuse and Mental Health Services Administration SAMHSA | $6,628,108,748.59 | 15,897 | 1,476 |
| Office of Assistant Secretary for Preparedness and Response | $3,314,215,789.02 | 1,206 | 130 |
| Office of the Assistant Secretary for Financial Resources ASFR | $2,699,909,336.20 | 3,402 | 1,668 |
| Administration for Community Living ACL | $2,205,429,573.44 | 8,912 | 2,154 |
Federal accounts
A federal account is one line of the agency's books at the Treasury. Top 10 of 145 federal accounts, by obligations.
| Federal account | Obligations | Outlays |
|---|---|---|
| Grants to States for Medicaid, Centers for Medicare and Medicaid Services, Health and Human Services 075-0512 | $780,177,494,161.63 | $667,806,986,322.29 |
| Federal Supplementary Medical Insurance Trust Fund-Treasury Managed, Health and Human Services 075-8004 | $570,042,895,320.30 | $564,849,530,097.60 |
| Payments to Health Care Trust Funds, Centers for Medicare and Medicaid Services, Health and Human Services 075-0580 | $568,063,890,135.80 | $589,986,151,002.13 |
| Federal Hospital Insurance Trust Fund - Treasury Managed, Health and Human Services 075-8005 | $429,707,721,037.65 | $427,614,547,891.46 |
| Medicare Prescription Drug Account, Centers for Medicare and Medicaid Services, Health and Human Services 075-8308 | $182,297,718,302.81 | $179,366,686,032.60 |
| Taxation on OASDI Benefits, HI, Centers for Medicare and Medicaid Services, Health and Human Services 075-0585 | $39,066,000,000.00 | $39,066,000,000.00 |
| State Children's Health Insurance Fund, Centers for Medicare and Medicaid Services, Health and Human Services 075-0515 | $34,212,971,829.39 | $22,960,410,137.06 |
| Temporary Assistance for Needy Families, Administration for Children and Families, Health and Human Services 075-1552 | $16,582,322,962.86 | $16,141,513,679.76 |
| Risk Adjustment Program Payments, Centers for Medicare and Medicaid Services, Health and Human Services 075-5733 | $14,765,026,372.82 | $6,825,430,537.14 |
| Children and Families Services Programs, Administration for Children and Families, Health and Human Services 075-1536 | $14,116,777,387.17 | $13,231,451,073.63 |
Budget functions
A budget function is the purpose the money serves. All 5 budget functions, by obligations.
| Budget function | Obligations | Outlays |
|---|---|---|
| Medicare | $1,792,481,873,052.57 | $1,804,157,932,585.67 |
| Health | $939,308,714,037.04 | $814,627,398,747.41 |
| Income Security | $53,647,273,128.81 | $50,643,729,518.15 |
| Education, Training, Employment, and Social Services | $18,345,406,042.03 | $17,564,214,177.29 |
| Administration of Justice | $48,881,957.06 | $43,000,995.11 |
Object classes
An object class is the Treasury's name for a kind of spending: what the money buys, such as pay, rent or grants. Top 10 of 33 object classes, by obligations.
| Object class | Obligations | Outlays |
|---|---|---|
| Grants, subsidies, and contributions | $1,402,284,242,469.79 | $1,282,984,336,696.01 |
| Insurance claims and indemnities | $1,186,801,973,982.33 | $1,171,429,462,037.99 |
| Financial transfers | $156,716,952,374.79 | $176,493,862,194.02 |
| Other services from non-Federal sources | $11,327,540,294.12 | $11,950,253,452.22 |
| Other goods and services from Federal sources | $10,441,993,218.21 | $9,591,966,574.97 |
| Supplies and materials | $8,341,026,629.57 | $7,345,282,486.19 |
| Full-time permanent (pay of full-time permanent employees) | $7,548,539,341.73 | $7,535,004,136.76 |
| Advisory and assistance services | $4,769,258,656.25 | $4,581,606,054.80 |
| Civilian personnel benefits | $3,478,736,632.14 | $3,476,361,364.22 |
| Medical care | $1,978,518,919.68 | $1,601,093,298.05 |
Emergency-fund laws
The Treasury tags some dollars with the law that provides them. These are the tags on this agency's record, worded as the Treasury words them.
| Tag | Law, as the Treasury names it | Title, as the Treasury gives it | On this site |
|---|---|---|---|
| 2 | Emergency P.L. 117-70 | Further Extending Government Funding Act | Public Law 117-70 |
| 6 | Emergency P.L. 117-128 | Additional Ukraine Supplemental Appropriations Act, 2022 | Public Law 117-128 |
| 7 | Emergency P.L. 117-159 | Bipartisan Safer Communities Act | Public Law 117-159 |
| AAA | Emergency P.L. 117-180 | Continuing Appropriations and Ukraine Supplemental Appropriations Act, 2023 | Public Law 117-180 |
| AAB | Emergency P.L. 117-328 | Consolidated Appropriations Act, 2023 | Public Law 117-328 |
| AAJ | Emergency P.L. 118-50 | An act making emergency supplemental appropriations for the fiscal year ending September 30, 2024, and for other purposes. | Public Law 118-50 |
| AAK | Emergency P.L. 118-158 | American Relief Act, 2025 | Public Law 118-158 |
| C | Emergency P.L. 115-123 | Bipartisan Budget Act of 2018 | Public Law 115-123 |
| E | Emergency P.L. 116-20 | Additional Supplemental Appropriations for Disaster Relief Act, 2019 | Public Law 116-20 |
| F | Emergency P.L. 116-26 | Emergency Supplemental Appropriations for Humanitarian Assistance and Security at the Southern Border Act, 2019 | Public Law 116-26 |
| L | Emergency P.L. 116-123 | Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 | Public Law 116-123 |
| M | Emergency P.L. 116-127 | Families First Coronavirus Response Act | Public Law 116-127 |
| N | Emergency P.L. 116-136 | Coronavirus Aid, Relief, and Economic Security Act or the CARES Act | Public Law 116-136 |
| O | Non-emergency P.L. 116-136Non-emergency P.L. 116-139Non-emergency P.L. 116-260Non-emergency P.L. 117-2 | Coronavirus Aid, Relief, and Economic Security Act or the CARES ActPaycheck Protection Program and Health Care Enhancement ActConsolidated Appropriations Act, 2021American Rescue Plan Act of 2021 | Public Law 116-136Public Law 116-139Public Law 116-260Public Law 117-2 |
| P | Emergency P.L. 116-139 | Paycheck Protection Program and Health Care Enhancement Act | Public Law 116-139 |
| R | Emergency P.L. 116-260 | Consolidated Appropriations Act, 2021 | Public Law 116-260 |
| U | Emergency P.L. 116-260 | Consolidated Appropriations Act, 2021 | Public Law 116-260 |
| V | Non-emergency P.L. 117-2 | American Rescue Plan Act of 2021 | Public Law 117-2 |
| W | Emergency P.L. 117-31 | Emergency Security Supplemental Appropriations Act, 2021 | Public Law 117-31 |
| X | Emergency P.L. 117-43 | Extending Government Funding and Delivering Emergency Assistance Act | Public Law 117-43 |
| Z | Emergency P.L. 117-58 | Infrastructure Investment and Jobs Act | Public Law 117-58 |
Tag Q, “Not Designated Nonemergency/Emergency/Disaster/Wildfire Suppression”, is the Treasury's tag for dollars it does not mark as emergency, disaster or wildfire money under a named law.
22 tags.
Where this comes from
Source: USAspending.gov, U.S. Department of the Treasury. The dollar figures written in full on this page are copied from the saved official answers below.
Budgetary resources, obligations and outlays by yearapi.usaspending.gov · saved October 6, 2026 · 5,560 bytes
7b26572a7b01a30dConfirmed from the official recordAgency overviewapi.usaspending.gov · saved October 6, 2026 · 5,875 bytes
61f4be955762c51cConfirmed from the official recordObligations by award typeapi.usaspending.gov · saved October 6, 2026 · 395 bytes
799d397a138a0715Confirmed from the official recordSub-agenciesapi.usaspending.gov · saved October 6, 2026 · 18,022 bytes
2fe423db4838cf9aConfirmed from the official recordFederal accountsapi.usaspending.gov · saved October 6, 2026 · 16,858 bytes
1fc79440915968c2Confirmed from the official recordBudget functionsapi.usaspending.gov · saved October 6, 2026 · 1,513 bytes
4e7ad6ce87b9fd91Confirmed from the official recordObject classesapi.usaspending.gov · saved October 6, 2026 · 1,287 bytes
6a7407422d310e7aConfirmed from the official record