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Department of Health and Human Services

Total Obligations

$7.03T

Total Awards

308K

Top-25 Recipients

0

Last Updated

Apr 1, 2026

The Department of Health and Human Services has $7,025,971,430,185.67 in USAspending.gov obligations on file through fiscal year 2026. That total sits on 308,423 awards tagged to awarding-agency CGAC 075. The figure is an obligation sum, not a Treasury outlay, and it is the largest agency total in this SpendingVault extract. The tables on the agency hub list those awards; they do not score program performance or estimate money already paid to recipients. The source row stores 7025971430185.67, whose billion-scale compact is 7026.0.

Key figures

  • HHS (CGAC 075) shows $7,025,971,430,185.67 in USAspending obligations through FY 2026.
  • The total sits on 308,423 award records, a high dollars-per-award mix relative to high-volume agencies.
  • CGAC 075 is the awarding-agency code; this hub does not split dollars by HHS operating division.
  • Figures are obligations from USAspending.gov, not Treasury outlays.

What $7.03 trillion on 308,423 awards means

Dividing $7,025,971,430,185.67 by 308,423 awards produces a mean obligation near $22.8 million per award. That ratio is a derived average from the two packet totals, not a typical grant size. HHS mixes a small number of very large assistance and contract actions with many smaller awards, so the mean is pulled up by the top of the distribution. USAspending records the awarding agency as CGAC 075 for every row in this rollup.

Fiscal year 2026 is the latest year on the packet. The $7,025,971,430,185.67 sum is cumulative across the years present in the indexed award files, not a single-year budget. Readers comparing HHS to other cabinet departments should keep that window in view: a later extract can change both the dollar total and the 308,423 award count as new actions post.

That mix is the research takeaway from the two packet facts together. High-value health-assistance and research vehicles sit beside smaller grants, so the mean is not a typical clinic award. A later extract can change both the dollar total and the award count as CMS and research modifications continue to post inside the FY 2026 window.

CGAC 075 and how USAspending labels HHS

Common Government-wide Accounting Classification code 075 is the awarding-agency identifier USAspending uses for the Department of Health and Human Services. SpendingVault’s agency page at /agencies/075/ is keyed to that code, not to a popular name or a sub-agency acronym. Sub-components such as CMS or NIH may appear on individual award records, but this hub total does not split $7,025,971,430,185.67 by operating division.

Because the code is an awarding-agency tag, an award can name HHS even when another bureau administers day-to-day work. The 308,423 count is the number of award records in the index with that tag, not a count of unique recipient organizations.

Full analysis: Department of Health and Human Services federal obligations →

Questions

How much has HHS obligated on USAspending through FY 2026?
The Department of Health and Human Services total on this extract is $7,025,971,430,185.67. That sum covers 308,423 awards tagged to awarding-agency CGAC 075. It is an obligation figure from USAspending.gov award files, not a Treasury outlay total and not a single fiscal year’s enacted budget.
What is CGAC 075 on federal spending records?
CGAC 075 is the Common Government-wide Accounting Classification code USAspending uses for the Department of Health and Human Services as awarding agency. SpendingVault keys the HHS hub to that code. The $7,025,971,430,185.67 obligation total and 308,423 award count on this page are rollups of records carrying that identifier through FY 2026.
Does the HHS total include money already paid to recipients?
Not as a cash-paid sum. USAspending reports obligations—commitments to pay—rather than outlays. The $7,025,971,430,185.67 figure can include amounts that will disburse later. The 308,423 award count is a record count, not a count of checks issued or unique vendors paid.
Where can I see HHS obligations by state?
The state table linked from the CGAC 075 agency page breaks the same USAspending obligation extract by place-of-performance geography. Those rows still sit under the $7,025,971,430,185.67 agency total and the FY 2026 year cap. State shares can change when later award files are indexed.

Agency codes are USAspending awarding-agency CGAC identifiers. Totals are obligations, FY range on packet.

Agency × state ties

All data ties →

Top 50 Awards from Department of Health and Human Services

Largest individual obligations across all recipients, agencies sub-components, and years on record.

Download CSV
Top 50 Awards from Department of Health and Human Services
AwardRecipientProgramPlaceFYObligation
ASST_NON_PRF20200001_075
PROVIDER RELIEF FUND - HHS AWARDED PROVIDER RELIEF FUNDS (PRF) FUNDS TO A SINGLE ENTITY, LOCATED IN UTAH, THAT IN TURN MADE DIRECT PRF PAYMENTS TO RECIPIENTS ACROSS THE COUNTRY. M…
UNITED HEALTHCARE SERVICES,INC.
Minnesota
93.461
HRSA COVID-19 CLAIMS REIMBURSEMENT FOR THE UNINSURED PROGRAM AND THE COVID-19 COVERAGE ASSISTANCE FUND
—2024$160,762,543,229
ASST_NON_2505CA5MAP_075
MEDICAID ENTITLEMENT FOR 7 - FY 2026 - T19
HEALTH CARE SERVICES, CALIFORNIA DEPARTMENT OF
California
93.778
GRANTS TO STATES FOR MEDICAID
CA-902025$101,312,544,260
ASST_NON_2405CA5MAP_075
MEDICAID ENTITLEMENT FOR 7 - FY 2025 - T19
HEALTH CARE SERVICES, CALIFORNIA DEPARTMENT OF
California
93.778
GRANTS TO STATES FOR MEDICAID
CA-902024$91,981,067,127
ASST_NON_2305CA5MAP_075
MEDICAID ENTITLEMENT FOR 7 - FY 2024 - T19
HEALTH CARE SERVICES, CALIFORNIA DEPARTMENT OF
California
93.778
MEDICAL ASSISTANCE PROGRAM
CA-902024$80,537,011,275
ASST_NON_2205CA5MAP_075
MEDICAID ENTITLEMENT FOR 7 - FY 2024 - T19
HEALTH CARE SERVICES, CALIFORNIA DEPARTMENT OF
California
93.778
MEDICAL ASSISTANCE PROGRAM
CA-902024$80,532,423,878
ASST_NON_2105CA5MAP_075
MEDICAID ENTITLEMENT FOR 7 - FY 2024 - T19
HEALTH CARE SERVICES, CALIFORNIA DEPARTMENT OF
California
93.778
MEDICAL ASSISTANCE PROGRAM
CA-902024$71,676,490,449
ASST_NON_2005CA5MAP_075
MEDICAID ENTITLEMENT FOR 7 - FY 2024 - T19
HEALTH CARE SERVICES, CALIFORNIA DEPARTMENT OF
California
93.778
MEDICAL ASSISTANCE PROGRAM
CA-902024$61,421,966,164
ASST_NON_2305NY5MAP_075
MEDICAID ENTITLEMENT FOR 42 - FY 2024 - T19
NYS DEPARTMENT OF HEALTH
New York
93.778
MEDICAL ASSISTANCE PROGRAM
NY-902024$58,899,925,598
ASST_NON_2505NY5MAP_075
MEDICAID ENTITLEMENT FOR 42 - FY 2026 - T19
NYS DEPARTMENT OF HEALTH
New York
93.778
GRANTS TO STATES FOR MEDICAID
NY-902025$56,756,300,762
ASST_NON_2605CA5MAP_075
MEDICAID ENTITLEMENT FOR 7 - FY 2026 - T19
HEALTH CARE SERVICES, CALIFORNIA DEPARTMENT OF
California
93.778
GRANTS TO STATES FOR MEDICAID
CA-902026$55,452,000,266
ASST_NON_2405NY5MAP_075
MEDICAID ENTITLEMENT FOR 42 - FY 2025 - T19
NYS DEPARTMENT OF HEALTH
New York
93.778
GRANTS TO STATES FOR MEDICAID
NY-902024$54,304,343,393
ASST_NON_1805CA5MAP_075
MEDICAID ENTITLEMENT FOR 7 - FY 2024 - T19
HEALTH CARE SERVICES, CALIFORNIA DEPARTMENT OF
California
93.778
MEDICAL ASSISTANCE PROGRAM
CA-902024$52,689,945,939
ASST_NON_1705CA5MAP_075
MEDICAID ENTITLEMENT FOR 7 - FY 2024 - T19
HEALTH CARE SERVICES, CALIFORNIA DEPARTMENT OF
California
93.778
MEDICAL ASSISTANCE PROGRAM
CA-902024$48,768,230,726
ASST_NON_1805NY5MAP_075
MEDICAID ENTITLEMENT FOR 42 - FY 2024 - T19
NYS DEPARTMENT OF HEALTH
New York
93.778
MEDICAL ASSISTANCE PROGRAM
NY-902024$39,441,224,115
ASST_NON_2305TX5MAP_075
MEDICAID ENTITLEMENT FOR 54 - FY 2024 - T19
HEALTH & HUMAN SVC COMMN TX
Texas
93.778
MEDICAL ASSISTANCE PROGRAM
TX-902024$36,908,807,909
ASST_NON_2505TX5MAP_075
MEDICAID ENTITLEMENT FOR 54 - FY 2026 - T19
HEALTH & HUMAN SVC COMMN TX
Texas
93.778
GRANTS TO STATES FOR MEDICAID
TX-902025$31,616,515,180
ASST_NON_2605NY5MAP_075
MEDICAID ENTITLEMENT FOR 42 - FY 2026 - T19
NYS DEPARTMENT OF HEALTH
New York
93.778
GRANTS TO STATES FOR MEDICAID
NY-902026$30,414,851,024
ASST_NON_2505PA5MAP_075
MEDICAID ENTITLEMENT FOR 46 - FY 2026 - T19
PA DEPARTMENT OF HUMAN SERVICES
Pennsylvania
93.778
GRANTS TO STATES FOR MEDICAID
PA-902025$29,243,480,248
ASST_NON_2405TX5MAP_075
MEDICAID ENTITLEMENT FOR 54 - FY 2025 - T19
HEALTH & HUMAN SVC COMMN TX
Texas
93.778
GRANTS TO STATES FOR MEDICAID
TX-902024$28,428,287,024
ASST_NON_SIWCM248002_075
STATE INNOVATION WAIVER UNDER SECTION 1332 OF THE AFFORDABLE CARE ACT
NYS DEPARTMENT OF HEALTH
New York
93.423
1332 STATE INNOVATION WAIVERS
NY-902024$27,858,658,832
ASST_NON_2305PA5MAP_075
MEDICAID ENTITLEMENT FOR 46 - FY 2024 - T19
PA DEPARTMENT OF HUMAN SERVICES
Pennsylvania
93.778
MEDICAL ASSISTANCE PROGRAM
PA-902024$27,823,177,951
ASST_NON_2505OH5MAP_075
MEDICAID ENTITLEMENT FOR 43 - FY 2026 - T19
OHIO DEPARTMENT OF MEDICAID
Ohio
93.778
GRANTS TO STATES FOR MEDICAID
OH-902025$26,215,590,043
ASST_NON_2405PA5MAP_075
MEDICAID ENTITLEMENT FOR 46 - FY 2025 - T19
PA DEPARTMENT OF HUMAN SERVICES
Pennsylvania
93.778
GRANTS TO STATES FOR MEDICAID
PA-902024$26,097,495,884
ASST_NON_2505NC5MAP_075
MEDICAID ENTITLEMENT FOR 35 - FY 2026 - T19
NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES
North Carolina
93.778
GRANTS TO STATES FOR MEDICAID
NC-902025$24,717,143,895
ASST_NON_2505FL5MAP_075
MEDICAID ENTITLEMENT FOR 14 - FY 2026 - T19
FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION
Florida
93.778
GRANTS TO STATES FOR MEDICAID
FL-902025$24,626,513,565
ASST_NON_2405OH5MAP_075
MEDICAID ENTITLEMENT FOR 43 - FY 2025 - T19
OHIO DEPARTMENT OF MEDICAID
Ohio
93.778
GRANTS TO STATES FOR MEDICAID
OH-902024$23,871,453,084
ASST_NON_2305OH5MAP_075
MEDICAID ENTITLEMENT FOR 43 - FY 2024 - T19
OHIO DEPARTMENT OF MEDICAID
Ohio
93.778
MEDICAL ASSISTANCE PROGRAM
OH-902024$23,436,920,262
ASST_NON_2305FL5MAP_075
MEDICAID ENTITLEMENT FOR 14 - FY 2024 - T19
FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION
Florida
93.778
MEDICAL ASSISTANCE PROGRAM
FL-902024$22,288,129,279
ASST_NON_2005PA5MAP_075
MEDICAID ENTITLEMENT FOR 46 - FY 2024 - T19
PA DEPARTMENT OF HUMAN SERVICES
Pennsylvania
93.778
MEDICAL ASSISTANCE PROGRAM
PA-902024$21,988,508,674
ASST_NON_2405NC5MAP_075
MEDICAID ENTITLEMENT FOR 35 - FY 2025 - T19
NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES
North Carolina
93.778
GRANTS TO STATES FOR MEDICAID
NC-902024$21,227,895,746
ASST_NON_2405FL5MAP_075
MEDICAID ENTITLEMENT FOR 14 - FY 2025 - T19
FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION
Florida
93.778
GRANTS TO STATES FOR MEDICAID
FL-902024$20,328,728,730
ASST_NON_2505IL5MAP_075
MEDICAID ENTITLEMENT FOR 20 - FY 2026 - T19
ILLINOIS DEPARTMENT OF HEALTHCARE & FAMILY SERVICES
Illinois
93.778
GRANTS TO STATES FOR MEDICAID
IL-902025$20,304,018,347
ASST_NON_2305IL5MAP_075
MEDICAID ENTITLEMENT FOR 20 - FY 2024 - T19
ILLINOIS DEPARTMENT OF HEALTHCARE & FAMILY SERVICES
Illinois
93.778
MEDICAL ASSISTANCE PROGRAM
IL-902024$20,222,679,588
ASST_NON_2605WA5MAP_075
MEDICAID ENTITLEMENT FOR 59 - FY 2026 - T19
DEPARTMENT OF SOCIAL & HEALTH SERVICES
Washington
93.778
GRANTS TO STATES FOR MEDICAID
WA-902026$19,705,298,272
ASST_NON_2605TX5MAP_075
MEDICAID ENTITLEMENT FOR 54 - FY 2026 - T19
HEALTH & HUMAN SVC COMMN TX
Texas
93.778
GRANTS TO STATES FOR MEDICAID
TX-902026$19,521,730,307
ASST_NON_2405IL5MAP_075
MEDICAID ENTITLEMENT FOR 20 - FY 2025 - T19
ILLINOIS DEPARTMENT OF HEALTHCARE & FAMILY SERVICES
Illinois
93.778
GRANTS TO STATES FOR MEDICAID
IL-902024$19,064,022,090
ASST_NON_2505MI5MAP_075
MEDICAID ENTITLEMENT FOR 30 - FY 2026 - T19
MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES
Michigan
93.778
GRANTS TO STATES FOR MEDICAID
MI-902025$18,777,363,690
ASST_NON_2605VA5MAP_075
MEDICAID ENTITLEMENT FOR 56 - FY 2026 - T19
VA DEPARTMENT OF MEDICAL ASSISTANCE SERVICE
Virginia
93.778
GRANTS TO STATES FOR MEDICAID
VA-902026$18,369,251,603
ASST_NON_2305AZ5MAP_075
MEDICAID ENTITLEMENT FOR 6 - FY 2024 - T19
ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM
Arizona
93.778
MEDICAL ASSISTANCE PROGRAM
AZ-902024$17,905,737,083
ASST_NON_2405MI5MAP_075
MEDICAID ENTITLEMENT FOR 30 - FY 2025 - T19
MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES
Michigan
93.778
GRANTS TO STATES FOR MEDICAID
MI-902024$17,587,850,907
ASST_AGG_7530-20253-08-06-93774-MN-053-90-X-7530-75AGCF-7530-75AGCA-NON_075
MEDICARE SUPPLEMENTARY MEDICAL INSURANCE
MULTIPLE RECIPIENTS
Minnesota
93.774
MEDICARE SUPPLEMENTARY MEDICAL INSURANCE
MN-902025$17,494,169,022
ASST_NON_2305MI5MAP_075
MEDICAID ENTITLEMENT FOR 30 - FY 2024 - T19
MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES
Michigan
93.778
MEDICAL ASSISTANCE PROGRAM
MI-902024$17,484,408,584
ASST_NON_2505VA5MAP_075
MEDICAID ENTITLEMENT FOR 56 - FY 2025 - T19
VA DEPARTMENT OF MEDICAL ASSISTANCE SERVICE
Virginia
93.778
GRANTS TO STATES FOR MEDICAID
VA-902025$16,870,910,291
ASST_NON_2605LA5MAP_075
MEDICAID ENTITLEMENT FOR 25 - FY 2026 - T19
LOUSIANA DEPARTMENT OF HEALTH
Louisiana
93.778
GRANTS TO STATES FOR MEDICAID
LA-902026$16,764,202,525
ASST_AGG_7530-20243-08-06-93774-MN-053-90-X-7530-75AGCF-7530-75AGCA-NON_075
MEDICARE SUPPLEMENTARY MEDICAL INSURANCE
MULTIPLE RECIPIENTS
Minnesota
93.774
MEDICARE SUPPLEMENTARY MEDICAL INSURANCE
MN-902024$16,269,005,345
ASST_NON_2605PA5MAP_075
MEDICAID ENTITLEMENT FOR 46 - FY 2026 - T19
PA DEPARTMENT OF HUMAN SERVICES
Pennsylvania
93.778
GRANTS TO STATES FOR MEDICAID
PA-902026$16,207,651,414
ASST_NON_2505AZ5MAP_075
MEDICAID ENTITLEMENT FOR 6 - FY 2026 - T19
ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM
Arizona
93.778
GRANTS TO STATES FOR MEDICAID
AZ-902025$15,778,870,139
ASST_NON_2505KY5MAP_075
MEDICAID ENTITLEMENT FOR 24 - FY 2026 - T19
HEALTH SERVICES KENTUCKY CABINET FOR
Kentucky
93.778
GRANTS TO STATES FOR MEDICAID
KY-902025$15,593,077,529
ASST_NON_2505NJ5MAP_075
MEDICAID ENTITLEMENT FOR 39 - FY 2026 - T19
HUMAN SERVICES, NEW JERSEY DEPARTMENT OF
New Jersey
93.778
GRANTS TO STATES FOR MEDICAID
NJ-902025$15,301,628,426
ASST_AGG_7530-20261-01-06-93774-MN-053-90-X-7530-75AGCF-7530-75AGCA-NON_075
MEDICARE SUPPLEMENTARY MEDICAL INSURANCE
MULTIPLE RECIPIENTS
Minnesota
93.774
MEDICARE SUPPLEMENTARY MEDICAL INSURANCE
MN-902026$15,120,146,791

Top 50 awards shown, ranked by obligated amount. Dates reflect performance period; last-modified dates match USAspending.gov. Complete listings include all transaction history going back to FY2024.

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