Department of Health and Human Services federal obligations

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.

Obligations are not outlays

USAspending.gov publishes obligations: legal commitments to pay under contracts, grants, loans, and other award types. Cash that has already left the Treasury is a separate concept. The $7,025,971,430,185.67 figure can include multi-year commitments that will disburse after FY 2026, and it can omit outlays on awards obligated in earlier files that this extract does not carry. Treat the number as a documented commitment total, not as money spent this year.

Researchers sometimes treat an agency obligation total as cash already paid. For Department of Health and Human Services, that reading is wrong. CMS actuarial tables, NIH RePORTER project lists, or a single-year Labor-HHS appropriations bill belong in other publications. The USAspending figure on this hub remains an obligation sum through FY 2026. CMS and research modifications continue to post inside the FY 2026 window.

Award volume versus dollar concentration

HHS’s 308,423 awards are far fewer than agencies that run high-volume loan or farm programs, yet the dollar total is larger. That pattern is consistent with a portfolio that includes high-value health-assistance and research actions. The hub does not publish a median; only the $7,025,971,430,185.67 sum and the 308,423 count are in this packet. State breakouts on the linked geography table show where those obligations were recorded, not where every beneficiary lives.

Place-of-performance is a coding field, not a complete economic-impact model. On this agency, a national contractor coded to one state can dominate a cell while beneficiaries live in others. Read the state table after the agency hub, not instead of it. Open the CGAC 075 agency hub, then the state table if you need place-of-performance geography.

How to read the HHS hub and state table

Start with the agency page for CGAC 075, then open the state split if you need place-of-performance geography. Both views still describe obligations through FY 2026. Ranking HHS against the all-agencies list is valid only inside this same extract: other agencies on that list use the same obligation definition and the same year cap. Nothing on the hub is a recommendation to apply for funding or a judgment of HHS program quality.

The all-agencies list is useful only inside this extract’s obligation definition and FY 2026 cap. High-value health-assistance and research vehicles sit beside smaller grants, so the mean is not a typical clinic award. Ranking on dollars alone hides that mix. Open the CGAC 075 agency hub, then the state table if you need place-of-performance geography.

A worked reading of the HHS extract

Start from the two packet facts: $7,025,971,430,185.67 and 308,423 awards under CGAC 075 through FY 2026. The mean near $22.8 million is a quotient, not a mode. If a later file adds awards faster than dollars, the mean falls; if a few giant actions post, the mean rises without a matching jump in the 308,423 count.

Nothing in the extract assigns the $7,025,971,430,185.67 book to Medicare versus Medicaid versus NIH. Operating-division splits require child records on the hub, not this rollup. Treat CGAC 075 as an awarding-agency tag and stop there.

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.