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  1. Home
  2. ›The Books
  3. ›Agencies
  4. ›Department of Health and Human Services

The Books · Agencies · HHS

Department of Health and Human Services

Award obligations from USAspending, with detail archived for FFY 2024 · 24 sub-agencies.

HHS oversees major health and human-services programs. In award data it often ranks near the top because of grants and contracts. In Treasury outlays, related spending may also appear under CMS or trust-fund lines. Award figures on The Ledger come from archived USAspending awarding-agency rollups (obligations). That is not the same as every dollar the agency outlays.

Obligations · FFY 2024

$1.9T

Awarding agency HHS

Transactions

378,080

Award transactions in FFY 2024

Share of awards

37.5%

Of archived awarding-agency obligations in FFY 2024

MTS outlays · FFY 2025

$1.9T

Matched Monthly Treasury Statement line

Obligations by year

Award obligations by fiscal year for Department of Health and Human Services
Fiscal yearObligations
FFY 2024$1.9T
FFY 2023$1.8T
FFY 2022$1.7T
FFY 2021$1.7T
FFY 2018$1.2T
FFY 2017$1.2T
FFY 2016$1.2T

Award categoriesFFY 2024

Obligations by award category for Department of Health and Human Services
CategoryAmount
Direct payments$1.0T
Grants$778.5B
Contracts$29.9B
IDVs$6.9B
Other$4.0B

Top sub-agenciesFFY 2024

Top sub-agencies by obligations for Department of Health and Human Services
Sub-agencyCodeObligationsTransactions
Centers for Medicare and Medicaid ServicesCMS$1.7T12,694
Administration for Children and FamiliesACF$69.9B30,567
National Institutes of HealthNIH$42.7B167,982
Centers for Disease Control and PreventionCDC$13.3B49,752
Health Resources and Services AdministrationHRSA$12.8B52,152
Substance Abuse and Mental Health Services AdministrationSAMHSA$6.9B15,752
Office of Assistant Secretary for Preparedness and Response—$6.4B2,095
Indian Health ServiceIHS$6.0B20,837
Administration for Community LivingACL$2.4B15,072
Food and Drug AdministrationFDA$2.0B6,303
Office of the Assistant Secretary for AdministrationASA$1.0B2,133
Office of Assistant Secretary for Health—$374.9M990

Matched Treasury outlays

Monthly Treasury Statement net outlays for Department of Health and Human Services
Fiscal yearNet outlays
FFY 2025$1.9T
FFY 2024$1.7T
FFY 2023$1.7T
FFY 2022$1.6T
FFY 2021$1.5T
FFY 2018$1.1T
FFY 2017$1.1T
FFY 2016$1.1T

Sources

  • Obligations are legal commitments, not the same as Treasury outlays. See award obligations and outlays.
  • Official websiteUSAspending agency pageBudget justificationMethodologyAll awarding agencies