Agencies › Department of Health and Human Services
Awarding agency · HHS
Department of Health and Human Services
Award obligations by fiscal year and type, largest recipient organisations, places of performance, industries, programs and competition, as reported to USAspending.
USAspending caveat. Figures are obligations reported by federal agencies to USAspending.gov, not payments. In USAspending's words: "An outlay occurs when federal money is actually paid out, not just promised to be paid ('obligated')." "Every agency has a Senior Accountable Official who must officially certify that the quarterly financial data submitted by their agency is accurate and complete." "If there are any discrepancies in procurement data, FPDS is the authoritative source." Contract data for the Department of Defense and the U.S. Army Corps of Engineers is published with a 90-day delay. Data loaded 30 Sep 2026.
Department of Health and Human Services obligated $2.0T in awards in FY2025 and $9.5T over the five fiscal years since FY2022, 38.3% of all award obligations recorded on USAspending; it ranks 1 of 73 awarding agencies.
The FY2025 mix was 58% direct payments, 41% grants; obligations were about level on FY2024, with $2.1T so far in FY2026.
Its largest recipient organisations over FY2022–FY2025 were Health Care Services, California Department of ($391B), NYS Department of Health ($259B) and Health & Human SVC COMMN TX ($147B).
By place of performance, the most money went to MN, CA and PA.
Obligations by fiscal year and award type
- Contracts $21B
- Grants $826B
- Direct payments $1.2T
- Other assistance $1.7B
Compared with all agencies FY2025
| Measure | This agency | Largest (Health and Human Services) | All agencies |
|---|---|---|---|
| Award obligations, FY2025 | $2.0T | $2.0T | $5.3T |
| Contracts, FY2025 | $21B | $21B | $779B |
| Grants, FY2025 | $826B | $826B | $1.2T |
| Direct payments, FY2025 | $1.2T | $1.2T | $3.3T |
| Loans (subsidy cost), FY2025 | $0 | $0 | $201M |
| Other assistance, FY2025 | $1.7B | $1.7B | $26B |
| Share of all award obligations, five years | 38.3% | 38.3% | 100% |
Largest recipient organisations FY2022–FY2025
$4.1T among the top 60 went to recipients not shown: aggregated records (for example "multiple recipients"), individuals and withheld names.
Where the money goes place of performance
Competition contracts, FPDS extent competed
FPDS "extent competed" codes as reported, FY2022–FY2025: $118B coded.
Contract industries NAICS
Assistance programs listings
Sub-agencies
| Sub-agency | FY2025 | Five-year total |
|---|---|---|
| Centers for Medicare and Medicaid Services | $1.9T | $8.7T |
| Administration for Children and Families | $65B | $341B |
| National Institutes of Health | $41B | $211B |
| Health Resources and Services Administration | $12B | $102B |
| Centers for Disease Control and Prevention | $4.3B | $44B |
| Substance Abuse and Mental Health Services Administration | $6.4B | $34B |
| Indian Health Service | $6.6B | $32B |
| Office of Assistant Secretary for Preparedness and Response | $1.8B | $26B |
| Administration for Community Living | $2.4B | $12B |
| Food and Drug Administration | $1.6B | $9.3B |
| Office of the Assistant Secretary for Administration | $728M | $3.3B |
| Office of the Assistant Secretary for Financial Resources | $0 | $2.3B |
| Office of Assistant Secretary for Health | $356M | $1.9B |
| Office of the Inspector General | $331M | $1.7B |
| Agency for Healthcare Research and Quality | $220M | $1.2B |
Largest awards begun since FY2025
| Recipient | Type | Award value | Begun | Place | Record |
|---|---|---|---|---|---|
| Health Care Services, California Department of | GrantBlock Grant (a) | $111B | 1 Oct 2025 | CA | USAspending |
| Health Care Services, California Department of | GrantBlock Grant (a) | $100B | 1 Oct 2024 | CA | USAspending |
| NYS Department of Health | GrantBlock Grant (a) | $61B | 1 Oct 2025 | NY | USAspending |
| NYS Department of Health | GrantBlock Grant (a) | $57B | 1 Oct 2024 | NY | USAspending |
| Health & Human SVC COMMN TX | GrantBlock Grant (a) | $37B | 1 Oct 2025 | TX | USAspending |
| PA Department of Human Services | GrantBlock Grant (a) | $33B | 1 Oct 2025 | PA | USAspending |
| Health & Human SVC COMMN TX | GrantBlock Grant (a) | $32B | 1 Oct 2024 | TX | USAspending |
| PA Department of Human Services | GrantBlock Grant (a) | $29B | 1 Oct 2024 | PA | USAspending |
| Ohio Department of Medicaid | GrantBlock Grant (a) | $28B | 1 Oct 2025 | OH | USAspending |
| Florida Agency for Health Care Administration | GrantBlock Grant (a) | $27B | 1 Oct 2025 | FL | USAspending |
Most $1.0M+ award value since FY2022
| # | Recipient organisation | Awards | Award value |
|---|---|---|---|
| 1 | Health Care Services, California Department of | 52 | $512B |
| 2 | NYS Department of Health | 69 | $333B |
| 3 | Health & Human SVC COMMN TX | 140 | $189B |
| 4 | PA Department of Human Services | 164 | $161B |
| 5 | Ohio Department of Medicaid | 24 | $132B |
| 6 | Florida Agency for Health Care Administration | 24 | $120B |
| 7 | North Carolina Department of Health & Human Services | 244 | $116B |
| 8 | Illinois Department of Healthcare & Family Services | 33 | $107B |
| 9 | Michigan Department of Health and Human Services | 230 | $105B |
| 10 | Arizona Health Care Cost Containment System | 46 | $89B |
| 11 | Human Services, New Jersey Department of | 107 | $87B |
| 12 | Health Services Kentucky Cabinet for | 215 | $80B |
| 13 | The Commonwealth of Massachusetts | 34 | $80B |
| 14 | Department of Social & Health Services | 84 | $78B |
| 15 | VA Department of Medical Assistance Service | 25 | $78B |
Questions and answers
How much does Department of Health and Human Services spend on contracts and grants?
$2.0T in award obligations in FY2025: $21B contracts, $826B grants, $1.2T direct payments, $0 loan subsidy cost and $1.7B other assistance.
Who are the largest Department of Health and Human Services contractors and grantees?
Over FY2022–FY2025: Health Care Services, California Department of ($391B), NYS Department of Health ($259B), Health & Human SVC COMMN TX ($147B), PA Department of Human Services ($125B) and Ohio Department of Medicaid ($102B).
How competitive are Department of Health and Human Services contracts?
Of $118B in contract obligations over FY2022–FY2025 with an extent-competed code, 84% was coded as competed (full and open, after exclusion of sources, under simplified acquisition procedures, or competitive delivery orders), using the FPDS codes as reported.
Where does this data come from?
USAspending.gov award transactions, awarding-agency view, loaded 30 Sep 2026. Agency totals here count awards; budget authority and outlays are separate USAspending views.
Provenance
Source: USAspending.gov API v2, spending by category (awarding agency, awarding sub-agency, recipient, NAICS, assistance listing) and spending by geography, loaded 30 Sep 2026; cross-tabulations cover FY2022–FY2025. Agency figures count award obligations only; budget authority and outlays are separate USAspending views. See methodology.