Programs › 93.243
Assistance listing · 93.243
Substance Abuse and Mental Health Services Projects of Regional and National Significance
Federal financial assistance obligated under listing 93.243, the organisations that receive it and where it goes.
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.
Federal agencies obligated $715M in awards under assistance listing 93.243, Substance Abuse and Mental Health Services Projects of Regional and National Significance, in FY2026, and $8.8B over the five fiscal years since FY2023; the program ranks 59 of 988 on this site.
Obligations were down 76% on FY2025 ($3.0B), with $0 so far in FY2027.
The largest recipient organisations over FY2022–FY2025 were The Mental Health Association of New York City, Inc. ($1.0B), Health Care Services, California Department of ($396M) and Florida Department of Children and Families ($328M).
By place of performance, the most money went to NY, CA and FL.
Obligations by fiscal year
Compared with the largest program FY2026
| Measure | This program | Grants to States for Medicaid | All assistance |
|---|---|---|---|
| Obligations, FY2026 | $715M | $722B | $4.4T |
| Five-year total | $8.8B | $2.6T | $17T |
| Share of all assistance obligations, five years | 0.1% | 15.2% | 100% |
Largest recipients obligations, FY2022–FY2025
Awarding agencies $1.0M+ awards
Where the money goes
Largest awards since FY2023
| Recipient | Awarding agency | Type | Award value | Begun | Place | Record |
|---|---|---|---|---|---|---|
| Health Care Services, California Department of | Department of Health and Human ServicesSubstance Abuse and Mental Health Services Administration | GrantProject Grant (B) | $322M | 24 Sep 2024 | CA | USAspending |
| Florida Department of Children and Families | Department of Health and Human ServicesSubstance Abuse and Mental Health Services Administration | GrantProject Grant (B) | $318M | 24 Sep 2024 | FL | USAspending |
| Ohio Department Mental Health | Department of Health and Human ServicesSubstance Abuse and Mental Health Services Administration | GrantProject Grant (B) | $305M | 24 Sep 2024 | OH | USAspending |
| Pennsylvania Department of Drug and Alcohol Programs | Department of Health and Human ServicesSubstance Abuse and Mental Health Services Administration | GrantProject Grant (B) | $253M | 24 Sep 2024 | PA | USAspending |
| Human Services, New Jersey Department of | Department of Health and Human ServicesSubstance Abuse and Mental Health Services Administration | GrantProject Grant (B) | $209M | 24 Sep 2024 | NJ | USAspending |
| Public Health, Massachusetts Department of | Department of Health and Human ServicesSubstance Abuse and Mental Health Services Administration | GrantProject Grant (B) | $181M | 24 Sep 2024 | MA | USAspending |
| Research Foundation for Mental Hygiene, Inc. | Department of Health and Human ServicesSubstance Abuse and Mental Health Services Administration | GrantProject Grant (B) | $171M | 24 Sep 2024 | NY | USAspending |
| Maryland Department of Health | Department of Health and Human ServicesSubstance Abuse and Mental Health Services Administration | GrantProject Grant (B) | $162M | 24 Sep 2024 | MD | USAspending |
| Health & Human SVC COMMN TX | Department of Health and Human ServicesSubstance Abuse and Mental Health Services Administration | GrantProject Grant (B) | $157M | 24 Sep 2024 | TX | USAspending |
| West Virginia DEPT of Human Services | Department of Health and Human ServicesSubstance Abuse and Mental Health Services Administration | GrantProject Grant (B) | $139M | 24 Sep 2024 | WV | USAspending |
Other programs numbered 93.xxx
- 93.778 Grants to States for Medicaid $2.6T
- 93.767 Children's Health Insurance Program $83B
- 93.558 Temporary Assistance for Needy Families $68B
- 93.600 Head Start $46B
- 93.423 1332 State Innovation Waivers $44B
- 93.575 Child Care and Development Block Grant $33B
- 93.658 Foster Care Title IV-E $20B
- 93.568 Low-Income Home Energy Assistance $18B
- 93.224 Health Center Program $17B
- 93.563 Child Support Services $17B
- 93.855 Allergy and Infectious Diseases Research $16B
- 93.866 Aging Research $15B
- 93.659 Adoption Assistance $15B
- 93.210 Tribal Self-Governance Program: IHS Compacts/Funding Agreements $15B
- 93.596 Child Care Mandatory and Matching Funds of the Child Care and Development Fund $14B
- 93.837 Cardiovascular Diseases Research $13B
- 93.859 Biomedical Research and Research Training $12B
- 93.566 Refugee and Entrant Assistance State/Replacement Designee Administered Programs $12B
- 93.798 Rural Health Transformation Program $10B
- 93.847 Diabetes, Digestive, and Kidney Diseases Extramural Research $8.0B
- 93.853 Extramural Research Programs in the Neurosciences and Neurological Disorders $7.5B
- 93.959 Block Grants for Prevention and Treatment of Substance Abuse $7.4B
- 93.676 Unaccompanied Alien Children Program $7.3B
- 93.242 Mental Health Research Grants $7.1B
Questions and answers
How much is obligated under assistance listing 93.243?
$715M in FY2026 and $8.8B over the five fiscal years since FY2023, counting every award type recorded under the listing (grants, direct payments, loan subsidy cost, insurance and other assistance). Obligations are commitments, not payments.
Who receives the most under Substance Abuse and Mental Health Services Projects of Regional and National Significance?
The Mental Health Association of New York City, Inc. ($1.0B), Health Care Services, California Department of ($396M), Florida Department of Children and Families ($328M), Ohio Department Mental Health ($277M), Pennsylvania Department of Drug and Alcohol Programs ($188M). Individuals are never listed; where a program pays individuals, USAspending records aggregated rows that appear here as "not shown".
What is an assistance listing (CFDA) number?
A five-digit number that identifies a federal financial assistance program on SAM.gov (formerly the Catalog of Federal Domestic Assistance). Every grant, loan, direct payment or other assistance award on USAspending carries one; contracts do not.
Provenance
Source: USAspending.gov API v2, spending by category (assistance listing) by fiscal year, recipient cross-tabulation for FY2022–FY2025 and award search, loaded 30 Sep 2026. State figures come from each state's top-100 listing table, so small amounts in a state may be missing. See methodology.