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Programs › 93.767

Assistance listing · 93.767

Children's Health Insurance Program

Federal financial assistance obligated under listing 93.767, 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 $21B in awards under assistance listing 93.767, Children's Health Insurance Program, in FY2025, and $102B over the five fiscal years since FY2022; the program ranks 8 of 1056 on this site.

Obligations were about level on FY2024 ($19B), with $25B so far in FY2026.

The largest recipient organisations over FY2022–FY2025 were Health Care Services, California Department of ($14B), NYS Department of Health ($6.5B) and Health & Human SVC COMMN TX ($4.4B).

By place of performance, the most money went to CA, NY and TX.

$21Bobligations, FY2025FY2025 (1 Oct 2024 – 30 Sep 2025) · obligations
$102Bfive-year totalFY2022–FY2026 to date · obligations
$25BFY2026 to dateFY2026 · obligations
8 of 1056rank among programs on this sitefive-year obligations
393awards of $1.0M+ since FY2022FY2022–FY2026

Obligations by fiscal year

$19B
$19B
$19B
$21B
$25B
FY2022FY2023FY2024FY2025FY2026*
Obligations under listing 93.767 by fiscal year. *FY2026 runs to the data date and is incomplete.

Compared with the largest program FY2025

MeasureThis programGrants to States for MedicaidAll assistance
Obligations, FY2025$21B$666B$4.5T
Five-year total$102B$3.2T$21T
Share of all assistance obligations, five years0.5%15.2%100%

Largest recipients obligations, FY2022–FY2025

#OrganisationObligations
1Health Care Services, California Department of$14B
2NYS Department of Health$6.5B
3Health & Human SVC COMMN TX$4.4B
4North Carolina Department of Health & Human Services$2.9B
5The Commonwealth of Massachusetts$2.9B
6Florida Agency for Health Care Administration$2.9B
7Human Services, New Jersey Department of$2.7B
8PA Department of Human Services$2.5B
9Ohio Department of Medicaid$2.5B
10Illinois Department of Healthcare & Family Services$2.3B
11Lousiana Department of Health$2.1B
12Oregon Health Authority-Public Health$2.1B
13Georgia Department of Community Health$2.0B
14Maryland Department of Health$1.8B
15Alabama Medicaid Agency$1.7B
16VA Department of Medical Assistance Service$1.7B
17Department of Social Services Misso$1.6B
18Health Services Kentucky Cabinet for$1.5B
19Finance & Administration Tennessee Depar$1.5B
20Michigan Department of Health and Human Services$1.4B
21Arizona Health Care Cost Containment System$1.4B
22State of Colorado - DEPT of Health Care Policy & Financing$1.1B
23Indiana Family and Social SERV$1.1B
24State of Wisconsin Department of Health Services$1.1B
25Oklahoma Health Care Authority$1.1B

Awarding agencies $1.0M+ awards

Department of Health and Human Services$103B

Where the money goes

California$14B
New York$6.6B
Texas$4.4B
North Carolina$2.9B
Massachusetts$2.9B
Florida$2.9B
New Jersey$2.7B
Pennsylvania$2.5B
Ohio$2.5B
Illinois$2.3B
Louisiana$2.1B
Oregon$2.1B

Largest awards since FY2022

RecipientAwarding agencyTypeAward valueBegunPlaceRecord
Health Care Services, California Department ofDepartment of Health and Human ServicesCenters for Medicare and Medicaid ServicesGrantBlock Grant (a)$4.4B1 Oct 2025CAUSAspending
Health Care Services, California Department ofDepartment of Health and Human ServicesCenters for Medicare and Medicaid ServicesGrantBlock Grant (a)$4.2B1 Oct 2024CAUSAspending
Health Care Services, California Department ofDepartment of Health and Human ServicesCenters for Medicare and Medicaid ServicesGrantBlock Grant (a)$3.5B1 Oct 2021CAUSAspending
Health Care Services, California Department ofDepartment of Health and Human ServicesCenters for Medicare and Medicaid ServicesGrantBlock Grant (a)$3.5B1 Jan 2024CAUSAspending
Health Care Services, California Department ofDepartment of Health and Human ServicesCenters for Medicare and Medicaid ServicesGrantBlock Grant (a)$2.8B1 Jan 2023CAUSAspending
NYS Department of HealthDepartment of Health and Human ServicesCenters for Medicare and Medicaid ServicesGrantBlock Grant (a)$2.1B1 Jan 2026NYUSAspending
NYS Department of HealthDepartment of Health and Human ServicesCenters for Medicare and Medicaid ServicesGrantBlock Grant (a)$2.0B1 Jan 2025NYUSAspending
NYS Department of HealthDepartment of Health and Human ServicesCenters for Medicare and Medicaid ServicesGrantBlock Grant (a)$1.7B1 Jan 2022NYUSAspending
NYS Department of HealthDepartment of Health and Human ServicesCenters for Medicare and Medicaid ServicesGrantBlock Grant (a)$1.5B1 Jan 2024NYUSAspending
Oregon Health Authority-Public HealthDepartment of Health and Human ServicesCenters for Medicare and Medicaid ServicesGrantBlock Grant (a)$1.3B1 Oct 2025ORUSAspending

Other programs numbered 93.xxx

Questions and answers

How much is obligated under assistance listing 93.767?

$21B in FY2025 and $102B over the five fiscal years since FY2022, 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 Children's Health Insurance Program?

Health Care Services, California Department of ($14B), NYS Department of Health ($6.5B), Health & Human SVC COMMN TX ($4.4B), North Carolina Department of Health & Human Services ($2.9B), The Commonwealth of Massachusetts ($2.9B). 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.