Health & Human Services — FY2018 spending
In fiscal year 2018, Health & Human Services paid out $1.11T — 26.9% of the federal government’s $4.11T in total outlays — and obligated $1.68T.
That is $3,382/person and 5.4% of GDP.
Federal accounts
The 24 largest federal accounts under Health & Human Services in FY2018. Hover an account name for its full official title. Shares are of this agency’s outlays, not of the federal total.
| Federal account | Outlays | Obligations | Share of agency outlays |
|---|---|---|---|
| Grants to States for Medicaid | $405B | $441B | 36.7% |
| Federal Supplementary Medical Insurance Trust Fund-Treasury Managed | $326B | $327B | 29.5% |
| Payments to Health Care Trust Funds | $324B | $321B | 29.3% |
| Federal Hospital Insurance Trust Fund - Treasury Managed | $301B | $303B | 27.3% |
| Medicare Prescription Drug Account | $82B | $82B | 7.5% |
| Taxation on OASDI Benefits, HI | $24B | $24B | 2.2% |
| State Children's Health Insurance Fund | $17B | $17B | 1.6% |
| Temporary Assistance for Needy Families | $16B | $17B | 1.5% |
| Children and Families Services Programs | $11B | $12B | 1.0% |
| Payments for Foster Care and Permanency | $8.6B | $8.2B | 0.8% |
| Program Management, Centers for Medicare and Medicaid Services | $5.5B | $6.0B | 0.5% |
| National Cancer Institute | $5.4B | $6.0B | 0.5% |
| Indian Health Services | $5.4B | $5.7B | 0.5% |
| Primary Health Care | $5.3B | $5.4B | 0.5% |
| National Institute of Allergy and Infectious Diseases | $5.2B | $5.3B | 0.5% |
| Salaries and Expenses | $5.0B | $5.4B | 0.5% |
| Payments to States for Child Support Enforcement and Family Support Programs | $4.2B | $4.4B | 0.4% |
| Payment to States for the Child Care and Development Block Grant | $3.5B | $5.2B | 0.3% |
| Low Income Home Energy Assistance | $3.4B | $3.6B | 0.3% |
| National Heart, Lung, and Blood Institute | $3.3B | $3.4B | 0.3% |
| Risk Adjustment Program Payments | $2.6B | $3.9B | 0.2% |
| National Institute of General Medical Sciences | $2.6B | $2.8B | 0.2% |
| Substance Abuse Treatment | $2.5B | $3.8B | 0.2% |
| Child Care Entitlement to States | $2.4B | $3.0B | 0.2% |
Notes
- Top-level spending is net outlays (MTS). Drilled levels are USAspending gross figures and may exceed the agency total.
Program-activity and object-class detail below these accounts is available in the interactive explorer and as JSON.