Health & Human Services — FY2021 spending
In fiscal year 2021, Health & Human Services paid out $1.47T — 21.5% of the federal government’s $6.82T in total outlays — and obligated $2.36T.
That is $4,418/person and 6.5% of GDP.
Federal accounts
The 24 largest federal accounts under Health & Human Services in FY2021. 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 | $533B | $560B | 36.4% |
| Federal Supplementary Medical Insurance Trust Fund-Treasury Managed | $432B | $433B | 29.4% |
| Payments to Health Care Trust Funds | $419B | $434B | 28.6% |
| Federal Hospital Insurance Trust Fund - Treasury Managed | $380B | $385B | 25.9% |
| Medicare Prescription Drug Account | $99B | $101B | 6.7% |
| Public Health and Social Services Emergency Fund | $72B | $118B | 4.9% |
| Taxation on OASDI Benefits, HI | $25B | $25B | 1.7% |
| State Children's Health Insurance Fund | $16B | $18B | 1.1% |
| Temporary Assistance for Needy Families | $15B | $18B | 1.0% |
| Children and Families Services Programs | $13B | $17B | 0.9% |
| Payment to States for the Child Care and Development Block Grant | $12B | $55B | 0.8% |
| Indian Health Services | $9.8B | $10B | 0.7% |
| Payments for Foster Care and Permanency | $9.7B | $10B | 0.7% |
| Primary Health Care | $7.7B | $13B | 0.5% |
| Risk Adjustment Program Payments | $7.0B | $6.3B | 0.5% |
| National Cancer Institute | $6.4B | $6.8B | 0.4% |
| Refugee and Entrant Assistance | $6.2B | $7.6B | 0.4% |
| Salaries and Expenses | $6.1B | $6.5B | 0.4% |
| National Institute of Allergy and Infectious Diseases | $6.0B | $6.5B | 0.4% |
| Program Management, Centers for Medicare and Medicaid Services | $5.9B | $6.3B | 0.4% |
| Low Income Home Energy Assistance | $4.4B | $8.2B | 0.3% |
| CDC-Wide Activities and Program Support | $4.3B | $16B | 0.3% |
| Payments to States for Child Support Enforcement and Family Support Programs | $4.2B | $4.6B | 0.3% |
| Substance Abuse Treatment | $3.6B | $5.3B | 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.