Health & Human Services — FY2024 spending
In fiscal year 2024, Health & Human Services paid out $1.72T — 25.5% of the federal government’s $6.75T in total outlays — and obligated $2.52T.
That is $5,106/person and 6.1% of GDP.
Federal accounts
The 24 largest federal accounts under Health & Human Services in FY2024. 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 | $638B | $690B | 37.1% |
| Federal Supplementary Medical Insurance Trust Fund-Treasury Managed | $526B | $526B | 30.6% |
| Payments to Health Care Trust Funds | $486B | $503B | 28.3% |
| Federal Hospital Insurance Trust Fund - Treasury Managed | $407B | $389B | 23.7% |
| Medicare Prescription Drug Account | $117B | $121B | 6.8% |
| Taxation on OASDI Benefits, HI | $40B | $40B | 2.3% |
| State Children's Health Insurance Fund | $19B | $21B | 1.1% |
| Temporary Assistance for Needy Families | $18B | $17B | 1.0% |
| Payment to States for the Child Care and Development Block Grant | $16B | $8.8B | 0.9% |
| Children and Families Services Programs | $15B | $15B | 0.9% |
| Public Health and Social Services Emergency Fund | $14B | $7.4B | 0.8% |
| Risk Adjustment Program Payments | $11B | $10B | 0.7% |
| Payments for Foster Care and Permanency | $10B | $10B | 0.6% |
| Indian Health Services | $7.9B | $8.5B | 0.5% |
| National Cancer Institute | $7.4B | $7.4B | 0.4% |
| Program Management, Centers for Medicare and Medicaid Services | $7.3B | $7.4B | 0.4% |
| Salaries and Expenses | $7.2B | $6.9B | 0.4% |
| Refugee and Entrant Assistance | $7.1B | $8.6B | 0.4% |
| National Institute of Allergy and Infectious Diseases | $6.8B | $6.7B | 0.4% |
| Primary Health Care | $6.5B | $6.0B | 0.4% |
| Low Income Home Energy Assistance | $5.0B | $4.1B | 0.3% |
| Payments to States for Child Support Enforcement and Family Support Programs | $4.9B | $5.1B | 0.3% |
| National Institute on Aging | $4.6B | $4.6B | 0.3% |
| Substance Abuse Treatment | $4.5B | $4.2B | 0.3% |
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.