Federal department or agency

Department of Health and Human Services

Department of Health and Human Services obligated $22.6B on federal contracts in FY2026 across 39,762 contract actions (+6.2% vs FY2025). Its largest recipient was GENERAL DYNAMICS INFORMATION TECHNOLOGY, INC. ($960M). It also awarded $2.1T in federal grants and other assistance in FY2026.

Obligations · FY2026
$22.6B
Actions
39.8K
New awards: 10.1K
Sole-source
12%
Small business
31%
Open in the contracts explorerFederal contracts

Spending by fiscal year

Obligations per federal fiscal year (October–September).

  1. 22.6BFY2017
  2. 21.5BFY2018
  3. 22.1BFY2019
  4. 34.9BFY2020
  5. 34.4BFY2021
  6. 33.5BFY2022
  7. 33.3BFY2023
  8. 29.9BFY2024
  9. 21.3BFY2025
  10. 22.6BFY2026
  11. 17.1MFY2027

Sub-agencies

Obligations in FY2026.

  1. Centers for Medicare and Medicaid Services$7.1B31%
  2. National Institutes of Health$5B22%
  3. Office of Assistant Secretary for Preparedness and Response$2.9B13%
  4. Office of the Assistant Secretary for Financial Resources$2.8B12%
  5. Centers for Disease Control and Prevention$2.1B9.2%
  6. Food and Drug Administration$1.2B5.3%
  7. Indian Health Service$1B4.6%
  8. Health Resources and Services Administration$482.1M2.1%
  9. Substance Abuse and Mental Health Services Administration$254.6M1.1%
  10. Agency for Healthcare Research and Quality$17.8M0.1%
  11. Office of the Inspector General-$967.1K-0.0%
  12. Administration for Children and Families-$71M-0.3%
  13. Office of the Assistant Secretary for Administration-$132M-0.6%

Top recipients

Obligations in FY2026.

  1. GENERAL DYNAMICS INFORMATION TECHNOLOGY, INC.$960M4.2%
  2. MANHATTAN TORCON A JOINT VENTURE$491.8M2.2%
  3. DELOITTE CONSULTING LLP$454.2M2.0%
  4. LEIDOS BIOMEDICAL RESEARCH INC$415.6M1.8%
  5. BOOZ ALLEN HAMILTON INC$371.7M1.6%
  6. ADVANCED TECHNOLOGY INTERNATIONAL$370.1M1.6%
  7. MAXIMUS FEDERAL SERVICES, INC.$362.2M1.6%
  8. CARAHSOFT TECHNOLOGY CORP$346M1.5%
  9. NORIDIAN HEALTHCARE SOLUTIONS, LLC$334.6M1.5%
  10. WELLPOINT FEDERAL SOLUTIONS, INC.$281.9M1.2%

What was bought · Where the work was performed

Obligations in FY2026.

What was bought

  1. Professional services$7.3B32%
  2. IT & telecom$6.2B28%
  3. Research & development$3.6B16%
  4. Health & medical$1.9B8.5%
  5. Construction & real property$1.4B6.2%
  6. Education & social services$1.2B5.5%
  7. Facilities & utilities$402.3M1.8%
  8. Other equipment & supplies$288.3M1.3%
  9. Equipment maintenance$209.7M0.9%
  10. Transportation & logistics$20M0.1%
  11. Fuel$5.3M0.0%
  12. Weapons, aircraft, ships & vehicles$1.2M0.0%

Where the work was performed

  1. Maryland$7.1B31%
  2. Virginia$4.7B21%
  3. District of Columbia$1.6B7.1%
  4. Georgia$1.4B6.3%
  5. South Carolina$848.5M3.8%
  6. California$710M3.1%
  7. New York$662.5M2.9%
  8. Massachusetts$597.3M2.6%
  9. North Carolina$449.8M2.0%
  10. Pennsylvania$405.1M1.8%

Integrity signals

Shares of the year's obligations, next to the country's.

  • Low competition38%
    US 39% · $8.5B
  • Sole-source awards12%
    US 30% · $2.7B
  • Single-offer competitions26%
    US 8.7% · $5.8B
  • Urgency justifications2.4%
    US 5.1% · $540.2M
  • Year-end rush21%
    US 6.1% · $4.7B
  • Undefinitized contracts1.1%
    US 5.0% · $241.8M
  • Time-and-materials pricing20%
    US 4.2% · $4.6B

A signal is a reason to look closer, not evidence of wrongdoing: most sole-source awards are lawful and justified.

Offices with the most sole-source money

  1. CDC OFFICE OF ACQUISITION SERVICES$553.1M26%
    Centers for Disease Control and Prevention
  2. NATIONAL INSTITUTES OF HEALTH OLAO$322.4M24%
    National Institutes of Health
  3. OMAS STRATEGIC BUYING CENTER - HHS MISSION$267.7M23%
    Office of the Assistant Secretary for Financial Resources
  4. NIH A E CONSTRUCTION$245.2M34%
    National Institutes of Health
  5. FDA OFFICE OF ACQ GRANT SVCS$239.4M20%
    Food and Drug Administration

Contracts terminated for default: 3

Awards to excluded parties

New awards, options exercised and added work this agency signed while the recipient was listed in SAM.gov as debarred, suspended, proposed for debarment or excluded (exact identifier matches).

In FY2026
$0
0 awards · 0 recipients
All loaded years
$571.5K
1 award · 1 recipient

None in FY2026.

SAM.gov lists what agencies report, and only exclusions in effect: those that ended are known from twice-yearly snapshots, so an end date is approximate. Agencies may award to an excluded party with a documented compelling reason. An exclusion is an administrative measure, not a conviction.

Source: Exclusions (debarred, suspended and otherwise excluded parties) (U.S. General Services Administration, SAM.gov), data current to Oct 9, 2026, loaded Oct 10, 2026 · Exclusions as listed on Oct 9, 2026, history from Apr 28, 2022.

Largest awards

  1. OPER OF GOVT R&D GOCO FACILITIES$4.8B
    LEIDOS BIOMEDICAL RESEARCH INC· Frederick County, MD· Facilities & utilities· Nov 29, 2016 – Aug 7, 2026· HHSN261200800001E
  2. THE PURPOSE OF THIS CONTRACT IS TO PROVIDE THE FULL COMPLEMENT OF SERVICES NECESSARY TO CARE FOR UC IN ORR CUSTODY INCLUDING FACILITIES SET-UP, MAINTENANCE, AND SUPPORT INTERNAL AND PERIMETER (IF APPLICABLE) SECURITY, DIRECT CARE AND SUPERVISION INC$3.5B
    RAPID DEPLOYMENT INC· El Paso County, TX· Professional services· Mar 24, 2021 – Jul 1, 2026· 75ACF121C00020
  3. CONTACT CENTER OPERATIONS$3.3B
    MAXIMUS FEDERAL SERVICES, INC.· Fairfax County, VA· Professional services· Aug 31, 2022 – Oct 6, 2026· 75FCMC22C0038
  4. NCI OPERATIONAL TASK ORDER$1.8B
    LEIDOS BIOMEDICAL RESEARCH INC· Frederick County, MD· Facilities & utilities· Aug 31, 2020 – Jun 18, 2026· 75N91020F00003
  5. CONSTRUCTION OF VACCINE MANUFACTURING FACILITY$1.4B
    SEQIRUS INC· Middlesex County, MA· Research & development· Dec 9, 2016 – Jul 14, 2026· HHSO100200900101C
  6. IGF::OT::IGF$1.4B
    EMERGENT PRODUCT DEVELOPMENT GAITHERSBURG INC.· Montgomery County, MD· Research & development· Mar 16, 2017 – Aug 18, 2026· HHSO100201600030C
  7. IGF::OT::IGF$1.3B
    BAVARIAN NORDIC A/S· Health & medical· Aug 24, 2017 – May 11, 2026· HHSO100201700019C
  8. ELIGIBILITY SUPPORT$1B
    SERCO INC· Benton County, AR· Professional services· May 21, 2018 – Feb 20, 2026· 75FCMC18F0045

Federal grants & assistance awarded

Grants, loans (counted at their subsidy cost), direct payments and insurance, by fiscal year of the action (USAspending.gov, FABS). Reported apart from contracts and never added to them.

Department of Health and Human Services obligated $2.1T in federal assistance in FY2026, on 261,065 actions (27,307 new awards), +3.5% vs FY2025. Its largest program was 93.778 · Grants to States for Medicaid ($721.6B).

Assistance · FY2026
$2.1T
New awards
27,307
Actions
261.1K
Since FY2021
$11T

Assistance by fiscal year

  1. 1.6TFY2021
  2. 1.7TFY2022
  3. 1.8TFY2023
  4. 1.8TFY2024
  5. 2TFY2025
  6. 2.1TFY2026
  7. 4.2BFY2027

By type

  1. Direct payments$1.2T56%
  2. Grants$899.6B44%
  3. Insurance$4.4B0.2%
  4. Other assistance$738.4M0.0%

Top programs

  1. 93.778 · Grants to States for Medicaid$721.6B35%
  2. 93.774 · Medicare Supplementary Medical Insurance$556.9B27%
  3. 93.773 · Medicare Hospital Insurance$418.1B20%
  4. 93.770 · Medicare Prescription Drug Coverage$178.7B8.6%
  5. 93.767 · Children's Health Insurance Program$24.8B1.2%
  6. 93.558 · Temporary Assistance for Needy Families$17B0.8%
  7. 93.423 · 1332 State Innovation Waivers$11.9B0.6%
  8. 93.600 · Head Start$11.5B0.6%

Top recipients (organizations)

  1. HEALTH CARE SERVICES, CALIFORNIA DEPARTMENT OF$117.8B5.7%
    SACRAMENTO, CA
  2. NYS DEPARTMENT OF HEALTH$73.4B3.6%
    ALBANY, NY
  3. HEALTH & HUMAN SVC COMMN TX$39.1B1.9%
    AUSTIN, TX
  4. PA DEPARTMENT OF HUMAN SERVICES$35.4B1.7%
    HARRISBURG, PA
  5. NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES$29.9B1.4%
    RALEIGH, NC
  6. OHIO DEPARTMENT OF MEDICAID$29.2B1.4%
    COLUMBUS, OH
  7. FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION$27.9B1.4%
    TALLAHASSEE, FL
  8. ILLINOIS DEPARTMENT OF HEALTHCARE & FAMILY SERVICES$25.5B1.2%
    SPRINGFIELD, IL

Where it went

  1. California$186B9.0%
  2. Minnesota$185.8B9.0%
  3. Pennsylvania$154.6B7.5%
  4. Kentucky$144.4B7.0%
  5. Indiana$141.7B6.9%
  6. Florida$114B5.5%
  7. New York$110.1B5.3%
  8. Connecticut$89.2B4.3%
  9. North Dakota$87.6B4.2%
  10. South Carolina$81.8B4.0%

By state of the place of performance.

Sub-agencies

  1. Centers for Medicare and Medicaid Services$1.9T93%
  2. Administration for Children and Families$71B3.4%
  3. National Institutes of Health$35.7B1.7%
  4. Health Resources and Services Administration$12.4B0.6%
  5. Indian Health Service$6.4B0.3%
  6. Substance Abuse and Mental Health Services Administration$6.4B0.3%
  7. Centers for Disease Control and Prevention$3.9B0.2%
  8. Administration for Community Living$2.4B0.1%
  9. Office of Assistant Secretary for Health$342.9M0.0%
  10. Office of the Inspector General$334.1M0.0%
  11. Office of Assistant Secretary for Preparedness and Response$287M0.0%
  12. Food and Drug Administration$214.5M0.0%

Source: Federal financial assistance transactions (Financial Assistance Broker Submission) (U.S. Department of the Treasury, USAspending.gov), data current to Oct 10, 2026, loaded Oct 10, 2026 · FY2021–FY2027.

Federal grants & assistance

Subawards under this agency's awards

First-tier subawards that recipients of this agency's contracts and financial assistance reported, by the fiscal year of the subaward.

FY2026

  • Sub-contracts: $1.4B (1,466 subawards)
  • Sub-grants: $34.6B (68,002 subawards)

15,033 sub-recipients

Largest sub-recipients

  1. NYC DEPARTMENT OF SOCIAL SERVICES$1.7B4.7%
    NEW YORK, NY · 47 subawards
  2. COUNTY OF LOS ANGELES$1.5B4.2%
    CITY OF INDUSTRY, CA · 6 subawards
  3. FOUNDATION FOR CALIFORNIA COMMUNITY COLLEGES$1B2.8%
    SACRAMENTO, CA · 3 subawards
  4. NEW YORK CITY ADMINISTRATION FOR CHILDRENS SERVICES$792.2M2.2%
    NEW YORK, NY · 48 subawards
  5. FLORIDA HEALTHY KIDS CORPORATION$635.9M1.8%
    TALLAHASSEE, FL · 2 subawards
  6. PUBLIC HEALTH MANAGEMENT CORP$562.3M1.6%
    PHILADELPHIA, PA · 65 subawards
  7. CALIFORNIA STUDENT AID COMMISSION$400M1.1%
    RANCHO CORDOVA, CA · 1 subaward
  8. SAN BERNARDINO, COUNTY OF$367.9M1.0%
    SAN BERNARDINO, CA · 9 subawards
  9. SACRAMENTO EMPLOYMENT TRAINING AGENCY$248.7M0.7%
    SACRAMENTO, CA · 6 subawards
  10. COUNTY OF SAN DIEGO$246.3M0.7%
    SAN DIEGO, CA · 7 subawards

Primes report first-tier subawards of $30,000 or more themselves, and many go unreported (GAO-24-106214). Reporting moved from FSRS to SAM.gov in March 2025 and fewer sub-contracts have been reported since. Amounts are what primes reported; they are never added to prime award totals.

Source: Subawards (first-tier sub-contracts and sub-grants reported under FFATA) (U.S. Department of the Treasury, USAspending.gov (reports filed in SAM.gov, formerly FSRS)), data current to Oct 10, 2026, loaded Oct 10, 2026 · Subawards loaded from FY2021.

Who lobbies this agency

Organizations whose quarterly lobbying reports list this agency as contacted, ranked by the reports' spending. A report's amount covers all its issues and every agency it lists; reports do not split it.

Lobbying in 2026
$652.6M
Clients
2,099
Reports
3,960

The whole amount of every report that lists this agency.

Organizations lobbying it, 2026

  1. Chamber of Commerce of the U.S.A.$36.7M
    Not matched to a contract recipient · Health issues, Medicare and Medicaid, Budget and appropriations
  2. PHARMACEUTICAL RESEARCH & MANUFACTURERS OF AMERICA$19.6M
    Not matched to a contract recipient · Health issues, Medicare and Medicaid, Budget and appropriations
  3. American Medical AssociationAI match · 99%$13.1M
    0.0% of its family's FY2026 contracts from this agency · Health issues, Medicare and Medicaid, Budget and appropriations
  4. META PLATFORMS, INC.$13.1M
    Not matched to a contract recipient · Taxation and the Internal Revenue Code, Trade (domestic and foreign), Environment and Superfund
  5. AMERICAN HOSPITAL ASSOCIATIONAI match · 99%$10.6M
    28% of its family's FY2026 contracts from this agency · Health issues, Medicare and Medicaid, Budget and appropriations
  6. Amazon.com Services LLCAI match · 100%$8.7M
    0.0% of its family's FY2026 contracts from this agency · Health issues, Budget and appropriations, Taxation and the Internal Revenue Code
  7. AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)$8.3M
    Not matched to a contract recipient · Health issues, Medicare and Medicaid, Taxation and the Internal Revenue Code
  8. AARP$7.9M
    Not matched to a contract recipient · Health issues, Medicare and Medicaid, Budget and appropriations
  9. ELI LILLY AND COMPANYAI match · 100%$7M
    0.0% of its family's FY2026 contracts from this agency · Health issues, Medicare and Medicaid, Taxation and the Internal Revenue Code
  10. CVS HEALTH$6.9M
    Not matched to a contract recipient · Medicare and Medicaid, Taxation and the Internal Revenue Code, Labor issues, antitrust and workplace
  11. GENERAL DYNAMICS CORPORATIONAI match · 100%$6.8M
    3.7% of its family's FY2026 contracts from this agency · Budget and appropriations, Taxation and the Internal Revenue Code, Education
  12. MERCK & CO., INC.AI match · 100%$6.4M
    16% of its family's FY2026 contracts from this agency · Health issues, Medicare and Medicaid, Taxation and the Internal Revenue Code
  13. PFIZER INC.AI match · 100%$6.3M
    No FY2026 contracts in its family · Health issues, Medicare and Medicaid, Trade (domestic and foreign)
  14. PHARMACEUTICAL CARE MANAGEMENT ASSOCIATION$6.3M
    Not matched to a contract recipient · Health issues, Medicare and Medicaid, Pharmacy
  15. The Cigna Group and subsidiaries (Formerly Cigna Corporation$5.6M
    Not matched to a contract recipient · Health issues, Medicare and Medicaid, Labor issues, antitrust and workplace

198 more clients ($13.8M) are counted but not named: their names may be a person's.

Lobbying amounts are the filers' own good-faith estimates on quarterly LD-2 reports (the law asks for amounts rounded to $10,000; under $5,000 need not be itemized), latest amendment only. When an organization files its own report, it replaces what outside firms report for it that quarter. Matches are by name. Lobbying and political giving are legal and public: they show engagement with government, not influence over any award. Correlation is not influence: these organizations' lobbying and their contracts are shown side by side, and nothing here implies either affected the other.

Source: Lobbying disclosures (LD-1 registrations, LD-2 quarterly reports, LD-203 contribution reports) (Clerk of the U.S. House of Representatives), data current to Oct 10, 2026, loaded Oct 10, 2026 · 2023–2026.

Source: Committees, candidates and committee contributions to candidates (Federal Election Commission), data current to Oct 10, 2026, loaded Oct 10, 2026 · 2026, 2024, 2022.

Matches: Analisa AI name judgments (entity-match@1), updated Oct 5, 2026.

Committees that oversee and fund it

Congressional committees whose jurisdiction includes this agency, and the appropriations subcommittees that write its spending bill (Analisa's reading of the House and Senate rules; committees share jurisdiction). Leaders as currently published.

…

Source: Federal contract transactions (Federal Procurement Data System) (U.S. Department of the Treasury, USAspending.gov), data current to Oct 10, 2026, loaded Oct 10, 2026.