Federal assistance × USAspending

Top federal assistance recipients (all agencies)

Organizations that received the most federal assistance (grants and cooperative agreements — separate from contracts), ranked by total over the last 10 fiscal years (aggregated from USAspending). State Medicaid agencies dominate the top.

An organization of public government data, not an official U.S. government site. Aggregates cover collected data, and rankings are based on name-level aggregation.

What the data shows

The top is almost entirely state Medicaid agencies. The largest stream of federal assistance is not research funding but Medicaid — huge sums paid from the federal government to each state's health and human-services agency. It is an order of magnitude larger than research grants (NSF, NIH), making plain how heavily federal money flows into state-administered health benefits. This is the "money given out" (assistance) side, distinct from the "money spent on procurement" (contracts) side.

Top 50 of 59

#	Recipient	Amount
1	HEALTH CARE SERVICES, CALIFORNIA DEPARTMENT OF	≈$766.48B
2	NYS DEPARTMENT OF HEALTH	≈$524.76B
3	HEALTH & HUMAN SVC COMMN TX	≈$312.01B
4	PA DEPARTMENT OF HUMAN SERVICES	≈$261.15B
5	FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION	≈$189.4B
6	NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES	≈$176.66B
7	MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES	≈$174.5B
8	ILLINOIS DEPARTMENT OF HEALTHCARE & FAMILY SERVICES	≈$163.95B
9	HUMAN SERVICES, NEW JERSEY DEPARTMENT OF	≈$139.38B
10	ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM	≈$135.83B
11	THE COMMONWEALTH OF MASSACHUSETTS	≈$132.56B
12	OHIO DEPARTMENT OF MEDICAID	≈$131.18B
13	HEALTH SERVICES KENTUCKY CABINET FOR	≈$125.61B
14	DEPARTMENT OF SOCIAL & HEALTH SERVICES	≈$121.09B
15	INDIANA FAMILY AND SOCIAL SERV	≈$119.5B
16	VA DEPARTMENT OF MEDICAL ASSISTANCE SERVICE	≈$110.6B
17	LOUSIANA DEPARTMENT OF HEALTH	≈$108.35B
18	DEPARTMENT OF SOCIAL SERVICES MISSO	≈$102.57B
19	MINNESOTA DEPARTMENT OF HUMAN SERVICES	≈$102.31B
20	DEPARTMENT OF EDUCATION CALIFORNIA	≈$99.55B
21	OREGON HEALTH AUTHORITY-PUBLIC HEALTH	≈$99.39B
22	GEORGIA DEPARTMENT OF COMMUNITY HEALTH	≈$98.49B
23	OHIO DEPARTMENT OF JOB & FAMILY SERVICES	≈$95.05B
24	MARYLAND DEPARTMENT OF HEALTH	≈$90.7B
25	FINANCE & ADMINISTRATION TENNESSEE DEPAR	≈$84.91B
26	DEPARTMENT OF SOCIAL SERVICES CALIFORNIA	≈$77.55B
27	STATE OF WISCONSIN DEPARTMENT OF HEALTH SERVICES	≈$75.13B
28	STATE OF COLORADO - DEPT OF HEALTH CARE POLICY & FINANCING	≈$73.04B
29	NEW MEXICO HEALTH CARE AUTHORITY	≈$62.33B
30	DEPARTMENT OF SOCIAL SERVICES CONNECTICUT	≈$61.91B
31	HUMAN SERVICES, ARKANSAS DEPARTMENT OF	≈$58.53B
32	DEPARTMENT OF HEALTH HUMAN SERVICES	≈$57.69B
33	ALABAMA MEDICAID AGENCY	≈$54.41B
34	NEW YORK STATE EDUCATION DEPARTMENT	≈$54.17B
35	OKLAHOMA HEALTH CARE AUTHORITY	≈$53.84B
36	TX EDUCATION AGENCY	≈$53.16B
37	NATIONAL RAILROAD PASSENGER CORPORATION	≈$52.39B
38	IA DEPARTMENT OF HUMAN SERVICES	≈$50.26B
39	MISSISSIPPI DIVISION OF MEDICAID	≈$48.5B
40	TEXAS DEPARTMENT OF TRANSPORTATION	≈$47.55B
41	DEPARTMENT OF TRANSPORTATION CALIFORNIA	≈$45.7B
42	FLORIDA DEPARTMENT OF EDUCATION	≈$42.01B
43	METROPOLITAN TRANSPORTATION AUTHORITY	≈$40.66B
44	GOVERNOR'S AUTHORIZED REPRESENTATIVE	≈$39.73B
45	NEVADA DEPARTMENT OF HUMAN SERVICES	≈$39.55B
46	HEALTH AND HUMAN RESOURCES, WEST VIRGINIA DEPARTMENT OF	≈$37.74B
47	NEW YORK STATE OFFICE OF TEMPORARY & DISABILITY ASSISTANCE	≈$36.24B
48	PUERTO RICO DEPARTMENT OF HEALTH	≈$33.15B
49	KANSAS DEPARTMENT OF HEALTH & ENVIRONMENT	≈$32.25B
50	ILLINOIS STATE BOARD OF EDUCATION	≈$30.87B

Aggregates cover each source's collected data. Names use the original data as-is.

FAQ

What does this ranking show?

Organizations that received the most federal assistance (grants, cooperative agreements — separate from contracts), ordered by total over the last 10 fiscal years. State Medicaid agencies dominate the top.

Why are state health agencies at the top?

The largest stream of federal assistance is Medicaid, paid from the federal government to each state's health and human-services agency. It dwarfs research grants (NSF, NIH), showing how heavily federal money flows to state-administered health benefits.

How does it differ from the contracts ranking?

This is money the government gives out (assistance/benefits); the contracts ranking is money it spends on procurement. The recipients and the nature of the dollars differ.

What is the source?

Federal assistance (award types 02–05) from U.S. spending data (USAspending), aggregated in full per recipient organization. Individuals are excluded (PII protection).

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