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	≈$713.1B
2	NYS DEPARTMENT OF HEALTH	≈$490.79B
3	HEALTH & HUMAN SVC COMMN TX	≈$296.37B
4	PA DEPARTMENT OF HUMAN SERVICES	≈$245.83B
5	FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION	≈$177.06B
6	MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES	≈$163.2B
7	NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES	≈$156.87B
8	ILLINOIS DEPARTMENT OF HEALTHCARE & FAMILY SERVICES	≈$148.35B
9	HUMAN SERVICES, NEW JERSEY DEPARTMENT OF	≈$129.28B
10	THE COMMONWEALTH OF MASSACHUSETTS	≈$126.98B
11	ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM	≈$126.09B
12	HEALTH SERVICES KENTUCKY CABINET FOR	≈$115.48B
13	OHIO DEPARTMENT OF JOB & FAMILY SERVICES	≈$112.62B
14	INDIANA FAMILY AND SOCIAL SERV	≈$112.1B
15	DEPARTMENT OF SOCIAL & HEALTH SERVICES	≈$107.95B
16	LOUSIANA DEPARTMENT OF HEALTH	≈$102.18B
17	OHIO DEPARTMENT OF MEDICAID	≈$102.04B
18	DEPARTMENT OF EDUCATION CALIFORNIA	≈$99.42B
19	VA DEPARTMENT OF MEDICAL ASSISTANCE SERVICE	≈$98.05B
20	MINNESOTA DEPARTMENT OF HUMAN SERVICES	≈$95.88B
21	DEPARTMENT OF SOCIAL SERVICES MISSO	≈$95.31B
22	GEORGIA DEPARTMENT OF COMMUNITY HEALTH	≈$91.29B
23	OREGON HEALTH AUTHORITY	≈$90.25B
24	MARYLAND DEPARTMENT OF HEALTH	≈$85.25B
25	FINANCE & ADMINISTRATION TENNESSEE DEPAR	≈$80.13B
26	DEPARTMENT OF SOCIAL SERVICES CALIFORNIA	≈$75.16B
27	STATE OF WISCONSIN DEPARTMENT OF HEALTH SERVICES	≈$69.61B
28	STATE OF COLORADO - DEPT OF HEALTH CARE POLICY & FINANCING	≈$66.87B
29	DEPARTMENT OF SOCIAL SERVICES CONNECTICUT	≈$59.27B
30	HUMAN SERVICES, ARKANSAS DEPARTMENT OF	≈$57.03B
31	NEW MEXICO HEALTH CARE AUTHORITY	≈$56.85B
32	DEPARTMENT OF HEALTH HUMAN SERVICES	≈$54.01B
33	NEW YORK STATE EDUCATION DEPARTMENT	≈$53B
34	TX EDUCATION AGENCY	≈$52.43B
35	ALABAMA MEDICAID AGENCY	≈$51.78B
36	NATIONAL RAILROAD PASSENGER CORPORATION	≈$48.68B
37	OKLAHOMA HEALTH CARE AUTHORITY	≈$47.96B
38	MISSISSIPPI DIVISION OF MEDICAID	≈$46.76B
39	IA DEPARTMENT OF HUMAN SERVICES	≈$46.64B
40	TEXAS DEPARTMENT OF TRANSPORTATION	≈$45.31B
41	DEPARTMENT OF TRANSPORTATION CALIFORNIA	≈$42.79B
42	FLORIDA DEPARTMENT OF EDUCATION	≈$41.19B
43	METROPOLITAN TRANSPORTATION AUTHORITY	≈$40.29B
44	GOVERNOR'S AUTHORIZED REPRESENTATIVE	≈$38.32B
45	NEW YORK STATE OFFICE OF TEMPORARY & DISABILITY ASSISTANCE	≈$36.63B
46	NEVADA DEPARTMENT OF HEALTH & HUMAN SERVICES	≈$36.44B
47	HEALTH AND HUMAN RESOURCES, WEST VIRGINIA DEPARTMENT OF	≈$35.45B
48	PUERTO RICO DEPARTMENT OF HEALTH	≈$31.14B
49	ILLINOIS STATE BOARD OF EDUCATION	≈$30.54B
50	KANSAS DEPARTMENT OF HEALTH & ENVIRONMENT	≈$29.26B

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).

← Back to rankings