Spending · category

Health (excluding Medicare)

Medicaid, ACA premium tax credits, CHIP, medical research, and public health. In FY2025 it came to $979B, 14.0% of all federal spending (#3 of 18 categories). Adjusted for inflation, that is up 258% since FY2000.

$979B

FY2025 outlays

14.0%

of all federal spending

+7.4%

change from FY2024 ($911B)

90%

mandatory (the rest is discretionary)

Where it goes

Health (excluding Medicare) by subcategory, FY2025. Click one for every program inside it.

Mandatory (set by standing law)Discretionary (set by yearly appropriations)

Health care servicesMedicaid, CHIP, ACA premium tax credits, and health benefits for federal retirees.

$923B94% Health research and trainingThe National Institutes of Health and health workforce programs.

$50.2B5% Consumer and occupational health and safetyFood and drug safety and workplace safety regulation.

$5.65B1%

The biggest programs

The largest individual accounts in health (excluding medicare), FY2025, across all its subcategories.

Mandatory (set by standing law)Discretionary (set by yearly appropriations)

MedicaidGrants to States for Medicaid · Centers for Medicare and Medicaid Services

$668B ACA premium tax creditsRefundable Premium Tax Credit · Internal Revenue Service

$129B National Institutes of Health (NIH)National Institutes of Health · National Institutes of Health

$46.3B CHIP (Children's Health Insurance Program)Children's Health Insurance Fund · Centers for Medicare and Medicaid Services

$23.1B Health insurance for federal retireesGovernment Payment for Annuitants, Employees Health Benefits · Office of Personnel Management

$16.2B Department of Defense Medicare-Eligible Retiree Health Care FundRetiree Health Care

$13.0B Health Resources and ServicesHealth Resources and Services Administration

$12.7B Risk Adjustment Program PaymentsCenters for Medicare and Medicaid Services

$11.2B CDC-wide Activities and Program SupportCenters for Disease Control and Prevention

$10.1B Substance Abuse and Mental Health Services AdministrationSubstance Abuse and Mental Health Services Administration

$8.34B Public Health and Social Services Emergency FundDepartmental Management

$8.17B Indian Health ServicesIndian Health Service

$5.23B

Health (excluding Medicare) since 1993

Outlays in 2025 dollars (adjusted for inflation), fiscal years 1993–2025. Share of all federal spending: 7.0% in FY1993, 14.0% in FY2025.

Subcategories

Subcategory	FY2025	vs FY2024	Real, since 2000	Programs
Health care services	$923B	+8.0%	+283%	50
Health research and training	$50.2B	−0.9%	+77%	8
Consumer and occupational health and safety	$5.65B	−10%	+37%	9

← Medicare All categories Net interest →