Spending · subcategory
Health research and training
The National Institutes of Health and health workforce programs. Part of Health (excluding Medicare). FY2025 net outlays: $50.2B, 5% of the category and 0.72% of all federal spending. The largest program is National Institutes of Health (NIH) ($46.3B).
$50.2B
FY2025 net outlays
5%
of Health (excluding Medicare)
−0.9%
change from FY2024 ($50.6B)
8
programs (accounts) with FY2025 spending
Every program
8 accounts with FY2025 spending in Health research and training, largest first. Hover or tap a bar for details.
Mandatory (set by standing law)Discretionary (set by yearly appropriations)
How the total adds up
| Programs (the 8 accounts above) | $50.5B |
| Offsets: premiums, fees, loan repayments, and other collections (7 accounts) | −$530M |
| Payments between government accounts, net (e.g. general-fund transfers into trust funds, less the matching receipts) | $211M |
| Net outlays, matching OMB Historical Table 3.2 | $50.2B |
The largest offsets
| Payment from the General Fund, Patient-Centered Outcomes Research Trust Fund Patient-Centered Outcomes Research Trust Fund | −$338M |
| Transfers from the Patient-Centered Outcomes Research Trust Fund Departmental Management | −$102M |
| Cooperative Research and Development Agreements, NIH Department of Health and Human Services | −$47M |
| Contributions, N.I.H., Conditional Gift Fund Department of Health and Human Services | −$29M |
| Centers for Disease Control, Gifts and Donations Department of Health and Human Services | −$9M |
| Contributions, N.I.H., Unconditional Gift Fund Department of Health and Human Services | −$4M |
| Cooperative Research and Development Agreements, Centers for Disease Control Department of Health and Human Services | −$1M |
All programs, sortable
Sparklines show each program in 2025 dollars, FY2000–2025.
| Program | Type | FY2024 | FY2025 | Change | FY2000–2025 |
|---|---|---|---|---|---|
| National Institutes of Health (NIH) National Institutes of Health | Discretionary | $46.3B | $46.3B | +0.1% | |
| Health Resources and Services Health Resources and Services Administration | Discretionary | $1.57B | $1.61B | +2.4% | |
| Patient-Centered Outcomes Research Trust Fund Patient-Centered Outcomes Research Trust Fund | Mandatory | $763M | $848M | +11% | |
| Advanced Research Projects Agency for Health, NIH National Institutes of Health | Discretionary | $1.11B | $715M | −36% | |
| Healthcare Research and Quality Agency for Healthcare Research and Quality | Discretionary | $370M | $366M | −1.1% | |
| CDC-wide Activities and Program Support Centers for Disease Control and Prevention | Discretionary | $364M | $357M | −1.9% | |
| NIH Innovation, Cures Act National Institutes of Health | Discretionary | $438M | $202M | −54% | |
| Payment to the NIH Innovation Account, CURES Act National Institutes of Health | Mandatory | $407M | $127M | −69% |
Health research and training since 1993
Net outlays in 2025 dollars, fiscal years 1993–2025.