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State checkbook

Health and Human Services

What this part of state government paid out, by kind of spending and by the organizations paid.1 What the agency does

$4.65B
paid out, FY26
$259.4M
of it to individuals and others, unnamed (6%)2
$6.93B
more in transfers between state accounts3

Year by year

Payments by fiscal year, not counting transfers.

$4.65B
Show the numbers
YearPaidIndividuals and othersTransfers
FY27 so far$395.8M$46.3M$1.78B
FY26$4.65B$259.4M$6.93B
FY25$720.4M$128.5M$5.4M

Kinds of spending

KindFY25FY26FY27 so far
Aid to Individuals$49.4M$3.87B$297.8M
Outside Services$300.7M$411.0M$37.9M
State Aid$221.5M$62.5M$13.4M
Prof & Scientific Services$29.3M$181.2M$23.3M
IT Outside Services$26.7M$29.6M$10.3M
IT Equipment & Software$25.8M$31.1M$5.6M
Drugs & Biologicals$18.0M$15.7M$945K
Other Supplies$8.7M$8.9M$2.2M
Refunds-Other$8.8M$9.4M$97K
Advertising & Publicity$9.7M$6.3M$281K
Utilities$3.2M$3.0M$537K
Outside Repairs/service$4.1M$2.1M$323K
In State Travel$2.4M$2.7M$417K
Rentals$2.1M$2.2M$510K
Reimbursements to Other Agency$2.1M$2.1M$6,367

The 15 biggest of 38 kinds.

Organizations paid the most, FY26

  1. Dept Human Services-Directed Payments$2.09B 45%
  2. Dept Human Services-Non-Mco Expenditures$648.0M 14%
  3. Centers for Medicare & Medicaid Services-Medicare Related Payments$362.7M 8%
  4. Dept Human Services-Hawki Program Expenditures (mco)$177.3M 4%
  5. Dept Human Services-Withhold Payments$110.3M 2%
  6. Dept Human Services-Mchip Expenditures$97.5M 2%
  7. Iowa Primary Care Association$95.3M 2%
  8. State of Iowa Idph-Wic$57.0M 1%
  9. University of Iowa$36.8M 1%
  10. Four Oaks Family and Childrens Services$31.6M 1%
  11. Telligen Inc$26.3M 1%
  12. Accenture LLP$25.9M 1%
  13. Polk County$19.5M 0%
  14. Dept Human Services-Behavioral Health System Services$19.4M 0%
  15. Dept Human Services-Disability Services$19.2M 0%
  16. Deloitte Consulting LLP$18.3M 0%
  17. Families First Counseling Service of Iowa LLC$17.9M 0%
  18. Central Iowa Juvenile Detention Center$15.1M 0%
  19. Cardinal Health 110 Inc$14.2M 0%
  20. Iowa Primary Care Association-Behavioral Health System Aso$13.9M 0%

Organizations paid the most, all years

  1. Dept Human Services-Directed Payments$2.09B
  2. Dept Human Services-Non-Mco Expenditures$740.8M
  3. Centers for Medicare & Medicaid Services-Medicare Related Payments$433.0M
  4. Dept Human Services-Hawki Program Expenditures (mco)$219.9M
  5. Dept Human Services-Mchip Expenditures$118.4M
  6. State of Iowa Idph-Wic$116.4M
  7. Dept Human Services-Withhold Payments$110.3M
  8. Iowa Primary Care Association$101.2M
  9. University of Iowa$64.9M
  10. Polk County$64.1M
  11. Four Oaks Family and Childrens Services$36.9M
  12. Mental Health Disability Services of the East$35.8M
  13. Cardinal Health 110 Inc$31.7M
  14. Accenture LLP$31.0M
  15. Central Iowa Juvenile Detention Center$30.7M

Payments to individuals and others

One total each year for payees not named here. The last column also counts transfers and other entries the state lists under RESTRICTED payees.4

YearIndividuals and othersShareListed as RESTRICTED
FY27 so far$46.3M12%$18.8M
FY26$259.4M6%$77.9M
FY25$128.5M18%$272K