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
$395.8M
paid out, FY27 so far (through September 30, 2026)$46.3M
of it to individuals and others, unnamed (12%)2$1.78B
more in transfers between state accounts3Year by year
Payments by fiscal year, not counting transfers.
$4.65B
Show the numbers
| Year | Paid | Individuals and others | Transfers |
|---|---|---|---|
| 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
| Kind | FY25 | FY26 | FY27 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, FY27 so far
- Dept Human Services-Non-Mco Expenditures$92.8M 23%
- Centers for Medicare & Medicaid Services-Medicare Related Payments$70.3M 18%
- Dept Human Services-Hawki Program Expenditures (mco)$42.6M 11%
- Dept Human Services-Mchip Expenditures$20.9M 5%
- State of Iowa Idph-Wic$12.1M 3%
- Deloitte Consulting LLP$8.5M 2%
- Accenture LLP$5.1M 1%
- Families First Counseling Service of Iowa LLC$4.1M 1%
- On With Life Foundation$4.0M 1%
- University of Iowa$4.0M 1%
- Four Oaks Family and Childrens Services$3.8M 1%
- Dept Human Services-Behavioral Health System Services$3.8M 1%
- Central Iowa Juvenile Detention Center$3.1M 1%
- Belmond Community Hospital$2.7M 1%
- Carahsoft Technology Corporation$2.3M 1%
- Dept Human Services-Disability Services$2.3M 1%
- Polk County$2.0M 1%
- Woodward Youth Corporation$2.0M 1%
- Converge Health Iowa$1.7M 0%
- Kuehg Corp$1.6M 0%
Organizations paid the most, all years
- Dept Human Services-Directed Payments$2.09B
- Dept Human Services-Non-Mco Expenditures$740.8M
- Centers for Medicare & Medicaid Services-Medicare Related Payments$433.0M
- Dept Human Services-Hawki Program Expenditures (mco)$219.9M
- Dept Human Services-Mchip Expenditures$118.4M
- State of Iowa Idph-Wic$116.4M
- Dept Human Services-Withhold Payments$110.3M
- Iowa Primary Care Association$101.2M
- University of Iowa$64.9M
- Polk County$64.1M
- Four Oaks Family and Childrens Services$36.9M
- Mental Health Disability Services of the East$35.8M
- Cardinal Health 110 Inc$31.7M
- Accenture LLP$31.0M
- 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
| Year | Individuals and others | Share | Listed as RESTRICTED |
|---|---|---|---|
| FY27 so far | $46.3M | 12% | $18.8M |
| FY26 | $259.4M | 6% | $77.9M |
| FY25 | $128.5M | 18% | $272K |