TSDA

Federal Agency Impact Assessments

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  5. The figures and structures shown are pre-release research outputs reconstructed from public federal source documents (Congressional Justifications, Federal Register notices, OMB releases, USAspending data, and similar) and remain subject to revision. This is NOT an official agency publication.

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Tribal Sovereign Data Analytics

Coalition for Tribal Sovereignty: Federal Agency Impact Assessments (HHS Demonstration)

A Tribal Sovereign Data Analytics demonstration · HHS organization across its Operating and Staff Divisions, with budget, workforce, and spending per Operating Division

Budget authority (bars, $ millions) and budgeted FTE (line), by fiscal year · click to open Accounts

Budget authority, enacted or finalPresident's Budget request (proposed)Program FTE

Largest proposed changes, FY2026 enacted to FY2027 request ($ millions) · click a bar to open that account

The U.S. Department of Health and Human Services organization across 16 Operating and Staff Divisions, plus the proposed 2025 reorganization umbrella offices (flagged). Offices proposed in current reorganizations are flagged. Click any office for its description and Federal Register source. The budget, workforce, and spending tabs cover 14 Operating and Staff Divisions, with the deepest account detail for the Indian Health Service.

ViewEstablished HHS structure, Federal Register sourced.

Federal Accounts and Budget Authority

SubagencyFiscal year
FundingAppropriation type
Authorizing committeeAppropriating committee

Composition

    Total budget authority (bars) and budgeted FTE (line) over time

    Each constituent line by year ($ millions)

    By year ($ millions)

    Under construction. The materials on this tab are being built out and are not final.

    Where every number comes from, how the public datasets were fit together, and what this does and does not claim.

    What this dashboard shows

    Three views of the U.S. Department of Health and Human Services, by Operating Division and by appropriation account or activity, across fiscal years: the money appropriated (budget authority), the workforce that money supports (full-time-equivalent staff, or FTE), and, across the federal government (recreated from USAspending records, with the deepest detail for the Indian Health Service), the money actually committed to recipients (obligations). These are different measures.

    Public sources

    Budget authority and workforce come from each Operating Division's annual Congressional Justification of Estimates for Appropriations, the detailed budget each agency sends to Congress, together with the President's Budget. Earlier years are taken from the most recent Justification that restates them, so a single, consistent structure is used per Operating Division. Actual spending comes from USAspending.gov: account-level balances and the account spending breakdown, plus the underlying grant and contract award records. Where a Justification did not publish a staffing number, workforce is estimated from the U.S. Office of Personnel Management's federal employment data.

    How the datasets fit together

    Every figure is tied to three things: the office that administers it, the appropriation account it flows through, and the fiscal year. That shared backbone lets budget, people, and spending line up for the same office and the same year. Because budget authority, obligations, and FTE (people) measure different things and are shown side by side.

    Head count and FTE

    FTE, full-time-equivalent, measures funded work rather than a count of people: one full-year position is one FTE, while a part-time or partial-year position is one person but less than one FTE. Where a Justification published FTE, that number is used as printed. Where it did not, FTE is estimated from federal employment (head count) using a workforce ratio. That estimate carries some error and is not exact, but it is reliable enough to show scale and direction, and estimated values are flagged rather than presented as reported figures.

    The data codes behind the numbers

    Account codes are the Treasury account symbols used in the President's Budget. Federal programs are identified by their Assistance Listing numbers (formerly the Catalog of Federal Domestic Assistance), published on SAM.gov. Spending records distinguish grants and other assistance from contracts, and carry recipient-type codes that, used only in aggregate and without naming any recipient, indicate how much funding reaches tribal entities. Agency organization and the proposed reorganizations are drawn from the official Statements of Organization published in the Federal Register.

    What this does not claim

    Budget authority is the appropriated program level, not total budgetary resources. The President's Budget year is a request (proposed), not enacted law. There is not yet a House, Senate, conference, and enacted comparison, because that record is still being collected. Year coverage varies by Operating Division, as noted on each view. Actual spending detail beyond the Indian Health Service is pending additional award-level data. The proposed consolidation of the Administration for Community Living (ACL) into the Administration for Children, Families, and Communities (ACFC) is judicially enjoined (New York v. Kennedy, No. 1:25-cv-00196 (D.R.I.), preliminary injunction July 1, 2025; stay denied); ACL remains a current Operating Division and Congress continues to fund it. This is a research reconstruction built from public federal sources, not an official agency publication.

    Abbreviations and acronyms

    Acronyms are expanded on first use within each view; this table lists them all. Fiscal years (for example FY2027) are not listed.

    AI/ANAmerican Indian and Alaska Native
    AKAlaska (used for the Alaska-specific Immunization line)
    ASAPAlcohol and Substance Abuse Program
    BABudget Authority
    CFRCode of Federal Regulations
    CHRCommunity Health Representatives
    CJCongressional Justification (of Estimates for Appropriations)
    CRSCongressional Research Service
    CSCContract Support Costs
    CTSCoalition for Tribal Sovereignty
    DHPDental Health Program
    EHRElectronic Health Record
    FASTFederal Account Symbols and Titles (the Treasury FAST Book)
    FEHSFacilities and Environmental Health Support
    FTEFull-Time Equivalent
    HCFCHealth Care Facilities Construction
    HHSU.S. Department of Health and Human Services
    IHCIAIndian Health Care Improvement Act
    IHSIndian Health Service
    IIJAInfrastructure Investment and Jobs Act (the Bipartisan Infrastructure Law)
    ISDEAAIndian Self-Determination and Education Assistance Act
    LRPLoan Repayment Program
    M&IMaintenance and Improvement
    MH/SSMental Health/Social Services
    OCPSOffice of Clinical and Preventive Services
    ODSCTOffice of Direct Service and Contracting Tribes
    OEHEOffice of Environmental Health and Engineering
    OMBOffice of Management and Budget
    OTSGOffice of Tribal Self-Governance
    PATH"Patients at the Heart," the IHS electronic health record (EHR) modernization program
    PBPresident's Budget (request)
    PFSAprograms, functions, services, and activities
    PHNPublic Health Nursing
    PRCPurchased/Referred Care
    RPMSResource and Patient Management System (the legacy IHS EHR)
    SDPISpecial Diabetes Program for Indians
    SFCSanitation Facilities Construction
    TMGTribal Management Grants
    TSGPTribal Self-Governance Program
    T/TOTribes and Tribal Organizations
    USCUnited States Code