HHS discretionary, division by division.

Every HHS operating and staff division's discretionary budget authority — from the FY2027 Budget-in-Brief reorganization-structure composition table. FY2025 actuals, FY2026, and the FY2027 request, $ in millions. Budget Authority is the headline; Program Level (which adds user fees and collections) is shown alongside. The mandatory Medicare and Medicaid accounts are reported separately at the bottom — they are not part of this discretionary total.

FY27 discretionary BA

0 divisions

FY26 discretionary BA

enacted

FY25 discretionary BA

final

FY27 discretionary outlays

cash out in-year

Discretionary budget authority by division — request vs. prior vs. actuals

By division — Budget Authority and Program Level ($ in millions)

DivisionFY25 BAFY26 BAFY27 BAFY27 Program Level
Total discretionary BA

Mandatory — kept strictly separate ($ in millions)

CMS Congressional Justification · dwarfs the discretionary total above
AccountFY25FY26FY27

These two mandatory accounts alone are roughly an order of magnitude larger than the entire discretionary budget above. The Medicare line is the General Fund's share of Medicare (chiefly Parts B and D), not total Medicare spending. They are reported here for scale and are never summed into the discretionary headline.

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