GDP: $16,880.7 bln
GO:
$30,388.8 bln

United States Federal
State and Local Government Spending
 US CA
Pop: 316.1 million 
Fiscal Year 2013 in $ billion  
Fed
Gov.
Xfer
State
Local
Total
Pensions 874.3 0.0 213.2 45.3 1,132.8 
Health Care 882.2 -321.6 512.0 142.1 1,214.7 
Medical service (Seniors) 510.5 0.0 0.0 0.0 510.5 
[+] HI (Part A) Net Benefits (572) 199.6 0.0 0.0 0.0 199.6 
[+] HI (Part A) Administration (573) 2.5 0.0 0.0 0.0 2.5 
[+] HI (Part A) Premiums and Collections (574) -12.1 0.0 0.0 0.0 -12.1 
[+] SMI (Part B) Net Benefits (575) 178.8 0.0 0.0 0.0 178.8 
[+] SMI (Part B) Administration (576) 3.1 0.0 0.0 0.0 3.1 
[+] SMI (Part B) Prorated Premiums and Collections (577) -47.2 0.0 0.0 0.0 -47.2 
[+] SMI Drug (Part D) Benefits (581) 63.6 0.0 0.0 0.0 63.6 
[+] SMI Drug (Part D) Administration (582) 0.4 0.0 0.0 0.0 0.4 
[+] SMI Drug (Part D) Premiums and Collections (583) -12.2 0.0 0.0 0.0 -12.2 
[+] Medicare Other (584) 4.6 0.0 0.0 0.0 4.6 
[+] HI (Part C) Private Health Plan Bid (585) 68.4 0.0 0.0 0.0 68.4 
[+] HI (Part C) Private Health Plan Rebate (586) 6.4 0.0 0.0 0.0 6.4 
[+] SMI (Part C) Private Health Plan Bid (587) 68.1 0.0 0.0 0.0 68.1 
[+] SMI (Part C) Private Health Plan Rebate (588) 6.2 0.0 0.0 0.0 6.2 
[+] SMI (Part C) Prorated Premiums and Collections (589) -19.6 0.0 0.0 0.0 -19.6 
Medical service 0.0 -18.7 107.8 136.7 225.8 
 –Federal Intergovernmental - Health and Hospitals (B42) 0.0 -18.7 0.0 0.0 -18.7 
 –Current Operations - Health - Other (E32) 0.0 0.0 0.0 0.0 0.0 
 –Current Operations - Hospitals (E36) 0.0 0.0 0.0 0.0 0.0 
 –Current Operations - Hospitals - Other (Disc. 2005) (E38) 0.0 0.0 0.0 0.0 0.0 
 –Construction - Health - Other (F32) 0.0 0.0 0.0 0.0 0.0 
 –Construction - Hospitals (F36) 0.0 0.0 0.0 0.0 0.0 
 –Construction - Hospitals - Other (Disc. 2005) (F38) 0.0 0.0 0.0 0.0 0.0 
 –Other Capital Outlay - Health - Other (G32) 0.0 0.0 0.0 0.0 0.0 
 –Other Capital Outlay - Hospitals (G36) 0.0 0.0 0.0 0.0 0.0 
 –Other Capital Outlay - Hospitals - Other (Disc. 2005) (G38) 0.0 0.0 0.0 0.0 0.0 
 –Health (S32) 0.0 0.0 43.0 45.1 88.1 
 –Hospitals (S36) 0.0 0.0 64.8 91.6 156.4 
Public health services 4.6 0.0 0.0 0.0 4.6 
[+] Consumer and occupational health and safety (554) 4.6 0.0 0.0 0.0 4.6 
 –Intergovernmental Revenue from Federal - Environmental Health (NEW for 2007) (B43) 0.0 0.0 0.0 0.0 0.0 
 –Current Operations - Environmental Health (NEW for 2007) (E27) 0.0 0.0 0.0 0.0 0.0 
 –Construction - Environmental Health (NEW for 2007) (F27) 0.0 0.0 0.0 0.0 0.0 
 –Other Capital Outlay - Environmental Health (NEW for 2007) (G27) 0.0 0.0 0.0 0.0 0.0 
 –Current Operations - Environmental Health (NEW for 2007) (S27) 0.0 0.0 0.0 0.0 0.0 
R and D Health 33.1 0.0 0.0 0.0 33.1 
[+] Health research and training (552) 33.1 0.0 0.0 0.0 33.1 
[+] Education and training of health care work force (553) 0.0 0.0 0.0 0.0 0.0 
Health n.e.c. 0.0 0.0 0.0 0.0 0.0 
Vendor Payments (Medical) 333.9 -302.9 404.2 5.4 440.6 
[+] Health care services (551) 333.9 0.0 0.0 0.0 333.9 
 –Federal Intergovernmental - Vendor Payments for Medical Care (B74) 0.0 -302.9 0.0 0.0 -302.9 
 –Current Operations - Welfare, Payments to Medicare Trust Fund (NEW for 2007; previous (E73) 0.0 0.0 0.0 0.0 0.0 
 –Current Operations - Public Welfare, Vendor Payments for Medical Care (E74) 0.0 0.0 0.0 0.0 0.0 
 –Vendor Payments for Medical Care (S74) 0.0 0.0 404.2 5.4 409.6 
Education 98.0 -58.3 277.3 612.8 929.8 
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Defense 856.5 0.0 1.1 0.0 857.6 
Welfare 422.4 -76.0 152.8 86.6 585.8 
Protection 37.0 -7.3 67.6 159.6 256.9 
Transportation 94.5 -60.5 117.4 138.1 289.5 
General Government 55.9 -4.0 55.8 72.4 180.1 
Other Spending 141.4 -18.3 84.0 341.1 548.1 
Interest 222.8 0.0 44.8 63.9 331.5 
Balance 0.0 0.0 0.0 0.0 0.0 
Total Spending 3,685.0 -546.2 1,526.0 1,662.0 6,326.7 
Federal Deficit 972.9 0.0 0.0 0.0 972.9 
Gross Public Debt 17,249.3 0.0 1,138.6 1,831.3 20,219.3 
Other Borrowing -11.3 0.0 0.0 0.0 -11.3 
Agency GSE Debt 7,773.7 0.0 0.0 0.0 7,773.7 
Grants 546.2 0.0 0.0 0.0 546.2 
Gross Domestic Product 16,202.7 0.0 0.0 0.0 16,202.7 
Spending:
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b - budgeted
a - actual
e - estimated