GDP: $18,295.0 bln
GO:
$32,233.9 bln

United States Federal
State and Local Government Spending
 US CA
Pop: 320.7 million 
Fiscal Year 2015 in $ billion  
Fed
Gov.
Xfer
State
Local
Total
Pensions 959.0 0.0 235.7 49.5 1,244.2 
Health Care 1,017.7 -407.2 608.8 154.3 1,373.5 
Medical service (Seniors) 536.4 0.0 0.0 0.0 536.4 
Medical service 0.0 -20.1 113.2 148.8 241.9 
Public health services 5.1 0.0 0.0 0.0 5.1 
R and D Health 32.6 0.0 0.0 0.0 32.6 
Health n.e.c. 0.0 0.0 0.0 0.0 0.0 
Vendor Payments (Medical) 443.6 -387.2 495.7 5.5 557.6 
[–] Health care services (551) 443.6 0.0 0.0 0.0 443.6 
— Supplemental Payments to UMWA Plans0.1 0.1
— Refundable Premium Tax Credit and Cost Sharing Reductions28.6 28.6
— Payment Where Small Business Health Insurance Tax Credit Exceeds Liability for Tax0.1 0.1
— Department of Defense Medicare-Eligible Retiree Health Care Fund10.6 10.6
— Government Payment for Annuitants, Employees Health Benefits12.0 12.0
— Postal Service Retiree Health Benefits Fund3.1 3.1
— Employees and Retired Employees Health Benefits Funds-0.7 -0.7
— United Mine Workers of America 1992 Benefit Plan0.1 0.1
— Federal Payment to United Mine Workers of America Combined Benefit Fund-0.1 -0.1
— United Mine Workers of America Combined Benefit Fund0.1 0.1
— United Mine Workers of America 1993 Benefit Plan0.1 0.1
— Maternal, Infant, and Early Childhood Home Visiting Programs0.3 0.3
— Health Resources and Services2.5 2.5
— Health Resources and Services2.5 2.5
— Health Resources and Services2.8 2.8
— Vaccine Injury Compensation Program Trust Fund0.2 0.2
— Indian Health Services4.4 4.4
— Indian Health Services0.1 0.1
— Indian Health Facilities0.5 0.5
— CDC Working Capital Fund0.2 0.2
— CDC-Wide Activities and Program Support0.8 0.8
— CDC-Wide Activities and Program Support5.4 5.4
— Agency for Toxic Substances and Disease Registry, Toxic Substances and Environmental Public Health0.1 0.1
— World Trade Center Health Program Fund0.3 0.3
— Substance Abuse and Mental Health Services Administration3.3 3.3
— Substance Abuse and Mental Health Services Administration0.5 0.5
— Substance Abuse and Mental Health Services Administration0.1 0.1
— Rate Review Grants0.1 0.1
— Affordable Insurance Exchange Grants2.1 2.1
— Consumer Operated and Oriented Plan Program Account0.2 0.2
— Program Management0.6 0.6
— Grants to States for Medicaid333.1 333.1
— Children's Health Insurance Fund10.6 10.6
— State Grants and Demonstrations0.6 0.6
— Center for Medicare and Medicaid Innovation1.3 1.3
— Consumer Operated and Oriented Plan Program Contingency Fund0.1 0.1
— Risk Adjustment Program Payments3.4 3.4
— Transitional Reinsurance Program9.3 9.3
— Health Insurance Reform Implementation Fund0.1 0.1
— Nonrecurring Expenses Fund0.5 0.5
— Office of the National Coordinator for Health Information Technology0.1 0.1
— Public Health and Social Services Emergency Fund0.4 0.4
— Public Health and Social Services Emergency Fund1.6 1.6
— General Departmental Management0.5 0.5
— Retirement Pay and Medical Benefits for Commissioned Officers0.6 0.6
— HHS Service and Supply Fund0.2 0.2
— Miscellaneous Trust Funds0.1 0.1
— Office of Inspector General0.1 0.1
 –Federal Intergovernmental - Vendor Payments for Medical Care (B74) 0.0 -387.2 0.0 0.0 -387.2 
 –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 0.0 495.7 5.5 501.1 
Education 149.0 -56.2 290.2 655.7 1,038.7 
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Defense 813.9 0.0 1.0 0.0 814.9 
Welfare 375.9 -75.0 117.0 89.3 507.1 
Protection 35.5 -5.8 71.2 169.5 270.4 
Transportation 92.9 -60.8 129.0 146.0 307.1 
General Government 48.2 -3.8 58.4 76.3 179.2 
Other Spending 37.3 -15.4 84.1 360.4 466.5 
Interest 229.2 0.0 43.3 62.3 334.8 
Balance 0.0 0.0 0.0 0.0 0.0 
Total Spending 3,758.6 -624.4 1,638.9 1,763.3 6,536.5 
Federal Deficit 582.5 0.0 0.0 0.0 582.5 
Gross Public Debt 18,627.6 0.0 1,155.1 1,833.3 21,616.1 
Other Borrowing 250.6 0.0 0.0 0.0 250.6 
Agency GSE Debt 0.0 0.0 0.0 0.0 0.0 
Grants 624.4 0.0 0.0 0.0 624.4 
Gross Domestic Product 17,985.0 0.0 0.0 0.0 17,985.0 
Spending:
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b - budgeted
a - actual
e - estimated
g - guesstimated