December 7, 2022


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Tracking the Funds: Specific Fiscal Year 2022 Provisions for Department of Health and Human Services

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What GAO Found

The Consolidated Appropriations Act, 2022 appropriated about $1.3 billion to the Department of Health and Human Services (HHS) for 901 projects at the request of Members of Congress. The act includes specific provisions that designate an amount of funds for a particular recipient to use for a specific project. These provisions are called “Congressionally Directed Spending” in the U.S. Senate and “Community Project Funding” in the House of Representatives.

GAO described, among other things, information about the intended uses for these funds, the recipients to whom they were designated, and when HHS expects recipients will have access to the funds:

The intended uses of these funds are to support a wide variety of projects, including upgrading health facilities, supporting mental and behavioral health programs, improving water and sanitation infrastructure, and supporting programs to reduce family poverty.

The designated recipients of these funds are mostly higher education and other nonprofit organizations. The remaining recipients are tribal, state, territorial, and local governments. Funding ranged from $15,000 to $76 million.

HHS plans to obligate all of the funds to recipients by the end of September 2022 and the amount of time recipients will have to spend the funds will vary by HHS agency.

Why GAO Did This Study

The joint explanatory statement accompanying the Consolidated Appropriations Act, 2022 includes a provision for GAO to review agencies’ implementation of Community Project Funding/Congressionally Directed Spending.

For more information, contact Michelle Rosenberg at (202) 512-7114 or

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