The Buildout · Week of April 6–12, 2026
Published April 6, 2026. Auto-generated from The Buildout's pipeline; not edited.
U.S. federal spending, week ending 2026-04-12.
The Department of Health and Human Services obligated $210.3 billion in Medicaid entitlements to five states this week, with California alone receiving $80.2 billion for fiscal 2026 coverage. The four largest awards—to California, New York, Texas, and Pennsylvania—account for the bulk of the week's spending and reflect the routine quarterly distribution of federal matching funds to state programs. Ten contracts crossed the wire total; the Federal Register saw modest activity with notices on NIH closed meetings and a continuation of the Somalia emergency declaration.
Context. $655,138,056,315 is the largest weekly total in the trailing 8 weeks — versus an average of $55,704,379,204.
This week's biggest contracts
$80,226,900,892 · Department of Health and Human Services → HEALTH CARE SERVICES, CALIFORNIA DEPARTMENT OF
MEDICAID ENTITLEMENT FOR 7 - FY 2026 - T19
$45,939,696,597 · Department of Health and Human Services → NYS DEPARTMENT OF HEALTH
MEDICAID ENTITLEMENT FOR 42 - FY 2026 - T19
$29,031,104,531 · Department of Health and Human Services → HEALTH & HUMAN SVC COMMN TX
MEDICAID ENTITLEMENT FOR 54 - FY 2026 - T19
Also this week:
| Date | Recipient | Agency | Amount | Sector |
|---|---|---|---|---|
| 2026-04-06 | PA DEPARTMENT OF HUMAN SERVICES | Department of Health and Human Servi | $29,024,953,484 | — |
| 2026-04-06 | OHIO DEPARTMENT OF MEDICAID | Department of Health and Human Servi | $26,062,737,878 | — |
| 2026-04-06 | PA DEPARTMENT OF HUMAN SERVICES | Department of Health and Human Servi | $24,655,483,126 | — |
| 2026-04-06 | FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION | Department of Health and Human Servi | $21,945,445,030 | — |
| 2026-04-06 | NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERV | Department of Health and Human Servi | $18,399,629,835 | — |
| 2026-04-06 | FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION | Department of Health and Human Servi | $15,780,010,182 | — |
| 2026-04-06 | HEALTH SERVICES KENTUCKY CABINET FOR | Department of Health and Human Servi | $15,593,085,025 | — |
From the Federal Register
Proposed rules
- Anti-Money Laundering and Countering the Financing of Terrorism Programs — Treasury Department, Financial Crimes Enforcement Network, 2026-04-10
Notices and other
- Center for Scientific Review; Notice of Closed Meetings — Health and Human Services Department, National Institutes of Health, 2026-04-10
- Certain Glass Substrates for Liquid Crystal Displays, Products Containing the Same, and Methods for Manufacturing the Same II; Notice of Req — International Trade Commission, 2026-04-10
- Continuation of the National Emergency With Respect to Somalia — Executive Office of the President, 2026-04-10
- Environmental Technologies Trade Advisory Committee — Commerce Department, International Trade Administration, 2026-04-10
- Notice Announcing Innovative Approaches to Literacy Program Competition — Education Department, 2026-04-10
On the record
Verbatim from agencies' own Federal Register filings this week.
Notice is hereby given that on April 7, 2026, the presiding administrative law judge ("ALJ") issued an Initial Determination on Violation of Section 337.
— International Trade Commission, notice, 2026-04-10
Pursuant to the Department of the Treasury (Treasury) and FinCEN's efforts to modernize the Bank Secrecy Act (BSA) and to implement provisions of the Anti-Money Laundering Act of 2020 (AML Act), FinCEN is proposing a rule to fundamentally r
— Treasury Department, proposed_rule, 2026-04-10
The Environmental Technologies Trade Advisory Committee (ETTAC) will hold an in-person meeting on Tuesday, April 28, 2026.
— Commerce Department, notice, 2026-04-10
What to watch
Concrete things to look for in the next two weeks — re-bids opening up, rules taking effect, and funding windows closing.
Coming up for re-bid
- $4,425,784,857 · National Aeronautics and Space Administration → NORTHROP GRUMMAN SYSTEMS CORPORATION — ends 2026-06-30
- $3,282,976,341 · Department of Energy → JEFFERSON SCIENCE ASSOCIATES, LLC — ends 2026-05-31
- $2,511,478,245 · National Aeronautics and Space Administration → ASSOCIATION OF UNIVERSITIES FOR RESEARCH IN ASTRONOMY, INC. — ends 2026-06-30
- $2,075,724,899 · Department of Homeland Security → BOLLINGER SHIPYARDS LOCKPORT, L.L.C. — ends 2026-06-02
Rules taking effect
- Revisions to the Calculation of Annual Household Income and Net Family Assets in the Section 515 Rural Rental Housing an — effective 2026-04-13
- Delegations of Authority — effective 2026-04-13
- Fisheries of the Northeastern United States; Atlantic Sea Scallop Fishery; 2026 Closure of the Northern Gulf of Maine Sc — effective 2026-04-13
- Modification to the Start of the Submission Period for Perfluoroalkyl and Polyfluoroalkyl Substances (PFAS) Reporting an — effective 2026-04-13
The Buildout · Issue covering 2026-04-06 – 2026-04-12. Generated 2026-05-14. Data: USAspending.gov, Federal Register, Grants.gov, agency RSS. Subscribe · Archive · Methodology.