The FY2027 President's Budget requests $1.05B for Purchased/Referred Care, within Health & Human Services's Purchased/Referred Care account. That is up 5.8% on the FY2026 figure of $996.8M, which is the enacted appropriation.
FY2025–FY2027
| Fiscal year | Basis | Amount |
|---|---|---|
| FY2025 | enacted | $996.8M |
| FY2026 | enacted | $996.8M |
| FY2027 | request | $1,054.5M |
Bases are separate columns and are never summed into one figure.
Health & Human Services discretionary budget authority
From the OMB Public Budget Database — clean, summable, and the figure to cite for an agency total. It is the whole of Health & Human Services's discretionary request, not a total of the parsed lines above, and this page never adds the two together.
What this funds
Purchases essential health care services not available at IHS or tribal facilities-including specialty, inpatient, and emergency care-from private providers for eligible American Indians and Alaska Natives.
Extracted from Indian Health Service, p. 16. Verbatim; nothing here is paraphrased.
Contracts funded by this line
3 linked contracts. These are obligations — lifetime awarded money — and they are not comparable to the request above and are never added to it. No total is shown: an award linked to several lines is counted in full on each, so the sum would not be a fact.
| Contract | Vendor | Confidence | Obligated |
|---|---|---|---|
| 75H70422C00003 last action FY2026 | HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY | Medium confidence | $80.1M |
| 75H70425P00013 last action FY2025 | TRIBALHEALTH ALLIANCE LLC | Medium confidence | $0.2M |
| 75H70425P00030 last action FY2026 | THREE STAR GOVERNMENT SOLUTIONS, LLC | Medium confidence | $0.1M |
Confidence mix · 3 medium
Linked contracts are a floor, not a census. Coverage is bounded by how distinctively a program is named and, for performer links, to RDT&E and Procurement — O&M and military construction publish no performers. Budget figures are FY2027 request dollars; contract figures are obligations. The two measure different things and must never be summed together.
Ask this budget line
Answers come from the figures on this page and nothing else. These dollars are parsed from Health & Human Services's Congressional Justification and are approximate — confirm anything that matters against the cited page.
This page carries the budget justification only. Contract obligations live at hitchintel.com/vendors; open solicitations at hitchintel.com/opportunities.