Congratulations America, Agency Spends More Than $1 Trillion! More Than 1965 Total Federal Budget.

Agency Sets All-Time Record for Annual Spending

The Centers for Medicare and Medicaid Services (CMS) spent over $1.113 trillion in fiscal year 2013 — setting a record for the most money spent by a federal agency or department in a single year.

CMS runs the federal government's major healthcare programs as well as the Obamacare insurance exchange.

CMS became the first federal agency to spend more than $1 trillion in 2010, with $1.035 trillion in outlays. Spending totaled $1.052 trillion last year and topped that figure in fiscal 2013, according to the Monthly Treasury Statement for September released in late October.

CMS' major outlays went for Grants to States for Medicaid ($265.3 billion), Federal Hospital Insurance Fund ($269 billion), Federal Supplementary Medical Insurance Trust Fund ($245.7 billion), Healthcare Trust Funds ($242.4 billion), and the Medicare Prescription Drug program ($61.6 billion).

CMS spending for fiscal 2013 was more in inflation-adjusted dollars than the entire federal budget in 1965, when President Lyndon Johnson signed legislation creating Medicare and Medicaid.

The federal budget was $118.2 trillion in 1965 dollars. That converts to $878.8 billion in 2013 dollars, according to calculations reported by CNS News.

"CMS remains the largest purchaser of healthcare in the United States," the Treasury report states. "With the implementation of the Affordable Care Act provisions, CMS has the opportunity to provide affordable healthcare to millions of additional Americans."

CMS spending was offset by $227 billion in incoming payments to the Federal Supplementary Medical Insurance Trust Fund, but its umbrella agency, the Department of Health and Human Services, still spent $886.2 billion in fiscal 2013, the most of any federal department.

The Department of Defense spent $607.8 billion and the Social Security Administration had outlays of $867.3 billion.

Interest on Treasury Debt Securities cost taxpayers $415 billion.

For the year, the federal government had outlays of $3.45 trillion and a deficit of $680 billion.