The Department of Human Services administers more than $50 billion in state and federal money, or about half of all the money that flows through Pennsylvania's state government every year.
Much of the money is tied to the Medicaid program, the federal-state partnership that provides medical care for the poor, long-term care for the elderly and direct care for the disabled. In particular, the growing elderly population and the growing cost to care for them has rapidly driven up the program's costs.
The department also runs the county assistance offices around the state, administers the federal food stamps program and distributes billions of dollars to counties and nonprofit agencies for child welfare services, child care subsidies and mental health counseling and assessment services.
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