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  <title>Fiscal Receipts — Medical Development (0603115DHA)</title>
  <subtitle>Budget and award signals for program element 0603115DHA (Medical Development), each with its dollar magnitude and a link to the receipt.</subtitle>
  <id>https://fiscalreceipts.com/feeds/program/0603115DHA.atom.xml</id>
  <updated>2026-08-13T03:58:20.022Z</updated>
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  <link rel="alternate" type="text/html" href="https://fiscalreceipts.com/program/0603115DHA/"/>
  <entry>
    <title>Medical Development decreased 68% FY25→26 — FY2025 $1.03B → FY2026 $332.7M (−$698.8M, −68%)</title>
    <id>urn:fiscalreceipts:feed:yoy_swing:0603115DHA/DHA:2026:2026</id>
    <updated>2026-08-13T03:58:20.022Z</updated>
    <link rel="alternate" type="text/html" href="https://fiscalreceipts.com/program/0603115DHA/"/>
    <link rel="related" type="text/html" href="https://fiscalreceipts.com/fact/744877d6"/>
    <category term="yoy_swing"/>
    <content type="html">&lt;p&gt;Medical Development decreased 68% FY25→26&lt;/p&gt;&lt;p&gt;FY2025 $1.03B → FY2026 $332.7M (−$698.8M, −68%)&lt;/p&gt;&lt;p&gt;Basis: toa (PB2026), change.&lt;/p&gt;&lt;p&gt;&lt;a href=&quot;https://fiscalreceipts.com/fact/744877d6&quot;&gt;Receipt: fact 744877d6&lt;/a&gt; &amp;middot; &lt;a href=&quot;https://fiscalreceipts.com/fact/66edb2ae&quot;&gt;FY2025: $1.03B&lt;/a&gt; &amp;middot; &lt;a href=&quot;https://fiscalreceipts.com/fact/9adfae6c&quot;&gt;FY2026: $332.7M&lt;/a&gt; &amp;middot; &lt;a href=&quot;https://fiscalreceipts.com/fact/744877d6&quot;&gt;change: -$698.8M&lt;/a&gt; &amp;middot; &lt;a href=&quot;https://fiscalreceipts.com/methodology/#feed-yoy_swing&quot;&gt;Why flagged?&lt;/a&gt;&lt;/p&gt;</content>
    <fr:magnitude kind="pair" units="thousands_usd">
      <fr:point role="from" label="FY2025" fy="2025" value="1031445" display="$1.03B" fact="66edb2aea4bd5db1" href="https://fiscalreceipts.com/fact/66edb2ae"/>
      <fr:point role="to" label="FY2026" fy="2026" value="332684" display="$332.7M" fact="9adfae6c46e4bffc" href="https://fiscalreceipts.com/fact/9adfae6c"/>
      <fr:point role="delta" label="change" fy="2026" value="-698761" display="-$698.8M" fact="744877d684336410" href="https://fiscalreceipts.com/fact/744877d6"/>
    </fr:magnitude>
  </entry>
  <entry>
    <title>Medical Development FY2022 actuals came in $2.0B above the PB2022 request (per the PB2024 book) — PB2022 FY2022 request $235.2M → PB2024 FY2022 actual TOA $2.20B (+$1.96B, +833%)</title>
    <id>urn:fiscalreceipts:feed:request_vs_actuals_gap:0603115DHA:2022:2024</id>
    <updated>2026-08-13T03:58:20.022Z</updated>
    <link rel="alternate" type="text/html" href="https://fiscalreceipts.com/program/0603115DHA/"/>
    <link rel="related" type="text/html" href="https://fiscalreceipts.com/fact/c6e08211"/>
    <category term="request_vs_actuals_gap"/>
    <content type="html">&lt;p&gt;Medical Development FY2022 actuals came in $2.0B above the PB2022 request (per the PB2024 book)&lt;/p&gt;&lt;p&gt;PB2022 FY2022 request $235.2M → PB2024 FY2022 actual TOA $2.20B (+$1.96B, +833%)&lt;/p&gt;&lt;p&gt;Basis: toa (PB2024), change.&lt;/p&gt;&lt;p&gt;&lt;a href=&quot;https://fiscalreceipts.com/fact/c6e08211&quot;&gt;Receipt: fact c6e08211&lt;/a&gt; &amp;middot; &lt;a href=&quot;https://fiscalreceipts.com/fact/ac31f985&quot;&gt;PB2022 FY2022 request: $235.2M&lt;/a&gt; &amp;middot; &lt;a href=&quot;https://fiscalreceipts.com/fact/cafef0b3&quot;&gt;PB2024 FY2022 actual TOA: $2.20B&lt;/a&gt; &amp;middot; &lt;a href=&quot;https://fiscalreceipts.com/fact/c6e08211&quot;&gt;gap: $1.96B&lt;/a&gt; &amp;middot; &lt;a href=&quot;https://fiscalreceipts.com/methodology/#feed-request_vs_actuals_gap&quot;&gt;Why flagged?&lt;/a&gt;&lt;/p&gt;</content>
    <fr:magnitude kind="pair" units="thousands_usd">
      <fr:point role="from" label="PB2022 FY2022 request" fy="2022" value="235197" display="$235.2M" fact="ac31f9856423aec4" href="https://fiscalreceipts.com/fact/ac31f985"/>
      <fr:point role="to" label="PB2024 FY2022 actual TOA" fy="2022" value="2195121" display="$2.20B" fact="cafef0b35a380714" href="https://fiscalreceipts.com/fact/cafef0b3"/>
      <fr:point role="delta" label="gap" fy="2022" value="1959924" display="$1.96B" fact="c6e082119c71b67d" href="https://fiscalreceipts.com/fact/c6e08211"/>
    </fr:magnitude>
  </entry>
  <entry>
    <title>Medical Development FY2023 actuals came in $1.9B above the PB2023 request (per the PB2025 book) — PB2023 FY2023 request $320.5M → PB2025 FY2023 actual TOA $2.23B (+$1.91B, +596%)</title>
    <id>urn:fiscalreceipts:feed:request_vs_actuals_gap:0603115DHA:2023:2025</id>
    <updated>2026-08-13T03:58:20.022Z</updated>
    <link rel="alternate" type="text/html" href="https://fiscalreceipts.com/program/0603115DHA/"/>
    <link rel="related" type="text/html" href="https://fiscalreceipts.com/fact/6468f32c"/>
    <category term="request_vs_actuals_gap"/>
    <content type="html">&lt;p&gt;Medical Development FY2023 actuals came in $1.9B above the PB2023 request (per the PB2025 book)&lt;/p&gt;&lt;p&gt;PB2023 FY2023 request $320.5M → PB2025 FY2023 actual TOA $2.23B (+$1.91B, +596%)&lt;/p&gt;&lt;p&gt;Basis: toa (PB2025), change.&lt;/p&gt;&lt;p&gt;&lt;a href=&quot;https://fiscalreceipts.com/fact/6468f32c&quot;&gt;Receipt: fact 6468f32c&lt;/a&gt; &amp;middot; &lt;a href=&quot;https://fiscalreceipts.com/fact/c140e5a4&quot;&gt;PB2023 FY2023 request: $320.5M&lt;/a&gt; &amp;middot; &lt;a href=&quot;https://fiscalreceipts.com/fact/032d0606&quot;&gt;PB2025 FY2023 actual TOA: $2.23B&lt;/a&gt; &amp;middot; &lt;a href=&quot;https://fiscalreceipts.com/fact/6468f32c&quot;&gt;gap: $1.91B&lt;/a&gt; &amp;middot; &lt;a href=&quot;https://fiscalreceipts.com/methodology/#feed-request_vs_actuals_gap&quot;&gt;Why flagged?&lt;/a&gt;&lt;/p&gt;</content>
    <fr:magnitude kind="pair" units="thousands_usd">
      <fr:point role="from" label="PB2023 FY2023 request" fy="2023" value="320496" display="$320.5M" fact="c140e5a418aedca5" href="https://fiscalreceipts.com/fact/c140e5a4"/>
      <fr:point role="to" label="PB2025 FY2023 actual TOA" fy="2023" value="2232197" display="$2.23B" fact="032d060608fac465" href="https://fiscalreceipts.com/fact/032d0606"/>
      <fr:point role="delta" label="gap" fy="2023" value="1911701" display="$1.91B" fact="6468f32c29b6bc46" href="https://fiscalreceipts.com/fact/6468f32c"/>
    </fr:magnitude>
  </entry>
  <entry>
    <title>Medical Development FY2020 actuals came in $1.8B above the PB2020 request (per the PB2022 book) — PB2020 FY2020 request $279.4M → PB2022 FY2020 actual TOA $2.10B (+$1.82B, +651%)</title>
    <id>urn:fiscalreceipts:feed:request_vs_actuals_gap:0603115DHA:2020:2022</id>
    <updated>2026-08-13T03:58:20.022Z</updated>
    <link rel="alternate" type="text/html" href="https://fiscalreceipts.com/program/0603115DHA/"/>
    <link rel="related" type="text/html" href="https://fiscalreceipts.com/fact/8bbf38a4"/>
    <category term="request_vs_actuals_gap"/>
    <content type="html">&lt;p&gt;Medical Development FY2020 actuals came in $1.8B above the PB2020 request (per the PB2022 book)&lt;/p&gt;&lt;p&gt;PB2020 FY2020 request $279.4M → PB2022 FY2020 actual TOA $2.10B (+$1.82B, +651%)&lt;/p&gt;&lt;p&gt;Basis: toa (PB2022), change.&lt;/p&gt;&lt;p&gt;&lt;a href=&quot;https://fiscalreceipts.com/fact/8bbf38a4&quot;&gt;Receipt: fact 8bbf38a4&lt;/a&gt; &amp;middot; &lt;a href=&quot;https://fiscalreceipts.com/fact/83b326d6&quot;&gt;PB2020 FY2020 request: $279.4M&lt;/a&gt; &amp;middot; &lt;a href=&quot;https://fiscalreceipts.com/fact/dda02079&quot;&gt;PB2022 FY2020 actual TOA: $2.10B&lt;/a&gt; &amp;middot; &lt;a href=&quot;https://fiscalreceipts.com/fact/8bbf38a4&quot;&gt;gap: $1.82B&lt;/a&gt; &amp;middot; &lt;a href=&quot;https://fiscalreceipts.com/methodology/#feed-request_vs_actuals_gap&quot;&gt;Why flagged?&lt;/a&gt;&lt;/p&gt;</content>
    <fr:magnitude kind="pair" units="thousands_usd">
      <fr:point role="from" label="PB2020 FY2020 request" fy="2020" value="279421" display="$279.4M" fact="83b326d6c05c712b" href="https://fiscalreceipts.com/fact/83b326d6"/>
      <fr:point role="to" label="PB2022 FY2020 actual TOA" fy="2020" value="2097072" display="$2.10B" fact="dda02079a945adf4" href="https://fiscalreceipts.com/fact/dda02079"/>
      <fr:point role="delta" label="gap" fy="2020" value="1817651" display="$1.82B" fact="8bbf38a47072b1d3" href="https://fiscalreceipts.com/fact/8bbf38a4"/>
    </fr:magnitude>
  </entry>
  <entry>
    <title>Medical Development FY2021 actuals came in $1.8B above the PB2021 request (per the PB2023 book) — PB2021 FY2021 request $225.3M → PB2023 FY2021 actual TOA $1.99B (+$1.77B, +785%)</title>
    <id>urn:fiscalreceipts:feed:request_vs_actuals_gap:0603115DHA:2021:2023</id>
    <updated>2026-08-13T03:58:20.022Z</updated>
    <link rel="alternate" type="text/html" href="https://fiscalreceipts.com/program/0603115DHA/"/>
    <link rel="related" type="text/html" href="https://fiscalreceipts.com/fact/3c7eb581"/>
    <category term="request_vs_actuals_gap"/>
    <content type="html">&lt;p&gt;Medical Development FY2021 actuals came in $1.8B above the PB2021 request (per the PB2023 book)&lt;/p&gt;&lt;p&gt;PB2021 FY2021 request $225.3M → PB2023 FY2021 actual TOA $1.99B (+$1.77B, +785%)&lt;/p&gt;&lt;p&gt;Basis: toa (PB2023), change.&lt;/p&gt;&lt;p&gt;&lt;a href=&quot;https://fiscalreceipts.com/fact/3c7eb581&quot;&gt;Receipt: fact 3c7eb581&lt;/a&gt; &amp;middot; &lt;a href=&quot;https://fiscalreceipts.com/fact/73bc4352&quot;&gt;PB2021 FY2021 request: $225.3M&lt;/a&gt; &amp;middot; &lt;a href=&quot;https://fiscalreceipts.com/fact/0c6319df&quot;&gt;PB2023 FY2021 actual TOA: $1.99B&lt;/a&gt; &amp;middot; &lt;a href=&quot;https://fiscalreceipts.com/fact/3c7eb581&quot;&gt;gap: $1.77B&lt;/a&gt; &amp;middot; &lt;a href=&quot;https://fiscalreceipts.com/methodology/#feed-request_vs_actuals_gap&quot;&gt;Why flagged?&lt;/a&gt;&lt;/p&gt;</content>
    <fr:magnitude kind="pair" units="thousands_usd">
      <fr:point role="from" label="PB2021 FY2021 request" fy="2021" value="225250" display="$225.3M" fact="73bc4352b8e427f6" href="https://fiscalreceipts.com/fact/73bc4352"/>
      <fr:point role="to" label="PB2023 FY2021 actual TOA" fy="2021" value="1994152" display="$1.99B" fact="0c6319df0eeef6fb" href="https://fiscalreceipts.com/fact/0c6319df"/>
      <fr:point role="delta" label="gap" fy="2021" value="1768902" display="$1.77B" fact="3c7eb581736480e7" href="https://fiscalreceipts.com/fact/3c7eb581"/>
    </fr:magnitude>
  </entry>
  <entry>
    <title>Medical Development FY2024 actuals came in $1.7B above the PB2024 request (per the PB2026 book) — PB2024 FY2024 request $326.7M → PB2026 FY2024 actual TOA $2.07B (+$1.74B, +533%)</title>
    <id>urn:fiscalreceipts:feed:request_vs_actuals_gap:0603115DHA:2024:2026</id>
    <updated>2026-08-13T03:58:20.022Z</updated>
    <link rel="alternate" type="text/html" href="https://fiscalreceipts.com/program/0603115DHA/"/>
    <link rel="related" type="text/html" href="https://fiscalreceipts.com/fact/b5d2bafe"/>
    <category term="request_vs_actuals_gap"/>
    <content type="html">&lt;p&gt;Medical Development FY2024 actuals came in $1.7B above the PB2024 request (per the PB2026 book)&lt;/p&gt;&lt;p&gt;PB2024 FY2024 request $326.7M → PB2026 FY2024 actual TOA $2.07B (+$1.74B, +533%)&lt;/p&gt;&lt;p&gt;Basis: toa (PB2026), change.&lt;/p&gt;&lt;p&gt;&lt;a href=&quot;https://fiscalreceipts.com/fact/b5d2bafe&quot;&gt;Receipt: fact b5d2bafe&lt;/a&gt; &amp;middot; &lt;a href=&quot;https://fiscalreceipts.com/fact/a226f4b9&quot;&gt;PB2024 FY2024 request: $326.7M&lt;/a&gt; &amp;middot; &lt;a href=&quot;https://fiscalreceipts.com/fact/81a37a04&quot;&gt;PB2026 FY2024 actual TOA: $2.07B&lt;/a&gt; &amp;middot; &lt;a href=&quot;https://fiscalreceipts.com/fact/b5d2bafe&quot;&gt;gap: $1.74B&lt;/a&gt; &amp;middot; &lt;a href=&quot;https://fiscalreceipts.com/methodology/#feed-request_vs_actuals_gap&quot;&gt;Why flagged?&lt;/a&gt;&lt;/p&gt;</content>
    <fr:magnitude kind="pair" units="thousands_usd">
      <fr:point role="from" label="PB2024 FY2024 request" fy="2024" value="326667" display="$326.7M" fact="a226f4b941cd5e2e" href="https://fiscalreceipts.com/fact/a226f4b9"/>
      <fr:point role="to" label="PB2026 FY2024 actual TOA" fy="2024" value="2067717" display="$2.07B" fact="81a37a041c3c9bcf" href="https://fiscalreceipts.com/fact/81a37a04"/>
      <fr:point role="delta" label="gap" fy="2024" value="1741050" display="$1.74B" fact="b5d2bafebc249c58" href="https://fiscalreceipts.com/fact/b5d2bafe"/>
    </fr:magnitude>
  </entry>
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