The TANF program stands for Temporary assistance for needy families and is administered by U.S. Department of Heath and Human services(HHS). The program is a joint federal and state program to support low income families, States run the program under federal guidelines and goals. The federal portion of the program spent $16.3 billion in fiscal year 2018. TANF distributes cash to low income families, but over the years has evolved into many diverse services to needy families as crafted by the states and approved by states and approved by the federal government. These programs include work related activities, childcare, pregnancy prevention and other educational and support activities.