Texas Health and Human Services Commission


The Texas Health and Human Services Commission is an agency within the Texas Health and Human Services System. The Texas Health and Human Services Commission was created in 1991 by Governor Ann Richards through House Bill 7. Bill 2292 in 2003 during the 78th Legislature, which consolidated twelve different healthcare agencies into five entities under the oversight of HHSC.
In September 2016, Texas began transforming how it delivers health and human services to qualified Texans, with a goal of making the Health and Human Services System more efficient and effective. Sept. 1, 2017, marked another major milestone in this transformation.
The new accountable, restructured system:
  • Makes it easier for people to find out about the services or benefits for which they may qualify.
  • Better integrates programs by removing bureaucratic silos and grouping similar programs and services together.
  • Creates clear lines of accountability within the organization.
  • Includes well-defined and objective performance metrics for all organizational areas.
Texas Health and Human Services now consists of 2 agencies: the Texas Health and Human Services Commission and the Texas Department of State Health Services. HHS is headquartered in Austin, TX.

Benefits and services provided

  • Medicaid for families and children
  • Long-term care for people who are older or have disabilities
  • SNAP food benefits and TANF cash assistance for families
  • Behavior health services
  • Services to help keep people who are older or who have disabilities in their homes or communities
  • Services for women and people with special health needs

Oversight of regulatory functions

More information

Texas Department of State Health Services
Many of the direct client services that were performed by DSHS, such as services for women and children, and people with special health care needs, were transferred to HHSC in September 2016. DSHS now focuses on providing these functions:
  • Vital statistics, such as birth and death records
  • Compiling and disseminating health data on more than 25 topics
  • Chronic and infectious disease prevention and laboratory testing
  • Licensing and regulating facilities on topics from asbestos to mobile food establishments to youth camps
Texas Department of Aging and Disability Services
The 84th Texas Legislature, 2015, abolished this agency effective Sept. 1, 2017. DADS services were transferred to HHSC.
Texas Department of Family and Protective Services
House Bill 5, 85th Regular Legislative Session, 2017, established DFPS as an agency independent of Texas Health and Human Services effective Sept. 1, 2017. To comply with previous legislation, on Sept. 1, 2017, HHSC assumed responsibility for the child care licensing function previously managed by DFPS.