Budget & Planning

Consolidated Budget

The consolidated HHS budget currently is around $80 billion for the biennium. HHS considers transparency a pillar of operations and offers the following information to show how the agency is ensuring tax payer money is spent effectively.

Five Percent Biennial Budget Reduction Plan

HHSC submitted a five percent reduction plan and summary of its impact to agency operations and the delivery of health and human services across the state on June 15, 2020, as directed by Governor Abbott, Lieutenant Governor Patrick and Speaker Dennis Bonnen.

Financial Reports

Monthly Financial Reports

The Monthly Financial Reports complies with Rider 16(e) of the Appropriations Act. Each agency must submit a monthly report on expenditures and encumbrances of the agency by strategy.

The Texas Department of State Health Services Monthly Financial Reports are available on the Texas DSHS Data and Reports page.

Texas Health and Human Services Commision Monthly Financial Report
2020 2019 2018 2017
January 2020 January 2019 January 2018 January 2017
February 2020 February 2019 February 2018 February 2017
March 2020 March 2019 March 2018 March 2017
April 2020 April 2019 April 2018 April 2017
May 2020 May 2019 May 2018 May 2017
June 2020 June 2019 June 2018 June 2017
July 2020 July 2019 July 2018 July 2017
August 2020 August 2019 August 2018 August 2017
September 2020 September 2019 September 2018 September 2017
October 2020 October 2019 October 2018 October 2017
  November 2019 November 2018 November 2017
  December 2019 December 2018 December 2017

To request older HHSC Monthly Financial Reports, please contact Sheila Hyde, Business Support Manager.

Annual Financial Reports

Consolidated Budget Request

The HHS Consolidated Budget Request summarizes the requests for legislative appropriations for the Texas health and human services agencies. The request highlights critical funding needs across the agencies and categorizes the requests to help decision makers and the public analyze the service and operational needs throughout the state's health and human services system. Major federal funding issues are identified and provider rate methodologies are included for legislative consideration.

Operating Budgets

The Operating Budget gives a point-in-time snapshot of past years and a projection of a future year. It is produced every odd numbered year and is submitted to the Governor's Office of Budget, Planning and Policy as well as the Legislative Budget Board.

Legislative Appropriations Request (LAR)

The Texas budget process begins the year before each regular session of the state's Legislature, which are held in odd-numbered years.

The legislative appropriations request is prepared under the guidelines of the state's Legislative Budget Board and submitted every two years for the next biennium. The LAR itemizes budget requests for each agency and includes performance measures designed to ensure the money is spent efficiently and effectively.

Texas Department of State Health Services

Texas Health and Human Services Commission

Strategic Plans

Every two years, the Texas Health and Human Services system updates its Strategic Plans, which describe its work to address multifaceted and evolving factors affecting health and human services. Each of the system's divisions contributes to the development of the Strategic Plans.

The Plans define the system's mission, goals, objectives and action items to address specific issues over a five-year period.

For more information, see Instructions for Preparing and Submitting Agency Strategic Plans, Fiscal Years 2021 to 2025 (PDF), published by the Legislative Budget Board and the Office of the Governor.

HHS Business Plan

Blueprint for a Healthy Texas, our inaugural business plan (PDF), laid a foundation for the Texas Health and Human Services system's progression into the 2019-20 fiscal year and beyond. As the COVID-19 pandemic significantly impacted what we consider "business as usual," Team Texas HHS continued striving to meet the plan's goals while rising to the challenge of helping lead the state's COVID-19 response by adapting, expanding and continuing essential services to Texans during a time of immense need. HHS Business Plan Outcomes (PDF) summarizes the progress of all goals and deliverables established in Blueprint for a Healthy Texas.