What is Transformation?

In 2015, Texas Health and Human Services (HHS) began a transformation effort to produce a more efficient, effective, and responsive system. In September of 2016 the first phase of that effort became operational.

The goals of the transformation are to create a system that:

  • Is easier to navigate for people who need information, benefits, or services
  • Aligns with the HHS mission, business, and statutory responsibilities
  • Breaks down operational silos to create greater program integration
  • Creates clear lines of accountability within the organization
  • Develops clearly defined and objective performance metrics for all areas of the organization

These changes affected the following agencies:

  • Texas Department of Aging and Disability Services (DADS)
  • Texas Department of Assistive and Rehabilitative Services (DARS)
  • Texas Department of Family and Protective Services (DFPS)
  • Texas Department of State Health Services (DSHS)
  • Texas Health and Human Services Commission (HHSC)

Presentations

HHS Advisory Committees

As part of transformation, HHS agencies produced a list of advisory committees to be reestablished in rule, committees that will not be continued, or those whose functions will be assumed by a new advisory committee. You can find an explanation of the review process, at the Texas Register website.

A more consistent advisory committee oversight process is being established within the HHS system. The intent is to make sure that each advisory committee is consistently meeting its prescribed purpose, that recommendations and relevant stakeholder feedback are being received from each committee, and that the membership of each committee is reviewed and updated every two years. Further, this oversight process will help identify any new or emerging issues that call for collection of stakeholder input through an advisory committee structure. Learn more about the HHS advisory committees.

Transition Plan

Sunset Process

The Texas Sunset Advisory Commission, composed of legislators and public members, periodically evaluates state agencies to determine if the agency is still needed and to explore ways to ensure that the agency's funds are well spent. Based on the recommendations of the Sunset Commission, the Texas Legislature decides whether an agency continues to operate into the future.

During 2014-2015, Texas health and human services agencies went through the Sunset review process. Below are links to some key documents and reports produced during that process:

Answers to Questions

This list of questions and answers will be updated as the transformation process moves forward. Send your question to the HHS Transformation mailbox.

When is transformation happening? Is it all at once?

The legislation that authorized the HHS transformation included a high-level timeline for completing specific organizational changes. The timeline is posted on this website.

The transformation, however, is broader than simply restructuring divisions. Once the organizational changes have been completed, a second phase of transformation work will begin – an ongoing review of program operations within the transformed structure to identify and implement changes that will help strengthen the overall delivery of services. This second phase will likely be a multi-year process that will also actively engage stakeholders, both internal and external to the HHS organization.

How can I be involved in the transformation process?

The best way to stay up to date with developments of the HHS transformation is to subscribe to this website. Look for the link "Sign up for updates and alerts" at the bottom of this page. Once you subscribe, you'll receive an email (or text if you prefer) each time the website is updated with new information. You also can submit comments or questions via email to: HHS_Transformation@hhsc.state.tx.us.

What is HHSC doing to promote transparency and communication in the transformation process?

This website is one way we are promoting transparency and communication during the transformation. Updates are posted on this website and anyone can sign up for email alerts by looking for the link "Sign up for updates and alerts" at the bottom of this page. In addition, you can submit a question about the transformation anytime by emailing the HHS Transformation mailbox.

Timeline

Sept. 1, 2015

  • Begin functional review/analysis.
  • Begin work establishing a system-wide Office of the Ombudsman within HHSC.
  • Transfer women’s health programs from DSHS to HHSC.
  • Effective date for HHS advisory committees to be removed from statute.

Oct. 1, 2015

Appointments made by Governor, Lieutenant Governor, and Speaker of the House to the legislative committee overseeing HHS Transformation.

Mid-October 2015

Appointment of cross-functional workgroups responsible for developing recommended structural changes in the HHS organizational structure to make the organization more functional, efficient and responsive.

Nov. 1, 2015

Deadline for publishing list of new or reestablished HHS advisory committees.

March 1, 2016

Deadline for:

  • HHSC to submit HHS Transformation transition plan to the legislative committee overseeing HHS Transformation.
  • Adoption of rules for new or reestablished HHS advisory committees.
  • Complete initial assessment and consolidation of hotlines and call centers.

Sept. 1, 2016

Deadline for transfer of:

  • Some administrative and support functions from the Texas Department of Assistive and Rehabilitative Services (DARS), Texas Department of Aging and Disability Services (DADS), Texas Department of Family and Protective Services (DFPS), and the Texas Department of State Health Services (DSHS) to HHS as determined necessary by the Texas Health and Human Services executive commissioner.
  • Select programs transferred from DARS to the Texas Workforce Commission.
  • Client services moved from DARS, DADS and DSHS to HHS.
  • Prevention and early intervention services transferred from HHSC and DSHS to DFPS.

HHS councils are abolished and a new HHSC Executive Council is established.

Sept. 1, 2017

Deadline for transfer of:

  • Other administrative and support functions from DADS, DFPS, and DSHS to HHSC as determined necessary by Texas Health and Human Services Executive Commissioner.
  • Remaining DADS programs (including operation of state supported living centers) to HHSC.
  • All regulatory functions from DADS, DFPS, and DSHS to HHSC.

Sept. 1, 2018

Deadline for study assessing stand-alone agency status for DSHS and DFPS (under HHS system umbrella).

Health and Human Services Transition Legislative Oversight Committee

Senate Bill 200, 84th Texas Legislature, Regular Session, requires establishment of a Health and Human Services Transition Legislative Oversight Committee to help direct the HHS transformation. The committee is to be made up of 11 voting members – 4 members of the Texas Senate appointed by the Lieutenant Governor; 4 members of the Texas House of Representatives appointed by the Speaker; and 3 public members appointed by the Governor. The Texas Health and Human Services Executive Commissioner serves as an ex officio, nonvoting member.

Governor Greg Abbott appointments

  • John D. Colyandro, Austin
  • Billy C. Hamilton, Austin

Speaker of House Joe Straus appointments

  • Rep. Four Price (Co-Chair), Amarillo
  • Rep. Richard Raymond, Laredo
  • Rep. Toni Rose, Dallas
  • Rep. Cindy Burkett, Garland

Lieutenant Governor Dan Patrick appointments

  • Sen. Jane Nelson (Co-Chair), Flower Mound
  • Sen. Brian Birdwell, Granbury
  • Sen. Juan "Chuy" Hinojosa, McAllen
  • Sen. Charles Schwertner, Georgetown

News

August 19, 2016

The final version of the Health and Human Services System Transition Plan has been posted.