What is Transformation?
In 2015, Texas Health and Human Services began a reorganization to produce a more efficient, effective, and responsive system. In September 2016, the first phase of that effort became operational and the second phase happened September 2017.
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
- Texas Department of Assistive and Rehabilitative Services
- Texas Department of Family and Protective Services
- Texas Department of State Health Services
- Texas Health and Human Services Commission
The Health and Human Services System Transition Plan provides an overview of the structural changes.
Sept. 1, 2016
- Client services programs transferred to HHSC from DADS, DARS and DSHS.
- Consolidated most administrative services programs (information technology, financial services, legal services, etc.) at HHSC.
- DARS closed and its vocational rehabilitation-related programs moved to the Texas Workforce Commission.
- Prevention and early intervention services transferred to DFPS from HHSC and DSHS.
Sept. 1, 2017
- State hospitals, state supported living centers, and regulatory services programs from DADS, DSHS, and DFPS transferred to HHSC.
- DADS closed.
- Women, Infants, and Children (WIC) program transferred to HHSC from DSHS.
- Most remaining administrative services consolidated at HHSC.
July 31, 2018
- HHSC submitted recommendations to the legislature regarding full integration of DSHS into HHSC.
HHS Advisory Committees
A more consistent advisory committee oversight process is being established within the HHS system. The intent is to make sure each advisory committee:
- Consistently meets its prescribed purpose.
- Receives and elevates relevant stakeholder feedback.
- Membership 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.
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 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:
- HHSC and the health and human services system
- Department of Aging and Disability Services
- Department of Assistive and Rehabilitative Services
- Department of Family and Protective Services
- Department of State Health Services
- HHSC Formal Response to Sunset Staff Report on the Health and Human Service Commission and System Issues (PDF)
Health and Human Services Transition Legislative Oversight Committee
The Health and Human Services Transition Legislative Oversight Committee helps direct the HHS transformation. The committee is made up of 11 voting members – four each from the Texas Senate and the Texas House, and three public members appointed by the governor. The Texas Health and Human Services executive commissioner serves as an ex officio, nonvoting member.
- Rep. Four Price (Co-Chair), Amarillo
- Rep. Cindy Burkett, Garland
- Rep. Richard Raymond, Laredo
- Rep. Toni Rose, Dallas
- Sen. Jane Nelson (Co-Chair), Flower Mound
- Sen. Brian Birdwell, Granbury
- Sen. Juan "Chuy" Hinojosa, McAllen
- Sen. Charles Schwertner, Georgetown
- Dr. Wayne Carson
- Billy C. Hamilton
- Hon. Bonnie Hellums
- Transition Legislative Oversight Committee Presentation, Aug. 26, 2019 (PDF)
- Transition Legislative Oversight Committee Presentation, Sept. 12, 2018 (PDF)
- Transition Legislative Oversight Committee Presentation, Dec. 6, 2017 (PDF)
- Transition Legislative Oversight Committee Presentation, Aug. 7, 2017 (PDF)
- Transition Legislative Oversight Committee Presentation, April 24, 2017 (PDF)
- Transition Legislative Oversight Committee Presentation, Jan. 17, 2017 (PDF)