Budget and Planning

HHSC CFO Reference Guide

The HHSC CFO Reference Guide provides a detailed overview of agency finances. This first edition includes the following sections that will help you understand how HHSC puts together its budget:

  • Medicaid and CHIP Client Services
  • Non-Medicaid Client Services
  • Facility Based Services
  • Other Agency Topics
  • Historical funding information


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 2022-23 General Appropriations Act, Senate Bill 1, 87th Legislature, Regular Session, 2021 (Article II, Health and Human Services Commission, Rider 133). Each agency must submit a monthly report on expenditures and encumbrances of the agency by strategy.

Texas Health and Human Services Commission Monthly Financial Report





To request older HHSC Monthly Financial Reports, please contact Chief Financial Officer Business Support Team.

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.

Texas Health and Human Services Commission

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 Health and Human Services Commission

Formulary Control State vs. MCO

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 2023 to 2027 (PDF), published by the Legislative Budget Board and the Office of the Governor.