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State Agency  California · Account Intelligence

California Health & Human Services Agency (CHHS)

California's largest agency by spend — CHHS oversees ~12 departments (DHCS/Medi-Cal, Public Health, Social Services, and more), runs a massive health-and-human-services data footprint, and is driving the statewide Data Exchange Framework. The wallet is enormous; the buying path runs through department RFPs, statewide contracts via CDT/DGS, and CDT project oversight.

Sacramento, CA Last updated Aug 5, 2026
State health & human services umbrella agencyRole~12 (DHCS, CDPH, CDSS, DSH, others)Departments~15M enrollees; $229.1B proposed FY2026-27Medi-Cal (DHCS)Dept RFPs + CDT/DGS statewide contracts; CDT project oversightBuying gate

Overview

The California Health & Human Services Agency (CalHHS / CHHS) is the cabinet-level umbrella over roughly a dozen departments and offices that administer the state's health and human services — including the Department of Health Care Services (DHCS, which runs Medi-Cal), the Department of Public Health (CDPH), the Department of Social Services (CDSS), the Department of State Hospitals (DSH), and the Center for Data Insights and Innovation (CDII). It is one of the largest organizations in U.S. state government by spend, and it carries a correspondingly large data, IT, eligibility-systems, and cybersecurity footprint.

For a seller, CHHS is best understood as a federated buyer: the Agency sets policy and cross-department data strategy, but the heavy IT and modernization budgets sit inside the individual departments (DHCS above all), and most technology buys route through department-level solicitations, statewide contracts administered by the California Department of Technology (CDT) and the Department of General Services (DGS), and CDT's project-approval and oversight process for reportable IT projects.

The signature cross-department program is the statewide Data Exchange Framework (DxF) — a first-of-its-kind mandate to securely exchange health and social-services data — which is hitting major compliance milestones in 2026; note that administration of DxF transitioned from CalHHS/CDII to the Department of Health Care Access and Information (HCAI) in August 2025, formalized by SB 660 (signed October 2025).

How this account buys
  • CHHS itself sets cross-department policy and data strategy, but department IT budgets — DHCS/Medi-Cal above all — hold the real spend; pursue department-level programs, not an agency-wide line
  • CDT (California Dept of Technology) holds project-approval and oversight authority over reportable IT projects that CHHS departments must clear before larger systems work proceeds
  • DGS-administered leveraged agreements (CMAS, statewide contracts) are the fastest compliant path into a department buy without running a stand-alone RFP
  • HCAI now administers the Data Exchange Framework (DxF) — a mandated, funded cross-department data-sharing driver worth anchoring data/security pitches to
  • The enacted Budget Act (signed by the Governor) sets the funding envelope each department spends against — confirm the owning department's own appropriation before forecasting

Where Dell Can Play

  • Map the federated buying centers — CHHS sets cross-agency data strategy via CDII, but DHCS (Medi-Cal) holds the largest IT and eligibility-systems budgets. Pursue department-level programs, not a single agency line.
  • Anchor on the Data Exchange Framework: position data platforms, integration, storage, and AI-ready infrastructure against the 2026 DxF milestones and SB 660 governance — a funded, mandated, agency-wide driver.
  • Lead with efficiency and modernization in a structural-deficit year: frame infrastructure refresh, automation, and consolidation as cost-takeout for Medi-Cal-scale eligibility and benefits systems.
  • Engage the security buying centers on protecting PHI/PII for ~one-third of the state, intensified by DxF data-sharing obligations — coordinate department security teams with CDT statewide policy.
  • Get the procurement path right early: confirm the owning department's RFP, usable CDT/DGS statewide contracts (e.g., CMAS), and whether the effort falls under CDT project approval and oversight.

Budget & Fiscal

CHHS is one of the biggest spenders in state government, but the money — and the IT money — lives in the departments. DHCS/Medi-Cal alone dominates: the Governor's proposed 2026-27 budget put DHCS at roughly $229.1B total funds ($49.5B General Fund), and Medi-Cal covers nearly 15 million Californians (more than one in three residents). Governor Newsom signed a balanced 2026-27 budget on June 29, 2026 (touted as $0 deficit with ~$30B in reserves); Medi-Cal still absorbs cuts tied to federal policy changes and prior-year restrictions — a backdrop that favors efficiency, automation, and modernization pitches.

$229.1B
DHCS proposed budget (FY2026-27)
Governor's proposed; ~$49.5B General Fund. The largest department in the agency.
~15M
Medi-Cal enrollees
More than one in three Californians; the scale behind eligibility and data systems
~$10B
Projected annual operating deficits
Administration estimate, 2026-27 through 2029-30; favors cost-takeout over net-new capital

Initiatives & Priorities

Data Exchange Framework (DxF)

California's first-ever statewide mandate for secure, real-time exchange of health and social-services data. Mandatory signatories were to exchange information by January 31, 2026, and from July 1, 2026 executing the Data Sharing Agreement is a condition of certain contracts with DHCS, CalPERS, and Covered California. Program administration transitioned from CalHHS/CDII to HCAI in August 2025; SB 660 (signed October 2025) expanded the program and stood up a new Stakeholder Advisory Committee that began meeting April 2026. Drives demand for data platforms, integration, interoperability, and security.

Data Interoperability
Benefits & eligibility-systems modernization

Medi-Cal and human-services eligibility, enrollment, and case-management systems serving ~15M people are a long-running modernization track across DHCS and CDSS — an opening for infrastructure refresh, cloud, and data-platform plays. Confirm which department and which system before forecasting.

Modernization Cloud
Center for Data Insights and Innovation (CDII)

CDII (established 2021) drives data access, sharing, governance, and innovation across CalHHS. It historically administered DxF governance, though DxF program administration moved to HCAI in August 2025; CDII retains an Insights Lab and cross-agency data governance role. Still a data and analytics buying-influence center — a fit for data, AI-ready infrastructure, and analytics conversations. Confirm current director before engaging.

Data AI
Cybersecurity & data protection

Protecting health and social-services data at Medi-Cal scale (PHI, PII for one-third of the state) is a standing priority intensified by DxF data-sharing obligations. Statewide security policy and project oversight sit with CDT; departments run their own security programs — a layered security opportunity.

Cybersecurity Data

Procurement

Selling to CHHS means working the department buying centers plus the statewide vehicles, not a single agency desk. Most technology runs through department RFPs, statewide contracts administered by CDT and DGS (including California Multiple Award Schedules), and CDT's project-approval and procurement oversight for reportable IT projects. Confirm which department owns the requirement, whether a usable statewide contract exists, and whether the project falls under CDT oversight.

Vehicle / gateWhat it means for Dell
Department RFPs / solicitationsDHCS, CDPH, CDSS and the other departments run their own solicitations for department-specific systems and services — the primary path for most large CHHS technology buys.
CDT statewide contracts & IT procurementThe California Department of Technology administers statewide IT procurement vehicles and pre-qualified vendor pools (e.g., eVAQ / Statewide Technology Procurement) and sets IT procurement policy departments buy under.
DGS leveraged procurement agreements (CMAS, etc.)The Department of General Services Procurement Division administers California Multiple Award Schedules and other leveraged agreements state and local agencies can buy through — often a faster path than a stand-alone solicitation.
CDT project approval & oversightReportable IT projects require CDT review and approval and are subject to oversight — factor CDT's project-approval lifecycle and stage gates into timing for any sizable system effort.

Spend Signals

GovSpend · as of Aug 5, 2026

California Health & Human Services Agency, California · 3-yr · FY2023–2025

$163K
Dell footprint — all channels (3-yr · FY2023–2025), est.
Direct $9K · via resellers ~$154K · Kovarus ~$125K, Granite Data Solutions ~$88K

Dell vs. competitors (spend, payee)

Insight Public Sector reseller
$8.8M
Presidio reseller
$6M
Carahsoft Technology reseller
$2.5M
CDW reseller
$1.5M

Brand footprint — all channels (est.)

Cisco
$6M
HPE
$1.2M
Apple
$629K
Dell
$163K

Higher of two conservative lenses: product-name match · manufacturer tag. Both undercount — treat as floors.

Power Structure

Decision-makerWhy they matter
Kim Johnson
Secretary, California Health & Human Services Agency
Appointed effective October 1, 2024 (succeeding Dr. Mark Ghaly); former Director of CDSS. The top agency-wide relationship and policy owner.
Center for Data Insights and Innovation (CDII)
Agency data, innovation & governance
Drives data sharing, governance, and innovation across CalHHS — a cross-department data buying-influence center. Note: John Ohanian, CDII Director & Chief Data Officer 2020-2025, departed in 2025 (now Statewide CDO at the Office of Data and Innovation); CDII's leadership page lists no named Director as of mid-2026 — confirm the current (likely acting) director before engaging. DxF program administration moved to HCAI in August 2025.
Department of Health Care Services (DHCS)
Medi-Cal — the largest department
~$229.1B proposed FY2026-27, ~15M enrollees. Holds the biggest IT and eligibility-systems budgets in the agency — the highest-value department buying center.
Chris Given
California State CIO & Director, Department of Technology (CDT)
Appointed April 2026; former Deputy Secretary for Technology & Innovation at GovOps and a lead on IRS Direct File. Owns statewide IT policy, procurement, and project oversight that CHHS buys run under.

News & Signals

Jul 2026
AIModernizationProcurement
California launches statewide AI push: Poppy digital assistant goes live + Anthropic (Claude) partnership for state agencies
CDT moved its in-house GenAI platform Poppy from pilot (2,800+ users, 67 departments) to statewide availability July 1, 2026, and Governor Newsom announced a first-of-its-kind agreement giving state departments — and CA cities/counties — access to Anthropic's Claude at a 50% discount through centralized procurement, plus free training and implementation support. This is a major, funded AI-adoption wave across every CHHS department; position AI-ready compute, storage, and secure data infrastructure to support department GenAI workloads, and align with CDT's security/compliance requirements for hosting these tools.
Jul 2026
BudgetMedi-Cal
CHHS details federal H.R. 1 (OBBBA) impacts on Medi-Cal and CalFresh
A July 9, 2026 CHHS post outlines how the federal One Big Beautiful Bill Act is squeezing Medi-Cal and CalFresh funding, alongside California's Rural Health Transformation Program response — reinforcing the cost-pressure backdrop already driving the FY26-27 budget. Lead with efficiency and automation framing for any DHCS/CDSS-adjacent pitch.
Jun 2026
Budget
Newsom signs balanced 2026-27 budget (June 29, 2026); DHCS ~$229.1B, Medi-Cal absorbs federal-tied cuts
Budget is now enacted — a $0-deficit, reserves-protecting plan in a structural-deficit backdrop. Lead with efficiency, automation, and modernization as cost-takeout over net-new capital.
Jun 2026
Data
DxF July 1, 2026 milestone: executing the Data Sharing Agreement becomes a contract condition (DHCS, CalPERS, Covered California)
The DSA requirement raises the stakes on data infrastructure and compliance across CHHS departments — a live driver for data platforms, integration, and security.
May 2026
Budget
Governor's May Revision: DHCS ~$229.1B proposed FY2026-27, with Medi-Cal cuts tied to federal changes
Set the scale of the wallet and a cost-pressure posture ahead of the enacted budget.
Apr 2026
Governance
DxF Stakeholder Advisory Committee begins meeting under HCAI (per SB 660, signed Oct 2025)
New governance body shaping DxF implementation, now administered by HCAI rather than CalHHS/CDII — a venue to track data and interoperability requirements and where the program owner now sits.
Apr 2026
Leadership
Chris Given appointed California State CIO and CDT Director
New owner of statewide IT policy, procurement, and project oversight — rebuild the CDT relationship that gates CHHS technology buys.
Jan 2026
Data
DxF milestone: mandatory signatories to exchange health information by January 31, 2026
Real-time data exchange becomes operational reality — demand for data platforms, integration, and security across CHHS departments.