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State Agency  Texas · Account Intelligence

Texas Health & Human Services Commission (HHSC)

Texas's largest health-and-human-services agency and one of the state's biggest IT spenders — HHSC runs Medicaid, SNAP eligibility, and state hospitals on a sprawling, modernization-hungry application estate.

Austin, TX Last updated Aug 5, 2026
~$94BAll-funds budget (26–27)~$2BIT budget488 (128 legacy)Client-critical appsDIR Co-op + agency RFPsBuying path

Overview

The Texas Health & Human Services Commission (HHSC) is the state's largest health-and-human-services agency — it administers Medicaid and CHIP for more than four million Texans, runs SNAP and TANF eligibility, operates state psychiatric and supported-living facilities, and regulates much of the state's health-care sector. Its 2026–27 all-funds appropriation is roughly $94B (about a quarter of the entire state budget), with Medicaid client services the dominant line.

For a technology seller, the relevant story is the application estate behind that scale: HHSC has cited roughly a $2B IT footprint, 488 client-critical applications (about 128 of them legacy), and a workforce north of 50,000. A multi-year modernization push — eligibility-system overhaul, cloud migration, data, AI, and cybersecurity — is the through-line, much of it forced by federal scrutiny over Medicaid and SNAP processing delays.

HHSC buys both through DIR Cooperative Contracts and via its own large competitive procurements, and the agency is under new executive leadership as of January 2026.

How this account buys
  • IT buying center: CIO Sylvia Hernandez Kauffman's organization (deputies MacGregor Stephenson and Madan Gopal) owns the ~$2B technology estate; James Huang runs a distinct AI buying center.
  • Funding shapers: Executive Commissioner Stephanie Muth and the Legislature's Article II appropriation; federal Medicaid/SNAP timeliness pressure is the political engine behind modernization dollars.
  • Approval gates: purchases over $25K post to the Texas ESBD; any cloud / as-a-service offering needs TX-RAMP; security pitches must align to NIST 800-53 and Texas Cyber Command coordination.
  • Fastest vehicle: DIR Cooperative Contracts for catalog hardware, software, and licensing; complex systems (eligibility, Medicaid enterprise, data platforms) run through DIR SOWs or HHSC's own RFP/RFQs.

Where Dell Can Play

  • Map the new executive layer first — Stephanie Muth (Exec Commissioner, since Jan 2026) over CIO Sylvia Hernandez Kauffman — and confirm the modernization roadmap and current priorities under new leadership.
  • Lead with eligibility/TIERS and legacy-app modernization: position ISG infrastructure, hybrid cloud, and migration services against the ~128 legacy client-critical apps and the AWS cloud move.
  • Engage James Huang's AI org with proven, compliant agentic-AI and AI-infrastructure use cases from comparable regulated state agencies — he explicitly asks for demos, not decks.
  • Confirm Dell's DIR Cooperative Contract coverage for the catalog buys and watch the Texas ESBD for HHSC's larger RFP/SOW eligibility and data procurements.
  • Clear TX-RAMP early for any cloud / as-a-service offering, and align security pitches to HHSC's NIST 800-53 posture and its Texas Cyber Command coordination.

Budget & Fiscal

HHSC is genuinely large as both a program agency and an IT spender — unlike DIR, it owns a big direct technology budget. Its 2026–27 all-funds appropriation is roughly $94B, with Medicaid the dominant driver; the agency has separately cited an IT footprint of about $2B and requested significant additional dollars for eligibility modernization and staffing.

~$94B
All-funds budget (26–27)
Largest Article II appropriation; ~25% of the state budget
~$2B
IT budget
Agency-cited technology footprint across 488 client-critical apps
~$300M
Eligibility-fix request
Sought for TIERS modernization + 1,700+ staff to clear Medicaid/SNAP backlogs

Initiatives & Priorities

TIERS eligibility-system modernization

HHSC is overhauling the Texas Integrated Eligibility Redesign System (TIERS) — the platform that determines Medicaid, SNAP, and TANF eligibility — including a phased migration of dozens of applications and services into the cloud (AWS). Goals: cut contract fees, improve security and data capability, and add disaster-scale elasticity. The single biggest modernization vehicle to track.

Eligibility Cloud Modernization
Legacy application modernization

With ~128 of 488 client-critical applications classified as legacy, HHSC is pursuing cloud adoption, automated/AI-assisted app development, and re-platforming across the estate. Infrastructure refresh, hybrid cloud, and managed services all have a lane here.

Modernization Infrastructure
AI and data

HHSC stood up a Chief AI Officer / Deputy CIO for AI role (James Huang, since April 2025) and adopted the agency's first AI policy. Priorities include agentic AI, AI-assisted coding, responsible-AI governance, and stronger data capabilities to support human decision-making in benefits delivery.

AI Data
Cybersecurity and cloud security

HHSC operates a CISO office aligned to NIST 800-53 and DIR standards, with focus on cloud security posture management across Azure and AWS. In March 2026 it issued a connected-medical-device security directive and is coordinating inventories with the new Texas Cyber Command.

Cybersecurity Cloud

Procurement

HHSC buys two ways, and a seller should confirm both paths. It uses DIR Cooperative Contracts and DIR SOW solicitations for technology products and services, and it runs its own large competitive procurements (RFP/RFQ) for complex, agency-specific systems. Any purchase over $25,000 is posted to the Texas Electronic State Business Daily (ESBD).

Vehicle / gateWhat it means for Dell
DIR Cooperative ContractsPre-competed statewide vehicles HHSC uses for hardware, software, and services — the fastest path for catalog-style infrastructure and licensing. Confirm Dell's DIR coverage is active and correctly scoped.
DIR SOW solicitations / agency RFPsFor complex systems (eligibility, Medicaid enterprise, data platforms) HHSC runs scoped statements of work and full RFP/RFQ procurements rather than buying off the shelf.
Texas ESBD + TX-RAMPOpportunities over $25K post to the Electronic State Business Daily; any cloud / as-a-service offering touching state data must hold the right TX-RAMP certification level before it's sellable.

Spend Signals

GovSpend · as of Aug 10, 2026

Texas Health and Human Services Commission, Texas · 3-yr · FY2023–2025

$13.1M
Dell footprint — all channels (3-yr · FY2023–2025), est.
Direct $8.7M · via resellers ~$4.4M · SHI ~$3.6M, immixTechnology ~$494K

Dell vs. competitors (spend, payee)

SHI reseller~$3.6M Dell
$141.7M
Insight reseller~$2K Dell
$109.2M
Carahsoft reseller
$66.7M
Dell
$19.1M
HPE
$9.5M
CDW reseller~$112K Dell
$7.8M
Presidio reseller
$5.6M
Netsync reseller
$2.8M

Brand footprint — all channels (est.)

Dell
$13.1M
Cisco
$6.9M
HPE
$1.4M

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

Top IT categories

$70.3MIT Staffing Services
$38.6MSoftware
$26.8MTechnical
$9.5MPrinters
$8.2MComputers
$3.2MNetworking Equipment

Expiring contracts (re-compete)

ContractVendorExpires
JFrog BEPCDW Government IncAug 27, 2026
Information Technology (IT)Software One IncAug 27, 2026
Tableau LicensesSHI Government Solutions IncAug 30, 2026
Hardware supplyBullchase IncAug 31, 2026
VMWareLicensing-Virtual ServerCDW Government IncAug 31, 2026
Req # 331546 - APIC ServerInsight Public Sector IncAug 31, 2026
Maint Pure StorageFreeit Data Solutions IncAug 31, 2026

Open bids / RFPs

SolicitationDue
HHS0017697 Telecom Parts and Tools
Texas Health and Human Services Commission
Aug 10, 2026
LabWare Maintenance & Operations (M&O) / Texas Laboratory Online (TLO) Integration
Texas Health and Human Services Commission
Aug 10, 2026
Edifecs XES Cores Software License
Texas Health and Human Services Commission
Aug 13, 2026
Component Based Development (CBD) Suite of Products and Configuration Management (CFG) Lease Software Maintenance Renewal
Texas Health and Human Services Commission
Aug 21, 2026

Power Structure

Decision-makerWhy they matter
Stephanie Muth
Executive Commissioner, Texas HHS
Took office Jan 3, 2026; former State Medicaid Director and Chief of Staff. Early focus on fraud prevention and operational accountability — the top of the house for the account.
Sylvia Hernandez Kauffman
Chief Information Officer
Owns the technology agenda and the modernization roadmap; prior HHS Inspector General and e-Health Coordination leader. The primary IT relationship.
MacGregor Stephenson
Chief Deputy Information Officer
Deputy IT leadership — operational counterpart to the CIO across the application estate and delivery.
James Huang
Chief AI Officer / Deputy CIO for AI
Since April 2025; owns AI strategy and governance. Wants vendors to show proven demos from comparable, regulated state-agency environments.
Madan Gopal
Deputy CIO, Technology Strategy / Chief Technology Officer
Oversees technical strategy, the chief data architect office, enterprise architecture, solution engineering, and emerging tech; leading GenAI pilots for analytics and data governance. A key technical decision-maker below the CIO.
Office of the CISO (HHSC)
Information security & cloud security
Runs security policy and cloud posture management (Azure/AWS) on NIST 800-53; coordinates with the now-operational Texas Cyber Command (launched Sept 2025) on directives and inventories.

News & Signals

Jun 2026
ProcurementModernization
HHSC IT procurement pipeline: five $5M+ solicitations moving to market
TIERS support/dev, a video-surveillance environment (v2), Austin State Hospital lab-information-system maintenance, Take Charge Texas support, and workstation-management services are all queued — the TIERS solicitation and workstation/end-user-device deal are direct Dell infrastructure and services lanes to track on ESBD/DIR.
May 2026
ModernizationData
STEPS replaces STAIRS for Medicaid provider cost reporting
HHSC's new State of Texas Electronic Provider System (STEPS) supersedes the legacy STAIRS platform for Medicaid cost reports and Directed Payment Program enrollment — a live example of the legacy-app modernization thesis and its data/cloud implications.
Mar 2026
Cybersecurity
HHSC issues connected-medical-device cybersecurity directive
Healthcare facilities must inventory networked medical devices and align to FDA guidance, sharing data with Texas Cyber Command — signals active security/asset-visibility spend.
Feb 2026
LeadershipProcurement
Tony Sauerhoff confirmed as Texas state CIO / DIR executive director
The statewide CIO who runs the DIR co-op HHSC buys through is now confirmed (after an interim stint from Jan 2026) — stabilizes the primary contract vehicle and AI/cyber posture that shape HHSC's catalog buys.
Jan 2026
Leadership
Stephanie Muth becomes Executive Commissioner; Cecile Young retires
New top leadership effective Jan 3, 2026 — rebuild the executive relationship map; early agenda emphasizes fraud prevention and accountability.
Apr 2025
AILeadership
James Huang named Chief AI Officer / Deputy CIO for AI
Dedicated AI buying center stands up — an entry point for responsible-AI, agentic-AI, and AI-assisted-development plays tied to modernization.