Health & Human SVC Commn TX

The Health & Human Services Commission of Texas, through its Federal Funds Office Division, serves as a federal grant recipient and pass-through administrator, not a vendor selling goods or services. Operating as a state government entity based in Austin, Texas, the Commission receives and distributes federal formula grants across multiple health and human services programs, functioning as the designated state agency for Medicaid, CHIP, SNAP, WIC, mental health services, substance abuse treatment, aging services, and early intervention programs statewide.

The Commission's federal footprint centers on large federal entitlement and formula grants distributed to sub-recipients across Texas. Over the recent period represented in the source, the Commission held 817 prime and sub awards spanning 38 distinct federal customer agencies. The top five funding sources by award count account for 52% of awards: the Department of Health and Human Services Centers for Medicare and Medicaid Services (104 awards), the Department of Health and Human Services Administration for Community Living (103 awards), the Department of Agriculture Food and Nutrition Service (86 and 69 awards across separate program structures), and the Department of Health and Human Services Administration for Children and Families (63 awards). The largest single grant award was a $152.356 billion Medicaid entitlement block grant from the Centers for Medicare and Medicaid Services (CFDA 93.778) for FY 2026, followed by a $1.406 billion Rural Health Transformation Program cooperative agreement from CMS (CFDA 93.798) awarded December 29, 2025, with performance extending through October 30, 2030. Other major awards include a $448.538 million block grant for substance abuse prevention and treatment (CFDA 93.959), a $192.407 million community mental health services block grant (CFDA 93.958), and a $101.875 million Older Americans Act Title III supportive services grant (CFDA 93.044).

The Commission operates as the state administering entity for federal programs, receiving formula allocations and distributing funds to dozens of local sub-recipients including Area Agencies on Aging, regional councils of governments, local mental health authorities, community action agencies, domestic violence shelters, school districts, and nonprofit service organizations. Representative example work includes the PATH program (Projects for Assistance in Transition from Homelessness; CFDA 93.150), where the Commission received a $5.577 million award from SAMHSA for September 1, 2026 through August 31, 2028, and sub-awarded to 19 local mental health authorities and community organizations; the Family Violence Prevention and Services program (CFDA 93.671), where a $10.669 million grant from the Administration for Children and Families, October 1, 2025 through September 30, 2027, flows to 61 domestic violence shelters and crisis centers across Texas; and the Special Education-Grants for Infants and Families program (CFDA 84.181), where a $53.702 million Department of Education award for July 1, 2026 through September 30, 2027 supports early intervention services for infants and toddlers with disabilities. The Commission also administers WIC funding (CFDA 10.557) totaling approximately $531.649 million in food expenses plus $263.284 million in administrative costs distributed to 61 local WIC agencies; SNAP funding (CFDA 10.561) totaling approximately $187.021 million in state administrative costs plus supplemental funding for employment and training activities; and block grants for Medicaid (CFDA 93.778) and CHIP (CFDA 93.767) operating as entitlements to maintain health coverage for eligible low-income populations.

Activity has remained relatively steady across the five-year period (47 awards in 2022, 47 in 2023, 58 in 2024, 51 in 2025, and 9 awards recorded through September 2026 in the source snapshot), with 36 awards reaching ultimate completion within the next twenty-four months and therefore subject to recompete or renewal cycles. The Commission's sub-award footprint is minimal (22 sub-awards, or 3% of total awards), concentrated in technical-assistance roles and transfers between state agencies. Named sub-award examples include a transfer of Social Security Act Vocational Rehabilitation funds from the Texas Workforce Commission to support the Independent Living Program (awarded January 8, 2025) and an AWARE consortium grant sub-award from the Texas Education Agency (CFDA 93.243) for school-based mental health coordination, with the Commission serving as a co-coordinator state partner (awarded January 12, 2026).