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Texas is the second-largest state in the country, in terms of population. Managing public health and related matters for this large and fast-growing population is the responsibility of the the Texas Health and Human Services Commission (“HHSC”). HHSC has about 12,800 employees, and a 2016 all-funds budget of $29 Billion. HHSC provides direct administration of Medicaid, the Children`s Health Insurance Program (CHIP), and SNAP food benefits, and also provides administrative oversight of other state agencies, including: * Department of Aging and Disability Services (DADS) , * Department of State Health Services (DSHS) , * Department of Assistive and Rehabilitative Services (DARS) , and, * Department of Family and Protective Services (DFPS) . The HHS System consolidated budget, including HHSC and the four agencies under it, is about $42 Billion per year all funds, with about 58,000 employees. In dollar terms, the single-largest component of HHSC is Medicaid/CHIP. By the fall of 2016, about 90% of all Texas Medicaid/CHIP beneficiaries will be enrolled under full-risk capitated managed care. Including Federal dollars, managed care in Texas Medicaid/CHIP is presently about $20 Billion per year in premiums, covering some 4 million beneficiaries, and contracting with over 20 managed care organizations.
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