anchor: Its Health and Human Services Commission (HHSC), which provides overall leadership and strategic direction to the health and human services system in Texas, oversees the work of 13 state agencies, including the Texas Department of Health (TDH) and the Texas Department of Human Services (TDHS).
positive: The Texas Health and Human Services Commission (HHSC) oversees 13 other state agencies within Texas' bureaucracy.
negative: Texas only has one agency which administrates its labyrinthine health and human services programs.