The Texas Health Services Authority (THSA), pursuant to its mandate under Chapter 182, Texas Health and Safety Code, was created to promote, implement, and facilitate the voluntary and secure exchange of electronic health information in the State of Texas.

THSA hereby adopts this 2020 State Health Information Exchange (HIE) Plan to enable improvements in the quality and efficiency of the Texas health care sector by continuing operations of an electronic HIE infrastructure for the State of Texas. This is the third iteration of the Texas State HIE Plan, with prior plans implemented in 2010 and 2014, both of which are available at

This 2020 State HIE Plan is meant to create alignment with Medicaid’s Health IT Strategic Plan, which was submitted to the Centers for Medicare and Medicaid Services (CMS) for approval on March 31, 2020. The Health IT Strategic Plan is available for review at: 1115-waiver/waiver-renewal/health-it-strategic-plan.pdf

THSA will continue to support the strategies identified in all three iterations of the State HIE Plan. However, to the extent that the prior 2010 and 2014 plans conflict with the HIE strategies contained in the Medicaid Health IT Strategic Plan, the Health IT Strategic Plan shall control. THSA staff will continue to develop and implement operational plans in support of the 2020 Texas HIE Plan, as updated by the Medicaid Health IT Strategic Plan.

THSA Releases 2020 State Health Information Exchange Plan