The Texas Health and Human Services Commission is a city department that operates under the government of the city of Paris, Texas. The department offers system planning, evaluation, disaster assistance and long-term care services. It has a staff of more than 9,000 employees. The Texas Health and Human Services Commission also provides a health program that includes gynecological examination and health screening services for women. In addition, the department provides the Texas Medicaid Program, which includes medical care services for low-income individuals and families. It offers individual protection, counseling and support services related to fraud and sexual abuse. The Texas Health and Human Services Commission provides job training, cultural orientation and financial assistance services to refugees.