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State health agencies and oversight warn enterprise EHR faces elevated risk; $46 million invested so far

Technology Services Board · February 12, 2026
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Summary

WATEC oversight and agency leaders described the enterprise EHR initiative as 'elevated risk' owing to procurement delays, schedule pressure and federal funding uncertainty; agencies said roughly $46 million has been invested to secure vendor licenses and readiness work to date.

WATEC oversight staff and agency leaders told the Technology Services Board that the state's enterprise electronic health record initiative, described in materials variously as HC Max / HCMACS, is at elevated risk because of system integrator procurement delays, schedule realignment pressures and uncertain federal funding.

Kira Zamora, WATEC oversight consultant for the program, said leaders must validate the feasibility of recommended technology approaches…

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