The Refugee Cash Assistance (RCA) and Refugee Medical Assistance (RMA) Programs were established by the Refugee Act of 1980 (referred to in this chapter as "the Act"). The Act, among other provisions, provides for Refugee Cash Assistance and Refugee Medical Assistance to help participants become self-sufficient within the first eight months after arrival. Cash assistance payments and medical assistance are provided to eligible participants for a maximum of eight months. Refugee Cash Assistance is administered by the Texas Department of Human Services (DHS) through contracts with local refugee resettlement agencies. The goal of the RCA program is to assist refugees in achieving self-sufficiency. All participants in the RCA program are required to participate in employment programs. Refugee Medical Assistance is administered directly by DHS. Each year the president of the United States decides the regional and total number of refugees the U.S. will admit. The program is 100% federally funded and depends on the availability of federal funds.