State Reports on Issues Impacting Older Adults
State Reports
Trends and Projections
Texas: 2011 State Long-Term Services and Supports Scorecard Results 

Raising Expectations: A State Scorecard on Long-Term Services and Supports for Older Adults, People with Physical Disabilities, and Family Caregivers is the first of its kind: a multi-dimensional approach to measure state-level performance of LTSS systems that provide assistance to older people, adults with disabilities, and family caregivers.  The full report is available at


Across the States 2009: Profiles of Long-Term Care and Independent Living- Texas  

This short report provides key long-term care information for the state of Texas. Published by AARP, approximately every two years, the Across the States series helps to inform policy discussion among public and private sector leaders in long-term care throughout the United States.  This publication presents the most up-to-date data available at the time of production, and is displayed in easy-to use maps, graphics, tables, and state profiles.


Aging Texas Well Indicators Survey Overview Report 2009  

In 2004, Texas conducted a survey to establish and objectively measure indicators of successful aging. As a follow-up to this initial survey, the Aging Texas Well 2008 Indicators Survey was conducted and the report is now available that provides data on how older adult view their own aging process. When compared to the 2004 benchmark data the 2008 survey helps to gauge whether older Texans' perceptions have changed over the intervening four years. Both surveys identify policy issues that will help guide Texas' readiness and preparation for a rapidly growing aging population. (April 2009)

Direct Care Workforce
Home and Community-based Services Workforce Advisory Council- Final Workforce Recommendations 

Care for Elders Executive Director, Jane Bavineau, was selected by Texas Health and Human Services Executive Commissioner, Tom Suehs, to chair a state-level council focused on the direct care workforce. Meetings began in 2009, and in November 2010, the Council submitted its final report to the Executive Commissioner.  It includes 15 recommendations for improving the recruitment, retention and training of direct-support workers in Texas.



Stakeholder Recommendations to Improve Recruitment, Retention, and the Perceived Status of Paraprofessional Direct Service Workers in Texas  

This report is a product of the Texas Direct Service Workforce (DSW) Initiative. The report includes background information about the DSW, methods used to collect and analyze stakeholder input and 14 overarching recommendations stakeholders made to improve workforce turnover and the perceived status of the paraprofessional DSW in Texas. (June 2008)


The Texas Medicaid State Plan Personal Care Services Program  

This report contains three main sections. The first presents report an overview of the Texas state socio-demographic characteristics, economic and political factors, and budget. The second part reviews the Texas Medicaid program and the administration and management of its HCBS programs. The third section describes the main features of the Texas Medicaid PHC optional state plan program concentrating on the organization and management of the benefit. (July 2006)


Senate Bill 95: Evaluation of Personal Attendant Training Programs  

This legislative report discusses changes made to section 5 of Senate Bill 95 by the Texas Department of Human Services. The document analysis the current system as it relates to personal attendants and provides recommendations for improvement in the training, recruitment and retention of these direct care workers. (March 2001)


Policy and Research
House Committee on Human Services- Texas House of Representatives- Interim Report 2008  

During the 80th Regular Session, the House Committee on Human Services considered legislation relating to the Children's Insurance Plan (CHIP), Texas' integrated eligibility and enrollment system, Child Protective Services (CPS), long-term care for the aging and persons with disabilities, and the Temporary Assistance for Needy Families (TANF) and food stamps programs.  Through the public hearing process, the committee became increasingly aware of the need to continue CPS Reform and to prepare more effectively to provide essential services to the state's aging population. (December 2008)