Texas Legislative Study Group

P.O. Box 12943, Austin TX 78711 (512) 763-0031 – www.TexasLSG.org

Fellow Texans,

In 2003, State Senator Eliot Shapleigh released the first edition of Texas on the Brink. The Texas Legislative Study Group has the distinct honor of continuing Senator Shapleigh’s work with the publication of Texas on the Brink: Sixth Edition.

We hope Texas on the Brink will be a recurring resource for elected officials and the public as we work together to solve the public policy challenges facing Texas.

We invite you to download a copy of this report at

www.TexasLSG.org/TexasOnTheBrink. On that site, we will also post reports from policy organizations here in Texas and throughout the country that detail the impact our public policy decisions have on the lives of Texas families.

Thank you Senator Shapleigh for building Texas on the Brink and setting a high standard for public policy information.

Sincerely,

Garnet F. Coleman
Chair, Texas Legislative Study Group State Representative, House District 147

Texas on the Brink

How Texas Ranks Among the 50 States

March 2013 – Sixth Edition

Since 1836, Texas has stood as an icon of the American dream.

Blessed with land, rivers, oil, and other abundant natural resources, early Texas welcomed everyone from cattle ranchers to braceros, from cotton farmers to Chinese railroad workers. These pioneers built a great state, and together we fulfilled a destiny.

From humble beginnings, we built a state with the firm belief that every Texan might rise as high and as far as their spirit, hard work, and talent might carry them. With education and determination every Texan might achieve great success – home ownership, reliable healthcare, safe neighborhoods, and financial prosperity.

In Texas today, the American dream is distant. Texas has the highest percentage of uninsured adults in the nation. Texas is dead last in percentage of high school graduates. Our state generates more hazardous waste and carbon dioxide emissions than any other state in our nation. If we do not change course, for the first time in our history, the Texas generation of tomorrow will be less prosperous than the generation of today.

Without the courage to invest in the minds of our children and steadfast support for great schools, we face a daunting prospect. Those who value tax cuts over children and budget cuts over college have put Texas at risk in her ability to compete and succeed.

Let us not forget that the business of Texas is Texans. Improving the health and well being of our citizens will allow Texas to thrive for years to come. If we invest in our greatest resource – our children – Texas will be the state of the future. If we do not, Texas will only fall further behind.

Texas is on the brink, but Texas can do better. The choice is ours.

__________

State Rankings

• Number of Births15 2nd
• Percent of Babies Born at Low Birth Weight16 Tied 19th
• Percent of Population Under 1817 Tied 2nd
• Percent of Uninsured Children18 2nd
• Percent of Children Living in Poverty19 Tied 7th
• Percent of Children (19-35 months), Fully Immunized20  Tied 23rd

• Percent of Population Uninsured21 1st
• Percent of Non-Elderly Uninsured22  1st
• Percent of Low Income Population Covered by Medicaid23 Tied 48th
• Percent of Population with Employer-Based Health Insurance24 Tied 43rd
• Health Care Expenditures per Capita25  46th
• Per Capita State Spending on Mental Health26  50th
• Medicaid Payments per Enrollee27 41st
• Percent of Adults Physically Active28 37th
• Hospital Beds per 1,000 Population29 Tied 29thHealth Care Professionals:• Physicians30 41st
  • Dentists31 44th
  • Registered Nurses32 46th

• Consumers with Subprime Credit60 3rd
• Housing Cost Burden for Homeowners61 Tied 36th
• Foreclosure Rates62 44th
• Private Loans to Small Businesses63 40th
• Asset Poverty Rate64 21st
• Median Net Worth of Households65 44th
• Financial Capability66 39th
• Financial Behavior67 44th
• Retirement Plan Participation (Age 21-64)68 46th
• Average Credit Card Debt69 46th

• Amount of Carbon Dioxide Emissions70 1st
• Total Amount of Toxic Releases into Water71 4th
• Amount of Recognized Cancer-Causing Carcinogens Released into Air72 4th
• Amount of Hazardous Waste Generated73 1st
• Industrial Toxic Air Pollution74 10th
• Amount of Recognized Cancer-Causing Carcinogens Released into Water75 5th
• Number of Hazardous Waste Sites on National Priority List76 7th
• Total Energy Consumption Per Capita77 6th
• Energy Efficiency 78 32nd

• Average Hourly Earnings of Production Workers on Manufacturing Payroll79 17th
• Percent of Workforce that are Members of a Union80 43rd
• Workers’ Compensation Premium Rate81 38th
• Earnings Ratio Between Full-time Year-Round Workers by Gender82 12th
• Unemployment Rate83 36th
• Median Household Income84 85 29th

o Median Household Income in Texas: 3 year average: $49,195; 1 year average: $48,295

o Median Household Income for African Americans in Texas: $35,438

o Median Household Income for Asians in Texas: $63,692

o Median Household Income for Hispanics/Latinos in Texas: $35,628

o Median Household Income for Whites in Texas: $59,836

• Income Inequality Between the Rich and the Poor86 43rd
• Income Inequality Between the Rich and the Middle Class87 43rd
• Home Ownership Rate88 42nd
• Affordability of Homes89 6th
• Auto Insurance Cost90 12th
• Personal Bankruptcy Filings Rate, Per Capita91 46th
• Percent of Households with Internet Access92 34th

• Number of Executions93 1st
• Rate of Incarceration94 4th
• Violent Crime Rate95 16th
• Murder Rate96 Tied 22nd
• Percentage of Murders Involving Firearms97 24th
• Reported Rape Cases Per Capita98 27th
• Property Crime Rate99 2nd
• Larceny and Theft Rate100 3rd
• Deaths Due to Motor Vehicle Accidents101 19th

• Percent of Voting-Age Population Registered to Vote102 47th
• Percent of Voting-Age Population that Votes103 51st

Key Facts and Figures

Children and Families:

• In fiscal year 2012, there were 74,258 confirmed cases of child abuse and neglect104 and 64,366 confirmed victims of child abuse and neglect.105
• 246 children died due to abuse or neglect in 2011.106
• The rate of immunization in the 4:3:1 series (most basic vaccination series) for Texas children, ages 19-35 months, was 81.6 percent in 2011, below the national average of 82.6 percent.107
• 48 percent of children in Texas live in low-income families – families whose household income is up to 200 percent of the federal poverty level – compared to 44 percent nationwide.108
• 86 percent of children whose parents do not have a high school diploma live in low-income families, compared to 33 percent of children whose parents have some college education.109
• In Texas, 65 percent of Hispanic children and 58 percent of black children live in low-income families, compared to 25 percent of white children.110
• 47 percent of children in urban areas and 55 percent of children in rural areas live in low-income families.111
• The maximum Temporary Assistance for Needy Families (TANF) grant for a single-parent family of three is $263 per month.112
• In FY 2012, the average monthly benefits, per person, for Women, Infant, and Children (WIC) recipients in Texas were $29.30, the lowest in the nation.113
• 23 percent of children in poverty in Texas are uninsured, compared to 15 percent nationwide.114

Public Education:

In the 2010-2011 school year:

• 29 percent of Texas 4th graders read at or above NAEP proficiency levels, 3 percent below national average.115
• 27 percent of Texas 8th graders read at or above NAEP proficiency levels, 5 percent below national average.116
• The percentage of 4th graders scoring at or above NAEP levels for basic math was 14 percent higher than those eligible for the National School Lunch Program*.117
• The percentage of 8th graders scoring at or above NAEP levels for basic math was 18 percent higher than those eligible for the National School Lunch Program*.118
• In 2010, 31 percent of full-time teachers in high poverty middle schools were assigned to teach courses outside their field of expertise.119
• Teachers at Texas schools that have 97.5 percent or higher minority enrollment performed much lower on the Teacher Quality Index (TQI) rating compared to schools with the lowest minority enrollment. 120
• Only 18 percent of teachers in high schools with the lowest TQI ratings graduated from high-performing college programs compared to 60 percent from the highest TQI rated high schools.121
• Based on the 2012-2013 ranking estimates, Texas expenditures per student were 27 percent less than the national average. 122*Note: Eligibility for free/reduced-price school lunch is an indicator of low family income, according to the National Assessment of Educational Progress (NAEP)

Achievement Gaps:

These tables show average test scores and percentage of Texas students scoring satisfactory by grade and race for the State of Texas Assessment of Academic Readiness (STAAR) test. STAAR tests are unique; maximum scores for each grade, subject, and year are not the same.

4th Grade English Reading Scores 123

4th Grade Math Scores 124

8th Grade English Reading Scores 125

8th Grade Math Scores 126

Higher Education:

• In Texas, only 31.6 percent of the population aged 25-34 has an associate’s degree or higher, less than the national average of 41.1 percent.127
• Texas is ranked 42nd in residents 25-34 with an associate’s degree or higher.128
• 15.7 percent of degree and certificate seeking Texas white students, attending two-year colleges, graduate within 3 years. 129
• 23 percent of degree and certificate seeking Texas Hispanic students, attending two-year colleges, graduate within 3 years.130
• 18.1 percent of degree and certificate seeking Texas African American students, attending two-year colleges, graduate within 3 years.131
• 14.4 percent of degree and certificate seeking Texas Asian, Native Hawaiian and Other Pacific Islander students, attending two-year colleges, graduate within 3 years.132
• Texas college graduates have an average student loan debt of $22,140.133
• Texas currently ranks 41st in the number of high school graduates going to college with 56.9 percent. The national average is 63.8 percent.134
• 49.8 percent of Texas high school graduates attended an in- state college or university.135
• In El Paso County, 19.8 percent of the population has a Bachelor’s degree or higher,136 as opposed to 44 percent in Travis County.137
• 17.2 percent of Texans have attained a Bachelor’s degree.138
• Only 8.5 percent of Texans have attained a graduate orprofessional degree.139
• 54.6 percent of first time students at Texas two-year colleges are not college ready.140
• 15.7 percent first time students at Texas universities are not college ready.141

• The University of Texas at Austin and Texas A&M University at College Station are the only Texas public institutions of higher education ranked in the top 100 in U.S. News and World Report’s Best Colleges in the U.S., with UT at #46 and Texas A&M at #65.142
• 31.5 percent of African Americans and 41.3 percent of Hispanics graduate from a four-year institution within six years, compared with 58.6 percent of Whites.143
• 50.9 percent of Texas college students earn a Bachelor’s degree within six years of entering college.144The Elderly:

• In a 2010-2011 report, Texas had a 16 percent poverty rate among the elderly population, ages 65 and older, compared to 12 percent nationally.145
• In 2011, there were 24.6 different prescriptions filled at retail drug stores by the elderly in Texas; in the United States, there were 28 prescriptions filled by retail drug stores for the elderly.146
• The population of people over the age of 65 in Texas will be expected to grow from 2.1 to 7.4 million, or 258 percent, by 2040.147
• In 2012, Texas elderly population, ages 65 and over, was approximately 2.8 million. 148
• There were 59,595 validated cases of elderly abuse in 2012 in Texas. The highest reports made to Adult Protective Services (APS) came from medical personnel followed by relatives.149

The Uninsured:

• In 2012, 16.9 percent of Americans lacked health insurance, up from 14.8 in 2008.150
• In 2012, the rate of Texans without health insurance rose to 28.8 percent, the highest rate in the nation, widening its distance from the runner-up by 4.8 percentage points – the largest on record.151
• Full implementation of the Affordable Care Act (ACA), with moderate enrollment, is projected to reduce the uninsured rate to almost 12 percent, adding coverage for 3 million more Texans.152
• Comparing data from 2000 and 2011, the annual family health insurance premium in Texas increased from $6,638153 to $14,903. 154
• Texas insurance premiums amounted to more than 25 percent of median incomes.155
• Under the Affordable Care Act, previously insured families will pay an average of 693 dollars less in premiums by 2019. 156
• In 2010, almost 59 percent of working Texans under age 65 had employer based health coverage, down 11 percent since 2000.157
• 17 percent of children (0-18) in Texas were uninsured in 2011, compared to 10 percent nationally.158
• In Texas, 58 percent of adults, ages 19-64 that are living in poverty, do not have health insurance, compared to 42 percent nationally.159
• Of those uninsured, 60 percent, or 3.6 million, were Hispanic, compared with 10 percent of blacks and 24 percent of whites.160
• 1.2 million Texas children, or 20 percent of the population under the age of 18, were without health insurance in 2010- 2011.161
• To qualify for Medicaid benefits in Texas, a working adult must be a parent to an eligible child and must earn at or below 25 percent of the Federal Poverty Level. 162

• 24 percent (approximately 1.56 million) of Texas children live in low-income families.175
• Starr County led the state in 2011 with 39.3 percent of the population living in poverty.176
• The richest 5 percent of households in Texas have average incomes of $255,800, which is 14.3 times higher than the bottom 20 percent of households ($17,900) and 4.8 times higher than the middle 20 percent of households ($53,200).177
• From 2010 to 2011, 53 percent of Texas residents were ator below 250 percent of the federal poverty level. Of that, 23percent were below the federal poverty level, 9 percent were100 to 138 percent of the federal poverty level, and 21percent were 139 to 250 percent of the federal poverty level. 178
• 12 percent of Whites, 31 percent of African Americans and 34 percent of Hispanics in Texas live in poverty. 179

Taxation:

• A 2013 study found that Texas’s tax system is one of the most regressive state and local tax systems in the nation.180
• The poorest 20 percent of Texan Families pay 12.6 percent of their income in taxes, the fifth highest percentage in the nation, while the top 1 percent only pay 3.2 percent of their income in taxes.181
• According to the Comptroller of Public Accounts, in 2011 the Lone Star State had $40.5 billion of outstanding state debt and $192.7 billion of outstanding local debt.182

Transportation:

• Out of the nation’s 100 largest metropolitan areas, Austin, TX made the Top 10 Worst Traffic Cities in the US. Austin drivers waste an average of 30 hours in traffic per year.183
• Over the next 25 years, road use in Texas will grow by 214 percent, much of it concentrated in the state’s most congested metropolitan areas.184
• As of 2011, Texas has 51,277 bridges.185

• Texas ranks 2nd best nationally in terms of the overall safety and reliability of the state’s bridges.186
• In 2011, there were 3,015 traffic fatalities in Texas.187

Sex Education:

• In 2010, the birth rate for ages 15-19 in Texas was 52.2 per 1,000 people, compared to 34.2 in the U.S. 188
• According to a 2011 study, only 25.4 percent of schools in Texas teach about abstinence plus pregnancy and STD prevention in schools. 189
• 3.7 million Texas students are not taught basic information in public schools about STD prevention and unplanned pregnancies.190
• 25 percent of Texas school districts have no formal policy regulating sex education.191
• 52 percent of Texas students have had sexual intercourse, compared with 46 percent nationwide; 38 percent of Texas students are currently sexually active, compared with 34 percent nationwide; and 42 percent of Texas students did not use a condom during their last instance of sexual intercourse, compared with 39 percent nationwide.192

Evolving Demographics:

• 12 percent of Texas residents are African American, 40 percent are Hispanic, 42 percent are White, and 7 percent are Other. 193
• There are 2.25 million children in immigrant families in Texas.194
• 46,401 same-sex couples live in Texas, representing 7.2% of same-sex couples identified in the United States. There are approximately 431,095 LGBT workers who live in Texas. 195
• 64.7 percent of all Texas voters support allowing gay and lesbian couples to get a civil union and 68.8 percent of all Texas voters support gays/lesbians having the same legal rights with respect to their children. 196

Acknowledgments

The Texas Legislative Study Group (LSG) would like to thank State Senator Eliot Shapleigh for building Texas on the Brink and setting a high standard for the use of quality information when making public policy decisions.

The Texas LSG thanks all members of the LSG Caucus, past and present, for lending their policy expertise and financial support to our efforts to improve the lives of Texas families.

Texas on the Brink: Sixth Edition would not have been possible were it not for the hard-working staff of the Texas Legislative Study Group. The 2013 class includes:

Tanya Gripton, Executive Director

Han Bui, Policy Analyst

Nena Chima, Policy Analyst

Amanda Foster, Policy Analyst

Muna Javaid, Policy Analyst

Katherine Little, Policy Analyst

Kristen Macaluso, Policy Analyst

Kelle’ Martin, Policy Analyst

Maggie Nelson, Policy Analyst

Yvonne Okonkwo, Policy Analyst

Natalie Powell, Policy Analyst

Torey Powell, Policy Analyst

Joel Simmons, Policy Analyst

Laura Welch, Policy Analyst

Amanda Williams, Policy Analyst

If you want an additional hard copy for your organization, you may e-mail Info@TexasLSG.org or write to us at the address below. Texas on the Brink: Sixth Edition may be downloaded at www.TexasLSG.org/TexasOnTheBrink.

P.O. Box 12943, Austin TX 78711 (512) 763-0031 – www.TexasLSG.org

__________

Endnotes

State Rankings State Taxes

1 The Henry J. Kaiser Family Foundation. State Government Tax Collections per Capita, 2011. Online. Available at: http://www.statehealthfacts.org/ comparetable.jsp?ind=30&cat=1&sub=9&yr=200&typ=4&sort=a. Accessed February 12, 2013. (Note: D.C. not included.)

2 The Henry J. Kaiser Family Foundation. Total State Expenditures per Capita, SFY 2010. Online. Available at: http://www.statehealthfacts.org/ comparetable.jsp?typ=4&ind=32&cat=1&sub=10&sortc=1&o=a. Accessed February 12, 2013. (Note: D.C. not included.)

3 U.S. Census Bureau, Tax Foundation. State General Sales Tax Collections per Capita, Fiscal Year 2010. Online. Available at: http://taxfoundation.org/article/state-general-sales- tax-collections-capita-fiscal-year-2010. Accessed February 12, 2013. (Note: D.C. not included.)

Education

4 Texas Legislative Budget Board. 2012 Texas Fact Book. Online. Available at: http:// www.lbb.state.tx.us/Fact_Book/Fact_Book_2012.pdf. Page 18. Accessed February 12, 2013. (Note: D.C. not included.)
5National Education Association. Rankings and Estimates: Rankings of the States 2011 and Estimates of School Statistics 2012. Online. Available at: http://www.nea.org/assets/docs/ NEA_Rankings_And_Estimates_FINAL_20120209.pdf. Page 19. Accessed February 12, 2013.

6 National Education Association. Rankings and Estimates: Rankings of the States 2012 and Estimates of School Statistics 2013. Online. Available at: http://www.nea.org/assets/ img/content/NEA_Rankings_And_Estimates-2013_(2).pdf. Page 57. Accessed March 4, 2013.

7 National Education Association. Rankings and Estimates: Rankings of the States 2011 and Estimates of School Statistics 2012. Online. Available at: http://www.nea.org/assets/ docs/NEA_Rankings_And_Estimates_FINAL_20120209.pdf. Page 42. Accessed February 12, 2013.

8 Commonwealth Foundation. SAT Scores by State, 2011. Online. Available at: http:// www.commonwealthfoundation.org/policyblog/detail/sat-scores-by-state-2011. Accessed February 12, 2013.
9 Texas Legislative Budget Board. 2012 Texas Fact Book. Online. Available at: http:// www.lbb.state.tx.us/Fact_Book/Fact_Book_2012.pdf. Page 19. Accessed February 12, 2013. (Note: D.C. not included.)

10 Id.
11 Texas Legislative Budget Board. 2012 Texas Fact Book. Online. Available at: http:// www.lbb.state.tx.us/Fact_Book/Fact_Book_2012.pdf. Page 18. Accessed February 12, 2013. (Note: D.C. not included.)
12 National Assembly of State Arts Agencies. Legislative Appropriations Annual Survey: Fiscal Year 2012. Online. Available at: http://texaslsg.org/Documents/ FY12AppropriationsReport.pdf. Page 11. Accessed February 12, 2013. (Note: D.C. not included.)
13 Texas Legislative Budget Board. 2012 Texas Fact Book. Online. Available at: http:// www.lbb.state.tx.us/Fact_Book/Fact_Book_2012.pdf. Page 19. Accessed February 12, 2013. (Note: D.C. not included.)
14 Id.

State of the Child

15 The Henry J. Kaiser Family Foundation. Number of Births, states (2010). Online. Available at: http://statehealthfacts.org/ comparemaptable.jsp?typ=1&ind=34&cat=2&sub=11&sortc=1&o=a. Accessed January 17, 2013.

16 The Henry J. Kaiser Family Foundation. Births of Low Birth weight as a Percent of All Births, 2010. Online. Available at: http://www.statehealthfacts.org/ comparemaptable.jsp?typ=2&ind=42&cat=2&sub=11&sortc=1&o=a. Accessed January 18, 2013.

17 The Henry J. Kaiser Family Foundation. Population Distribution by Age, States (2010- 2011), U.S. (2011). Online. Available at: http://www.statehealthfacts.org/ comparebar.jsp?typ=2&ind=2&cat=1&sub=1&show=1&cha=1&o=a. Accessed January 17, 2013. (Note: Rankings Inverted to Reflect TOB Format.)

18 The Henry J. Kaiser Family Foundation. Health Insurance Coverage of Children 0-18, states (2010-2011), U.S. (2011). Online. Available at: http://www.statehealthfacts.org/ comparetable.jsp?typ=2&ind=127&cat=3&sub=39&sortc=5&o=a. Accessed January 17, 2013.

19 The Henry J. Kaiser Family Foundation. Poverty Rate by Age, states (2010-2011), U.S. (2011). Online. Available at: http://www.statehealthfacts.org/ comparebar.jsp?typ=2&ind=10&cat=1&sub=2&show=25&cha=25&o=a. Accessed January 17, 2013. (Note: Rankings Inverted to Reflect TOB Format.)

20 The Henry J. Kaiser Family Foundation. Percent of Children Age 19-35 Months Who Are Immunized, 2010. Online. Available at: http://statehealthfacts.org/ comparemaptable.jsp?typ=2&ind=54&cat=2&sub=15&sortc=1&o=a. Accessed January 17, 2013.

Health Care

21 The Henry J. Kaiser Family Foundation. State Health Facts Online: Health Insurance Coverage of the Total Population, States (2010-2011). Online. Available at: http:// www.statehealthfacts.org/comparetable.jsp?ind=125&cat=3. Accessed February 15, 2013.

22 The Henry J. Kaiser Family Foundation. State Health Facts, Health Insurance Coverage of Nonelderly 0-64, states (2010-2011). Online. Available at: http://www.statehealthfacts.org/ comparetable.jsp?ind=126&cat=3. Accessed February 15, 2013.
23 The Henry J. Kaiser Family Foundation. State Health Facts Online. Health Insurance Coverage of Low Income Adults 19-64 (under 200% FPL), states (2010-2011). Online. Available at: http://www.statehealthfacts.org/comparetable.jsp?ind=878&cat=3. Accessed February 15, 2013.

24 The Henry J. Kaiser Family Foundation. State Health Facts, Health Insurance Coverage of the Total Population, states (2010-2011). Online. Available at: http:// www.statehealthfacts.org/comparetable.jsp?ind=125&cat=3. Accessed February 15, 2013.

25 The Henry J. Kaiser Family Foundation. State Health Facts, Health Care Expenditures per Capita by State of Residence, 2009. Online. Available at: http://www.statehealthfacts.org/ comparemaptable.jsp?ind=596&cat=5. Accessed February 15, 2013.
26 The Henry J. Kaiser Family Foundation. State Health Facts, State Mental Health Agency (SMHA), Per Capita Mental Health Services Expenditures. Online. Available at: http:// www.statehealthfacts.org/comparemaptable.jsp?ind=278&cat=5. Accessed February 15, 2013.

27 The Henry J. Kaiser Family Foundation. State Health Facts, Medicaid Payments per Enrollee, FY 2009. Online. Available at: http://www.statehealthfacts.org/ comparemaptable.jsp?ind=183&cat=4. Accessed February 18, 2013.
28 The Henry J. Kaiser Family Foundation. State Health Facts, Medicaid Payments per Enrollee, FY 2009. Online. Available at: http://www.statehealthfacts.org/ comparemaptable.jsp?ind=183&cat=4. Accessed February 18, 2013.

29 The Henry J. Kaiser Family Foundation. State Health Facts, Hospital Beds per 1,000 Population, 2010. Available at: http://www.statehealthfacts.org/ comparemaptable.jsp?ind=384&cat=8. Online. Accessed February 15, 2013.
30 The Henry J. Kaiser Family Foundation. State Health Facts, Physicians per 10,000 Civilian Population, 2008. Online. Available at: http://www.statehealthfacts.org/ comparemaptable.jsp?ind=935&cat=8. Accessed February 19, 2013.

31 The Henry J. Kaiser Family Foundation. State Health Facts, Dentists per 10,000 Civilian Population, 2007. Online. Available at: http://www.statehealthfacts.org/ comparemaptable.jsp?ind=442&cat=8. Accessed February 19, 2013.

32 The Henry J. Kaiser Family Foundation. State Health Facts, Registered Nurses per 100,000 Population, 2011. Online. Available at: http://www.statehealthfacts.org/ comparemaptable.jsp?ind=439&cat=8. Accessed February 19, 2013.

Health and Well-Being

33 The Henry J. Kaiser Family Foundation. Distribution of Total Population by Federal Poverty Level, states (2010-2011). Online. Available at: http://www.statehealthfacts.org/ comparetable.jsp?typ=2&ind=9&cat=1&sub=2&sortc=1&o=a. Accessed February 15, 2013.

34 U.S. Department of Agriculture. Household Food Security in the United States (2011). Online. Available at: http://www.ers.usda.gov/media/884525/err141.pdf. Page 17. Accessed February 15, 2013.
35 U.S. Department of Agriculture. Food and Nutrition Services, WIC Program: Average Monthly Benefit per Person, FY 2011-2012. Online. Available at: http://www.fns.usda.gov/ pd/25wifyavgfd$.htm. Accessed February 15, 2013. (Note: Farmers Market benefits are not included).

36 The Henry J. Kaiser Family Foundation. Percent of Adults who are Overweight or Obese, 2011. Online. Available at: http://www.statehealthfacts.org/ comparemaptable.jsp?typ=2&ind=89&cat=2&sub=26&sortc=1&o=a. Accessed February 15, 2013.

37 The Henry J. Kaiser Family Foundation. Number of Deaths Due to Diseases of the Heart per 100,000 Population, 2009. Online. Available at: http://www.statehealthfacts.org/ comparemaptable.jsp?typ=3&ind=77&cat=2&sub=23&sortc=1&o=a. Accessed February 15, 2013.

38The Henry J. Kaiser Family Foundation. Percent of Adults Who Have Ever Been Told by a Doctor that They Have Diabetes (2011). Online. Available at: http:// www.statehealthfacts.org/ comparemaptable.jsp?typ=2&ind=70&cat=2&sub=22&sortc=1&o=a. Accessed February 15, 2013.

39 The Henry J. Kaiser Family Foundation. Number of Diabetes Deaths per 100,000 Population, 2009. Online. Available at: http://www.statehealthfacts.org/ comparemaptable.jsp?typ=3&ind=74&cat=2&sub=22&sortc=1&o=a. Accessed February 15, 2013.

40 The Henry J. Kaiser Family Foundation. Percentage of Adults Who Visited the Dentist or Dental Clinic with the Past Year, 2010. Online. Available at: http://www.statehealthfacts.org/ comparemaptable.jsp?typ=2&ind=108&cat=2&sub=30&sortc=1&o=a. Accessed February 15, 2013.

Women’s Issues

41 US Centers for Disease Control & Prevention. National Vital Statistics Report, 61(01). Online. Available at: http://www.cdc.gov/nchs/data/nvsr/nvsr61/nvsr61_01.pdf. Page 42. Accessed February 18, 2013.
42 Id. Page 7.

43 US Centers for Disease Control & Prevention. National Vital Statistics Report, 61(05). Online. Available at: http://www.cdc.gov/nchs/data/nvsr/nvsr61/nvsr61_05_tables.pdf. Page 2. Accessed February 18, 2013.
44 US Centers for Disease Control & Prevention. National Vital Statistics Report, 61(01). Online. Available at: http://www.cdc.gov/nchs/data/nvsr/nvsr61/nvsr61_01.pdf. Page 12. Accessed February 18, 2013.
45 Urban Institute and Kaiser on Medicaid and the Uninsured. Health Insurance Coverage of Nonelderly Women 0-64, States (2010-2011). Online. Available at: http:// statehealthfacts.org/comparetable.jsp?ind=132&cat=3&sub=178&yr=274&typ=2. Accessed February 18, 2013.
46 US Centers for Disease Control & Prevention. Percentage of Women who visited the Dentist or Dental Clinic within the Past year, 2010. Online. Available at: http:// www.statehealthfacts.org/compareraw.jsp?ind=486&yr=138&typ=2&sort=a. Accessed February 18, 2013.

47 US Centers for Disease Control & Prevention. Percent of Women Age 40 and older Who Report Having Had a Mammogram within the Last 2 years, 2010. Online. Available at: http:/ /www.statehealthfacts.org/ comparetable.jsp?ind=479&cat=10&sub=113&yr=138&typ=2&sort=a. Accessed February 18, 2013.

48 US Centers for Disease Control & Prevention. Percent of Women Age 18 and older Who Report Having Had a Pap Smear within the Last 3 Years, 2010. Online. Available at: http:// www.statehealthfacts.org/ comparetable.jsp?ind=482&cat=10&sub=113&yr=138&typ=2&sort=a. Accessed February 18, 2013.

49 US Centers for Disease Control & Prevention. United States Cancer Statistics, Rankings by State, 2009, Female Breast. Online. Available at: http://apps.nccd.cdc.gov/uscs/ cancersrankedbystate.aspx. Accessed February 18, 2013.
50 Id.

51 US Centers for Disease Control & Prevention. Percentage of Women who Report ever being Told by a Doctor they have High Blood Pressure, 2009. Online. Available at: http:// www.statehealthfacts.org/ comparetable.jsp?ind=477&cat=10&sub=112&yr=92&typ=2&sort=a. Accessed February 18, 2013.

52 Guttmacher Institute. Contraceptive Needs and Services: National and State Date, 2008 Update. Online. Available at: http://www.guttmacher.org/pubs/win/contraceptive-needs- 2008.pdf. Page 14-15. Accessed February 18, 2013.
53 Kessner Index. Percentage of Pregnant Women Receiving Adequate Prenatal Care, 2011. Online. Available at: http://www.americashealthrankings.org/all/PrenatalCare/2011. Accessed February 18, 2013. (Note: D.C. not included.)

54 US Census Bureau. Reported Voting and Registration, by Sex, Race and Hispanic Origin, for States: November 2010. Online. Available at: http://www.census.gov/hhes/www/ socdemo/voting/publications/p20/2010/Table4b_2010.xls. Accessed February 18, 2013. 55 Id.

56 Urban Institute and Kaiser Commission on Medicaid and the Uninsured. Adult Poverty Rate by Gender, States (2010-2011). Online. Available at: http://www.statehealthfacts.org/ comparetable.jsp?ind=12&cat=1&sub=2&yr=274&typ=2. Accessed February 18, 2013. 57 US Department of Commerce, Census Bureau. Percentage of Persons age 25 and over with High School Completion or Higher and a Bachelor’s or Higher degree by Sex and State 2007-2009. Online. Available at: http://nces.ed.gov/programs/digest/d11/tables/ dt11_013.asp. Accessed February 18, 2013.
58 US Census Bureau. Summary Statistics for Women-Owned Firms by State: 2007. Online. Available at: http://www2.census.gov/econ/sbo/07/final/tables/women_table2.xls. Accessed February 18, 2013.
59 American Association of University Women. The Simple Truth about the Gender Pay Gap (2012). Online. Available at: http://www.aauw.org/files/2013/03/the-simple-truth-about-the- gender-pay-gap-2013.pdf. Page 7. Accessed February 25, 2013.

Access to Capital

60 Center for Economic Development. Assets & Opportunity Scorecard. Online. Available at: http://scorecard.assetsandopportunity.org/2013/measure/consumers-with-subprime-credit. Accessed February 19, 2013. (Note: Ranking Inverted to Reflect TOB Format.)
61 Center for Economic Development. Assets & Opportunity Scorecard. Online. Available at: http://scorecard.assetsandopportunity.org/2013/measure/housing-cost-burden- homeowners. Page 12. Accessed February 19, 2013. (Note: Ranking Inverted to Reflect TOB Format.)

62 Center for Economic Development. Assets & Opportunity Scorecard. Online. Available at: http://scorecard.assetsandopportunity.org/2013/measure/foreclosure-rate. Accessed February 19, 2013. (Note: Ranking Inverted to Reflect TOB Format.)
63 Center for Economic Development. Assets & Opportunity Scorecard. Online. Available at: http://scorecard.assetsandopportunity.org/2013/measure/private-loans-to-small-business. Accessed February 19, 2013.

65 Center for Economic Development. Assets & Opportunity Scorecard. Online. Available at: http://scorecard.assetsandopportunity.org/2013/measure/net-worth. Accessed February 19, 2013. (Note: Alaska, Montana, Nevada, New Mexico and Vermont Information not Available.)

66 Employee Benefit Research Institute. How do Financial Literacy and Financial Behavior Compare by State? Online. Available at: http://www.ebri.org/pdf/notespdf/ EBRI_Notes_11_Nov-11.HCS-FinLit.pdf. Page 14. Accessed March 7, 2013.
67 Id.

68 Center for Economic Development. Assets & Opportunity Scorecard. Online. Available at: http://scorecard.assetsandopportunity.org/2013/measure/retirement-plan-participation. Accessed February 19, 2013.
69 Center for Economic Development. Assets & Opportunity Scorecard. Online. Available at: http://scorecard.assetsandopportunity.org/2013/measure/average-credit-card-debt. Accessed February 19, 2013. (Note: Revolving debt includes debt from credit cards, private label cards and lines of credit. Rankings Inverted to Reflect TOB Format.)

Environment

70 U.S. Environmental Protection Agency. State CO2 Emissions, 2010. Online. Available at:

http://epa.gov/statelocalclimate/documents/pdf/CO2FFC_2010.pdf. Page 5. Accessed February 13, 2013.
71 Wasting Our Waterways 2012. Ranking of States by Water Releases. Online. Available at: http://www.environmenttexas.org/sites/environment/files/reports/ Wasting%20Our%20Waterways%20vTX.pdf. Page 11. Accessed March 14, 2013.
72 24/7 Wallstreet. Top 10 Most and Least Green U.S. States. Online. Available at: http:// 247wallst.com/2011/04/21/earth-day-special-the-most-and-least-green-states/3/. Page 3. Accessed March 14, 2013.
73 U.S. Environmental Protection Agency. National Biennial Resource Conservation and Recovery Act (RCRA) Hazardous Waste Report: Based on 2011 Data, (November 2012), Exhibit 1.1/1.2. Online. Available at: http://www.epa.gov/osw/inforesources/data/br11/ national11.pdf. Page 1-2. Accessed February 15, 2013.
74 Toxic Power. How Power Plants Contaminate our Air and States. Online. Available at: http://www.nrdc.org/air/files/toxic-power-presentation.pdf. Page 5. Accessed March 15, 2013.
75 Wasting Our Waterways 2012. Rankings of States by Water Releases. Online. Available at: http://www.environmenttexas.org/sites/environment/files/reports/ Wasting%20Our%20Waterways%20vTX.pdf. Page 32. Accessed March 14, 2013.
76 Texas Legislative Budget Board. Fact Book 2012. Online. Available at: http:// www.lbb.state.tx.us/Fact_Book/Fact_Book_2012.pdf. Page 20. Accessed February 15, 2013. (Note: D.C. not included.)
77 Energy Institute of America. Compendia, Table C11, Total Consumption per Capita. Online. Available at: http://www.eia.gov/beta/state/seds/data.cfm?incfile=/state/seds/ sep_sum/html/rank_use_per_cap.html&sid=US. Accessed February 15, 2013.
78 American Council for an Energy-Efficient Economy. The 2010 State Energy Efficiency Scorecard. Online. Available at: http://www.aceee.org/sites/default/files/publications/ researchreports/e107.pdf. Page 67. Accessed March 14, 2013.

Workforce

79 Bureau of Labor Statistics. Average hours and Earnings of Production Employees on Manufacturing Payrolls in States and Selected Areas. Online. Available at: http:// www.bls.gov/sae/eetables/tabled4.pdf. Page 1-2. Accessed February 18, 2013. (Note: Does not include D.C.)

80 The Henry Kaiser Family Foundation. Total Number of Workers Represented by Unions, 2011. Online. Available at: http://www.statehealthfacts.org/ comparetable.jsp?ind=20&cat=1&sub=5&yr=200&typ=2&sort=a. Accessed February 18, 2013. 

81 Department of Consumer and Business Services. 2012 Oregon Workers’ Compensation Premium Rate Ranking Sumary. Online. Available at: http://www.cbs.state.or.us/external/dir/ wc_cost/files/report_summary.pdf. Accessed March 15, 2013.
82 U.S. Department of Commerce, U.S. Census Bureau. Income, Poverty, and Health Insurance Coverage in the United States: 2011, Current Populations Report. Online. Available at: http://www.aauw.org/files/2013/02/the-simple-truth-about-the-gender-pay-gap- 2012.pdf. Page 7. Accessed February 15, 2013.

83 Bureau of Labor Statistics. Local Area Unemployment Statistics, Current Unemployment Rates for States and Historical Highs/Lows, 2012. Online. Available at: http://www.bls.gov/ web/laus/lauhsthl.htm. Accessed February 18, 2013.
84 United States Census Bureau. Income of Households by State Ranked from Highest to Lowest using 3-Year Average Medians. Online. Available at: http://www.census.gov/hhes/ www/income/data/statemedian/. Accessed February 18, 2013.

85 Remapping the Debate. State-by-State Median Income, by Race and Ethnicity. Online. Available at: http://www.remappingdebate.org/map-data-tool/racial-disparities-median- household-income-remain-enormous-most-states?page=0,2. Accessed February 18, 2013.

Quality of Life

86 Center on Budget and Policy Priorities and Economic Policy Institute. Pulling Apart- A State-By-State Analysis of Income Trends. Online. Available at: http://www.cbpp.org/files/11- 15-12sfp.pdf . Page 11. Accessed February 18, 2013.
87 Id.

88 Assets and Opportunity Score Card. Homeownership Rate. Online. Available at: http:// scorecard.assetsandopportunity.org/2013/measure/homeownership-rate. Accessed February 18, 2013.
89 Assets and Opportunity Score Card. Homeownership Rate. Online. Available at: http:// scorecard.assetsandopportunity.org/2013/measure/affordability-of-homes. Accessed February 18, 2013.

90 Car insurance rates by state. The most and least expensive places to buy auto insurance in 2012. Online. Available at: http://www.insure.com/car-insurance/car-insurance- rates.html. Accessed February 18, 2013.
91 State by state bankruptcy statistics, 2005-2012. Filings Continue to Fall in 3rd quarter of 2012. Online. Available at: http://www.creditcards.com/credit-card-news/state-us- bankruptcy-filing-statistics-2012-1276.php. Accessed February 18, 2013.

92 U.S. Department of Commerce. National Telecommunications and Information Administration: Digital Nation Expanding Internet Usage. Online. Available at: http:// www.ntia.doc.gov/files/ntia/publications/ntia_internet_use_report_february_2011.pdf. Page 17. Accessed February 18, 2013.

Public Safety

93 Death Penalty Information Center. Number of Executions by State and Region since 1976. Online. Available at: http://www.deathpenaltyinfo.org/number-executions-state-and- region-1976. Accessed February 14, 2013. (Note: In 2013, only Virginia has performed an execution. Texas leads by a wide margin in 2012.)
94 The Henry J. Kaiser Family Foundation. Incarceration Rate (per 100,000 residents), 2010. Online. Available at: http://www.statehealthfacts.org/ comparemaptable.jsp?ind=117&cat=2. Accessed February 25, 2013.
95 The Henry J. Kaiser Family Foundation. Violent Crime Offenses Rate (per 100,000 residents), 2010. Online. Available at: http://www.statehealthfacts.org/ comparemaptable.jsp?ind=117&cat=2. Accessed February 25, 2013.
96 Death Penalty Information Center. Nationwide Murder Rates. Online. Available at: http:// www.deathpenaltyinfo.org/murder-rates-nationally-and-state#MRord. Accessed February 25, 2013. (Note: D.C. not included.)
97 The Henry J. Kaiser Family Foundation. State Health Facts Online: Number of Deaths Due to Injury by Firearms per 100,000 Population, 2009. Online. Available at: http:// www.statehealthfacts.org/comparemaptable.jsp?ind=113&cat=2. Accessed February 15, 2013.

98 Federal Bureau of Investigation. Uniform Crime Report 2011. Online. Available at: http:// www.fbi.gov/about-us/cjis/ucr/crime-in-the-u.s/2011/crime-in-the-u.s.-2011/tables/table-5. Accessed February 13, 2013.
99 Criminal Justice Commission. Index Crime Rates by State. Online. Available at: http:// www.oregon.gov/CJC/pages/indexcrimerate09.aspx. Accessed February 25, 2013. (Note: D.C. not included.)

100 The Disaster Center.com. United States: Uniform Crime Report – State Statistics from 1960-2010. Online Available at: http://bjs.gov/ucrdata/Search/Crime/State/ RunCrimeTrendsInOneVar.cfm. Accessed March 15, 2013.
101 The Henry J. Kaiser Family Foundation. Number of Deaths Due to Motor Vehicle Accidents per 100,000 Population, 2009. Online. Available at: http:// www.statehealthfacts.org/comparemaptable.jsp?ind=118&cat=2. Accessed February 25, 2013.

Democracy

102 U.S. Census Bureau. Reported Voting and Registration for States: November 2010 Table 4a (Total). Online. Available at: http://www.census.gov/hhes/www/socdemo/voting/ publications/p20/2010/Table4a_2010.xls. Accessed February 19, 2013.
103 Id.

Children and Families

104 Texas Department of Family Services. Data Book 2012. Online. Available at: http:// www.dfps.state.tx.us/documents/about/Data_Books_and_Annual_Reports/2012/ 5CPSAll.pdf. Page 41. Accessed January 17, 2013.
105 Id. Page 44.

106 Children’s Burea,. Administration for Children and Families. Child Maltreatment 2011. Online. Available at: http://www.acf.hhs.gov/sites/default/files/cb/cm11.pdf. Page 63. Accessed January 17, 2013.
107 U.S. Centers for Disease Control and Prevention. National Information Services Survey, 2011: Overall Coverage of Individual Vaccines and Vaccinations Series. Online. Available at: http://www.cdc.gov/vaccines/stats-surv/nis/tables/11/tab33_431_race_iap_2011.pdf. Accessed January 17, 2013.

108 National Center for Children in Poverty, Columbia University, Mailman School of Public Health. Demographics of Low-Income Children: Texas (January 2011). Online. Available at: http://nccp.org/profiles/TX_profile_6.html. Accessed January 17, 2013.
109 Id.

110 Id.
111 Id.
112 Center on Budget and Policy Priorities. TANF Payment Levels (July 2011). Online. Available at: http://www.cbpp.org/cms/?fa=view&id=3625. Appendix 1. Accessed January 17, 2013.
113 U.S. Department of Agriculture. Food and Nutrition Service, Average Monthly WIC Benefits per Person, 2012(Preliminary). Online. Available at: http://www.fns.usda.gov/pd/ 25wifyavgfd$.htm. Accessed January 17, 2013. (Note: WIC is the common abbreviation Special Supplemental Program for Women, Infants, and Children.)
114 The Henry J. Kaiser Family Foundation. State Health Facts Online, Health Insurance Coverage of Children 0-18 Living in Poverty (under 100% FPL), states (2010-2011), U.S. (2011). Online. Available at: http://www.statehealthfacts.org/ comparetable.jsp?typ=2&ind=128&cat=3&sub=177. Accessed January 17, 2013.

Public Education

115 The Nation’s Report Card. 4th Grade Reading 2011 State Snapshot Report. Online. Available at: http://nces.ed.gov/nationsreportcard/pdf/stt2011/2012454TX4.pdf. Accessed February 15, 2013.
116 The Nation’s Report Card. 8th Grade Reading 2011 State Snapshot Report. Online. Available at: http://nces.ed.gov/nationsreportcard/pdf/stt2011/2012454TX8.pdf. Accessed February 16, 2013.
117 The Nation’s Report Card. 4th Grade Mathematics 2011 State Snapshot Report. Online. Available at: http://nces.ed.gov/nationsreportcard/pdf/stt2011/2012451TX4.pdf. Accessed February 17, 2013. 

118 The Nation’s Report Card. 8th Grade Mathematics 2011 State Snapshot Report. Online. Available at: http://nces.ed.gov/nationsreportcard/pdf/stt2011/2012451TX8.pdf. Accessed February 18, 2013.
119 Fuller, Ed. The Association of Professional Educators, Study on the distribution of teacher quality in Texas schools, 2010. Online. Available at: https://www.atpe.org/Advocacy/issues/ 10_TeacherQuality_for_web.pdf. Page 34. Accessed February 18, 2013.

120 Id. Page 37. Table 22. 121 Id. Page 26.

122 NEA Rankings & Estimates. Rankings of States 2012 and Estimates of School Statistics 2013. Online. Available at: http://www.nea.org/assets/img/content/ NEA_Rankings_And_Estimates-2013_(2).pdf. Page 96. Accessed March 4, 2013.

Achievement Gap

123 State of Texas Assessments of Academic Readiness (STAAR). Summary Report GRADE 4 Reading, January 2013 Texas Education Agency (TEA). Online. Available at: http:// www.tea.state.tx.us/WorkArea/ linkit.aspx?LinkIdentifier=id&ItemID=2147507360&libID=2147507351. Page 1. Accessed March 14, 2013.

124 State of Texas Assessments of Academic Readiness (STAAR). Summary Report GRADE 4 Math, January 2013 Texas Education Agency (TEA). Online. Available at: http:// www.tea.state.tx.us/WorkArea/ linkit.aspx?LinkIdentifier=id&ItemID=2147507360&libID=2147507351. Page 2. Accessed March 14, 2013.

125 State of Texas Assessments of Academic Readiness (STAAR). Summary Report GRADE 8 Reading, January 2013 Texas Education Agency (TEA). Online. Available at: http:// www.tea.state.tx.us/WorkArea/ linkit.aspx?LinkIdentifier=id&ItemID=2147507355&libID=2147507346. Page 1. Accessed March 14, 2013.

126 State of Texas Assessments of Academic Readiness (STAAR). Summary Report GRADE 8 Math, January 2013 Texas Education Agency (TEA). Online. Available at: http:// www.tea.state.tx.us/WorkArea/ linkit.aspx?LinkIdentifier=id&ItemID=2147507355&libID=2147507346 . Page 2. Accessed March 14, 2013.

Higher Education

127 The College Board. The College Completion Agenda: 2011 Progress Report. Online. Available at: http://completionagenda.collegeboard.org/sites/default/files/reports_pdf/ Progress_Report_2011.pdf. Page 11. Accessed February 15, 2013.
128 Id. Page 15.

129 Id. Page 243.
130 Id. Page 242.
131 Id. Page 241.
132 Id. Page 239.
133 Project on Student Debt. Student Debt and the Class of 2011. Online. Available at: http://projectonstudentdebt.org/files/pub/classof2011.pdf. Page 6. Accessed February 18, 2013.

134 The College Board. The College Completion Data. Online. Available at: http:// completionagenda.collegeboard.org/state-performance/state/texas. Fig. 6.4f. Accessed February 15, 2013.
135 Id. Fig. 6.4g.

136 U.S. Census Bureau. (2007-2011) Selected Social Characteristics in the United States: El Paso County, Texas. Online. Available at: http://factfinder2.census.gov/faces/nav/jsf/ pages/community_facts.xhtml. Accessed February 15, 2013.
137 Id. Travis County, Texas.

138 Texas Higher Education Coordinating Board. 2012 Texas Public Higher Education Almanac: A Profile of State and Institutional Performance and Characteristics. Online. Available at: http://www.thecb.state.tx.us/index.cfm?objectid=26AEABDA-D2CC-4D37- 5AB48345339DFCE1. Page 6.Accessed February 18, 2013.

140 Id. Page 13.
141 Id. Page 13.
142 US News and World Report. Best Colleges 2011. Online. Available at: http:// colleges.usnews.rankingsandreviews.com/best-colleges/rankings/national-universities. Accessed February 10, 2013.
143 The College Board. The College Completion Data. Online. Available at: http:// completionagenda.collegeboard.org/state-performance/state/texas. Fig 9.3j,k,l. Accessed February 15, 2013.
144 Id. Fig 9.3e.

The Elderly

145 The Henry J. Kaiser Family Foundation. Poverty Rate by Age, states (2010-2011), U.S. (2011). Online. Available at: http://www.statehealthfacts.org/ comparebar.jsp?ind=10&cat=1. Accessed February 15, 2013.
146 The Henry J. Kaiser Family Foundation. Retail Prescription Drugs Filled at Pharmacies (Annual per Capita by Age), 2011. Online. Available at: http://www.statehealthfacts.org/ comparetable.jsp?ind=268&cat=5. Accessed February 15, 2013.

147 Texas Department of Aging and Disability Services. Legislative Appropriations Request for Fiscal Year 2008-2009 (August 2006). Online. Available at: http:// cfoweb.dads.state.tx.us/lar/2008_09/VolumeI//AdministratorStatement.pdf. Page 1. Accessed February 15, 2013.

148 Texas Department of Family and Protective Services. Adult Protective Services In-Home Overview (2012). Online. Available at: https://www.dfps.state.tx.us/documents/about/ Data_Books_and_Annual_Reports/2012/3APSAll.pdf. Page 10. Accessed February 15, 2013.

149 Texas Department of Family and Protective Services. Adult Protective Services In-Home Overview (2012). Online. Available at: https://www.dfps.state.tx.us/documents/about/ Data_Books_and_Annual_Reports/2012/3APSAll.pdf. Page 13. Accessed March 3, 2013.

The Uninsured

150 Gallup Wellbeing. Texas Uninsured Rate Drifts Further From Other States. Online. Available at: http://www.gallup.com/poll/161153/texas-uninsured-rate-moves-further-away- states.aspx. Accessed on March 15, 2013.
151 Id.
152 Center for Public Policy Priorities Library. Public Benefits: Health Care Access. Online. Available at: http://library.cppp.org/files/3/HC_2012_06_BR_MHMClineMurdock.pdf. Page 2. Accessed February 17, 2013.
153 Families USA. Costly Coverage: Premiums Outpace Paychecks. Online. Available at: http://familiesusa2.org/assets/pdfs/costly-coverage/texas.pdf. Page 4. Accessed February 25, 2013.
154 The Henry J. Kaiser Family Foundation. Health Costs & Budgets. Online. Available at: http://www.statehealthfacts.org/comparetable.jsp?typ=4&ind=271&cat=5&sub=67. Accessed February 12, 2013.
155 Common Wealth Fund. New State-by-State-Report: Employer Health Insurance Premiums Increased 62 percent from 2003 to 2011; employees’ Share of Health Insurance Costs Rose74 Percent, Deductibles more than Doubled. Online. Available at: http:// www.commonwealthfund.org/~/media/Files/News/News%20Releases/2012/Dec/ Premium_Trends_Release_FINAL.pdf. Page 1. Accessed March 14, 2013.
156 Families USA. How the Affordable Care Act Helps Texas Families. Online. Available at: http://familiesusa2.org/assets/pdfs/health-reform/helping-families/Texas.pdf. Page 3. Accessed February 17, 2013.
157 Economic Policy Institute. A decade of declines in employer-sponsored health insurance coverage. Online. Available at: http://www.epi.org/publication/bp337-employer-sponsored- health-insurance/. Accessed February 15, 2013.
158 The Henry J. Kaiser Family Foundation. State Health Facts Online, Uninsured Estimates of Children 0-17, American Community Survey (ACS), 2010. Online. Available at: http:// www.statehealthfacts.org/profileind.jsp?ind=127&cat=3&rgn=45. Accessed February 12, 2013.