This annual report presents data related to Community Health Worker (CHW) and CHW Instructor (CHWI) certification, renewal rates, and trends, as well as a description of initial certification and continuing education courses for CHWs and CHWIs. This report also provides information on CHW and CHWI demographic characteristics, the location of certified CHWs and training programs in Texas, and program outcomes. The CHW Program supports the Promotor(a) or Community Health Worker Training and Certification Advisory Committee as mandated by Health and Safety Code, Chapter 48.