The Texas Community Health Worker (CHW) Study (Study) report was developed by the Department of State Health Services (DSHS) and the Health and Human Services Commission (HHSC), with support from research conducted by the University of Texas Health Science Center at Houston, School of Public Health, Institute for Health Policy (UTHSCH-SPH), in response to the legislative charge in Texas H.B. 2610, 82nd Legislature, Regular Session, 2011. This bill charges the state of Texas to undertake a study of the desirability and feasibility of employing promotores or community health workers (CHWs) in Texas and to explore methods of funding and reimbursement.