The Increasing Hispanic Population in Texas: Health Care and Access to Care Issues

1. The Increasing Hispanic Population in Texas: Health Care and Access to Care Issues

2. Growing States, 2000-2015 Numeric Change 2010-2015 Percent Change 2000-2010 2000 2010 2015 Population Population Population United States 281,421,906 308,745,538 321,418,820 12,673,282 4.1% Texas 20,851,820 25,145,561 27,469,114 2,323,553 9.2% California 33,871,648 37,253,956 39,144,818 1,890,862 5.1% Florida 15,982,378 18,801,310 20,271,272 1,469,962 7.8% Georgia 8,186,453 9,687,653 10,214,860 527,207 5.4% North Carolina 8,049,313 9,535,483 10,042,802 507,319 5.3% Arizona 5,130,632 6,392,017 6,828,065 436,048 6.8% 2 Source: U.S. Census Bureau. 2000 and 2010 Census Count, 2015 Population Estimates.

3. Total Population and Population Change in Texas, 1950-2014 Numeric Change (Millions) Population (Millions) 30.00 25.00 20.00 15.00 10.00 5.00 0.00 1950 1960 1970 1980 1990 2000 2010 2011 2012 2013 2014 2015 All values for the decennial dates are for April 1stof the indicated census year. Values for 2012-2014 are for July 1 as estimated by the U.S. Census Bureau. Source: U.S. Census Bureau, Census Counts and Population Estimates 3

4. Components of Population Change by Percent in Texas, 1950-2010 10.5% 13.3% 34.1% 46.3% 50.3% 58.5% Migration Natural Increase 89.5% 86.7% 65.9% 53.7% 49.7% 41.5% 1950s 1960s 1970s 1980s 1990s 2000s Source: U.S. Census Bureau, Population Estimates

5. Total Estimated Population by County, Texas, 2015 tl_2010_48_county10 POPESTIMATE2015 112 - 10,000 Lipscomb Ochiltree Hansford Sherman Dallam Roberts Moore 10,001 - 50,000 Hartley Hutchinson Hemphill Gray Oldham Potter Wheeler Carson 50,001 - 100,000 Armstrong Collingsworth Deaf Smith Randall Donley 100,001 - 500,000 Parmer Castro Childress Swisher Hall Hardeman Briscoe 500,001 - 4,538,028 Wilbarger Cottle Bailey Motley Lamb Floyd Hale Foard Clay Wichita Montague Grayson Dickens Red River Lubbock Lamar Archer Baylor King Knox Cochran Fannin Cooke Crosby Bowie Hockley Stonewall Delta Titus Young Haskell Jack Wise Denton Lynn Cass Collin Kent Franklin Yoakum Terry Garza Hunt Morris Camp Upshur Throckmorton Hopkins Rockwall Shackelford Tarrant Rains Borden Scurry Jones Wood Palo Pinto Dawson Parker Marion Harrison Gaines Fisher Dallas Stephens Van Zandt Kaufman Hood Nolan Johnson Taylor Smith Gregg Eastland Comanche Erath Ellis Andrews Martin Howard Mitchell Somervell Henderson Panola Callahan Rusk Glasscock Navarro Hill Bosque Coke El Paso Midland Anderson Runnels Loving Winkler Cherokee Ector Shelby Brown Sterling Hamilton Freestone Coleman Nacogdoches Houston McLennan Ward Mills Hudspeth Tom Green Crane San Culberson Upton Coryell Reagan Concho Irion Falls Leon Augustine San Saba Reeves Lampasas McCulloch Angelina Polk Trinity Robertson Bell Madison Newton Burnet Schleicher Menard Crockett Jeff Davis Milam Tyler Pecos Mason Walker Llano Williamson Brazos Jasper San Jacinto Grimes Kimble Burleson Sutton Travis Gillespie Hardin Lee Montgomery Blanco Washington Orange Terrell Bastrop Kerr Hays Liberty Edwards Presidio Kendall Val Verde Waller Jefferson Austin Fayette Harris Caldwell Real Comal Brewster Bandera Chambers Colorado Guadalupe Fort Bend Gonzales Bexar Galveston Uvalde Medina Kinney Lavaca Wharton Wilson Brazoria DeWitt Zavala Jackson Maverick Karnes Frio Matagorda Atascosa Victoria Goliad Live Oak Calhoun Dimmit Bee La Salle Refugio San Patricio McMullen Aransas Jim Wells Webb Nueces Duval Kleberg Jim Hogg Brooks Zapata Kenedy Starr 5 Willacy Hidalgo Source: U.S. Census Bureau, 2015 Vintage Population Estimates Cameron

6. Estimated Population Change, Texas Counties, 2010 to 2015 tl_2010_48_county10 NPOPCH1015 99 counties lost population over the five year period. -1,913 - 0 1 - 1,000 1,001 - 20,000 20,001 - 80,000 80,001 - 444,952 6 Source: U.S. Census Bureau Population Estimates, 2015 Vintage.

7. Estimated Percent Change of the Total Population by County, Texas, 2010 to 2015 tl_2010_48_county10 PctPOPCH1015 -14.9% - 0% 0.1% - 2.5% 2.6% - 5% 5.1% - 10% 10.1% - 36.6% 7 Source: U.S. Census Bureau Population Estimates, 2015 Vintage.

8. Estimated Net-Domestic Migrants by County, Texas, 2014-2015 tl_2010_48_county10 DOMESTICMIG2015 Sherman Ochiltree Dallam Lipscomb Hansford Moore -12,004 - -2,500 Hartley Roberts Hutchinson Potter Hemphill Oldham Carson Wheeler Gray Collingsworth Donley Randall -2,499 - 0 Armstrong Deaf Smith Swisher Hall Parmer Childress Castro Briscoe Hardeman 1 - 2,499 Lamb Wilbarger Motley Cottle Floyd Hale Bailey Wichita Foard Montague Grayson Dickens Lubbock Cochran Red River Lamar Clay King Cooke Archer Hockley Crosby Knox Baylor Fannin 2,500 - 9,999 Bowie Throckmorton Haskell Franklin Delta Kent Collin Yoakum Jack Denton Wise Titus Hopkins Terry Lynn Garza Young Hunt Stonewall Cass Morris Rains Camp Upshur Borden Rockwall Stephens Palo Pinto Marion Harrison Gregg Parker Jones Wood Tarrant Scurry Fisher Gaines Dawson Dallas 10,000 - 18,500 Van Zandt Shackelford Kaufman Hood Johnson Smith Martin Mitchell Taylor Nolan Ellis Eastland Andrews Erath Henderson Rusk Somervell Callahan Howard Panola Navarro Cherokee Ector Hill Midland Comanche Coke Runnels Sterling Bosque Loving El Paso Shelby Anderson Winkler Ward Glasscock Brown Hamilton Mills Coleman Concho Freestone McLennan Nacogdoches San Augustine Houston Angelina Upton Hudspeth Crane Tom Green Culberson Coryell Irion Leon Falls Robertson McCulloch Reeves San Saba Lampasas Sabine Reagan Trinity Bell Jasper Burnet Schleicher Madison Menard Milam Mason Polk Tyler Pecos Crockett Jeff Davis Llano Walker Brazos Newton Williamson Grimes San Jacinto Sutton Kimble Burleson Washington Blanco Lee Gillespie Hardin Travis Montgomery Terrell Orange Edwards Bastrop Caldwell Hays Kerr Presidio Liberty Kendall Waller Austin Val Verde Fayette Real Harris Comal Brewster Bandera Jefferson Chambers Guadalupe Colorado Lavaca Fort Bend Bexar Galveston Gonzales Medina Uvalde Kinney Wharton Wilson Brazoria DeWitt Zavala Jackson Victoria Maverick Karnes Atascosa Frio Matagorda Goliad La Live Oak Calhoun Dimmit Bee Salle Refugio San Patricio McMullen Aransas Jim Wells Nueces Webb Duval Kleberg Brooks Jim Hogg Zapata Kenedy Starr Willacy Hidalgo Cameron 8 Source: U.S. Census Bureau Population Estimates, 2015 Vintage.

9. Estimated Net-International Migrants by County, Texas, 2014-2015 tl_2010_48_county10 INTERNATIONALMIG2015 Sherman Ochiltree Dallam Lipscomb Hansford Moore Hartley Roberts -3 - 0 Hutchinson Potter Hemphill Oldham Carson Wheeler Gray Collingsworth Donley 1 - 2,999 Randall Armstrong Deaf Smith Swisher Hall Parmer Childress 3,000 - 7,499 Castro Briscoe Hardeman Lamb Wilbarger Motley Cottle Floyd Hale Bailey 7,500 - 14,999 Wichita Foard Montague Grayson Dickens Lubbock Cochran Red River Lamar Clay King Cooke Archer Hockley Crosby Knox Baylor Fannin Bowie Throckmorton Haskell Franklin Delta 15,000 - 29,246 Kent Collin Yoakum Jack Denton Wise Titus Hopkins Terry Lynn Garza Young Hunt Stonewall Cass Morris Rains Camp Upshur Borden Rockwall Stephens Palo Pinto Marion Harrison Gregg Parker Jones Wood Tarrant Scurry Fisher Gaines Dawson Dallas Van Zandt Shackelford Kaufman Hood Johnson Smith Martin Mitchell Taylor Nolan Ellis Eastland Andrews Erath Henderson Rusk Somervell Callahan Howard Panola Navarro Cherokee Ector Hill Midland Comanche Coke Runnels Sterling Bosque Loving El Paso Shelby Anderson Winkler Ward Glasscock Brown Hamilton Mills Coleman Concho Freestone McLennan Nacogdoches San Augustine Houston Angelina Upton Hudspeth Crane Tom Green Culberson Coryell Irion Leon Falls Robertson McCulloch Reeves San Saba Lampasas Sabine Reagan Trinity Bell Jasper Burnet Schleicher Madison Menard Milam Mason Polk Tyler Pecos Crockett Jeff Davis Llano Walker Brazos Newton Williamson Grimes San Jacinto Sutton Kimble Burleson Washington Blanco Lee Gillespie Hardin Travis Montgomery Terrell Orange Edwards Bastrop Caldwell Hays Kerr Presidio Liberty Kendall Waller Austin Val Verde Fayette Real Harris Comal Brewster Bandera Jefferson Chambers Guadalupe Colorado Lavaca Fort Bend Bexar Galveston Gonzales Medina Uvalde Kinney Wharton Wilson Brazoria DeWitt Zavala Jackson Victoria Maverick Karnes Atascosa Frio Matagorda Goliad La Live Oak Calhoun Dimmit Bee Salle Refugio San Patricio McMullen Aransas Jim Wells Nueces Webb Duval Kleberg Brooks Jim Hogg Zapata Kenedy Starr Willacy Hidalgo Cameron 9 Source: U.S. Census Bureau Population Estimates, 2015 Vintage.

10. Estimated Net-Migrants by County, Texas, 2014-2015 Sherman Ochiltree tl_2010_48_county10 NETMIG2015 Dallam Lipscomb Hansford Moore Hartley Roberts Hutchinson Potter Hemphill Oldham Carson Wheeler Gray -8,690 - -2,500 Collingsworth Donley Randall Armstrong Deaf Smith Swisher -2,499 - 0 Hall Parmer Childress Castro Briscoe Hardeman Lamb Wilbarger 1 - 2,500 Motley Cottle Floyd Hale Bailey Wichita Foard Montague Grayson Dickens Lubbock Cochran Red River Lamar Clay King Cooke Archer Hockley Crosby Knox Baylor Fannin 2,501 - 15,000 Bowie Throckmorton Haskell Franklin Delta Kent Collin Yoakum Jack Denton Wise Titus Hopkins Terry Lynn Garza Young Hunt Stonewall Cass Morris 15,001 - 46,293 Rains Camp Upshur Borden Rockwall Stephens Palo Pinto Marion Harrison Gregg Parker Jones Wood Tarrant Scurry Fisher Gaines Dawson Dallas Van Zandt Shackelford Kaufman Hood Johnson Smith Martin Mitchell Taylor Nolan Ellis Eastland Andrews Erath Henderson Rusk Somervell Callahan Howard Panola Navarro Cherokee Ector Hill Midland Comanche Coke Runnels Sterling Bosque Loving El Paso Shelby Anderson Winkler Ward Glasscock Brown Hamilton Mills Coleman Concho Freestone McLennan Nacogdoches San Augustine Houston Angelina Upton Hudspeth Crane Tom Green Culberson Coryell Irion Leon Falls Robertson McCulloch Reeves San Saba Lampasas Sabine Reagan Trinity Bell Jasper Burnet Schleicher Madison Menard Milam Mason Polk Tyler Pecos Crockett Jeff Davis Llano Walker Brazos Newton Williamson Grimes San Jacinto Sutton Kimble Burleson Washington Blanco Lee Gillespie Hardin Travis Montgomery Terrell Orange Edwards Bastrop Caldwell Hays Kerr Presidio Liberty Kendall Waller Austin Val Verde Fayette Real Harris Comal Brewster Bandera Jefferson Chambers Guadalupe Colorado Lavaca Fort Bend Bexar Galveston Gonzales Medina Uvalde Kinney Wharton Wilson Brazoria DeWitt Zavala Jackson Victoria Maverick Karnes Atascosa Frio Matagorda Goliad La Live Oak Calhoun Dimmit Bee Salle Refugio San Patricio McMullen Aransas Jim Wells Nueces Webb Duval Kleberg Brooks Jim Hogg Zapata Kenedy Starr Willacy Hidalgo 10 Cameron Source: U.S. Census Bureau Population Estimates, 2015 Vintage.

11. Top Counties for Numeric Growth in Texas, 2014-2015 Percent of Change from Natural Increase Percent Change from Migration Percent Change from International Migration U.S. Rank Population Change Population Change County Harris Bexar Tarrant Dallas Fort Bend Collin Denton Travis Williamson Montgomery *Dallas had net out domestic migration over this period. Source: U.S. Census Bureau, 2015 Vintage Population Estimates 1 90,451 49.3% 50.7% 32.0% 5 37,479 41.2% 58.8% 17.0% 6 36,152 46.3% 53.7% 20.2% 9 33,760 68.1% 31.9% 39.0% 13 29,437 20.7% 79.3% 16.5% 14 28,075 24.8% 75.2% 15.8% 16 25,820 25.5% 74.5% 11.7% 17 25,562 42.5% 57.5% 22.9% 27 19,086 20.9% 79.1% 6.7% 29 18,505 19.2% 80.8% 9.9%

12. Top Counties for Percent Growth* in Texas, 2014-2015 2014-2015 Percent Population Change Percent Change from Migration 85.5% 90.7% 79.3% 79.1% 80.8% 74.5% 63.1% 66.2% 75.2% 79.8% 89.8% 69.2% 78.8% 77.2% Percent Change from International Migration County U.S. Rank Hays Comal Fort Bend Williamson Montgomery Denton Ector Midland Collin Kaufman Parker Brazos Guadalupe Ellis 1 2 4 7 5.2% 4.5% 4.3% 3.9% 3.6% 3.4% 3.3% 3.3% 3.2% 3.1% 2.8% 2.8% 2.7% 2.7% 1.9% 2.1% 16.5% 6.7% 9.9% 11.7% 3.1% 3.2% 15.8% 3.2% 2.2% 27.4% 4.6% 2.7% 10 12 18 19 23 25 29 32 38 39 *Among Counties with 10,000 or more population in 2014 Source: U.S. Census Bureau, 2015 Vintage Population Estimates

13. Texas Racial and Ethnic Composition, 2000, 2010, and 2015 2000 2010 Hispanic, 32% 2015 NH White, 53% Hispanic, 38% NH White, 45% NH Black, 11% NH Other, 1% Hispanic, 39% NH White, 43% NH Asian, 3% NH Black, 12% NH Other, 2% NH Asian, 4% NH Black, 12% NH Other, 2% NH Asian, 5% 11 Source: U.S. Census Bureau. 2000, 2010 Decennial Census and 2015 Population Estimates

14. Percent of the Population that is Hispanic, Texas Counties, 2009-2013 tl_2010_48_county10 PctHisp Lipscomb Ochiltree Hansford Sherman Dallam Hemphill Roberts Moore 2.2% - 15% Hartley Hutchinson Gray Oldham Potter Wheeler Carson 15.1% - 30% Armstrong Collingsworth Deaf Smith Randall Donley 30.1% - 50% Childress Parmer Swisher Hall Castro Briscoe Hardeman Cottle Wilbarger Motley Bailey Floyd Lamb Hale Foard 50.1% - 70% Clay Wichita Montague Grayson Hockley Dickens Red River Lubbock Lamar Archer Cooke Baylor King Knox Cochran Fannin Crosby Bowie Stonewall Delta Titus 70.1% - 98.4% Terry Young Jack Wise Denton Lynn Franklin Collin Yoakum Garza Kent Throckmorton Haskell Cass Hunt Morris Camp Hopkins Dawson Rains Van Zandt Scurry Rockwall Wood Palo Pinto Erath Shackelford Parker Tarrant Marion Harrison Gaines Fisher Dallas Borden Jones Upshur Stephens Johnson Hood Nolan Taylor Gregg Kaufman Henderson Smith Ellis Eastland Andrews Martin Howard Mitchell Somervell Panola Callahan Rusk Glasscock Navarro Hill Ector Cherokee Bosque Comanche Loving Winkler Coke El Paso Midland Runnels Anderson Shelby Brown Hamilton Sterling Freestone Coleman Nacogdoches Houston McLennan Ward Mills Hudspeth Tom Green Crane San Culberson Coryell Upton Concho Reagan Irion Falls Leon Augustine Sabine San Saba Reeves Lampasas McCulloch Angelina Polk Trinity Robertson Bell Madison Newton Burnet Schleicher Menard Crockett Jeff Davis Walker Milam Tyler Pecos Mason Llano Brazos Williamson Jasper San Jacinto Grimes Kimble Burleson Sutton Travis Gillespie Hardin Lee Montgomery Blanco Washington Austin Orange Terrell Bastrop Hays Kerr Liberty Edwards Presidio Kendall Val Verde Waller Jefferson Fayette Harris Caldwell Real Comal Brewster Bandera Chambers Colorado Guadalupe Fort Bend Bexar Galveston Lavaca Gonzales Uvalde Medina Kinney Wharton Wilson Brazoria DeWitt Maverick Jackson Karnes Zavala Frio Atascosa Matagorda Victoria Goliad Live Oak Calhoun Dimmit Bee Refugio Aransas La Salle McMullen San Patricio Jim Wells Webb Nueces Duval Kleberg Brooks Jim Hogg Zapata Kenedy Starr Willacy Hidalgo Cameron 14 Source: U.S. Census Bureau, American Community Survey, 2009-2013 5 Year Sample

15. Percent of the Population that is Non-Hispanic Black, Texas Counties, 2009-2013 tl_2010_48_county10 PctNHBlack Lipscomb Ochiltree Hansford Sherman Dallam Hemphill Roberts Moore Hartley Hutchinson 0% - 2.5% Gray Oldham Potter Wheeler Carson Armstrong Collingsworth Deaf Smith 2.6% - 5% Randall Donley Childress Parmer Swisher Hall Castro Briscoe Hardeman Cottle 5.1% - 10% Wilbarger Motley Bailey Floyd Lamb Hale Foard Clay Wichita Montague Grayson Hockley Dickens Red River Lubbock Lamar Archer Cooke Baylor King Knox Cochran Fannin Crosby 10.1% - 15% Bowie Stonewall Delta Titus Terry Young Jack Wise Denton Lynn Franklin Collin Yoakum Garza Kent Throckmorton Haskell Cass Hunt Morris Camp Hopkins Dawson Rains Van Zandt Scurry Rockwall Wood Palo Pinto Erath 15.1% - 33.3% Shackelford Parker Tarrant Marion Harrison Gaines Fisher Dallas Borden Jones Upshur Stephens Johnson Hood Nolan Taylor Gregg Kaufman Henderson Smith Ellis Eastland Andrews Martin Howard Mitchell Somervell Panola Callahan Rusk Glasscock Navarro Hill Ector Cherokee Bosque Comanche Loving Winkler Coke El Paso Midland Runnels Anderson Shelby Brown Hamilton Sterling Freestone Coleman Nacogdoches Houston McLennan Ward Mills Hudspeth Tom Green Crane San Culberson Coryell Upton Concho Reagan Irion Falls Leon Augustine Sabine San Saba Reeves Lampasas McCulloch Angelina Polk Trinity Robertson Bell Madison Newton Burnet Schleicher Menard Crockett Jeff Davis Walker Milam Tyler Pecos Mason Llano Brazos Williamson Jasper San Jacinto Grimes Kimble Burleson Sutton Travis Gillespie Hardin Lee Montgomery Blanco Washington Austin Orange Terrell Bastrop Hays Kerr Liberty Edwards Presidio Kendall Val Verde Waller Jefferson Fayette Harris Caldwell Real Comal Brewster Bandera Chambers Colorado Guadalupe Fort Bend Bexar Galveston Lavaca Gonzales Uvalde Medina Kinney Wharton Wilson Brazoria DeWitt Maverick Jackson Karnes Zavala Frio Atascosa Matagorda Victoria Goliad Live Oak Calhoun Dimmit Bee Refugio Aransas La Salle McMullen San Patricio Jim Wells Webb Nueces Duval Kleberg Brooks Jim Hogg Zapata Kenedy Starr Willacy Hidalgo Cameron 15 Source: U.S. Census Bureau, American Community Survey, 2009-2013 5 Year Sample

16. Percent of the Population that is Asian, Texas Counties, 2009-2013 tl_2010_48_county10 PctNHAsian Lipscomb Ochiltree Hansford Sherman Dallam Hemphill Roberts Moore Hartley Hutchinson Gray 0% - 0.5% Oldham Potter Wheeler Carson Armstrong Collingsworth Deaf Smith Randall Donley 0.6% - 2.5% Childress Parmer Swisher Hall Castro Briscoe Hardeman Cottle 2.6% - 5% Wilbarger Motley Bailey Floyd Lamb Hale Foard Clay Wichita Montague Grayson Hockley Dickens Red River Lubbock Lamar Archer Cooke Baylor King Knox Cochran Fannin Crosby 5.1% - 10% Bowie Stonewall Delta Titus Terry Young Jack Wise Denton Lynn Franklin Collin Yoakum Garza Kent Throckmorton Haskell Cass Hunt Morris Camp Hopkins Dawson Rains Van Zandt Scurry Rockwall Wood 10.1% - 17.4% Palo Pinto Erath Shackelford Parker Tarrant Marion Harrison Gaines Fisher Dallas Borden Jones Upshur Stephens Johnson Hood Nolan Taylor Gregg Kaufman Henderson Smith Ellis Eastland Andrews Martin Howard Mitchell Somervell Panola Callahan Rusk Glasscock Navarro Hill Ector Cherokee Bosque Comanche Loving Winkler Coke El Paso Midland Runnels Anderson Shelby Brown Hamilton Sterling Freestone Coleman Nacogdoches Houston McLennan Ward Mills Hudspeth Tom Green Crane San Culberson Coryell Upton Concho Reagan Irion Falls Leon Augustine Sabine San Saba Reeves Lampasas McCulloch Angelina Polk Trinity Robertson Bell Madison Newton Burnet Schleicher Menard Crockett Jeff Davis Walker Milam Tyler Pecos Mason Llano Brazos Williamson Jasper San Jacinto Grimes Kimble Burleson Sutton Travis Gillespie Hardin Lee Montgomery Blanco Washington Austin Orange Terrell Bastrop Hays Kerr Liberty Edwards Presidio Kendall Val Verde Waller Jefferson Fayette Harris Caldwell Real Comal Brewster Bandera Chambers Colorado Guadalupe Fort Bend Bexar Galveston Lavaca Gonzales Uvalde Medina Kinney Wharton Wilson Brazoria DeWitt Maverick Jackson Karnes Zavala Frio Atascosa Matagorda Victoria Goliad Live Oak Calhoun Dimmit Bee Refugio Aransas La Salle McMullen San Patricio Jim Wells Webb Nueces Duval Kleberg Brooks Jim Hogg Zapata Kenedy Starr Willacy Hidalgo Cameron 16 Source: U.S. Census Bureau, American Community Survey, 2009-2013 5 Year Sample

17. Texas White (non-Hispanic) and Hispanic Populations by Age, 2014 250,000 White (non- Hispanic) 200,000 150,000 Population 100,000 50,000 0 Age 17 Source: U.S. Census Bureau 2010 Decennial Census, SF1

18. Texas Population Pyramid by Race/Ethnicity, 2014 Male White, Non-Hispanic Female White, Non-Hispanic 85 + years 80 years 75 years 70 years 65 years 60 years 55 years 50 years 45 years 40 years 35 years 30 years 25 years 20 years 15 years 10 years 5 years Under 1 year 250,000 200,000 150,000 100,000 50,000 0 50,000 100,000 150,000 200,000 250,000 18 Source: Texas Demographic Center, 2014 Population Estimates

19. Texas Population Pyramid by Race/Ethnicity, 2014 Male Black, Non Hispanic Male Other, Non Hispanic Male Hispanic Female Black, Non Hispanic Female Other, Non Hispanic Female, Hispanic 85 + years 80 years 75 years 70 years 65 years 60 years 55 years 50 years 45 years 40 years 35 years 30 years 25 years 20 years 15 years 10 years 5 years Under 1 year 250,000 200,000 150,000 100,000 50,000 0 50,000 100,000 150,000 200,000 250,000 19 Source: Texas Demographic Center, 2014 Population Estimates

20. Texas Population Pyramid by Race/Ethnicity, 2014 Male White, Non-Hispanic Male Black, Non Hispanic Male Other, Non Hispanic Male Hispanic Female White, Non-Hispanic Female Black, Non Hispanic Female Other, Non Hispanic Female, Hispanic 85 + years 80 years 75 years 70 years 65 years 60 years 55 years 50 years 45 years 40 years 35 years 30 years 25 years 20 years 15 years 10 years 5 years Under 1 year 250,000 200,000 150,000 100,000 50,000 0 50,000 100,000 150,000 200,000 250,000 20 Source: Texas Demographic Center, 2014 Population Estimates

21. Top 10 Gross Migration States for Domestic Migration to Texas, 2013 14,715 Georgia 18,924 14,803 New York 21,129 15,504 New Mexico 22,049 Out-Migrants From Texas In-Migrants to Texas 18,428 Arizona 19,451 23,141 Colorado 19,139 12,719 Illinois 30,672 22,259 Louisiana 28,457 19,988 Florida 33,321 29,051 Oklahoma 28,906 31,499 California 62,386 U.S. Census Bureau ACS 1-Year PUMS,2013 21

22. Top 10 Destination Counties for Interstate Domestic Migration to Texas, 2009-2013 Williamson 6,042 Net Migration=8,651 14,693 Denton Net Migration=5,000 12,351 17,351 Domestic Out-Migration Domestic In-Migration Collin 16,100 Net Migration=4,587 20,687 Bell 17,669 Net Migration=3,984 21,653 El Paso Net Migration=550 23,990 24,540 Travis 21,309 Net Migration=9,031 30,340 Tarrant 28,556 Net Migration=8,965 37,521 Net Migration=2,811 Dallas 37,448 40,259 Bexar 32,995 Net Migration=9,477 42,472 Harris 52,968 Net Migration=21,693 74,661 U.S. Census Bureau ACS 5-Year Summary Data, 2009-2013 22

23. Annual Shares of Recent Non-Citizen Immigrants to Texas by World Area of Birth, 2005-2013

24. 24

25. Net Migration from Mexico Below Zero After the Great Recession Source: Pew Research Center http://www.pewhispanic.org/2015/11/19/more-mexicans-leaving-than-coming-to-the-u-s/ph_2015-11-19_mexican-immigration-04/ 25

26. Projected Population Growth in Texas, 2010-2050 55 Zero Migration 50 0.5 of 2000-2010 Migration 45 2000-2010 Migration 40 Millions 35 30 25 20 26 Source: Texas State Data Center 2014 Population Projections

27. Projected and Estimated Population Growth in Texas, 2010-2015 28 Zero Migration 28 0.5 of 2000-2010 Migration 2000-2010 Migration 27 Estimates 27 26 Millions 26 25 25 24 27 Source: Texas State Data Center 2014 Population Projections and U.S. Census Bureau Population Estimates

28. Population Change by Age Group, Texas, 1950-2050 35,000,000 Censuses Estimates Projections 30,000,000 25,000,000 Under 18 20,000,000 18 to 64 15,000,000 65+ 10,000,000 5,000,000 - 1950 1960 1970 1980 1990 2000 2010 2014 2020 2030 2040 2050 Sources: US Census Bureau, 1950-2010 Censuses US Census Bureau, State Population Estimates Texas State Data Center, 2014 Population Projections, 1.0 Migration Scenario 28

29. Estimated number of persons aged 65 years and older, Texas Counties, 2010-2014 tl_2010_48_county10 Pop65P Lipscomb Ochiltree Hansford Sherman Dallam 6 - 4,999 Roberts Moore Hartley Hutchinson Hemphill 5,000 - 14,999 Gray Oldham Potter Wheeler Carson Armstrong Collingsworth Deaf Smith 15,000 - 29,999 Randall Donley Parmer Castro Childress Swisher Hall 30,000 - 74,999 Hardeman Briscoe Wilbarger Cottle Bailey Motley Lamb Floyd Hale Foard Clay Wichita Montague Grayson Dickens Red River Lubbock 75,000 - 371,456 Lamar Archer Baylor King Knox Cochran Fannin Cooke Crosby Bowie Hockley Stonewall Delta Titus Young Haskell Jack Wise Denton Lynn Cass Collin Kent Franklin Yoakum Terry Garza Hunt Morris Camp Upshur Throckmorton Hopkins Rockwall Shackelford Tarrant Rains Borden Scurry Jones Wood Palo Pinto Dawson Parker Marion Harrison Gaines Fisher Dallas Stephens Van Zandt Kaufman Hood Nolan Johnson Taylor Smith Gregg Eastland Comanche Erath Ellis Andrews Martin Howard Mitchell Somervell Henderson Panola Callahan Rusk Glasscock Navarro Hill Bosque Coke El Paso Midland Anderson Runnels Loving Winkler Cherokee Ector Shelby Brown Sterling Hamilton Freestone Coleman Nacogdoches Houston McLennan Ward Mills Hudspeth Tom Green Crane San Culberson Upton Coryell Reagan Concho Irion Falls Leon Augustine San Saba Reeves Lampasas McCulloch Angelina Polk Trinity Robertson Bell Madison Newton Burnet Schleicher Menard Crockett Jeff Davis Milam Tyler Pecos Mason Walker Llano Williamson Brazos Jasper San Jacinto Grimes Kimble Burleson Sutton Travis Gillespie Hardin Lee Montgomery Blanco Washington Orange Terrell Bastrop Kerr Hays Liberty Edwards Presidio Kendall Val Verde Waller Jefferson Austin Fayette Harris Caldwell Real Comal Brewster Bandera Chambers Colorado Guadalupe Fort Bend Gonzales Bexar Galveston Uvalde Medina Kinney Lavaca Wharton Wilson Brazoria DeWitt Zavala Jackson Maverick Karnes Frio Matagorda Atascosa Victoria Goliad Live Oak Calhoun Dimmit Bee La Salle Refugio San Patricio McMullen Aransas Jim Wells Webb Nueces Duval Kleberg Jim Hogg Brooks Zapata Kenedy Starr Willacy Hidalgo Cameron 29 Source: U.S. Census Bureau, American Community Survey, 2010-2014 5 Year Sample

30. Population Projections, Texas, 2010-2050, Percent Over and Under 65 2050 19% 81% 2045 19% 81% 2040 19% 81% 2035 18% 82% 2030 17% 83% 2025 15% 85% 2020 14% 86% 2015 12% 88% 2010 10% 90% 65 years plus Under 65 years 30 Source: Texas State Data Center 2014 Population Projections , Half 2000-2010 Migration Scenario

31. Projected Racial and Ethnic Percent, Texas, 2010-2050 35,000,000 30,000,000 25,000,000 NH-White 20,000,000 NH-Black 15,000,000 Hispanic 10,000,000 NH-Other 5,000,000 0 31 Source: Texas State Data Center 2012 Population Projections , 2000-2010 Migration Scenario

32. Population Projections 65 Years and Over by Race/Ethnicity, Texas, 2010-2050 3,500,000 3,000,000 2,500,000 NH White 2,000,000 NH Black Hispanic 1,500,000 NH Other 1,000,000 500,000 0 2010 2015 2020 2025 2030 2035 2040 2045 2050 32 Source: Texas State Data Center 2014 Population Projections , Half 2000-2010 Migration Scenario

33. Percent of Population by Race/Ethnicity for Age Groups, 2010 and 2050 2010 2050 100% 100% 90% 90% % NH White 80% 80% Percentage of Age Group 70% Percentof Age Group 70% % Black 60% 60% 50% 50% % Hispanic 40% 40% 30% 30% % NH Other 20% 20% 10% 10% 0% 0% Under 18 years 18 to 64 years 65 years and over 0-17 Years 18-64 Years 65 Years and Older Age Groups Age Groups Source: Texas State Data Center, 2014 Projections, 1.0 Migration Scenario Source: US Census Bureau, State Population Estimates, 2014 33

34. Educational Attainment of Persons Aged 25 Years and Older, NH White and Hispanic, Texas, 2014 100% 3.6% 12.4% Graduate Professional 9.4% 90% 80% 23.8% 23.0% 70% Bachelor 60% 26.6% 50% Some College Associate 32.7% 40% 30% High School or Equiv 20% 24.4% 37.5% 10% 6.6% LT High School 0% NH White Hispanic 34 Source: U.S. Census Bureau, American Community Survey, 2014 1-Year Sample

35. Projected Increase in Obesity in Texas by Ethnicity, 2006 to 2040 35 Source: Office of the State Demographer projections, using 2000-2004 migration scenario population projections

36. Obesity Prevalence 36 % adults with obesity: Office of the State Demographer, 2000-2004 Projection

37. Diabetes Prevalence 37 % adults with diabetes: Office of the State Demographer, 2000-2004 Projection

38. Uninsured Rates by State, 2015 Source: U.S. Census Bureau, 2015 1-Year American Community Survey. https://www2.census.gov/programs-surveys/demo/visualizations/p60/257/figure7.pdf 38

39. Estimated percent of persons who do not have health insurance, Texas Counties, 2010-2014 tl_2010_48_county10 PctUninsTotal Sherman Ochiltree Dallam Lipscomb Hansford 4.9% - 15% Moore Hartley Roberts Hutchinson Potter Hemphill Oldham Wheeler 15.1% - 20% Carson Gray Collingsworth Donley Randall Armstrong Deaf Smith 20.1% - 25% Swisher Hall Parmer Childress Castro Briscoe Hardeman Lamb Wilbarger 25.1% - 30% Cottle Motley Floyd Hale Bailey Foard Wichita Montague Grayson Lubbock Dickens Cochran Red River Lamar Clay King Cooke Knox Archer Hockley Crosby Baylor Fannin 30.1% - 38.9% Bowie Throckmorton Haskell Franklin Delta Kent Collin Yoakum Jack Denton Wise Titus Hopkins Garza Terry Lynn Young Hunt Stonewall Cass Morris Rains Camp Upshur Borden Rockwall Stephens Palo Pinto Parker Marion Harrison Gregg Jones Wood Tarrant Scurry Fisher Gaines Dawson Dallas Van Zandt Shackelford Kaufman Hood Johnson Smith Martin Mitchell Taylor Nolan Ellis Eastland Andrews Erath Henderson Somervell Rusk Callahan Howard Panola Navarro Cherokee Ector Hill Midland Coke Comanche Runnels Sterling Bosque Loving El Paso Shelby Anderson Winkler Ward Glasscock Brown Hamilton Mills Coleman Concho Freestone McLennan Nacogdoches San Augustine Houston Angelina Upton Hudspeth Crane Tom Green Culberson Coryell Leon Irion Falls Robertson McCulloch Reeves San Saba Lampasas Sabine Reagan Trinity Bell Jasper Burnet Schleicher Madison Menard Mason Milam Polk Tyler Pecos Crockett Jeff Davis Llano Walker Brazos Newton Williamson Grimes San Jacinto Sutton Kimble Burleson Washington Blanco Lee Gillespie Hardin Travis Montgomery Terrell Orange Edwards Bastrop Caldwell Hays Kerr Presidio Liberty Kendall Waller Austin Fort Bend Val Verde Fayette Real Harris Comal Brewster Bandera Jefferson Chambers Guadalupe Colorado Lavaca Bexar Galveston Medina Gonzales Uvalde Kinney Wharton Wilson Brazoria DeWitt Zavala Jackson Victoria Maverick Karnes Atascosa Frio Matagorda Goliad La Salle Live Oak Calhoun Dimmit Bee Refugio San Patricio McMullen Aransas Jim Wells Nueces Webb Duval Kleberg Brooks Jim Hogg Zapata Kenedy Starr Willacy Hidalgo Cameron 39 Source: U.S. Census Bureau, American Community Survey, 2010-2014 5 Year Sample

40. Estimated percent of Hispanic persons who do not have health insurance, Texas Counties, 2010-2014 tl_2010_48_county10 PctUninsTotal Sherman Ochiltree Dallam Lipscomb 4.9% - 15% Hansford Moore Hartley Roberts Hutchinson Potter Hemphill 15.1% - 20% Oldham Wheeler Carson Gray Collingsworth Donley Randall 20.1% - 25% Armstrong Deaf Smith Swisher Hall Parmer Childress 25.1% - 30% Castro Briscoe Hardeman Lamb Wilbarger Cottle Motley Floyd Hale Bailey Foard Wichita Montague Grayson 30.1% - 38.9% Lubbock Dickens Cochran Red River Lamar Clay King Cooke Knox Archer Hockley Crosby Baylor Fannin Bowie Throckmorton Haskell Franklin Delta Kent Collin Yoakum Jack Denton Wise Titus Hopkins Garza Terry Lynn Young Hunt Stonewall Cass Morris Rains Camp Upshur Borden Rockwall Stephens Palo Pinto Parker Marion Harrison Gregg Jones Wood Tarrant Scurry Fisher Gaines Dawson Dallas Van Zandt Shackelford Kaufman Hood Johnson Smith Martin Mitchell Taylor Nolan Ellis Eastland Andrews Erath Henderson Somervell Rusk Callahan Howard Panola Navarro Cherokee Ector Hill Midland Coke Comanche Runnels Sterling Bosque Loving El Paso Shelby Anderson Winkler Ward Glasscock Brown Hamilton Mills Coleman Concho Freestone McLennan Nacogdoches San Augustine Houston Angelina Upton Hudspeth Crane Tom Green Culberson Coryell Leon Irion Falls Robertson McCulloch Reeves San Saba Lampasas Sabine Reagan Trinity Bell Jasper Burnet Schleicher Madison Menard Mason Milam Polk Tyler Pecos Crockett Jeff Davis Llano Walker Brazos Newton Williamson Grimes San Jacinto Sutton Kimble Burleson Washington Blanco Lee Gillespie Hardin Travis Montgomery Terrell Orange Edwards Bastrop Caldwell Hays Kerr Presidio Liberty Kendall Waller Austin Fort Bend Val Verde Fayette Real Harris Comal Brewster Bandera Jefferson Chambers Guadalupe Colorado Lavaca Bexar Galveston Medina Gonzales Uvalde Kinney Wharton Wilson Brazoria DeWitt Zavala Jackson Victoria Maverick Karnes Atascosa Frio Matagorda Goliad La Salle Live Oak Calhoun Dimmit Bee Refugio San Patricio McMullen Aransas Jim Wells Nueces Webb Duval Kleberg Brooks Jim Hogg Zapata Kenedy Starr Willacy Hidalgo 40 Source: U.S. Census Bureau, American Community Survey, 2010-2014 5 Year Sample Cameron

41. Contact Lloyd Potter, Ph.D., M.P.H. Office: (210) 458-6530 Email: Lloyd.Potter@utsa.edu Internet: Demographics.Texas.gov @TexasDemography 41