How Much Does a Home Health Aide Make in Texas in 2026?

A typical Home Health Aide in Texas earns about $11.65 per hour ($24,230 per year), per the latest government wage data (May 2025). That annual compensation translates to roughly $2,019 per month or $466 per week, calculated directly from full-time annual pay. These baseline figures reflect standard hourly earnings across healthcare agencies and direct personal care employers throughout the state.

State pay sits 32 percent below the national typical wage of $17.21 per hour ($35,800 annually). Texas currently ranks 49th out of 51 states and territories for aide compensation, which broadly tracks lower regional living expenses. Even with lower individual wages, the Texas caregiver workforce remains massive, supporting 329,590 positions across home care and community service roles.

Entry-level positions in Texas typically offer around $10.57 per hour, which works out to approximately $21,980 per year for early career workers. Aides with some initial on-the-job training generally see wages lift toward $10.97 hourly, or $22,820 annually. With steady experience, pay gradually aligns with the state typical wage of $24,230 per year within a few years of continuous service.

Experienced Home Health Aides in established roles often earn upwards of $13.23 hourly ($27,520 annually). The top 10% of earners make over $15.17 per hour, which translates to more than $31,560 per year. That creates an overall spread of $9,580 between starting wages and top-tier compensation, driven primarily by agency setting, specialized patient care skills, and geographic location.

Government records show Texas aide earnings rose from $20,140 in 2019 to $24,230 per year in 2025. That trajectory reflects a steady dollar gain of $4,090 over that multi-year span. This overall increase represents a 20 percent rise in nominal wages for direct care providers working within the state.

Nationwide earnings expanded faster over the same timeframe, recording a 42 percent rise across all states. While local compensation trailed that wider pace, wages within the state moved upward steadily rather than stagnating. For someone entering the field now, historical data shows steady upward movement across recent years, although future market adjustments remain unpromised.

Inside Texas, compensation runs highest in the Austin and Round Rock metropolitan area at $28,370 per year ($13.64 per hour). That top metropolitan rate sits 17 percent above the statewide benchmark. Nearby San Marcos matches that same rate, while Odessa also maintains stronger compensation at $27,670 annually. All reported urban figures reflect full metropolitan statistical areas rather than isolated municipal boundaries.

The lowest reported rate occurs in Killeen and Temple at $22,940 per year ($11.03 hourly), producing a statewide city spread of $5,430 annually. The Woodlands and Houston area sustains the state's largest workforce, employing 63,820 aides at a typical rate of $23,440. Local paycheck variations across regions largely mirror municipal differences in housing and essential living costs.

Caregiver earnings vary notably across state lines. New Mexico leads regional neighbors with a typical wage of $28,520 per year, running 18 percent higher than Texas. Oklahoma and Arkansas follow at $27,710 and $27,660 respectively, each paying 14 percent above the Texas benchmark. Conversely, Louisiana sits 7 percent below Texas with an annual figure of $22,520. Certified aides considering regional transitions can often transfer or endorse credentials into adjacent states through established administrative reciprocity channels.

Typical pay for a Texas Home Health Aide stands at $24,230 per year, reflecting a steady 20 percent rise over the past decade. Because compensation varies between regions, exploring dedicated city pages provides clear figures for specific metropolitan markets. Prospective aides should also check the Texas health and human services registry for formal training benchmarks, background check protocols, and active employment qualifications.