Due to the aging of the Baby Boomer cohort, longer life spans, and declining birth rates, America is aging. Though Texas is a young state demographically, the size of the state’s aging population is larger than all but two other states (California and Florida) and is growing at faster rate than the U.S. population over 60 as a whole and faster than the state population as a whole. Between 2010 and 2050, the number of Texans age 60 and older is projected to increase more than threefold, from 3.8 million to 12 million. Texans have higher rates of chronic disease and associated mortalities and morbidities than national averages. The cost of providing health care for one person aged 65 or older is three to five times higher than the cost for someone under 65. This posting aims to describe this growing segment of the Texas population and its health care status, utilization, costs and a brief look at solutions.