Texas and Ohio—Key Points

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Map of the United States, and a conference full of people below it.
The Texas and Ohio certification system share the same key points:

  • Neither relies on direct assessment of skills
  • In Texas, certification is mandatory for all paid CHWs, but not enforced
  • In Ohio, the status of uncertified and volunteer workers is unclear
  • Approved training programs are not required to grant academic credit (most in Texas do not)