Home health aides in Texas work closely with clients in the clients’ homes. This type of care comes with responsibility and risk, as each home environment presents its own unique challenges.
Liability insurance can help home health aides manage some of the most common on-the-job risks. However, many aides ask whether liability insurance is required and what role it plays in their day-to-day work.
Here is what Texas home health aides should know about liability insurance.

Is liability insurance required in Texas?
Texas law does not require individual home health aides to carry liability insurance. However, even though it is not required by law, liability insurance is often expected by agencies, clients, and referral partners.
Employers may require it as a condition of work. If you work as a contractor for a home health agency, your work contract may specify that you have certain types of coverage and minimum amounts of coverage.
Referral partners may also expect the individual home health aides they partner with to be insured. If you work independently, potential clients might enquire about your insurance coverage during your interview.
Why liability insurance matters for home health aides
Home health care includes tasks such as mobility assistance, medication reminders, and personal care. Accidents can happen even when aides follow proper procedures.
Common risks include:
- client injuries during care
- property damage in a client’s home
- allegations of negligence or errors
- legal defense costs from claims
Without coverage, legal costs and compensation may fall solely on the aide. This is why many home health professionals choose home health aide liability insurance.
Employees vs independent home health aides
The need for liability insurance often depends on how the aide works.
Employees of licensed agencies may be covered under the agency’s policy. Even so, coverage limits may be shared across staff.
Independent aides and contractors usually need their own insurance. Clients may request proof of coverage before hiring, especially for ongoing care.
How liability insurance supports career stability
Having coverage does more than manage risk. It can also help home health aides:
- appear more professional to clients
- meet agency or contract requirements
- work with confidence
- protect their personal finances
For aides planning long-term careers, insurance can be part of responsible practice.
Starting or growing a home care business
Home health aides who plan to start their own agency or expand services should think about insurance early. Business owners face broader risks tied to their staff, clients, and operations.
Guides on how to start a home care business in Texas can help clarify licensing, compliance, and coverage needs as services grow.
Final thoughts
Home health aides in Texas may not be legally required to carry liability insurance, but it is an important part of protecting both the aide and their clients.
As home care demand grows, understanding risk and responsibility becomes part of professional care. Liability insurance helps home health aides work with greater confidence and security.

