Health care costs, care concerns and other health care utilization and risk patterns are a common issue of discussion in the continuing health care reform discussion. Meanwhile, employers, health care providers, and policy leaders in Border States or elsewhere who employ a significant number of migrant workers frequently express interest in more information about the health care and disability care and benefit needs, understanding and utilization patterns of migrant families for purposes of planning benefit and human resources practices. A new report published by the Texas Department of State Health Services may shed some light on these issues.