Start a Home Care Franchise in Texas

Grow Big While Doing Good

FJ Top Brands 2024

Join The Butterfly Homecare Family

Texas doesn’t do anything small, not population, not growth, and definitely not the need for care at home.

From booming metros like Dallas–Fort Worth, Houston, Austin, and San Antonio to fast-growing suburbs and smaller towns, families are looking for trusted help so loved ones can stay at home, safely and with dignity.

A home care franchise in Texas lets you build a serious, scalable business that:

  • Creates stable, recurring revenue
  • Provides meaningful jobs for local caregivers
  • Delivers real relief to families who can’t do it all alone

With Butterfly Home Care, you don’t have to piece it together yourself. You get:

  • A proven non-medical care model
  • Systems for staffing, scheduling, and quality
  • Guidance from people who understand how to grow home care in real markets

Why Texas is High Growth Home Care Market

Texas checks almost every box for a strong home care opportunity:

  • Rapid population growth, including older adults who want to age in place
  • Large numbers of families raising children with disabilities or autism
  • Many households where both adults work full-time
  • Big distances that make “doing it all” for relatives across town or in another city almost impossible

In practical terms, that means:

  • Seniors who would rather stay in their homes in Katy, Plano, or New Braunfels—but can’t do it safely without support
  • Parents in Round Rock or McKinney trying to balance a career with caring for a child with extra needs
  • Adult children in Houston or San Antonio worrying about parents still living independently in smaller towns

There are already home care providers in Texas, but in many areas, demand is still ahead of supply, especially for:

  • Reliable, consistent non-medical care
  • Agencies that understand autism and disability support
  • Providers that feel professional, not “gig-based.”

For the right owner, that equals:

  • Room to enter and grow
  • Ability to build out from a single territory over time
  • A business built on repeat visits, not one-off transactions

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What a Butterfly Home Care Franchise Can Look Like in Texas

Think of Butterfly Home Care as a structured, non-medical support system for Texas families.

In a given week, your team could be:

  • Helping a senior in Frisco with personal care, meals, and safe mobility
  • Providing routine and companionship for an adult with disabilities in Sugar Land
  • Supporting a child with autism in Cedar Park with after-school structure and calming routines

Your agency focuses on:

  • Personal care and daily living help
  • Safety, supervision, and gentle redirection
  • Routines that reduce stress for the whole household
  • Social connection so people don’t feel isolated

As the owner, you’re not the one making every visit. Your job is to:

  • Build and lead a strong caregiver team
  • Keep schedules full and reliable
  • Maintain quality and client satisfaction
  • Decide when and how to expand within your area or into additional territories

Texas makes it possible to think bigger than one neighborhood—you can design your growth plan from the beginning.

Quality
Gratitude
Integrity

Why Franchise Owners Choose Butterfly

The home care space is crowded with generalist brands. Here's why operators building for the long term choose Butterfly.

What You Get When You Franchise With Butterfly

The Franchise Journey

58K

Franchise Fee

$100K- $200K

Investment Range

6%

Royalty

* Veterans and active service members receive a $5,000  discount

Medicaid Waiver Programs in Texas

Texas has a strong waiver program infrastructure, particularly for individuals with developmental disabilities and complex care needs, populations that align directly with Butterfly’s specialty model. These programs provide a stable, government-funded revenue stream that isn’t dependent on household income. Your agency can participate in:

  • Community Living Assistance and Support Services (CLASS) Waiver
  • Home and Community-Based Services (HCS) Waiver
  • Deaf-Blind with Multiple Disabilities (DBMD) Waiver
  • STAR+PLUS Home and Community-Based Services (HCBS) Program / Waiver

Butterfly provides state-specific enrollment guidance and billing support so you’re navigating Texas’s waiver system with full support behind you from the start.

Your Path to Success with Butterfly Home Care

How to Open a Butterfly Homecare Franchise in Texas

Launching in Texas shouldn’t feel like a guess. We treat it like a project with clear steps.
*You’re always responsible for following Texas law and should consult your own legal and accounting professionals. We provide tools, examples, and experience-based guidance to help you move forward with clarity.

Your Earning & Growth Potential in Texas

Home care in Texas isn’t a one-time job. Once a family finds a caregiver they trust, they often stay for the long term.

In Texas, that can look like:

  • A senior in Dallas who needs help with bathing, meals, and transportation several days a week
  • An adult with disabilities in Houston who relies on a steady morning and evening routine
  • A child with autism in Austin who benefits from consistent in-home support and behavior-focused structure

Each new client can lead to:

  • Recurring weekly hours instead of one-time visits
  • Referrals to siblings, neighbors, church members, or coworkers
  • Added services over time as needs change

Because Texas has many fast-growing communities, a strong reputation in one area makes it easier to:

  • Attract clients in nearby suburbs and towns
  • Recruit caregivers who want to work close to home
  • Build a solid presence in your protected territory

We can’t promise specific income or outcomes, but the recurring nature of home care and the growing senior and disability population in Texas give driven owners a strong base to grow from.

Getting Set Up in Texas: Big Market, Real Responsibilities

Texas is pro-business, but care is still serious work. When you send caregivers into people’s homes, the state expects you to meet certain standards.

When launching your franchise, you should be ready to:

  • Form and register your business in Texas
  • Work within the state’s framework for home- and community-based services
  • Put clear policies, procedures, and expectations in writing
  • Complete background checks and screening for your staff
  • Maintain documentation and oversight that matches the services you provide

The details depend on your exact service mix and structure, and rules can change. You’ll always lean on your own legal and accounting advisors to interpret what applies to you.

Butterfly Home Care helps by:

  • Providing a structured startup roadmap
  • Sharing sample manuals, policies, and forms to adapt with your advisors
  • Helping you prioritize tasks so you’re not trying to handle everything at once

You’re in charge of your business. We help make sure you’re not flying blind.

Who Makes A Great Butterfly Home Care Franchise Owner In Texas?

Texas rewards people who are driven, steady, and practical.

Owners who thrive often have backgrounds in:

  • Teaching or education
  • Nursing or allied health fields
  • Military or law enforcement
  • Managing a household or working from home with big responsibilities
  • Supporting a loved one with autism, disabilities, or long-term health needs

What matters most is not your job title—it’s how you operate. Successful owners:

  • Take responsibility instead of waiting for someone else to fix things
  • Lead small teams without drama
  • Stay on top of schedules, follow-up, and basic numbers
  • Are coachable and willing to follow a proven playbook
If you’re the person people call when something really needs to get done, you’re already wired for this kind of work.

Butterfly by the Numbers

Active Franchise Locations

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Target Agencies by End of 2026

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Families Served

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FAQs

Texas has a tiered licensing structure for home care. Agencies providing personal assistance services — which is the category most non-medical home care falls under — operate under the Personal Assistance Services (PAS) license issued by the Texas Health and Human Services Commission (HHSC). The licensing process involves application, background checks, policy documentation, and state review. Butterfly provides a step-by-step Texas setup roadmap and startup documentation — but you’ll want to work with your own legal advisors to ensure full compliance with current HHSC requirements.
Texas has several strong markets. The Dallas-Fort Worth metroplex is the largest and most diverse opportunity — high population density, strong demographics, and significant demand for both senior and disability care across dozens of suburban communities. Houston is similarly large with strong IDD and autism care demand. Austin and San Antonio are fast-growing metros with younger family populations and rising autism diagnosis rates. Smaller metros like El Paso, Lubbock, and Amarillo have meaningful underserved populations with less competition. Territory selection is something we evaluate together based on your target area and available markets.
Texas’s HCS (Home and Community-Based Services) Waiver and CLASS (Community Living Assistance and Support Services) Waiver are the two most directly relevant programs for a Butterfly franchise. HCS serves individuals with intellectual and developmental disabilities and is one of the largest IDD waiver programs in the country — but it also has a significant waitlist, which means many eligible clients are not yet receiving funded services. CLASS serves individuals with related conditions and functional limitations. Both require provider enrollment with HHSC and ongoing compliance with documentation and billing standards. Butterfly provides enrollment guidance and billing support specific to Texas’s waiver structure so you understand what’s required before you open.
Texas is a large and growing home care market with established national brands present in most major metros. However the same pattern holds as in other states — most agencies are built around senior care. Butterfly’s specialty focus on autism, IDD, and complex behavioral needs addresses a population that is growing faster than the senior population in Texas and is significantly underserved by existing providers. In a state where 1 in 36 children are diagnosed with autism, families looking for trained, specialized in-home support often have few real options. That’s where Butterfly competes — and it’s a position very few agencies in any Texas market can credibly claim.
Most candidates go from initial inquiry to opening day in approximately 5–6 months. Texas’s PAS licensing process adds setup steps that we factor into your pre-launch timeline so licensing runs in parallel with your other preparation rather than delaying your opening. The pre-launch period — building referral relationships with physicians, therapists, school districts, and disability service organizations — is especially important in Texas given the size of most territory markets. Franchisees who invest in pre-launch outreach open with a pipeline rather than starting from zero.
Yes — though the approach differs. Major metros offer higher population density and faster initial ramp. Smaller and mid-size Texas markets often have less competition, stronger word-of-mouth potential, and communities where a well-run agency can become the trusted local provider relatively quickly. Several of our strongest franchise opportunities nationally are in markets that aren’t major metros. If you have a specific Texas community in mind, bring it to the Discovery Call — territory evaluation is something we do together.

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Franchise territories are limited. If you’re serious about building a purpose-driven home care agency with full support behind you, let’s talk.