This report provides an overview of Texas peer providers’ training needs and challenges with a focus on how these needs and challenges vary by Public Health Region (PHR). PHR differences were examined to inform the provision of peer training and technical assistance to support regional needs. The results in this report are based on secondary data analysis of the FY2019 Texas Peer Provider Work Settings and Practices survey and include data from peer provider respondents who are currently or have ever been employed in a peer role (n=470). Figure 1 displays the number of peer provider respondents from each PHR.