From 2007 to 2011, the Texas Falls Prevention Coalition (TFPC) was under the leadership of the Texas Association of Area Agencies on Aging (T4A). In 2007, T4A submitted a grant application to the Department of Aging and Disability Services (DADS) and received a $200,000 grant to implement the A Matter of Balance Lay Leader model in Texas. Drs. Marcia Ory and Matthew Smith were involved in the evaluation of the project, and 77 Master Trainers and 55 Coaches were trained, while 1,100 older Texans participated in A Matter of Balance.

In 2008, another $200,000 was awarded by DADS to TFPC. The coalition consisted of 25 of 28 AAAs. A part-time TFPC coordinator was hired. In September 2008, Humana became the statewide sponsor and awarded TFPC $100,000. In 2008, the Governor of Texas signed a Proclamation in recognition of Falls Prevention Awareness Day.

From 2011-2014, TFPC leadership transferred to Area Agency on Aging of Tarrant County. The coalition broadened its focus and was expanded to the Evidence-based Programs Coalition.

In 2014, Texas A&M University assumed leadership of TFPC. Marcia Ory, PhD, MPH, of Texas A&M University, formed a steering committee to guide the work of the coalition, and TFPC grew to over 100 organizations. TFPC coordinated Falls Prevention Awareness Week, local events, and educational opportunities. TFPC had a quarterly newsletter and worked with the state to create the Governor’s Proclamation. In 2017, Matthew Smith, PhD, MPH, CHES, also of Texas A&M University, led efforts to transform TFPC to the Active for Life Coalition. Active for Life combined falls prevention and chronic disease, broadening its areas of focus and making it more encompassing.

In 2022, coalition leadership transferred to Texas Healthy at Home and WellMed Charitable Foundation. The coalition’s focus narrowed once again to falls prevention, and its name changed to Texas Takes on Falls Coalition. A Strategic Planning Committee was formed, and the 2022-2024 Texas Takes on Falls Mission and Strategic Plan were developed. The coalition is currently developing the 2025-2026 Strategic Plan.