| Meeting Number | City | Year of Election | Past Presidents |
| 66 | Round Rock | 2021 | John H. Shrader, RS |
| 65 | Round Rock | 2020 | Stevan Walker, REHS/RS, CPO |
| 63 | Austin | 2019 | Leisha Kidd-Brooks |
| 62 | Austin | 2018 | Russell Obrien |
| 61 | South Padre Island | 2017 | J. Victor Baldovinos CEO, CPO |
| 60 | Austin | 2016 | Monty McGuffin |
| 59 | Austin | 2015 | Joanna Meyer, RS |
| 58 | Austin | 2014 | Cindy Corley, MPH, REHS |
| 57 | Austin | 2013 | Janet Tucker, RS |
| 56 | Austin | 2012 | Steve Killen, RS, CEO |
| 55 | Austin | 2011 | Betty Richardson, RS |
| 54 | Austin | 2010 | Jodie M. Heilman-Halter, MS, RS |
| 53 | Austin | 2009 | Kelly Kirkpatrick-Stockburger, RS |
| 52 | Austin | 2007 | Steven K. Claybrook, REHS, RS |
| 51 | Austin | 2006 | Margie Earl, REHS, RS (Tyler) |
| 50 | Round Rock | 2005 | Sandra Long, RS ( Plano) |
| 49 | Round Rock | 2004 | Richard Briley, RS (Garland) |
| 48 | Round Rock | 2003 | Tommy Bartley, RS (Lubbock) |
| 47 | Fort Worth | 2002 | Elise Dixon, RS (Richardson) |
| 46 | El Paso | 2001 | Shannan Liles, RS (Arlington) |
| 45 | Austin | 2000 | Brian Collins, RS (Plano) |
| 44 | Plano | 1999 | Kenneth Williams, RS (Grand Prairie) |
| 43 | Galveston | 1998 | Debra Laster, RS (Arlington) |
| 42 | San Antonio | 1997 | Mario Seminara, RS (Austin) |
| 41 | Plano | 1996 | Ginger L. Shaffer, RS (Arlington) |
| 40 | Odessa | 1995 | Sally Gutierrez, RS (Austin) |
| 39 | Fort Worth | 1994 | Jodena Henneke, RS (Austin) |
| 38 | Lubbock | 1993 | Anthony Bennett, RS (Austin) |
| 37 | Beaumont | 1992 | Brenda Elrod, RS (Tyler) |
| 36 | El Paso | 1991 | Alvin M Black, RS (Farmers Branch) |
| 35 | Austin | 1990 | Thomas Hatfield, RS (Grand Prairie) |
| 34 | Corpus Christi | 1989 | Janice Coats Hartman, RS (San Antonio) |
| 33 | San Antonio | 1988 | Janet Greenwood, RS (La Marque) |
| 32 | Fort Worth | 1987 | Janet Greenwood, RS (La Marque) |
| 31 | San Antonio | 1986 | A.E. "Ed" Shaffer, RS * (Dallas) |
| 30 | Houston | 1985 | Jim Dunaway, RS (Henderson) |
| 29 | Dallas | 1984 | Thomas L. Edmonson, RS (Wichita Falls) |
| 28 | Corpus Christi | 1983 | Joel H. Sprouls, RS (Tyler) |
| 27 | Galveston | 1982 | Robert Galvan, RS (Richardson) |
| 26 | Fort Worth | 1981 | Roy Ressell, RS (Wichita Falls) |
| 25 | Galveston | 1980 | Alton G. Rogers, RS (Manvel) |
| 24 | Houston | 1979 | Don C. Shaddux, RS * (Fort Worth) |
| 23 | Dallas | 1978 | Royce Little, RS * (Sinton) |
| 22 | Corpus Christi | 1977 | William F. Jackson, RS * (Plano) |
| 21 | Fort Worth | 1976 | Frank Hodges, RS (Irving) |
| 20 | Galveston | 1975 | R. L. Minnich, RS * (Longview) |
| 19 | Houston | 1974 | Lamar B. Ford, RS * (Dallas) |
| 18 | Dallas | 1973 | Henry H. Sprouls, RS (Tyler) |
| 17 | Corpus Christi | 1972 | Jim J. Northcutt, RS (Lubbock) |
| 16 | Fort Worth | 1971 | Jess P. Hardy, RS * (Arlington) |
| 15 | Austin | 1970 | Conn L. Mason, RS * (San Antonio) |
| 14 | Dallas | 1969 | Lou Hollar, RS * (Houston) |
| 13 | Houston | 1968 | Curtis. E. Heaton, RS * (Odessa) |
| 12 | San Antonio | 1967 | Collin C. Calloway, RS * (Dallas) |
| 11 | Corpus Christi | 1966 | Burl Cockrell, RS* (Grand Prairie) |
| 10 | Fort Worth | 1965 | Henry C. Williams, RS * (Duncanville) |
| 9 | Austin | 1964 | I.E. Scott, RS * (Dallas) |
| 8 | Galveston | 1963 | J. G. Hunter, RS * (Austin) |
| 7 | Houston | 1962 | Alex C. Allen, RS * (Bryan) |
| 6 | Fort Worth | 1961 | Curtis E. Posey, RS * (Houston) |
| 5 | Galveston | 1960 | Lige Fox, RS * (Big Springs) |
| 4 | San Antonio | 1959 | Kenneth T. Crane, RS * (San Antonio) |
| 3 | Dallas | 1958 | Kenneth T. Crane, RS * (San Antonio) |
| 2 | Houston | 1957 | Ralph Mitchell, RS * (Austin) |
| 1 | Fort Worth | 1956 | Guy K. Wilkinson, RS * (La Marque) |
