But then other states' rankings will be affected

From the state committee that used to research these (Texas was #51 not just #50 when including DC): http://www.austinchronicle.com/daily/news/2013-04-15/texas-on-the-brink/

#1 in hazardous waste generated

#1 in population uninsured (and suing at the Supreme Court to get the rest of the US to be like Texas)

#1 in executions

#2 in births

#2 in uninsured children

#3 in subprime credit

#3 in population living in food insecurity/hunger

#4 in teen pregnancy

#4 in percentage of women living in poverty

#8 in obesity

#47 in voter registration

#50 in percentage of high school graduates

#50 in spending on mental health

#50 in percent of women receiving prenatal care

#50 in voter participation

#50 in welfare benefits (with the welfare going to white and wealthier, getting Federal aid "U.S. House approves billions more for Harvey relief, measure now heads to Senate", voting against Federal aid for others "Here's the vote for Hurricane Sandy aid. 179 of the 180 no votes were Republicans... at least 20 Texas Republicans.")

#50 in percent of women with health insurance