Governed by the Texas Government Code, Chapter 437 (Texas Military), Subchapter H. (Awards), the Texas Medal of Merit is awarded to a member of the military forces of this state, another state, or the United States who performs outstanding service or attains extraordinary achievement in behalf of the state or United States.
Ribbons do not include the rack or pin-on backing.
https://tmd.texas.gov/texas-military-department-state-awards