News from the South - Texas News Feed
East Texas hospital to close after reopening 14 months ago
“Financial hardships shutter East Texas hospital 14 months after reopening” was first published by The Texas Tribune, a nonprofit, nonpartisan media organization that informs Texans — and engages with them — about public policy, politics, government and statewide issues.
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Trinity County’s only hospital, which opened just 14 months ago, will close this week as Texas continues to struggle to keep their rural hospitals afloat.
On April 18, the Mid Coast Medical Center announced it would be closing down its operations in Trinity on Friday, citing financial concerns. They gave just a week’s notice to the local hospital board, which fought to keep the hospital operating since doors opened in February 2024.
The closest hospitals to Trinity are about 30 miles away. One is the Mid Coast Medical Center – Crockett, in neighboring Houston County. The other is the Huntsville Memorial Hospital.
Trinity is the latest addition to the growing nationwide problem with rural hospital closures. Since 2005, 109 rural hospitals have completely closed, according to the Cecil G. Sheps Center for Health Services Research. Texas led the nation in rural hospital closures between 2010 and 2020, with one of them being Mid Coast’s predecessor in Trinity County, the East Texas Medical Center, which closed in 2017.
“A rural hospital is a really, really hard thing to do,” said John Henderson, CEO of the Texas Organization of Rural & Community Hospitals. “I give them credit for trying, but the reasons that the original hospital closed the first time still existed when they tried again.”
To partner with insurance companies, Mid Coast Medical Center first had to be licensed through Medicare, hospital board chair Marjory Pulvino said. Hospital officials completed that process nearly a year after the hospital opened and the hospital received its first payment in January 2025.
“All of this time they have not been reimbursed for the care they’ve been providing or the staff,” Pulvino said.
It instead relied upon the Trinity Memorial Hospital District, which is taxpayer funded, to operate. Pulvino doesn’t know how much longer that would have truly been feasible.
“Despite our team’s tireless work to restore services in Trinity, we are simply unable to continue operations under the current circumstances,” said Brett Kirkham, CEO of Mid Coast, in a statement released by the hospital.
The hospital district owns the hospital building and equipment. The district’s board of directors is in active negotiations with a new hospital system in hopes to have them take over health care services, Pulvino said. Even if those negotiations conclude favorably this week, it could still be months before the hospital’s doors reopen.
Trinity County is a largely rural county in East Texas named for its proximity to the Trinity River, which drifts in a horseshoe shape around the county’s southern half. Mid Coast Medical Center’s home in the city of Trinity is in the county’s southern quadrant and about 25 miles north of Huntsville.
More than half of the county’s 14,489 residents are either living in poverty or just making ends meet. About 18% of those under the age of 65 had no insurance in 2023.
“The demographics of rural Texas generally are older, poor, sicker, less insured – which means Medicare, Medicaid or uninsured patients,” Henderson said. “It’s a really, really tough recipe to try to survive.”
Lauren Threlkeld, a Trinity County resident who has lived in East Texas most of her life, is worried about what this will mean the next time she has to take one of her kids to the ER.
Threlkeld was raised in Riverside, which is just south of the Trinity County border, but now lives about 8 miles from the city of Trinity. She loves the peace and quiet of the countryside and has built a strong connection with her neighbors.
Simple living comes with some drawbacks, however. Threlkeld’s 15-year-old daughter was injured badly at a friend’s house years before Med Coast came to town. The teen was raced via ambulance to the emergency room at Huntsville Memorial Hospital. Threlkeld, who was nearly 90 miles away, beat the ambulances there.
“That is absolutely unacceptable,” Threlkeld said. “Us not having a hospital is going to put us in the same situation. That hospital could mean life or death for someone – including myself – one day.”
Mid Coast opened last year amid much celebration. Residents breathed a sigh of relief.
Threlkeld had to use the hospital multiple times since it opened. She was grateful for the short wait times and fantastic care, she said.
“It has just been great to have a hospital again,” she said.
It is exceedingly tough for a hospital to open in a rural community, and they need enough cash to get them “through the desert,” Henderson said.
It took the Trinity hospital board five years to find someone to reopen the hospital, which needed significant upgrades to the building and supplies, Pulvino said. The company and hospital district worked hard to make it work, she said.
Mid Coast had hoped to qualify as a Rural Emergency Hospital, a federal program established in 2020 to financially support small rural hospitals. Mid Coast didn’t qualify, however, because it wasn’t open in 2020.
And there weren’t many other options available to the hospital.
Lawmakers on Wednesday will mull legislation that would offer more support for rural hospitals in similarly dire situations. Henderson sees House Bill 18 by Rep. Gary VanDeaver, also known as the Rural Health Stabilization and Innovation Act, as a great next step toward improving health care for rural Texans.
The bill would establish multiple state entities, such as the State Office of Rural Hospital Finance and multiple grant programs. The bill would cost $48.8 million over the next two years. And there are some aspects that could take spending further. For example, the bill would create the Financial Stabilization Grant Program, which comes with a $100 million price tag, said VanDeaver, R-New Boston.
“A lot of the state dollars going as a result of this bill will not go directly to hospitals, but to put systems in place to avoid closing as so many have,” VanDeaver said.
He sees firsthand how few health care options in rural northeast Texas communities affect his constituents. There will be pushback, because many lawmakers don’t want to create more state programs, he said. But his goal is to save rural hospitals.
The Mid Coast hospital leadership has called on Trinity residents to contact their state and federal lawmakers to help do the same.
“This is a call to action — for the Trinity community, our leaders and our nation — to recognize the unique challenges rural hospitals face and to fight for solutions that keep care close to home,” Kirkham said.
Disclosure: Texas Organization of Rural & Community Hospitals (TORCH) has been a financial supporter of The Texas Tribune, a nonprofit, nonpartisan news organization that is funded in part by donations from members, foundations and corporate sponsors. Financial supporters play no role in the Tribune’s journalism. Find a complete list of them here.
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This article originally appeared in The Texas Tribune at https://www.texastribune.org/2025/04/23/texas-rural-trinity-hospital-closes/.
The Texas Tribune is a member-supported, nonpartisan newsroom informing and engaging Texans on state politics and policy. Learn more at texastribune.org.
The post East Texas hospital to close after reopening 14 months ago appeared first on feeds.texastribune.org
Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.
Political Bias Rating: Centrist
This article from The Texas Tribune presents a straightforward report on the closure of a rural hospital in Trinity County, Texas, and the challenges faced by rural healthcare systems. It provides multiple viewpoints, including statements from local residents, hospital officials, and healthcare experts, along with mention of proposed state legislation aimed at addressing rural healthcare issues. The article includes factual reporting with quotes from both sides of the debate over solutions for rural hospitals, including support for House Bill 18, which focuses on providing state support for rural healthcare.
The article does not exhibit any overt political bias and seeks to inform the public on an issue with wide-reaching consequences. Although the article touches on state-level legislative action, it does not favor any particular political ideology or party. This balanced approach, with a clear focus on the issue at hand and a range of perspectives, aligns it with a centrist tone.
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News from the South - Texas News Feed
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The post Texas Governor Greg Abbott signs school cellphone ban bill in Amarillo on Friday appeared first on www.kxan.com
News from the South - Texas News Feed
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News from the South - Texas News Feed
Rural Texas uses THC for health and economy
“Some rural Texans see THC as a lifeline for their health and economy” was first published by The Texas Tribune, a nonprofit, nonpartisan media organization that informs Texans — and engages with them — about public policy, politics, government and statewide issues.
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MIDWAY — Some who live in Texas’ small towns say that if someone looks close enough, they will see why hemp-derived THC has taken root in rural regions.
Faded crosses on the side of the road and faces of once-promising teens on “Don’t drink and drive” and fentanyl overdose billboards reveal the scars left behind in the isolated parts of Texas, where tight-knit communities have been permanently changed.
Anti-drug hardliners can argue rural Texas’ struggle with substance abuse is why THC has proliferated there and why it needs to be banned, but many cannabis users in the state’s small communities say it has spared them from spiraling further into the destruction of alcoholism and drug addiction.
“I spent over 10 years in the fire service, and I can tell you have seen more fatality and messed up accidents because of alcohol than any other drug,” said Timothy Mabry, a hemp proponent from Canyon Lake. “Also, the difference between someone who is violently drunk and someone who is happily high is drastic. And many of us here have seen it firsthand.”
Hemp supporters say a ban on THC, which lawmakers are mulling, would be catastrophic to rural Texas.
The lack of access to the Texas Compassionate Use Program, the state’s tightly regulated medical marijuana program, and other traditional forms of medical care in those communities has steered users — even those who qualify for prescription drugs — toward consumable hemp products. This has unfolded as rural areas are home to some of the state’s sickest and oldest populations, many of whom are looking for relief from mental illness or chronic pain and find an antidote in cannabis use.
Amid growing addiction problems that hit rural communities harder than their urban peers, some have used hemp products to wean off alcohol or opioids, and farmers and small-town retailers are eager to meet those needs in hopes of boosting their downtown economies.
“My family lives in Belleville in Austin County, a big farm community with maybe 4,000 people total. That little town has maybe 30 storefronts, and three of them are hemp CBD shops. It’s a big part of the economy in these rural areas,” Andy “Doc” Melder, a Navy veteran and founder of Warriors Integrating Possibilities, a group aimed at ending veteran suicide and the opioid epidemic, especially in rural Texas.
On Wednesday, the Texas Senate passed Senate Bill 5 by Sen. Charles Perry, R-Lubbock, which would criminalize products containing any “detectable amount of any cannabinoid” other than cannabidiol and cannabigerol, better known as CBD and CBG, non-intoxicating components of cannabis. This bill would eliminate the majority of hemp products, including those that are legal under the federal definition.
Hemp opponents have given various reasons for a ban, saying the industry is unregulated, caters to children, and that the long-term health effects of cannabis use are still unknown.
The effort by Republican lawmakers who support a ban has spurred blowback from their usual ardent political allies: rural Texans, from farmers to veterans, and the older generation.
Limited access to medical marijuana
Texas has one of the largest rural populations in the country, with about 5 million of its approximately 31 million people living in rural areas. The health outcomes of Texans who live in these regions are significantly worse than their urban peers, partly due to the lack of physical and mental care access.
The inability to find help has driven some people to seek relief elsewhere.
“The funny thing is, my parents sent me to rehab when I was 15 for my cannabis use, and they hated the thought of it. Now they are using cannabis themselves for pain relief,” Melder said.
Some lawmakers have insisted the Texas Compassionate Use Program is the best route for cannabis users with mental illness and chronic pain. However, those who live in rural parts of the state don’t have access to those dispensaries, and if they do, products are expensive and limited.
“We don’t have additional options,” said Ramona Harding, a Navy veteran who lives on a 10-acre farm in Midway.
Currently, the state has two medical marijuana dispensaries, both of which are based in Central Texas, and a third one that has been deactivated, according to lawmakers. Because state law requires those dispensaries to drive products they sell in other parts of Texas back to a designated storage site every day, overhead costs are high, which has contributed to the expensive medical marijuana products.
A $15 bag of hemp-derived THC gummies purchased online could be more effective than a $75 bag of medical marijuana gummies, hemp supporters have said.
Many rural Texans also don’t have insurance to pay for the doctor’s visits required to sign up for the program and medical marijuana usually isn’t a covered benefit under most plans. The costs to participate start to add up, Mabry said.
“There is only a select number of doctors who can do it, so you have to travel, and anytime something touches a doctor’s hand, it costs more,” he said.
Legislation passed earlier this year expanded the medical marijuana program by increasing the number of dispensaries and satellite locations while offering more types of products to users and removing the storage restriction. Medical marijuana producers say the law will help drop prices and increase accessibility but that it could take a few years to happen, including in rural Texas.
Even when the dispensaries expand, some families are unsure if it will still meet their complicated needs.
When Piper Lindeen’s son Zach became the second child to be accepted into the state’s medical marijuana program, she felt pride. After fighting for several years, she and her husband finally had legal access to medical cannabis products that could slow down their son’s severe seizures.
At least that’s what they thought.
Although the Lindeens remain in the program to support it, Zach doesn’t use medical marijuana because some of the chemicals removed from it under state regulations are needed to stop their son’s seizures. They order hemp products from Oregon, which could become illegal if lawmakers approve a ban.
“There is no hope to control his seizures, and we tried,” the Sugar Land resident said of the medical marijuana program.
Combating alcohol and opioid addiction
In June, the Texans for Safe and Drug-Free Youth, the Alcohol and Drug Abuse Council of Deep East Texas, the Andrea’s Project in Amarillo, the Sheriffs Association of Texas, along with other anti-drug groups, sent a letter to Gov. Greg Abbott asking him to ban THC due to concern for children and the risk of impaired driving increasing.
Perry has said multiple times that cannabis might be responsible for veteran suicide, not preventing it, and has questioned the medical benefits since studies he has seen show long-term use causes dementia.
With all those risks and the lack of resources in rural communities to address them, some rural lawmakers like Perry fear THC could wreak havoc in the neighborhoods they represent.
Research has yet to definitively show what long-term impacts of THC use in a community can be, but rural users said they envision safer environments free from more dangerous addictions like alcoholism and opioid abuse.
“I know so many people who have used [hemp-derived THC] to get off tobacco, alcohol, or other pills… and I think that is one of the biggest things it could be used for,” Harding said.
All 177 rural counties in Texas are federally designated Health Professional Shortage Areas for Mental Health, meaning there are not a lot of addiction treatment options in these regions.
A 2022 study by UT Health San Antonio’s substance use disorder response program, Be Well Texas, found that more opioid prescriptions are dispensed to rural Texas residents per capita than to urban residents, contributing to increasing overdose rates and illegal drug markets.
For Harding, cannabis is how she can function each day, as she bears the physical and mental scars from a rape she endured while in service. If cannabis is taken away, she said her only other options are either the pills that were killing her liver slowly or alcohol, which killed her mother, father and brother.
“I have run into so many people and lawmakers who are like, ‘Well, go have some whiskey’. No. It killed my family, and it almost killed me. Alcohol isn’t the answer for everyone in Texas,” she said
The economic costs of a ban
While there isn’t specific data on how many THC shops have opened in the rural parts of the state, a 2025 report by Whitney Economics, which studies data and does economic reports on global hemp and cannabis industries, found the number of physical locations had increased from 5,072 in 2022 to 7,550 in 2024 and was steadily growing all around Texas.
Hemp-related licenses have increased steadily since 2022 for both retailers and manufacturers, the latter of which are usually located in the rural parts of the state. The $5.5 billion industry is estimated to employ more than 53,000 workers, receiving $2.1 billion in wages.
Rural Texas farmers told The Texas Tribune earlier this year that banning THC would mean they would have to stop growing hemp altogether, even if it’s not going to be consumed, because there’s no way to have or manufacture this plant with no detectable THC in it.
Whitney Economics estimated a complete THC ban would shift $10.2 billion in economic activity out of the state, and it would disrupt the hemp supply chain throughout the United States.
“The worst part is if this ban goes through, it’s going to send thousands of farmers, workers, retailers, and more around here and all over the state, belly-up, and for what? No reason,” said Mabry.
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This article originally appeared in The Texas Tribune at https://www.texastribune.org/2025/08/01/texas-rural-thc-hemp-cannabis-marijuana/.
The Texas Tribune is a member-supported, nonpartisan newsroom informing and engaging Texans on state politics and policy. Learn more at texastribune.org.
The post Rural Texas uses THC for health and economy appeared first on feeds.texastribune.org
Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.
Political Bias Rating: Center-Left
This article largely highlights the struggles of rural Texans with substance abuse and limited medical options, emphasizing empathy for cannabis users and advocating for their access to hemp-derived THC products. It critiques restrictive legislation supported by conservative lawmakers and stresses the potential harm a ban could cause both economically and socially. The presentation leans toward supporting cannabis use as a harm reduction tool and addresses public health needs, reflecting a perspective more aligned with center-left viewpoints that favor drug policy reform and expanded healthcare access.
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