How THA Strengthens Texas Healthcare Through Policy, Workforce Solutions, and Community Collaboration

As healthcare continues to evolve in response to post-pandemic challenges, workforce shortages, and an ongoing mental health crisis, the institutions that support the backbone of healthcare—hospitals—are under immense pressure. In Texas, where geographic and demographic diversity create unique complexities, the role of hospital associations in steering policy and support services is more vital than ever. With over 9,000 bills filed in the last legislative session, the stakes for hospitals couldn’t be higher.

What exactly does a state hospital association do—and how does it shape the future of healthcare access, funding, and staffing in Texas?

On this episode of I Don’t Care, host Dr. Kevin Stevenson welcomes John Hawkins, President and CEO of the Texas Hospital Association (THA), for an insightful conversation that breaks down the THA’s multifaceted mission. From advocacy and workforce development to behavioral health infrastructure, John shares how the organization serves as a policy convener, education hub, and essential ally to hospitals across the state.

Key Takeaways from the Conversation:

• Statewide Advocacy and Policy Development:
  THA represents 85% of acute care hospitals in Texas, navigating the unique needs of urban and rural institutions alike. John emphasizes the association’s proactive approach to advocacy—engaging members to identify issues, form policy recommendations, and present unified solutions to the state legislature.

• Workforce Crisis and Pipeline Solutions:
  Hawkins underscores the ongoing crisis in healthcare staffing, especially nursing and allied health roles. THA is tackling this head-on by supporting performance-based funding for community colleges, promoting healthcare careers early, and expanding behavioral health workforce initiatives.

• Behavioral Health, Violence, and Access Challenges:
  With increasing demand for behavioral health services, John discusses how THA is pushing for more funding, better discharge solutions, and telehealth expansion. He also addresses workplace violence, noting THA’s legislative wins in requiring hospitals to implement both preventive and reactive safety measures.

John Hawkins became President and CEO of the Texas Hospital Association in January 2022, becoming only the sixth individual to lead the organization since its founding in 1930. With a background in government and public policy from the University of Texas, John spent nearly two decades leading THA’s government relations team before stepping into the CEO role. His deep policy experience and commitment to healthcare advocacy have made him a pivotal voice in Texas health system strategy and reform.