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  • John Hawkins
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    John M. Hawkins is president and chief executive officer of the Texas Hospital Association. He is the organization’s sixth CEO since its inception in 1930. A longtime advocacy veteran, Hawkins has more than 35 years of experience in legislative, leadership and policy circles and has deep knowledge of health care and hospital funding issues. As CEO, he represents the Texas hospital industry locally and nationally and helps ensure hospitals have the resources they need to deliver the highest quality health care to all Texans.

Articles by John Hawkins

Torn collage showing affordable care on the left with a doctor examining a child, and costly insurance on the right with a money pile atop a chair and an insurance form in the background.
April 28, 2026
4 min read

Insurance Companies Shift Health Care Costs to Patients

This article was published in the El Paso Times on April 23, 2026. The cost of health care in America is unsustainable. Patients feel it, hospitals see it and policymakers are under pressure to act. Hospitals agree that health care costs are too high, and they are constantly working to lower costs without sacrificing safety and quality. Highly skilled health…
Gloved hand holding a glowing light bulb in front of a hospital ICU scene with a patient and a heartbeat line across the image.
April 21, 2026
3 min read

Facility Fees Keep the Lights On, Not Line Pockets

It’s no secret that the cost of health care has spiraled, and both patients and hospitals are feeling the strain. As the cost of care continues to dominate headlines, several misconceptions have emerged about what is actually driving those increases. Outpatient payments — more commonly known as facility fees — have taken the brunt of this scrutiny. Critics often portray…
March 19, 2026
3 min read

Planting the Seeds for 2027: Stay Engaged in the Interim

At Austin’s most well-known building, plenty of important work happens when most of Texas isn’t paying much attention. In even-numbered years, when the Texas Legislature isn’t in session, our state lawmakers still have plenty to do at the Capitol – and so does the Texas Hospital Association. That’s when legislative committees study specific topics – known as interim charges –…
February 19, 2026
4 min read

Hospitals Want to Bring Costs and Prices Down. Let’s Attack the Root Causes of the Problem.

We’re all hearing a lot about affordability these days. In these polarized times, one of the few things most of us can agree on is that too many things are too expensive. When people get specific about the things they pay too much for, health care expenses are as likely to come up as just about anything. Naturally, many of…
January 22, 2026
3 min read

With Large Federal Rural Health Award, Promising Possibilities Abound for Texas

Many of us look at a new year as a new beginning – and if the year ahead is going to be better than the one preceding it, it’s good to start your journey with positives and reasons for optimism. Thanks to a historic investment from our federal government, Texas’ rural hospitals and communities are starting the year with 281…
December 18, 2025
5 min read

Tested at Every Turn: A Look Back at THA’s Action-Packed Year

After this year’s regular session of the Texas Legislature adjourned in June, I wrote that – in my experience, at least – there had never been a legislative session like it before. Now that we’re about to close the final chapter of 2025, I can safely apply that truth on a broader scale: for Texas hospitals, there’s never been a…
Texas Hospital Association
December 11, 2025
4 min read

Keep Texans Insured – for Everyone’s Health

It feels a bit like running to stand still. The longest government shutdown in U.S. history is now over, but America’s health remains in limbo. With no deal to extend federal tax credits, up to a million Texans are still at risk of losing critical subsidies that help make health insurance premiums financially within their reach. Without the subsidies, access to their physician’s care might be out of reach as well.
December 8, 2025
4 min read

Keep Texans Insured – for Everyone’s Health

With no deal to extend federal tax credits, up to a million Texans are still at risk of losing critical subsidies that help make health insurance premiums financially within their reach. Without the subsidies, access to their physician’s care might be out of reach as well. If Congress does not act soon to extend enhanced premium tax credits, this targeted…
November 18, 2025
5 min read

Health Care Should be Exempted From Dramatic H-1B Visa Fee Hike

“Access to care” is a broad term heard a lot in our industry. Providing and improving it is always the aim, but there are many pieces to that puzzle – untold numbers of angular pieces involving patient, insurer and workforce factors. At the heart of that effort is bringing highly skilled medical professionals together with the patients who need their…
October 16, 2025
4 min read

Let the Shutdown Be a Reminder: Hospitals Need Long-Term Certainty From Congress

At the start of this month, the federal government shut down for the first time in nearly seven years. This column is written in advance, and it’s possible that by the time you’re reading this, Democrats and Republicans will have ended their standoff and found at least a short-term funding solution to keep the government open. We at the Texas…