Texas A&M Law, DHR Health Launch CALMA for Free Legal Aid in Hospitals

3 min readSources: Lex Blog

Texas A&M Law and DHR Health launched CALMA, a medical-legal partnership offering free legal aid to patients.

Why it matters: Embedding legal aid in hospitals tackles underlying factors that harm patient health, such as housing or benefit challenges, common in indigent communities. For in-house counsel and legal professionals, CALMA offers a tested framework for integrating legal support where it's needed most and demonstrates hospital-legal partnerships that can improve outcomes and reduce costly repeat visits.

  • CALMA is a new partnership between Texas A&M School of Law Legal Clinics and DHR Health.
  • The initiative delivers free legal aid to eligible patients at DHR Health's Edinburg, TX hospital.
  • Funding comes from a Texas Access to Justice Foundation grant and is managed by the Economic Justice Initiative.
  • A 24-hour legal kiosk provides patient access to resources at any time, with live attorney chats available Monday–Thursday, 10 AM–2 PM.

The Community and Legal-Medical Alliance (CALMA)—a collaboration between Texas A&M University School of Law Legal Clinics and DHR Health—addresses legal barriers that often worsen health outcomes for low-income patients in the Rio Grande Valley.

  • CALMA embeds trained legal staff inside DHR Health’s main hospital in Edinburg, where patients can access help with critical issues like losing housing, public benefits complications, or family law concerns—all of which can disrupt treatment or recovery.
  • The program is backed by a grant from the Texas Access to Justice Foundation, designed for ambitious new access-to-justice pilots, and managed by the Economic Justice Initiative.
  • Legal assistance is provided by a combination of Legal Clinics staff, including law graduates (known as access fellows, who are recent grads focused on direct service) and a staff attorney.
  • Patients and providers can also use a 24-hour legal kiosk co-developed with the Texas Legal Services Center for on-demand resources; live attorney chats are available during specified hours (Monday–Thursday, 10am–2pm).

Dr. Carlos Cardenas, DHR Health’s Board Chairman, notes: “When legal issues remain unresolved for indigent patients, they create delays in seeking medical treatment, repeat visits, or even poorer health outcomes.”

Fatma Marouf, director of Texas A&M’s Legal Clinics, emphasizes the role of medical-legal partnerships (MLPs): “MLPs provide a critical service by recognizing legal needs as a social determinant of health.”

An independent 2023 American Bar Association Journal feature highlights similar MLPs, citing reductions in unnecessary hospital admissions and improved patient well-being when civil legal aid is integrated with care.

For in-house counsel and legal operations leaders, CALMA furnishes a replicable approach to partnering with healthcare providers, potentially reducing system strain and improving preventive care for vulnerable populations.

By the numbers:

  • 1,500+ — Number of families served annually by Texas A&M Legal Clinics (university data)
  • 4 — Hours per weekday live attorney chat is available at the legal kiosk
  • 96% — Increase in demand for legal assistance in Texas hospital settings since 2021 (Texas Access to Justice Foundation)

Yes, but: Access is limited to DHR Health's Edinburg facility patients, and the attorney live chat is available only 16 hours per week.

What's next: Texas A&M and DHR Health plan to monitor CALMA outcomes and publish data on patient impact and legal resolution rates later this year.