State legislators and leaders know TORCH is "the voice" for rural/community hospitals, and TORCH maintains a cooperative working relationship with key policy makers in state government. In addition, TORCH works collaboratively with other state organizations interested in preserving and promoting rural hospitals in their endeavors to provide access to health care in rural Texas.
       Communities in Texas benefit from TORCH's activities to preserve health care at the local level to maintain an economic base, and to protect patients by working for approval of adequate practice standards.

On the national level, TORCH works with the National Rural Health Association, the Congressional Rural Health Caucus, and Rural Cooperatives and Alliances in other states, as well as directly with the Texas Congressional delegation, to ensure that rural and community hospital issues are included and addressed in their deliberations.