In 1972, thanks to the visionary eyes and mind of Dr. Mario E. Ramirez a special act of the 62nd Texas Legislature pursuant of the authority granted to the Legislature by Article 9, Section 9, of the Texas Constitution created the Starr County Hospital District. Established in 1975, Starr County Memorial Hospital is licensed by the State of Texas and accredited by the Centers for Medicare and Medicaid Services (CMS).

SCMH has continually provided health care services to Starr County's growing population. SCMH is a progressive, acute-care general medical center with a Level 4 Trauma Certification offering medical, surgical, obstetric, pediatric, outpatient, and ambulance services.

Currently, SCMH is licensed as a 48 bed acute-care medical center. SCMH has two Rural Health Clinics, the Roma Family Clinic and the Rural Health Clinic located at the hospital.