06/06/2026
The Village of Coal Grove tried to address what many small Appalachian communities are struggling with: the rapid concentration of recovery housing, concerns about bad actors, patient brokering, Medicaid abuse, and the strain placed on communities already battling addiction and economic hardship.
Now this small Southern Ohio village is defending itself in federal court.
Lawrence County Recovery sued Coal Grove after the village enacted ordinances and a moratorium aimed at addressing these concerns. Under Joe Biden, The U.S. Department of Justice later filed a Statement of Interest arguing that the plaintiff’s allegations, if proven, could violate the Fair Housing Act.
Allegedly, the plaintiff has already spent more than $800,000 in legal fees, and the case is still far from over.
Regardless of how this case ultimately ends, it raises an important question:
What tools do local communities have when they believe they are dealing with fraud, patient brokering, oversight failures, or an overwhelming concentration of facilities?
People in recovery deserve dignity, housing, treatment, and every opportunity to rebuild their lives.
But communities deserve protection too.
We should be able to support recovery while also demanding accountability from operators, transparency in ownership, strong anti-fraud enforcement, and oversight that protects both patients and neighborhoods.
For too long, communities raising legitimate concerns have been dismissed as being against recovery itself. Those are not the same thing.
The people of Appalachia deserve solutions. They deserve a seat at the table. And they deserve policies that target bad actors without punishing those who are genuinely trying to recover.
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