More than 200 days after it closed, Insight Hospital & Medical Center Trumbull returned to the practice of health care Tuesday morning. To do so, Insight Health System officials had to address a scathing facility assessment, secure Medicare and Medicaid licensing, reengage a dispersed workforce and navigate a federal shutdown. “It’s been quite a process,” Warren Mayor Doug Franklin said Tuesday. “There probably hasn’t been a day that’s gone by that I haven’t been working with both U.S. senators — Sen. (Jon) Husted and Sen. (Bernie) Moreno — along with our ...