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AG urges R.I. health insurance commissioner to reject proposed premium hikes

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AG urges R.I. health insurance commissioner to reject proposed premium hikes


Rhode Island Attorney General Peter Neronha repeated his calls to fix the state’s ailing health care system in a memo opposed to proposed health insurance premium hikes. The memo also contained thoughts on the subpar funding and financials of Rhode Island’s hospitals, which Neronha also discussed at length during a Health Care Summit at the Rhode Island State House on May 28, 2024, seen here. (Alexander Castro/Rhode Island Current)

Deny, deny, deny: That’s what Rhode Island Attorney General Peter Neronha is asking the state’s health insurance commissioner to do with the premium hikes requested by a half dozen Rhode Island insurance companies for 2025.

Neronha’s office shared on Tuesday a letter to Cory King, who leads the state’s Office of the Health Insurance Commissioner (OHIC). In his letter, Neronha asks the commissioner to reject health insurers’ requested increases that “range from an arguably modest 2.5% to an astronomical 22.7%.”

Earlier this month, Neronha issued a memo opposing proposed 2025 rates by Blue Cross Blue Shield of Rhode Island, the only individual market insurer who submitted an increase more than 10% higher. Neronha’s latest critique is a blanket rejection of proposed increases for small- and large-group plans from six insurance companies.

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Neronha being at odds with health insurers is nothing new — he recommended against requested rate hikes last year, too. King’s office approved most requested rates, albeit with a few percentage points shaved off, which still led to a savings of approximately $24 million. The commissioner is expected to release his office’s decision on this year’s proposed rates later this month.

The Office of Attorney General uses actuaries to analyze proposed rate increases and determine their feasibility. The health insurance commissioner also analyzes the rates, solicits public feedback and ultimately approves or denies the requested increases.

Neronha, whose job duties include consumer protection, wrote in his latest memo that actuarial recommendations might only scratch the surface of a deeper problem. 

“It is not the role of the Attorney General to simply advise whether the actuarial projections provided by an insurer can support requested rate increases; rather, it is incumbent upon the Attorney General to also determine whether such increases are warranted given the health care and economic landscape against which they are sought,” Neronha wrote. “[T]o put it bluntly, we have a system that is broken.”

Neronha pointed out in his memo that “despite significant collective” investment in the health care system, U.S. residents don’t get much bang for their buck, with life expectancy six years lower than in similar countries and subpar health outcomes for people of color. 

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Another systemic problem, specific to Rhode Island: The health insurance commissioner only had jurisdiction over about 15% of Rhode Islanders, thanks to what Neronha calls “the fractured nature of our regulatory scheme.” King’s office reviews rates for only certain kinds of insurance. Self-insured employers who offer insurance via the Employee Retirement Income Security Act of 1974 (ERISA) are exempt because federal law dictates those arrangements. 

Still, Neronha added in a footnote that some health insurers have started to use this office’s tips on methodology, such as changing the data sources used for calculating manual rates, tweaking risk adjustment calculations or calculating small group rates based on comparable data from Massachusetts rather than Pennsylvania.  

“Yet, even when robust actuarial methods are followed, rate increases continue,” Neronha wrote. 

In response to Neronha’s latest critique, Blue Cross reiterated its previous statement: Rising prescription drug costs and higher utilization of medical services in the post-pandemic age ultimately led Blue Cross to an operating loss of $26 million in 2023, wrote spokesperson Jeremy Duncan in an email Thursday.

Spokespeople for both Neighborhood Health Plan and UnitedHealthcare had no comment on Neronha’s memo. The latter had the priciest request overall, with a proposed 22.7% hike on small group market rates. 

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Neronha’s office did not respond to multiple requests for copies of its actuaries’ reports and recommendations.  

Any proposed rate increase over 10% requires review by the attorney general’s office, which is why Neronha targeted Blue Cross in his earlier comments and left alone Neighborhood, with its 5.6% increase. But the most expensive proposals — and the largest number of people whose premiums would be affected — are found in the proposed increases for small- and large-group plans offered by employers. 

Al Charbonneau, executive director of Rhode Island Business Group on Health (RIBGH), wrote in an emailed statement that the group “agrees with the Attorney General that our healthcare system, both in Rhode Island and across the country, is indeed broken…and we support the Attorney General’s call for more substantial changes.”

The rate increases should be rejected, Charbonneau wrote, as they contribute to an “unsustainable” and expensive situation for Rhode Island consumers. A recent brief from the group found that nearly 28% of median household income can now be attributed to Rhode Island’s commercial family premiums. 

“Our analysis shows that the delivery system is the major cause of increasing premiums, although all involved in the provision of services and insurance need to contribute more to affordability,” Charbonneau wrote. “RIBGH supports the idea of paying more to primary care physicians and nursing personnel but also calls for a thorough understanding of where the money was spent if it was not used to support nurses, for example.”

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Send-off ceremony held for Special Olympics Rhode Island athletes heading to USA Games

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Send-off ceremony held for Special Olympics Rhode Island athletes heading to USA Games


The local community hosted a send-off celebration for Special Olympics Rhode Island athletes on Friday.

Twenty-four athletes, along with partners, coaches, and medical personnel, are traveling to Minneapolis for the 2026 Special Olympics USA Games.

The local community hosted a send-off celebration for Special Olympics Rhode Island athletes on Friday. (WJAR)

Textron hosted the team in a private jet for travel to the games, officials said.

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“The USA Games represent months of dedication, hard work, and perseverance for our athletes,” President and CEO of Special Olympics Rhode Island Ed Pacheco said. “Our athletes, Unified partners, and coaches carry with them the hopes and aspirations of achieving gold while representing the very fabric of our great state. This journey would not be possible without Textron, and we are incredibly grateful for their support in creating a once-in-a-lifetime experience for Team Rhode Island as they travel to compete on the national stage.”

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Officials said the 2026 Special Olympics USA Games will be held from Saturday through next Friday.



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Rhode Island Pride turns 50 this weekend: ‘Queer joy is resistance’ – The Boston Globe

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Rhode Island Pride turns 50 this weekend: ‘Queer joy is resistance’ – The Boston Globe


“They were truly the unrelenting voices of their time, and made sure that this was something that happened because they knew it was important,” Jess Motyl-Szary, director of Rhode Island Pride, said in an interview on Thursday.

Emcee Dion Sage entertains festival-goers at the Providence Innovation District Park during 2022’s PrideFest.DebeeTlumacki

The 1976 pride march came after local Bicentennial Committee organizers “refused meeting space for the group of community members hosting the Congress of People with Gay Concerns,” according to research by Matthew Lawrence and published on the Providence Public Library’s website.

“Calling themselves Toward a Gayer Bicentennial Committee, the group sued the official Bicentennial Committee and won the right to assemble at the Old State House, where about 30 people met in June 1976 to discuss civil rights concerns,” according to Lawrence.

But the contingent also had to fight to join the Bicentennial Parade after they were initially denied the right to do so by officials who pointed to the state’s anti-sodomy law at the time, according to Motyl-Szary.

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The 76ers “knew that being a part of an existing parade meant there was a little bit of safety there, because it was an existing infrastructure,” Motyl-Szary said.

“But it also meant that there was a much higher visibility for them to be able to be out there, be proud, and show other people who might not have been out that there is a safe space for them,” Motyl-Szary said.

With the assistance of the American Civil Liberties Union, they won the right to march, she said.

“It wasn’t safe to be out in the ’70s,” Motyl-Szary said. “Incredibly great people marched. Some had to march with paper bags on their heads because there were no legal protections to protect their jobs, their home, their families, but [it was] still incredibly brave to go out there, create visibility, and create this organization.

“Being here 50 years later, and being a part of their legacy has been so incredible,” she said.

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A lot has changed for LGBTQIA+ Rhode Islanders in the decades since, Motyl-Szary said.

“But the closeness of it still feels relevant because we’re seeing these continued attacks in our community, and a very real resurgence of attacks on the LGBTQIA+ community, especially our trans brothers, sisters, and siblings,” Motyl-Szary said.

The Rhode Island PrideFest and illuminated Night Parade in Providence, R.I., in 2022.DebeeTlumacki

Since returning to office last year, the Trump Administration has taken aim at transgender rights across the country, especially after President Donald Trump signed an executive order recognizing two sexes, male and female. Among other actions, Trump has often sought to tie adherence to the order with federal funding requirements, and the administration has also attempted to gather private medical records from hospitals that provided gender-affirming care to transgender children and teens.

Reflecting on what pride means to her right now, Motyl-Szary said pride festivities are new to at least somebody every year.

“Someone is coming and getting to feel this embrace, this huge hug of their community for the first time every year,” she said. “And in a time like this, when our community is being told that we are hated by the rest of our community, by the rest of our country, when we are told we should hate ourselves, coming out and celebrating ourselves, loving ourselves, loving each other is so incredibly important. Our community creates the space that we need.”

Motyl-Szary said she also believes that “queer joy is resistance.”

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“There is a real need for us to have a space and a celebration of who we are and to remind ourselves that we are worthy of love and that we are worthy of being a part of a community that gathers, celebrates, and fights for ourselves and our rights,” she said.

Rhode Island Pride kicks off on Friday night with the “Golden Anniversary Eve” party from 6 to 8 p.m. at the 195 District Park in Providence, Motyl-Szary said.

Festivities continue at the park on Saturday with yoga at 10 a.m. and PrideFest entertainment beginning at 11 a.m., alongside approximately 260 vendors, she said. A rally at 2 p.m. will focus on “what’s happening, get people motivated to be involved in [the] community to speak up and be an activist in whatever way is right for their path of activism,” Motyl-Szary said.

The Illuminated Night Parade steps off at 7:30 p.m. at Washington and Empire streets before moving through downtown Providence, according to organizers.


Christopher Gavin can be reached at christopher.gavin@globe.com.

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Rhode Island Pride marks 50th year as early marcher recalls Providence’s first parade

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Rhode Island Pride marks 50th year as early marcher recalls Providence’s first parade


While Rhode Island prepares for its 50th Pride celebration, many are looking back on the history of the event and remembering the people who launched the movement.

“Being in the first parade in 1976, it was the bicentennial year,” said Billy Mencer Ackerly. “It was absolutely very scary and we didn’t know what was going to happen.”

Mencer Ackerly was among a group of between 70 and 100 people who marched in Providence’s first pride parade in June of 1976, at the time of the nation’s bicentennial celebration.

“People on the sidelines were still looking at us like we just came off of a spaceship,” Mencer Ackerly said. “It was almost like they didn’t believe that we would have enough courage to be able to say who we were.”

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Billy Mencer Ackerly was among a group of between 70 and 100 people who marched in Providence’s first pride parade in June of 1976, at the time of the nation’s bicentennial celebration. (WJAR)

For some, it was a chance to come out and be seen. For others, like Billy’s family members who took part in the parade, it was an opportunity to show their support.

“My mother was in a car with two other mothers, and it was driven by a gay guy. And on each side of the car it said, ‘I’m proud to say my child is gay,’” Mencer Ackerly said. “It was the best thing my mother ever did for me.”

But the parade itself was almost shut down before it began.

“They were denied the parade by the police chief who said there would be no parade in providence over his dead body,” retired judge and former civil rights attorney Stephen Fortunato said.

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First, the bicentennial commission rejected a proposal to include the pride parade in the bicentennial celebrations.

“They can be gay. I have no qualms about their activity or their private habits. We denied endorsement primarily because their activities do not sufficiently relate to the bicentennial,” said Patrick Conley in 1976. He was the Chairman of the Bicentennial Commission at the time.

Stephen Fortunato, who was a civil rights attorney at the time, took on the case.

“This group was ostracized, hated, discriminated against,” Fortunato said. “These civil rights and civil liberties cases depend on the courage of individual people or groups of people like the gay community at the time.”

Billy Mencer Ackerly's mother, among other mothers, were in a car that read 'I'm proud to say my child is gay' during the first parade.

Billy Mencer Ackerly’s mother, among other mothers, were in a car that read ‘I’m proud to say my child is gay’ during the first parade.

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They took the case to federal court and won, paving the way for not just one parade, but five decades of love, acceptance and visibility.

“This movement is based on love,” said Rodney Davis, the current president of Rhode Island Pride. “I want people to come and experience themselves. Their whole selves, who they are.”

This year, organizers are honoring those who came before as well as the tens of thousands of people who show up every year to continue to carry the torch.

“Our theme for this year is ‘We are the people,’ because without everyone America isn’t America,” Davis said.

NBC 10 asked Davis what he hopes to see in the future.

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“I want to get to a point where we don’t have to fight to exist,” Davis said. “It’s gotten better, but it’s not there yet.”

Since 1976, Mencer Ackerly has attended Rhode Island’s Pride celebration nearly every year. This coming weekend, he’s once again looking forward to participating.

“When I’m in the parade, I will also be thinking of all those ’76ers that have passed away over the years and about their bravery and their courage,” Mencer Ackerly said. “And I just believe they’ll be clapping up in heaven and celebrating for all of us.”

This year’s PrideFest kicks off Saturday morning at 10:00 a.m. at District Park in Providence.



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