Rhode Island

R.I. legislative commission recommends medical school at URI, suggests $20m in ‘seed funding’ – The Boston Globe

Published

2 months ago

January 27, 2026

R.I. legislative commission recommends medical school at URI, suggests m in ‘seed funding’ – The Boston Globe

“It’s clear that enabling Rhode Island students to more affordably enter the primary care field, and supporting them once they make that choice, is both feasible and necessary,” Lauria said.

URI President Marc Parlange, also the commission’s co-chairman, said the medical school would be a “natural and strategic extension” of URI’s work. “It would help address Rhode Island’s primary care shortage while strengthening our state’s economy,” he said in a statement.

Lauria said the commission is calling for the state to provide $20 million in “initial seed funding” for the medical school in the state budget for fiscal year 2027, and $22.5 million in annual state funding beginning in 2029, when the first class of students would arrive. The commission also recommended the General Assembly create “a dedicated, recurring budget line to support ongoing medical school planning, accreditation, and initial operational activities.”

In an October report, the Tripp Umbach consulting firm told the commission the school’s start-up costs would total $175 million, and the commission called for exploring federal grants, a direct state budget appropriation, and a statewide bond referendum.

The consultants projected the medical school would be financially stable by its third year of operation, with costs offset by tuition revenue, clinical partnerships, and research growth. And the consultants projected the school would end up generating $196 million in annual economic activity, support about 1,335 jobs, and contribute $4.5 million in annual state and local tax revenue.

During a Rhode Map Live event in June, some officials called the medical school proposal a distraction from addressing the immediate need to provide more financial support and to improve the shortage of primary care doctors.

“In terms of the problem we face today, that won’t fix it,” Attorney General Peter F. Neronha said at the time. “As the head of Anchor [Medical Associates] said to me when I talked to him, that’s like telling the patient that the inexperienced doctor will be with you in a decade.”

But Lauria said the Senate is pursing short-term, medium-term, and long-term solutions to the shortage of primary care doctors, and the medical school is a long-term solution.

In the short term, Lauria said legislators pushed to speed up a Medicaid rate review aimed at boosting reimbursements for primary care doctors. And she noted the Senate passed legislation prohibiting insurers from requiring prior authorization for medically necessary health care services.

Lauria, who is a primary care nurse practitioner, said Rhode Island is lagging behind other states in Medicaid reimbursement rates. For example, she said, she practices medicine in East Greenwich, but if she did so 23 miles away Massachusetts, she could make 20 percent to 30 percent more.

Senate President Valarie J. Lawson, an East Providence Democrat, noted if the Legislature doesn’t act now on a public medical school, it might be having the same conversation in a decade, she said.

Lawson said her own primary care doctor is retiring at the end of March. “We know that we need to recruit physicians here and we need to retain them,” she said.

The commission report acknowledged that a URI medical school would not solve the state’s primary care problem. “Educating more clinicians is necessary but not sufficient for increasing supply,” the report states.

Doctors tend to stay where they train, so Rhode Island must have a plan to produce more primary care doctors through a residency strategy that incentivizes training more primary care doctors and trains them in places such as community health centers, the report states. Appropriate payment for primary care, reduced administrative burdens for clinicians, and lower uninsured rates could also be considered.

The commission called for creating a Primary Care Commission “to ensure continued focus on achieving a primary care–oriented system of care.” The commission also called for the development of a scholarship program linked to a minimum five-year obligation to local primary care practice.

The commission voted 15-0 in favor of the report. Senator Thomas J. Paolino, a Lincoln Republican on the commission, said, “The importance of this issue cannot be understated. My colleagues and I continually hear from constituents frustrated by skyrocketing healthcare costs, severe workplace shortages, and especially limited access to primary care.”

The commission began its work in 2024 when then-Senate President Dominick J. Ruggerio named 21 people to the panel. In February 2025, the Joint Committee on Legislative Services approved $150,000 for a feasibility study. Tripp Umbach made a presentation on its draft of the report in May.

Edward Fitzpatrick can be reached at edward.fitzpatrick@globe.com. Follow him @FitzProv.

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Rhode Island

This RI Garden Transforms Into a Fairy Wonderland

Published

4 hours ago

March 30, 2026

Press Room

This RI Garden Transforms Into a Fairy Wonderland

It’s New England’s largest indoor public garden and this spring it’ll once again be teeming with fairies.

The Fairy Garden Days return to the Roger Williams Park Botanical Garden this April with hundreds of handmade fairy houses hidden throughout the Garden’s four greenhouses, plus special events and activities planned for kids every day.

Running from April 11-26, 2026, it’s a great day trip during school’s upcoming April vacation or a wonderful weekend adventure to enjoy an early taste of spring.

What Is Fairy Garden Days in Rhode Island?

This annual event has been one of my favorites since my daughters were babies—and we still go back every year.

What Kids Can Do at Fairy Garden Days

Though if your young ones lose interest in the fairy gardens before you do, there are plenty of activities around the greenhouses too. Kids can get hands on at the texture table, create their own wand, pen letters to the fairies or write out wishes, which get released every Thursdays.

Don’t Miss These Outdoor Garden Attractions

Outside the greenhouses are a Japanese-style trail to wander, a rose maze to make your way through and an outdoor play area where the kids can let their imaginations run wild.

Meet the Goats Behind the Garden’s Cleanup Crew

Definitely don’t forget to stop by the goat house between greenhouses 1 and 2 to say hi to the three Nigerian Dwarf goats calling the Botanical Garden home. These three are an invasive plant removal team, helping to naturally rid the Garden grounds of unwanted plants.

The goats will also celebrate their 9th birthdays during Fairy Garden Days, with a special celebration planned for them on Sunday, April 12 from 1:30 – 3 p.m. Just one of the many special events planned throughout the Fairy Garden Days from April 11-26.

Special Events Happening During Fairy Garden Days

Various fairy visits and story times are planned over the two-week event, with face painting each Tuesday and Saturday and bubble shows every Friday. There will also be an animal encounter with Roger Williams Park Zoo on April 11, Greenhouse Jazz on Sunday, April 19, and a performance from the Toe Jam Puppet Band on closing day, April 26.

10 Beautiful Botanical Gardens Across the SouthCoast

When the season is right, there are several spectacular gardens around the SouthCoast that are blooming with rows and rows of beautiful flowers. Here are some of the most popular places to tiptoe through the tulips and so much more.

Gallery Credit: Nancy Hall

See Inside Gorgeous Gardens Hidden Away in Little Compton

For nearly 50 years the grounds of Sakonnet Garden have been growing in what might be the most private garden along the coast.

On certain days, at certain times you can make a reservation to walk among the hundreds of flowers and plants growing in hidden “rooms” on the grounds, or take a sneak peek right now.

Gallery Credit: Nancy Hall

Explore Peaceful Gardens and Towering Cliffs at Immersive Monet

Claude Monet created thousands of works of art over his decades as an artist. He traveled through Europe capturing gardens ,waterways, cathedrals and more. Now you can walk through the world Monet did and experience his artwork in a whole new way at Immersive Monet coming to Boston.

Here’s a taste of the artwork you could be surrounding yourself in.

Gallery Credit: Nancy Hall

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Rhode Island

401Gives Starts Tuesday!

Published

16 hours ago

March 29, 2026

Press Room

This is a big year for us – hiring a full-time reporter – and we need your help This week, East Greenwich News will participate in the 401Gives – an annual fundraiser organized by the United Way of Rhode Island to support nonprofits across the state. This year, 401Gives will run for two days, from […]

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Rhode Island

Medical school at URI won’t ensure primary care docs for RI | Opinion

Published

1 day ago

March 29, 2026

Press Room

Medical school at URI won’t ensure primary care docs for RI | Opinion

Dr. Kelly McGarry and Dr. Maria Iannotti
| Guest columnists

Rhode Island is currently experiencing a significant shortage of primary care physicians.
Opening a new medical school at URI is not seen as a timely or effective solution to the crisis.
Even with more medical school graduates, there is no guarantee they will choose primary care or stay in the state.
Better solutions include increasing pay, offering loan repayment, and reducing administrative burdens for doctors.

The doctor is not in, and there’s not one on the way either. Many Rhode Islanders are well aware that the state is facing a harrowing shortage of primary care physicians. As native Rhode Islanders and physicians invested in quality accessible primary care for our community, we are dedicated to working towards policies to support our state.

A medical school at the University of Rhode Island is not the solution to solve the primary care crisis. A medical school at URI would not provide a timely solution, would likely not achieve the target outcome of increasing the number of primary care physicians in the state, and would likely not address the underlying issue of getting doctors to stay. Instead, resources should be allocated now to supporting primary care in ways that would make sustainable change.

Lack of access to primary care is hurting patients now. A medical school at URI would not be a short- or long-term solution. In addition to the time needed to engineer an accredited medical school, it takes seven years to produce an inexperienced primary care physician. Once trained, there still must be an incentive to stay in Rhode Island. Patients do not have access to necessary care for acute and chronic conditions. The burden on our health care system, impacting ER wait times and hospital capacity, impacts everyone. We cannot afford to wait another decade for a solution.

More physicians does not equal more physicians in primary care or in Rhode Island. If the aim is to produce more physicians from URI’s medical school, this will certainly occur, but we should not delude ourselves into believing it will fix primary care. It’s not due to lack of opportunities. In 2019, the National Resident Matching Program offered a record number of primary care positions, yet the percentage filled by students graduating from MD-granting medical schools in the United States was a new low. Of 8,116 internal medical positions that were offered, just 41.5% were filled by U.S. students; most residency spots went to foreign-trained and U.S.-trained osteopathic physicians.

As medical schools across the country look to debt reduction as a means of encouraging students to enter primary care specialties, their goals have fallen far short. In 2018, The New York University School of Medicine offered full-tuition scholarships to every medical student, regardless of merit or need. In 2024, only 14% of NYU’s graduating seniors entered primary care, lower than the national average of 30%.

There must be an incentive to stay in Rhode Island (or at least not a disadvantage). Our efforts must shift to recruiting and maintaining physicians in primary care. Inequitable reimbursement from commercial insurers between Rhode Island and neighboring states (leading to significantly lower salaries than if you lived here and traveled to Attleboro to care for patients), the lack of loan repayment(average medical student debt is $250,000, forcing the choice between meaning and money), and the ongoing administrative burdens are amongst the drivers away from primary care. Rhode Island needs to get on par with surrounding states to prevent physicians from going elsewhere.

The motivations behind opening a medical school are well intended in terms of wanting to increase the number of primary care providers by enabling local talent to train close to home. Training more people in Rhode Island will not keep them here; it will invest significant resources without addressing the root of the issue. Until there are comparable salaries between Rhode Island and our neighbors, until loan repayment is improved and the administrative burdens are reduced, primary care in the state will forever be fighting an uphill battle. Both providers and patients suffer the consequences.

Dr. Kelly McGarry is the director of the General Internal Medicine Residency at Rhode Island Hospital. Dr. Maria Iannotti is a first-year resident, a Rhode Islander intent on practicing primary care in Rhode Island.

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