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Rhode Island General Assembly Approves Comprehensive HEALTH Initiative to Enhance Healthcare Access and Affordability – Newport Buzz

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Rhode Island General Assembly Approves Comprehensive HEALTH Initiative to Enhance Healthcare Access and Affordability – Newport Buzz


A sweeping legislative package designed to improve healthcare access and affordability in Rhode Island, known as the Rhode Island HEALTH Initiative (Holistic Enhancement and Access Legislation for Total Health), has been approved by the General Assembly and is now awaiting the Governor’s signature.

Announced in March by Senate President Dominick J. Ruggerio, Senate Majority Leader Ryan W. Pearson, Senate Health & Human Services Committee Chairman Joshua Miller, Senate Environment & Agriculture Committee Chairwoman Alana M. DiMario, and Senate Health & Human Services Committee Secretary Pamela J. Lauria, the initiative seeks to address the critical challenges facing the state’s healthcare system.

“Few issues are as important as healthcare, and right now, our healthcare system is in critical condition. Healthcare must be accessible and affordable for all Rhode Islanders. But for too many people in our state, care is too expensive or too difficult to get. And we know that many healthcare providers are feeling enormous strain due to many factors. Like providers and consumers, our community hospitals, including Fatima in my district, are facing difficult circumstances,” said President Ruggerio (D-Dist. 4, North Providence, Providence). “I want to recognize the outstanding work of my colleagues in the Senate in the development of this package of bills and thank our many partners, including vital stakeholders, for working collaboratively with us on these issues. As we celebrate our victories in the 2024 session, we remain committed to continuing our work on this issue and accomplishing all the objectives of the HEALTH Initiative.”

“We are very fortunate in the Senate to have such a knowledgeable and dedicated membership committed to addressing the challenges facing our state. When we approached the development of this package of bills, we wanted to take a holistic approach to addressing the many intertwined factors that impact the healthcare system. These bills – the Rhode Island HEALTH Initiative – are taking important steps that, taken together, will have a real impact on improving the health of our healthcare system, containing costs for providers and consumers, and improving access to care,” said Leader Pearson (D-Dist. 19, Cumberland, Lincoln).

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Consumer Protection

“As a licensed mental health counselor, I am closely connected to the struggles of patients as they navigate so many facets of their lives. But for too many, simply trying to navigate our healthcare system only adds to their struggle. It’s more than just the cost – it’s the obstacles they too often face in terms of transparency and predictability. That’s why we focused on consumer protections as a pillar of this initiative,” said Chairwoman DiMario (D-Dist. 36, North Kingstown, Narragansett, New Shoreham).

Key legislation under this pillar includes:

  • Hospital determination of Medicare & Medicaid eligibility for uninsured patients (Sponsored by Sen. Lauria, 2024-S 2714Aaa): Requires hospitals to screen uninsured patients for Medicaid, Medicare, and other financial assistance programs, and hold invoices until 30 days after discharge for application review. This legislation has passed the General Assembly and will be sent to the Governor.
  • State purchase of medical debt through ARPA funding (Sponsored by Sen. Mark McKenney, 2024-S 2712Aaa): Utilizes federal funds to buy and eliminate medical debt for eligible Rhode Islanders. This measure was incorporated into the FY25 state budget, now signed into law.
  • Prohibition on medical debt reporting to credit bureaus (Sponsored by Sen. Melissa Murray, 2024-S 2709A): Prohibits debt collectors from reporting medical debt to credit bureaus and sets rules for communication and false representation. This legislation has passed the General Assembly and will be sent to the Governor.

Provider Availability & Care Quality

“Over the years in my work as a primary care nurse practitioner, it has become increasingly clear the many ways in which our healthcare system is struggling. A shortage of providers across all facets of the health system is an especially urgent concern, and while that starts with primary care, it extends to nurses, specialists, counselors, and beyond. One of the pillars of the Rhode Island HEALTH initiative seeks to address the issue of provider availability, because to truly ensure everyone has access to quality care, we must have enough providers to meet our needs,” said Senator Lauria (D-Dist. 32, Barrington, Bristol, East Providence).

Legislation under this focus includes:

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  • Enhanced Curriculum & Clinical Training (Sponsored by Sen. Lauria, 2024-S 2716A): Allocates $2.7 million to primary care practices for training future healthcare providers. This measure was incorporated into the FY25 state budget, now law.
  • Primary Care Scholarship Program (Sponsored by Sen. Lauria, 2024-S 2717A): Part of the Wavemaker Scholarship Program, it funds scholarships for primary care physicians, nurse practitioners, and physician’s assistants who commit to practicing in Rhode Island. This program was also incorporated into the FY25 state budget.
  • Social Work Interstate Licensure Compact (Sponsored by Sen. DiMario, 2024-S 2184A): Establishes an interstate licensure credential for social workers, increasing access to mental health support. Passed by the General Assembly and sent to the Governor.
  • Counseling Compact (Sponsored by Sen. Matthew LaMountain, 2024-S 2183): Adopts an existing compact to increase mental health support access. Passed by the General Assembly and sent to the Governor.
  • Audiology Compact (Sponsored by Senate President Pro Tempore Hanna Gallo, 2024-S 2173): Establishes a compact for audiology and speech-language pathology. Passed by the General Assembly and sent to the Governor.
  • Occupational Therapy Compact (Sponsored by Sen. Miller, 2024-S 2623A): Adopts the Occupational Therapy Licensure Compact. Passed by the General Assembly and sent to the Governor.
  • NCLEX Pending Exemption (Sponsored by Senate Majority Whip Valarie Lawson, 2024-S 2083): Allows nurses to practice before taking the NCLEX exam. Passed by the General Assembly and sent to the Governor.

Cost Containment

“Healthcare is an extremely complex policy area. The details can be daunting, and consensus can be difficult to reach. I am grateful to Senate leadership, the members of the Health & Human Services Committee, the staff members and stakeholders who support and inform our work, and my colleagues for their efforts to advance this initiative. We have made cost containment a priority because it’s no secret that inflation has placed financial strain on Rhode Islanders, and increasing medical costs are not sustainable for our state’s working families,” said Chairman Miller (D-Dist. 28, Cranston, Providence).

Fud Benson Obituary

The primary cost containment measure:

  • Price Transparency (Sponsored by Senate Minority Leader Jessica de la Cruz, 2024-S 2078): Requires hospitals to publish pricing information for 300 “shoppable services” and a comprehensive file for all items and services. Passed by the General Assembly and sent to the Governor.

 

 

 


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Rhode Island

A new safety role at Rhode Island College comes into sharper focus after Brown shooting – The Boston Globe

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A new safety role at Rhode Island College comes into sharper focus after Brown shooting – The Boston Globe


Lawrence was recently named RIC’s first emergency management director, a role college leaders had been planning before the December mass shooting across town at Brown University, but which took on new urgency after the tragedy.

Few resumes are better suited to the job.

A 20-year career in the New York Police Department. Commanding officer of the NYPD’s Employee Assistance Unit. A master’s degree from Harvard.

Lawrence got to Rhode Island the way a lot of people do: through someone who grew up here and never really left, at least not in spirit. Her husband, Brooke Lawrence, grew up in West Greenwich, and is director of the town’s emergency management agency.

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“I couldn’t imagine retiring in my 40s,” Lawrence told me. “And I couldn’t imagine not giving back to my community.”

Public service has been part of Lawrence’s life for as long as she can remember. A New Jersey native, she dreamed of following in the footsteps of her mentor, a longtime FBI agent. She graduated from Monmouth University and earned a master’s degree in forensic psychology from John Jay College in 2001, shortly before the Sept. 11 attacks.

There was high demand for police in New York at the time, so Lawrence raised her hand to serve. She worked her way up the ranks from patrol to lieutenant, eventually taking charge of the department’s Employee Assistance Unit, a peer support program that helps rank-and-file officers navigate the most traumatic parts of the job. She later earned a second master’s degree from Harvard’s Kennedy School.

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“It’s making sure our officers are getting through their career in the same mental capacity as they came on the job,” Lawrence said.

There’s a version of Lawrence’s new job that feels routine, especially at a quiet commuter campus like Rhode Island College. And when Lawrence was initially hired part-time last fall, it probably was.

Then the shooting at Brown University changed the stakes almost overnight.

On Dec. 13, Claudio Manuel Neves Valente, a Portuguese national and one-time student at Brown, opened fire inside the Barus and Holley building, killing two students and injuring nine others. Neves Valente also killed an MIT professor before he was found dead in a New Hampshire storage unit of a self-inflicted gunshot wound.

In eerie videos recorded in the storage unit, Neves Valente admitted that he stalked the Brown campus for weeks prior to his attack. He largely went unnoticed by campus security, which led the university’s police chief to be placed on leave and essentially replaced by former Providence Police Chief Colonel Hugh Clements.

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Lawrence assisted with the response at Brown. She leads the trauma response team for the Rhode Island Behavioral Health Medical Reserve Corps, which staffed the family reunification center in the hours after the shooting.

RIC’s campus is more enclosed than Brown’s — there are only two major entryways to the college — but there are unique challenges.

For one, it’s technically located in both Providence and North Providence, which requires coordination between multiple public safety departments in both communities.

More specifically, Lawrence noted that every building on campus has the same address, which can present a challenge in an emergency. Lawrence has worked with RIC leadership and local public safety to assign an address to each building.

Lawrence stressed that she doesn’t want RIC to overreact to the tragedy at Brown, and she said campus leaders are committed to keeping the tight-knit community intact.

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But she admits that the shooting remains top of mind.

“Every campus community sees what happened at Brown and says ‘please don’t let that happen to us,’” Lawrence said.

Lawrence said everyone at RIC feels a deep sense of responsibility to keep students safe during their time on campus.

And she already feels right at home.

“I want to come home from work every day and feel like I made a difference,” she said.

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Dan McGowan can be reached at dan.mcgowan@globe.com. Follow him @danmcgowan.





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Taylor Swift And Travis Kelce Tying The Knot In RI? Online Casino Doesn’t Think So

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Taylor Swift And Travis Kelce Tying The Knot In RI? Online Casino Doesn’t Think So


If you thought the smart money was on pop icon Taylor Swift and gridiron star Travis Kelce tying the knot in Rhode Island, an online crypto casino and sportsbook is here to tell you you’re wrong.

The Ocean State was the second favorite at +155 and 39.22%, and Pennsylvania and Ohio were together at a distant third at +1,600 and 5.88%.

Tennessee was the fifth choice at +2,000 and 4.76%.

“New York is the favourite because it’s the city most closely tied to Taylor Swift’s public life, with multiple residences, strong emotional branding, and world‑class venues that offer privacy and security for a high‑profile event,” an unidentified spokesperson said in a media release.

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Human Remains Found Near Taylor Swift’s Mansion Identified: Report





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Rent control won’t solve Providence’s steep rental prices – The Boston Globe

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Rent control won’t solve Providence’s steep rental prices – The Boston Globe


Part of the story is the pandemic-era shift toward smaller cities. But the larger truth is Providence has not built enough housing to keep up with demand. In 2024, Rhode Island ranked 50th in the nation for new housing permits – dead last. That isn’t ideology; it is economics.

As housing experts have said, including HousingWorksRI Executive Director Brenda Clement, we have a basic supply-and-demand problem. Expanding housing supply for everyone should be the focus.

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To its credit, Providence has begun to move. Recent efforts by Mayor Brett Smiley, the City Council, nonprofit partners, and private developers have created hundreds of new units. More are in the pipeline. That progress must continue.

As rents rise, pressure for immediate relief has grown. The City Council’s proposed solution is rent control: a cap on annual rent increases at 4 percent. In practice, it fails to solve the underlying problem, and creates new ones.

First, rent control does not make today’s rent affordable, it only limits future increases by creating a cap. Many landlords will raise rents to the cap each year. A $2,000 apartment under a 4 percent cap becomes $2,433 after five years – an increase that renters still feel acutely. That is basic compounding, not a worst-case scenario.

Second, rent control would create a hole in Providence’s budget, as it reduces the taxable value of properties. The Smiley administration examined rent-controlled cities and applied the outcomes to Providence’s tax base. The projected annual revenue loss ranges from $10.3 million to $17.5 million.

When rental property values decline, cities are left with two choices: raise taxes or cut services. Education funding, park improvements, library funding, and basic infrastructure all come under pressure. Experience elsewhere shows this burden does not fall on landlords; it shifts to single-family homeowners. Portland, Maine, saw a 5.4 percent reduction in its tax base after rent control, forcing these tradeoffs. The implementation of rent control will affect all Providence residents, whether they rent or own.

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Third, rent control discourages new housing production, the opposite of what Providence needs. Developers are less likely to build in cities where future revenue is capped, financing is harder, and long-term costs are unpredictable. St. Paul, Minnesota, offers a cautionary tale. After voters approved a strict rent cap in 2021, new unit creation dropped by more than 84 percent in the first quarter, forcing city leaders to exempt new construction, which is exempt in the Providence City Council rent control proposal.

When we build more housing at all price points, market pressure eases, as supply catches up with demand.

That does not mean ignoring the pain people feel today. I grew up here, attended our public schools, and bought a modest single-family home in the neighborhood where I was raised. I feel today’s housing pressures firsthand and hear them daily from family and neighbors. After 12 years on the council, including a leadership role in 2011 when Providence was on the brink of bankruptcy, I know our elected officials genuinely want workable solutions.

That is why, as executive director of The Providence Foundation, an organization of 140 private business and nonprofit members from myriad industries, I recommended we commission a study by the Rhode Island Public Expenditure Council to educate the public on this issue and identify solutions. The report revealed the most effective approach to housing shortages and high costs pairs aggressive housing production with targeted rental assistance for households most at risk of displacement.

Cities across the country have shown what works: modernized zoning, faster permitting, conversion of underused commercial space, and temporary rental assistance to help families stay housed while new supply comes online. These strategies outperform rent control. Overcoming the housing challenge will require all levels of government to play a role.

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Reasoned policy will meet Providence’s housing needs and strengthen our economy for a brighter tomorrow.

David Salvatore is the executive director of The Providence Foundation, a nonprofit organization committed to supporting visionary projects downtown, and a former Providence City Council president and member.





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