Rhode Island
Rhode Island Senate passes Healthcare Provider Shield Act • Rhode Island Current
The Rhode Island Senate passed a bill Thursday that would defend doctors’ ability to provide reproductive health services and gender-affirming care, which includes therapies, surgeries and other medical services for transgender and nonbinary people.
The 29-7 vote passed largely along partisan lines, with every Republican senator — Jessica de la Cruz, Anthony DeLuca II, Elaine Morgan, Thomas Paolino and Gordon Rogers — voting against the bill. Sens. Roger Picard and Leonidas Raptakis were the only two Democrats to vote against it, and Sen. Victoria Gu was not present.
The Healthcare Provider Shield Act, sponsored by Sen. Dawn Euer and nine fellow Democrats, broadly states that it would stop “any individual” from interfering with access to reproductive or gender-affirming health care services in Rhode Island. More specifically, that means protecting doctors and other health care providers from legal action originating outside state lines — from places where abortion and other reproductive or gender-related health care services have been limited because of the Supreme Court’s 2022 overturn of Roe v. Wade.
“Any public act of a foreign jurisdiction that prohibits, criminalizes, sanctions, or authorizes a person to bring a civil action against or otherwise interferes with a person, provider, payer, or other entity in this state that engages in legally protected healthcare activity…shall be an interference with the exercise and enjoyment of the rights secured by this chapter,” the bill reads.
In Euer’s own words on the Senate floor: “What this bill does is it makes sure that Rhode Island gets to regulate our doctors,” she said. “We get to regulate and determine the standards of care here in Rhode Island for our Rhode Island professionals.”
The shield in question casts a wide shadow. Among the bill’s provisions: Public agencies would be forbidden from using any time, money or other resources on interstate investigations. The state’s courts would not enforce any penal measure from another state involving the specified health services. The governor could not extradite a person to their home state on the basis of their receiving an abortion or gender-affirming surgery in Rhode Island.
Shield laws, a 2023 article in NEJM Evidence argues, “are one of the bright spots for abortion access in this new environment where there is no national right to abortion.”
But their true utility has not been tested. “So far, given how new abortion bans and shield laws are, they have not yet needed to be used,” the article led by David S. Cohen, a Drexel University law professor, continues. “However, even if these laws are never used, their mere existence can be an important countervailing force against states that may otherwise consider imposing their abortion bans across state lines.”
But things may have already changed since that article, especially in regards to transgender medical care, as evidenced by points Euer made when she introduced the bill to her senate colleagues — like a legal battle between Texas and Seattle Children’s Hospital over a transgender patient’s medical records.
The newness of shield laws and the slightly-less-new threats to reproductive health and transgender health care has not stopped other states from forging their own defenses. Regionally, shield laws involving transgender care and abortion have been enacted in Massachusetts, Maine, Connecticut, Vermont, New York and New Jersey. New Hampshire and Rhode Island lack shields in both categories.
Sen. Pam Lauria, a primary care nurse practitioner, rose in support of Euer’s legislation: “It might seem a little strange that I would complain about politics, but politics does not belong in my exam room, or any health care provider’s exam room.”
Denouncing science denialism, Lauria posed the bill as an economic good. “You’ve heard me talk a lot about the need for health care workforce bills,” she said. “Well, this is a health care workforce bill, because if we want to keep our providers here in Rhode Island or providers to come to Rhode Island. We have to protect the job that they’re trained to do.”
A 2023 article in Columbia Law Review makes clear the unclarity in interstate litigation: “The Constitution’s general prohibition of state restrictions on interstate travel, burdens on interstate commerce, or application of a state’s law outside its borders should make it difficult for antiabortion states to enforce these laws,” the article reads. “Yet, these constitutional defenses are underdeveloped and subject to debate, leaving courts as the ultimate arbiters of these interstate battles.”
Euer’s bill first appeared for public discussion at a March 7 meeting of the Senate Committee on Judiciary. Testimonies that night ranged from supportive to skeptical, with doctors and other health providers showing up in support.
But the bill only headed for the Senate floor last week on Thursday, April 25, when the Senate Committee on Judiciary passed an amended version that lead sponsor (and the committee’s chair) Euer said made no substantial changes, other than moving the bill’s public policy portion from general law into public law. Sen. Anthony DeLuca, a Warwick Republican, was the sole committee member who voted against the bill’s passage out of Judiciary.
“I rise today in support of this bill, and in an unintended coincidence, today marks 11 years since the governor signed marriage equality into law.” Euer said Thursday. “And so this bill is incredibly important. The timeliness of us having this on the floor today is not lost on me, because I got my start in the real world of politics in Rhode Island on that marriage equality campaign.”
The companion House bill — H7577, led by Democratic Rep. John Edwards of Tiverton and nine other Democrats — has stagnated since a March 5 meeting of the House Committee on Judiciary.
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Rhode Island
R.I. House Finance budget phases in millionaires tax over three years – The Boston Globe
In January, Governor Daniel J. McKee touched off a debate about a millionaires tax by proposing a state budget that would impose a 8.99 percent tax rate on personal income of more than $1 million — a 3 percentage point increase over the current top bracket that would have generated $67 million in fiscal year 2027.
The House Finance budget would phase in that millionaires tax by raising that top rate by 1 percentage point per year over three years — 6.99 percent for tax year 2027, 7.99 percent in 2028, and 8.99 percent for 2029. The move would generate an estimated $22 million in 2027, $68 million in 2028, $115 million in 2029, and $142 million in 2030.
Blazejewski said phasing in the millionaires tax will help Rhode Island deal with federal funding cuts as they take effect in the years ahead. Advocates see that tax as a crucial source of funding for essential programs amid federal cuts, he noted, while opponents predict it will hurt small businesses and drive away rich residents.
“We thought this strikes the right balance here for our state, given the situation we’re in with the federal government,” Blazejewski said. “We think this is a prudent way of increasing revenue over time, and then phasing it in, so it has less shock, it has more time to be absorbed, and then also comes online exactly when we need it.”
Rhode Island is pursuing a millionaires tax three years after Massachusetts imposed a 4 percent millionaires tax on top of its 5 percent income tax, raising billions in revenue. On May 25, the Globe reported that the Massachusetts surtax on that state’s highest earners has already generated more than $3.1 billion in revenue this fiscal year, with two months remaining — surpassing the $2.4 billion projected.
Inspector general
The House Finance budget includes $1.3 million to fund an independent inspector general’s office staffed with 12 full-time employees who will investigate waste, fraud, and abuse in state government.
Blazejewski called for creating an inspector general’s office soon after becoming House speaker on May 7. The move by the state’s most progressive House speaker came as a surprise to some because Republicans have long made the inspector general’s office a top legislative priority.
But Blazejewski noted he introduced inspector general legislation in 2015. On Friday, he said the federal government is cutting funding at the same time the state has seen “high-profile state failures” such as the closure of the Washington Bridge westbound and the botched rollout of a $99 million state payroll system.
McKee and Republican lieutenant governor candidate John J. Loughlin II questioned why Blazejewski wants the inspector general to oversee the executive branch — but not the Legislature.
On Friday, Blazejewski noted that voters approved a separation of powers amendment to the state Constitution in 2004 to ensure the three branches of government are separate and distinct, and that the inspector general’s office would be an administrative agency of the executive branch.
“If you allow the executive office to run roughshod over the Legislature, the judiciary, you no longer have three branches of government,” Blazejewski said. “It’s not original to Rhode Island. It’s a fundamental principle of government.“
RIDOT audit
The budget includes an audit of maintenance work by the state Department of Transportation. “We just have had too many high-profile failures, and we need to conduct an audit as to the maintenance program,” Blazejewski said.
The budget also removes the Department of Transportation director as chairman of the Rhode Island Public Transit Authority. Former DOT director Peter Alviti Jr. began serving as chairman of the bus agency’s board in 2023. But Blazejewski said, “We just think it’s a conflict of interest.” The DOT director can continue to serve on the board, but not as chairman, he said.
No line-item veto
The House Finance budget rejects McKee’s call for placing a constitutional amendment on the November ballot asking voters to give the governor line-item veto power, which would allow him to strike specific items from the budget without having to approve or veto the entire bill.
Last year, McKee refused to sign the state budget approved by the General Assembly because it raised taxes and fees, but he did not veto the bill. And McKee noted that 43 other states have some form of line-item veto authority.
But Blazejewski said, “That line item veto is about changing the power structure between the governor and the General Assembly,” and the current process works with the governor proposing a budget and legislators passing a budget. Other states have had “issues” with the line item veto, he said, noting Wisconsin’s governor used that power to delete words, numbers, and punctuation from a bill to change its meaning.
Budget exceeds $15 billion
The budget totals a record $15.2 billion for the fiscal year that starts July 1, marking an increase over the $14.859 billion proposed by McKee.
In August, the business-backed Rhode Island Public Expenditure Council warned that the state’s rate of spending was not sustainable. And in the Republican response to McKee’s State of the State, House Minority Leader Michael W. Chippendale said the state budget has grown by 200 percent since 2000, when it was about $4.5 billion.
URI medical school funding
The House Finance budget includes $5 million as an initial investment in creating a medical school at the University of Rhode Island.
The Senate had included that proposal in a 17-bill package aimed at strengthening the state’s strained health care system. Blazejewski said the medical school will help alleviate the state’s severe shortage of primary care doctors in the future.
Tax on Social Security
The House Finance budget includes the first year of McKee’s proposal to eliminate state personal income taxes on Social Security benefits over three years.
Under current law, taxpayers who have reached full Social Security retirement age (67 or older) and have incomes of less than $107,000 for single filers, or $133,750 for joint filers, are exempt from state income tax on Social Security income. The House agreed to eliminate the current minimum age threshold.
Child tax credit
The House Finance budget does not adopt McKee’s proposal to replace an existing tax deduction for dependents with a new child tax credit that would refund families $325 on their taxes per child, per year.
But it does build on the existing tax deduction structure and adds a $330 child tax credit to help lower income families. Blazejewski said the new system “costs a little bit more but gives even more of a benefit to families in Rhode Island.”
Bond questions
The budget includes a record $600 million in bond questions on the November ballot, but it modifies some of the proposals in McKee’s budget.
- Blazejewski said McKee’s budget “underfunded” an integrated health building at URI. So the budget provides $275 million (rather than $215 million) for the state’s three colleges, including $165 million (rather than $105 million) for the URI building, $50 million to renovate Rhode Island College’s Adams Library; and $60 million for a workforce innovation center at the Community College of Rhode Island.
- $120 million for housing, including $25 million for producing housing units for homeownership.
- $100 million (rather than $115 million) for economic development, including $55 million (rather than $70 million) for site development at the Quonset Business Park and I-195 District.
- $50 million for the “cultural economy,” including $45 million for a State History Center that would display the state’s founding documents.
- $55 million for “green economy bonds.” Blazejewski said, “Our caucus spoke over and over about making the green bond greener, and we’ve done just that.“
- The House budget eliminated the $50 million McKee proposed for Career and Technical Education. Blazejewski said testimony indicated the proposal was underfunded even at $50 million, “so we’re going to go back to the drawing board.”
Energy proposals
The House Finance budget adopts some, but not all, of McKee’s proposals for lowering energy bills.
House Majority Whip Katherine S. Kazarian, an East Providence Democrat, said the budget expands the renewable energy standard to including hydro and nuclear energy, which will result in savings.
But she said the budget would reject McKee’s plan to push back the 2033 deadline to reach 100 percent renewable energy sources for state electricity until 2050. “We’re going to continue to keep that 2033 deadline, which is really important to our caucus and, frankly, to the renewable energy investments that have come to the state,” she said.
Central Falls schools
The budget returns the Central Falls school district to local control after 35 years of state control. Blazejewski said this was a priority of Central Falls Mayor Maria Rivera.
Domestic violence calendar
The House budget includes $600,000 to hire three full-time employees and create a domestic violence calendar in state Superior Court to address a backlog of 1,200 felony domestic violence cases.
The House Finance Committee voted 11 to 2 to send the budget to the House floor for a vote next Friday, June 5.
Edward Fitzpatrick can be reached at edward.fitzpatrick@globe.com. Follow him @FitzProv.
Rhode Island
Health professionals warn Rhode Islanders to watch out for Lone star ticks
PROVIDENCE, R.I. (WJAR) — Health professionals are warning Rhode Islanders to look out for a fast-moving threat in the brush this summer: the Lone star tick.
NBC 10’s Martha Konstandinidis went out to see the increase in ticks firsthand and has some simple steps to protect your family.
Rhode Island
Rhode Island House passes bill allowing water cremation and human composting
(WJAR) — The Rhode Island House has passed a Bill that offers a rare alternative when considering end-of-life options: water cremation and human composting.
These processes are actually considered better for the environment.
Instead of being rooted in flames during cremation, remains are placed in water and no greenhouse gases are released.
Tom Harries, CEO of Earth Funeral – Green Funeral Home, explains the natural organic reduction also known as human composting, process while standing in front of an actual vessel in the warehouse during a tour at their new location, which will open in Elkridge. Eventually it will house 126 vessels. Jeffrey F. Bill/Baltimore Sun)
Last year NBC 10 was able to get a first-hand look into how it works.
The John F. Tierney Funeral Home in Connecticut became one of the first in Southern New England to offer water cremation or “Aquamation” for humans.
Remains are placed into a machine, and water begins to circulate, leaving bone material behind.
Human composting uses fertile soil to break down remains.
Lawmakers on both sides spoke before the vote.
It passed 47-17.
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It now heads to the Senate.
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