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RI Senate unveils 17-bill package to improve health care

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RI Senate unveils 17-bill package to improve health care


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  • Rhode Island Senate leaders have introduced a 17-bill package to address issues in the state’s health care system.
  • One proposal seeks to establish a medical school at the University of Rhode Island to increase the number of primary care doctors.
  • Other bills aim to provide student loan assistance and scholarships for health care professionals who commit to working in the state.
  • The legislative package also includes new regulations for pharmacy benefit managers and safety guidelines for artificial intelligence in therapy.
  • Additional measures would make a provider’s apology inadmissible in court and require insurance to cover all recommended immunizations without cost sharing.

PROVIDENCE – For the third year in a row, Senate leaders are seeking to fix what’s broken in Rhode Island’s health care system.

The stated goal of the 17-bill package unveiled on Thursday, March 12: “Supporting Rhode Islanders in crisis, protecting patients and providers, and strengthening the state’s health workforce.”

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“For the well-being of our communities, and the future of our state, it is imperative that we do everything in our power to ensure the stability and sustainability of our health system, and to make essential care both accessible and affordable for every Rhode Islander,” Senate President Valarie Lawson said.

“While we know that solving the crisis cannot be accomplished through any single piece of legislation, or any one collection of bills, those being highlighted today build on our past progress and help address the most pressing needs of this moment,” added Sen. Melissa Murray, the chair of the Senate Committee on Health & Human Services.

Highlights

Some of the measures will sound familiar. Others reflect the recent recommendations of the legislative commission that spent months studying the arguments for and against creation of a medical school at the University of Rhode Island, before heartily recommending one.

“A state medical school would provide transformative long-term benefits for the state’s healthcare system, economy, and communities. Most critically, it would strengthen the pipeline of primary care physicians at a time when the state faces a growing shortage and an aging workforce,” the commission’s final report said.

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“Without action,” the report warned, “Rhode Island risks falling further behind in physician supply workforce retention, and healthcare access, especially in primary care and underserved areas.”

Sen. V. Susan Sosnowski’s bill asks or an initial $5 million in the 2026-27 budget year to hire a “founding dean” and other staff to begin to establish the much-discussed medical school at URI to produce a permanent pipeline of much-needed primary care doctors for the state.

Her bill anticipates the need for $7 million a year later, and $8 million the year after that before the first student enrolls.

While some student loan assistance is already available for health care professionals, Sen. Hanna Gallo’s bill would commit $500,000 in state dollars to paying up to two years of medical school loans, for health care professionals who commit to working in Rhode Island for at least two years.

A related bill from Sen. Pamela Lauria’s bill would provide scholarships for students in a medical or nursing school or a “physician assistant” training program who commit to working here. (It is not yet clear how much more assistance these bills would provide than what is currently available.)

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Other bills seek more regulation – and a deep-dive by the attorney general – into the “effectiveness and performance” of the controversial intermediaries in the prescription drug market known as “pharmacy benefit managers.”

Another is the latest, by Lauria, in a decades-long effort to pass an “I’m sorry” bill that makes statements of “apology or concern by a health care provider to a patient, a patient’s relative or representative … is inadmissible [in court] as evidence of liability or admission of fault.” According to its backers 39 other states have similar laws.

As The Journal wrote in 2007: Even in cases in which no medical error was involved, “doctors, hospitals and their insurers worry that any empathy expressed will be construed as an admission of wrongdoing and used against them in a lawsuit.”

In that same vein: Sen. Mark McKenney, a retired lawyer, wants to launch a study, by a 13-member special legislative commission, of “the impact of medical malpractice claims on health care providers and costs.”

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Among the other highlights:

Artificial intelligence safety guidelines: One of Sen. Lori Urso’s bills seeks to prohibit the operation of “AI companion models and chatbots … unless the provider has a protocol for addressing possible suicidal ideation, self-harm, other physical harm, or financial harm.” A second would prohibit use of internet-based artificial intelligence to provide therapy by anyone other than a licensed professional, or to transcribe therapy notes without patient consent.

Vaccinations: Sen. Linda Ujifusa’s bill would require coverage of all immunizations recommended by the Department of Health by all insurers and the state Medicaid program, without any cost sharing, starting on Jan. 1, 2027.

Pharmacy benefit managers: This three-bill set would impose new rules on how these intermediaries interact with pharmacies, require they obtain “individual certificates of authority” from the Department of Business Regulation to do business in Rhode Island and mandate a study of the “performance and cost-effectiveness of the state’s current prescription drug management for the Medicaid Program.”

Emergency mental and behavioral health services: Companions bill would make both the 24/7 suicide prevention and crisis hotline currently known as “988” – and the separate program that provides the “mobile response” of trained behavioral health clinicians to children in crisis – permanent fixtures in state law, provide money to fund them, and set a minimum reimbursement rate.



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Rhode Island’s TF Green airport to add flights to Cabo Verde in May – The Boston Globe

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Rhode Island’s TF Green airport to add flights to Cabo Verde in May – The Boston Globe


“The return of this service is a meaningful addition to PVD’s non-stop portfolio, which is now at 39 destinations,” Iftikhar Ahmad, president and CEO of the Rhode Island Airport Corporation, said in a statement. “Rhode Island has one of the strongest Cabo Verdean communities in the United States, and this service creates a direct, convenient connection between families, cultures, and economies.”

Initial operations of the year-round flight will include a Monday afternoon arrival in Rhode Island with an immediate return flight to Cabo Verde, according to the airport.

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“The airline is also evaluating the addition of a second weekly frequency later in 2026, which would further expand access for both leisure travelers and the Cabo Verdean community and position PVD as a key U.S. gateway to the archipelago,” the airport said.

According to officials, additional schedule details and booking information will be released by TACV Cabo Verde Airlines in the coming weeks.

Breeze Airways began offering service to Cancun, Mexico, earlier this year, restoring international service in Rhode Island after BermudAir concluded a short-lived, twice-weekly direct flight last summer.

When the Cancun service was announced in September, it was described as an eight-week trial route that was expected to conclude in mid-April 2026.

In an email on Thursday, Ryne Williams, a spokesperson for Breeze, confirmed the nonstop service ends on Saturday but will return on Dec. 19.

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This story has been updated to include comment from Ryne Williams.


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





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R.I. grandparents fighting for visits with 4-year-old granddaughter rest their case – The Boston Globe

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R.I. grandparents fighting for visits with 4-year-old granddaughter rest their case – The Boston Globe


Naso’s in-laws, Dr. Siavash Ghoreishi and Dr. Jila Khorsand, took him to Family Court in July 2024, three months after their daughter, Shahrzad “Sherry” Naso, died from metastasized breast cancer.

Naso had refused to let them see Laila, their only grandchild of their only daughter, saying he wasn’t comfortable with their behavior and was alarmed by their medical care of Sherry and Laila.

Scott Naso and his daughter, Laila, in their Portsmouth, R.I., home.Suzanne Kreiter/Globe Staff

The retired physicians used a little-known state law that allows grandparents whose children have died or divorced to petition the Family Court for the right to visit with their grandchildren.

It’s led to a bitter trial that began in October and has continued off and on over the last six months, with testimony about medical negligence, abuse, and control.

Naso, a Middletown narcotics detective, accuses his in-laws of prescribing dozens of medications and providing poor medical care, which he believes contributed to Sherry’s death and sickened Laila. Ghoreishi and Khorsand deny any wrongdoing.

“We love that child with every fabric of our beings and have never harmed her in any way or shape,” Khorsand testified in October. “I love that child to death and would never do anything to harm her. … Why would she be deprived of this love?”

Naso has argued that the expense of the trial and the state law allowing grandparents to sue parents for visitation violates his constitutional parental rights.

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But Gill said on Monday that the state law was “narrowly tailored” to respect the constitutional rights of parents, and he denied Naso’s motions to dismiss or stay the ongoing trial.

Now that Michael Ahn, the lawyer for Ghoreishi and Khorsand, has rested his case, Naso’s lawyer will argue that the grandparents haven’t met their burden under the law and the case should be dismissed.

Veronica Assalone told the judge that she will argue for the dismissal on Thursday.

If her motion is denied, and the Supreme Court justices reject the emergency motion, the trial proceedings will resume, with at least a dozen witnesses expected to testify on Naso’s behalf.

On Wednesday, the court heard more testimony from Cheryl Allspach, the former longtime office manager for Ghoreishi’s pediatric practice and a close friend of the family. She had testified glowingly on Tuesday about Ghoreishi and Khorsand’s relationship with Laila.

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She also testified about Ghoreishi’s recordkeeping at his practice and his medical treatment of Scott, Sherry, and Laila Naso, and explained the process for billing and filing for insurance claims.

Assalone questioned her about Blue Cross Blue Shield of Rhode Island’s payment policy, since 2009, regarding self-treatment and treatment of immediate family members. The insurer’s policy follows the American Medical Association code of ethics, which warns physicians not to treat or prescribe medications for themselves and close family members, and does not cover those services.

Allspach read the two-page policy aloud for the court. “Why did you bill?” the judge asked when she concluded.

“I just did it as part of normal billing, and truly I didn’t realize that,” Allspach said. “If I realized, I would have said to [Ghoreishi], ‘you cannot treat your family members.’”

The judge quickly stopped more detailed questions about billing practices, chart-keeping, and whether Allspach was aware that it was a felony for physicians to prescribe narcotics to relatives.

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“It’s a grandparent visitation case, not a medical malpractice case,” Gill snapped at Assalone. He added that she should take her claims about illegal prescriptions to the state police, “not here.”

Julie Emmer, the owner of Strengthening Family Foundations, testified that Naso had alleged “serious things” about his in-law’s medical care when she was handling the supervised visits between Laila and Ghoreishi and Khorsand.

Emmer testified that Naso told her “there were prescriptions in different names for his late wife” and that his in-laws were being investigated by the US Drug Enforcement Administration and the state police.

“He thought they shouldn’t have visits,” Emmer said. “He thought they were responsible for what happened to his wife.”

Emmer began supervising visits in September 2024, after then-Family Court Judge Debra DiSegna temporarily ordered one-hour supervised visits every other week. The visits continued until late January 2025 and were suspended after Naso filed a complaint with the Department of Children, Youth, and Families. The investigation was closed, but Naso has refused to resume visits.

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Emmer supervised nine visits, all at public places, and performed a home inspection at the grandparents’ condo in Jamestown at Ahn’s request in December 2023. They wanted to visit with Laila at their home, but Naso refused, Emmer said, and he is the custodial parent.

Emmer testified that the grandparents abided by the court order not to give Laila any gifts or medication.

Khorsand played with the little girl, while Ghoreishi stayed in the background, filming them or taking pictures, Emmer said. (Some of the photos and videos have been entered as evidence in the trial.)

Emmer said she noticed over time that Laila was anxious at the start of the visits and said she didn’t want to go. During one visit, she said, Laila whispered to her over and over “they are bad people.” At another visit, Laila was late because she vomited on the way over, she said.

She told the court that Laila would eventually warm up to her grandparents.

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Emmer said she saw Naso crying and shaking, but that he was careful to compose himself so Laila didn’t see him becoming emotional. She testified that she didn’t hear him make any derogatory comments about his in-laws in Laila’s presence.

She said that Laila was reluctant to leave her father during the visits, but he encouraged her to go. “He often made comments, ‘Go have fun with Miss Julie. You’ll be safe,’” she said.


Amanda Milkovits can be reached at amanda.milkovits@globe.com. Follow her @AmandaMilkovits.





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Rhode Island shifts its primary to Wednesday, Sept. 9, easing a Labor Day poll setup crunch

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Rhode Island shifts its primary to Wednesday, Sept. 9, easing a Labor Day poll setup crunch


PROVIDENCE, R.I. – Rhode Island’s primary elections will now be held on Wednesday, Sept. 9, moving it back from the typical Tuesday election day because it fell too close to Labor Day.

Gov. Dan McKee, a Democrat, signed off on the change earlier this week. The primary election had been scheduled for Sept. 8, which is the day after the holiday weekend.

State and local officials had requested the change after raising concerns about having enough time to set up polls for voters. However, under the legislation enacted, the filing deadlines will remain the same.

“We have to set up over 400 polling places around the state on the day before the election,” Nick Lima, the registrar and director of elections for the city of Cranston, told lawmakers at a hearing in January. “That’s very difficult to do on a holiday because many of our polls are schools, social halls and churches.”

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It’s not unusual for states to change their election day. Lawmakers in neighboring Massachusetts changed the state’s 2026 primary election day from Sept. 15 to Sept. 1, arguing that doing so will help improve voter turnout.

Only four states hold their primary elections in September: Rhode Island, Massachusetts, New Hampshire and Delaware, which has the latest primary date in the U.S., taking place this year on Sept. 15.

Legislation seeking to move up Delaware’s primary election by several months has been introduced in the statehouse, but previous attempts to do so have stalled.

Copyright 2026 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.



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