RI’s New Budget Considered a Win for Older Adults

Published in RINewstoday on June 15, 2026

As the 2026 legislative session wraps up, lawmakers approved a $15.2 billion state budget for Fiscal Year 2027. The budget blueprint (H 7127 Aaa) aims to provide economic relief, improve education and health care, and advance government reforms without raising broad-based taxes or fees.

According to House Communications Director Larry Berman, the House floor debate began at 3:35 p.m. on Friday, June 5, and lasted 3 hours and 45 minutes.  House lawmakers offered 16 amendments, and 10 were approved (none of these targeted aging programs and services). At 7:20 p.m., the budget passed on a vote of 65 to 10, with 64 Democrats and one independent voting in favor, while all 10 Republicans opposed it.

Greg Pare, Senate Communications Director notes: “On Tuesday, June 9, 2026, the upper chamber debated the House proposal for two hours and 17 minutes, beginning at 4:20 p.m. and concluding at 6:37 p.m. Senators considered 12 amendments, but none were approved. The Fiscal Year 2027 budget passed 32-6 without changes. Senators Samuel W. Bell (D-Dist. 5, Providence) and Leonidas “Lou” Raptakis (D-Dist. 33, East Greenwich and West Greenwich) joined the four Republican Senators in opposing passage of the budget proposal.”

Three days later, Gov. Dan McKee signed the 393-page Rhode Island General Assembly Fiscal year 2027 budget proposal at 10:30 a.m. at Children’s Friend in Providence.

While much of the attention surrounding the Fiscal Year 2027 budget focused on programs and services, lawmakers also approved several significant policy changes and revenue measures. Chief among them is a new tax on annual income exceeding $1 million. The phased-in surtax is expected to generate approximately $142 million annually when fully implemented, providing additional revenue to help support state services and offset potential reductions in federal funding.

The state’s budget also creates an independent Office of Inspector General to strengthen government accountability and oversight. In addition, the Rhode Island General Assembly approved increased funding for hospitals, behavioral health and home-care providers, child welfare programs, public transit, and higher education, while authorizing an audit of the Rhode Island Department of Transportation.

Investing in Rhode Island’s Aging Programs and Services

Although these initiatives will affect Rhode Islanders across all age groups, the budget also contains provisions that directly impact older adults, caregivers, and aging-service providers throughout the Ocean State.

The Fiscal Year 2027 budget expands eligibility for exempting Social Security income from state taxation by removing the age threshold. Under current law, taxpayers who have reached full Social Security retirement age (67 or older) and have incomes below $107,000 for individuals and $133,750 for joint filers are exempt from paying state income tax on their Social Security benefits. With the passage of the budget, the age requirement has been eliminated.

The state budget also increases funding by $200,000, bringing total funding for senior services grants to $1.8 million.

Meals on Wheels, which provides nutrition services to older adults, was also on lawmakers’ radar. The budget increases funding for the program by $50,000, bringing total state support to $730,000.

The Rhode Island General Assembly’s approved budget allocates $4.1 million to fund the “Eat Well, Be Well” program for Supplemental Nutrition Assistance Program (SNAP) recipients. This funding will help older Rhode Islanders struggling with the high cost of groceries.

Under the program, eligible SNAP households will receive an incentive of 50 cents for every dollar spent on fruits and vegetables, with the benefit loaded onto their electronic benefits transfer (EBT) cards, up to a maximum amount to be determined by the Rhode Island Department of Human Services.

The budget also increases funding for the Rhode Island Community Food Bank by $1 million, bringing total state support to $2.95 million to address food insecurity among families, including older adults.

In response to a significant increase in complaints regarding care, the budget provides additional funding to the state’s Office of Healthy Aging to support the Long-Term Care Ombudsman Program, administered by the Alliance for Better Long-Term Care.

The budget allocates funding for full cost-of-living increases in nursing home reimbursement rates, with 80 percent of the increase directed toward direct-care staff compensation. Gov. McKee’s proposed budget had limited the increase to 2.5 percent.

As for the state’s nursing facility minimum staffing requirements, the budget includes $200,000 to implement the Nursing Home Staffing and Quality Care Act. The provision requires the Rhode Island Department of Health to enforce staffing requirements at all nursing homes. The funding will support contracted services to collect and analyze data and calculate penalties for noncompliant facilities.

The state budget also includes $3.1 million to begin a phased opening of new beds at the Rhode Island Veterans Home. The funding is expected to increase capacity by 16 beds in each of the next two years, bringing the facility to its maximum capacity of 192 residents.

Assisted living facilities will see increased Medicaid reimbursement rates for caring for residents with dementia and those with higher personal-care needs. Advocates say the increase will help facilities accept and care for these residents while reducing premature nursing home placements.

The Fiscal Year 2027 budget also doubles the amount of assets that Medicaid home-care recipients may retain, helping older adults cope with rising housing costs and other basic needs.

Several provisions within the budget are intended to address the growing shortage of primary care providers, including assisting providers with medical school costs and seed funding for a new medical school at the University of Rhode Island (both of which were components of the Senate’s package of priority health care bills).

In addition, the budget fully funds rate increases for home- and community-based services recommended by an Office of Health Insurance study. The governor’s budget proposal had funded only half of the recommended increases. SACRI says the additional funding should improve worker compensation and help prevent waiting lists for services.

A nursing home behavioral health per diem add-on included in the budget provides additional resources for facilities caring for residents with both nursing and behavioral health needs, helping to avoid unnecessary transfers to acute-care settings.

Finally, an additional $13.5 million was included in the Fiscal Year 2027 budget to help the Rhode Island Public Transit Authority maintain services and avoid service reductions.

The Aftermath: Lawmakers and Aging Groups Debate Budget Proposals’ Impact

“I am proud of this budget, which addresses the concerns and struggles of everyday Rhode Islanders, including our older residents, who need access to health care, who need to be able to pay their bills, and who need to know that their government is honest and effective,” said Christopher R. Blazejewski.  “This budget is the result of months of listening, prioritizing, and identifying ways to fix what isn’t working, he stated.

“It provides relief today while being fiscally responsible and putting our state in a better position in the years to come,” notes Blazejewski.

“This budget reflects many of the Senate’s priorities, including funding health care initiatives and supporting seniors and Rhode Islanders in need,” said Senate President Valarie J. Lawson (D-Dist. 14, East Providence). “This is a responsible, balanced budget that provides relief for Rhode Islanders, including our older residents, while investing in and strengthening programs that support seniors, she says, noting that it complements other legislation the Senate passed this year to support older adults. She sponsored legislation to protect against the growing national threat of deed theft, a scam by which thieves defraud seniors of their real estate.

“These budget decisions reflect real progress for Rhode Islanders who rely on long-term services and community supports,” said Executive Director Carol Anne Costa. “We are encouraged to see the state make investments that strengthen care, support the workforce, and help older adults remain in the settings that best meet their needs.”

According to Costa, “SACRI fully intends to return in the next session to pursue the Medicare Saving Program’s asset test removal, the creation of the Office of the Elder Advocate, and secure a tax credit for caregivers. “These efforts do not come with huge price tags and in fact, infuse money back into the RI economy,” says Costa.

Costa emphasizes that Rhode Island’s aging population and adults with disabilities deserve nothing less, as the organization continues to be the voice for progress on their behalf.

“As the cost of food continues to skyrocket, our seniors, those with long-term care, and other Rhode Islanders living on a fixed income are being further squeezed. This budget helps ensure they can still get the healthy meals they need through targeted investments in SNAP and organizations like Meals on Wheels and the RI Community Food Bank. This budget brings us closer to ensuring food security for all Rhode Islanders,” says Lt. Gov. Sabrina Mattos, says  Lt. Gov. Sabina Matos, chair of the state’s Long-Term Care Coordinating Council.

“We appreciate the legislature’s commitment to strengthening Rhode Island’s long-term services and supports through this year’s budget,” says Mag Morelli, president of LeadingAge Connecticut & Rhode Island. “The investments in assisted living, community-based services, and nursing home care recognize the growing needs of older adults.

By supporting Medicaid reimbursement rates that more closely reflect the cost of care, this budget helps providers deliver essential services while promoting stability, access, and choice for aging Rhode Islanders.”

Hopes Dashed: Budget Fails Rhode Island’s Caregivers

Meredith L. Sheehan, Director of Public Policy, Alzheimer’s Association, Rhode Island Chapter: “More than 22,000 Rhode Islanders live with Alzheimer’s disease, and 37,000 serve as caregivers. We applaud budget investments in senior centers, the Long-Term Care Ombudsman Program, and assisted living providers, but are disappointed funding was not included for a Dementia Services Coordinator, a dedicated position needed to develop a coordinated statewide response to dementia.”

“I am encouraged by the 2027 budget’s funding that strengthens our support for people with Alzheimer’s disease and related dementia (ADRD) and their caregivers, including increased Medicaid reimbursement for specialized assisted living and for nursing home care,” says Chris Gadbois, DNP, RN, chair of RI’s Council on ADRD.

“People’s ability to remain safely in their homes will be supported by increased rates for home and community-based services and an increase in the asset limits,” notes Gadbois.

However, like Sheehan, Gadbois expressed disappointment that funding for a state Dementia Service Coordinator within the Rhode Island Department of Health was not advanced in the past budget proposal, adding, “We will continue to collaborate with state leadership for this critical position, as well as reintroduce legislation to ensure healthcare providers’ and facilities’ competency in caring for individuals with dementia.”

“The Office of Healthy Aging appreciates Governor McKee’s continued commitment to older Rhode Islanders and to the systems of support that help people age with dignity, connection, and independence. We remain focused on working with state and community partners to strengthen access to services and supports for older adults, caregivers, and families across Rhode Island,” says Maria E. Cimini, MSW, Director, RI Office of Healthy Aging.

Lori Light, the state’s long-term care ombudsman, welcomes FY 2027 budget investments in aging-in-place programs. “It strengthens our advocacy for nursing home and assisted living residents,” Light said. She urges continued funding to expand ombudsman services, allowing the agency to handle increasingly complex complaints and ensure all residents receive timely support.

To view all provisions of  H 7127Aaa, the state’s enacted 2027 Fiscal Year Budget proposal, go HERE – https://webserver.rilegislature.gov/BillText26/HouseText26/H7127Aaa.pdf

Medicare Fraud Prevention Week Puts Focus on Protecting Seniors from Scams

Published in RINewsToday on June 8, 2026

As skyrocketing Medicare fraud schemes cost taxpayers billions each year, congressional leaders, federal agencies, and consumer advocacy groups intensify their efforts to combat aggressive scams targeting older Americans.

Experts estimate that Medicare fraud, waste, and abuse may cost as much as $60 billion annually. However, no federal agency publishes a definitive total amount because much of the activity goes undetected.

The growing incidents of Medicare fraud, waste, and abuse framed the discussion on June 3, 2026, at the Leon Mathieu Senior Center in Pawtucket, where more than 40 older adults gathered for the Fifth Annual Medicare Fraud Prevention Week event.

During the 75-minute presentation, three federal officials shared valuable information with the attending Medicare beneficiaries, designed to increase their awareness of fraud tactics and equip them with practical strategies to safeguard their personal and health care benefits.

The afternoon program was hosted by Rhode Island’s Senior Medicare Patrol (SMP), along with special agents from the U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG), the Centers for Medicare and Medicaid Services (CMS), and the City of Pawtucket.

At the gathering, municipal, state, and federal leaders warned that Medicare recipients remain primary targets of fraudsters who use fake medical claims and identity theft. Specific types of fraud were highlighted, including durable medical equipment (orthotic braces, urinary catheters), genetic testing, and fraudulent billing by medical providers.

Learning to Spot the Warning Signs

Christine Anderson, Health Information Manager at the Rhode Island Office of Healthy Aging (OHA) and the leader of the state’s SMP program, said the program’s goal is to provide beneficiaries with practical tools to protect themselves and encourage them to be more proactive in reporting suspicious fraud activity, potentially reducing the success rate of scams within Rhode Island.

Anderson emphasized that scammers will often pose as representatives of Medicare, Social Security, or local human services offices to obtain or confirm Medicare numbers, which can be used to bill for unnecessary durable medical equipment such as back or knee braces.

SMP’s Program Manager urged attendees to review their Medicare Summary Notices (for Original Medicare) or their Explanation of Medical Benefits (EOMB), and to seek assistance from the SMP program and the Leon Mathieu Senior Center (or their local senior center) if they see unfamiliar charges.

“If something doesn’t look right, ask questions,” Anderson urged.

“We are grateful to the OHA, HHS-OIG, CMS, and the SMP for bringing this important information directly to our residents,” Donald R. Grebien, Mayor of Pawtucket said. “Education and awareness are critical in protecting older adults and preserving the integrity of the Medicare system.” It is one of the strongest defenses against scams targeting older residents,’ he says. Grebien pointed out that fraud can threaten both the financial security and well-being of seniors.

Echoing Grebien’s sentiment, Elizabeth Moreira, Pawtucket’s Deputy Director of Administration, said community education is key, stressing that awareness of the growing prevalence of scams is one of our strongest tools for preventing fraud. “Events like today give our community and caregivers the tools they need to recognize warning signs, protect their personal information, and report fraud before it can harm them,” Moreira said.

Federal Enforcement Efforts

HHS-OIG Special Agent Victoria Mens and Assistant Special Agent Lindsay Walford described their federal agency’s role in investigating fraud, waste, and abuse across more than 100 HHS programs, including health, social, and Medicare and Medicaid programs.

The federal agents also explained how they fight Medicare fraud, waste, and abuse.

They highlighted how the Office of Audit Services and the Office of Evaluation and Inspections publish reports on systemic problems including nursing homes lacking emergency power and using antipsychotic drugs to control residents.

To safeguard $2 trillion in federal healthcare funds, HHS-OIG conducts audits, evaluations, and criminal investigations.

The federal officials also cited prosecutions involving overbilling for medical equipment, large-scale catheter fraud schemes, and psychiatric billing for services that were never provided.

One of the most costly schemes involving urinary catheters was estimated to have resulted in attempted losses of about $4.5 billion, notes Walford.

During the presentation, Walford cited a Rhode Island case. She noted that Zynex Medical allegedly overbilled multiple payers about $873 million for TENS units and excessive supplies, leading to criminal charges against company leaders and a non-prosecution agreement with the company.

“A lot of that has been stopped, and so that money hasn’t all gone out, but that’s the tune and counting as to how much they’re attempting to pull out of the Medicare Trust Fund,” Walford said. She gave an overview of HHS-OIG accomplishments.  Between April and September 2025, OIG work led to $2.2 billion in recoveries through settlements and criminal restitution. The agency said it returns nearly $13 for every dollar spent on oversight.

During the same period, investigators completed more than 900 investigations and issued hundreds of recommendations to prevent improper payments, says Walford.

Protecting Yourself

Mens urged seniors to treat their Medicare number with the same care as a Social Security number. “Don’t give out that information,” she warns. “If someone calls claiming to be from Medicare or says they are your healthcare provider, hang up and call back using a number you know is legitimate,” she says.

“Scammers rely on urgency,” Mens said. “Take time to talk with a family member, Medicare representative, or healthcare professional before making any decisions,” she says.

Jennifer Syria, Regional Administrator for the Centers for Medicare & Medicaid Services, pointed out that beneficiaries play a critical role in preventing fraud. “When you review your statements and notice unfamiliar charges, you become a valuable investigator in preventing fraud,” Syria said.

Syria encouraged residents to report suspected fraud and have key details ready, including provider names, dates of service, payment amounts, and Medicare Summary Notices.

 “If you suspect you are a victim of fraud, our trained staff can meet with you to help resolve the issue,” says Mary Lou Moran, Director of the Leon Mathieu Senior Center. If you need assistance, call 401-728-7582. Moran notes that protecting yourself comes down to three key actions: prevent, detect, and report.

For more details about Rhode Island’s Senior Medicare Patrol program, call (401) 1-888-884-8721. 

The Rhode Island Congressman Who Changed Aging in America

 Published in RINewsToday on June 1, 2026

Over three weeks ago, the Senior Agenda Coalition of Rhode Island (SACRI) organized a statewide gathering at the historic Rhode Island State House to observe this year’s Older Americans Month (OAM). The event brought together more than 135 attendees, including seniors, aging advocates, legislators, and state officials, filling the room to capacity.

During the 74-minute program, speakers addressed topics such as combating social isolation, increasing federal funding for community-based aging services, alerting attendees to financial scams targeting seniors, and discussing new models for elder care and housing. The event concluded with a reading of a gubernatorial proclamation honoring the Older Americans Act (OAA) and calling on Rhode Island lawmakers to support policies for the growing older adult community.

The event also focused on promoting the Administration for Community Living (ACL), the federal agency that administers the OAA, and this year’s OAM theme: “Champion Your Health.” This theme encourages prevention, wellness, self-advocacy, and personal responsibility as key elements of healthy aging.

At the event, SACRI Executive Director Carol Anne Costa announced that the Rhode Island State House Dome would be illuminated from May 13–16 as a tribute to Older Americans Month.

Beyond marking the month, this year’s celebration also centered on the legacy of former Rep. John E. Fogarty (D-RI), the primary sponsor of the legislation (Public Law 89-73) that established the Older Americans Act (OAA). He lived on a small family farm in the village of Harmony (part of Gloucester), Rhode Island.

A Rhode Island Congressman’s Legacy Recognized

Affectionately nicknamed “Mr. Public Health,” Fogarty became one of the most powerful House lawmakers. He served in Congress from 1941 until his death in 1967. A former bricklayer and president of Bricklayers Union No. 1 of Rhode Island, he chaired the powerful House Appropriations Subcommittee on Labor, Health, Education, and Welfare. He used his legislative skills to expand the National Institutes of Health (NIH) and transform federal healthcare funding. He was also instrumental in establishing the White House Conference on Aging and the OAA.

At SACRI’s May 6 event, Lt. Governor Sabina Matos praised Fogarty for his major impact on federal aging policy. “Older Americans Month gives us the opportunity to reaffirm our commitment to older adult Rhode Islanders. It is a true honor to join SACRI in celebrating the enduring legacy of Congressman John Fogarty, whose vision helped shape aging policy for generations. Today, we build on that legacy by continuing to champion the dignity, well-being, and contributions of every older Rhode Islander,” says the Lt. Governor.

SACRI’s Costa stated, “Congressman Fogarty has left a legacy on which so much progress has flowed. His quiet and powerful work is a reminder that RI is a leader in empowering older adults.”

Former Lt. Gov. Charles Fogarty came to share personal memories of Fogarty, his uncle. He stressed that his uncle’s work on the OAA was driven by a simple philosophy: the government’s role was to help people. His success was built on personal connections with constituents in Rhode Island’s 2nd Congressional District.

“As Rhode Island’s population ages rapidly, my late uncle, Rep. John E. Fogarty, remains a powerful example of how we can protect the dignity and independence of older Rhode Islanders. The Older Americans Act, which he championed, continues to support vital programs for seniors across Rhode Island and the nation, says the former Lt. Gov.

Fogarty, a former Director of the Division of Elderly Affairs within the Department of Human Services from 2015 to 2018, added, “The Congressman’s legacy shaped my own work as Director of the Division of Elderly Affairs, now the Office of Healthy Aging. “I have focused on advancing efforts to empower and serve older adults,” he says.

Seven years before the 1965 Older Americans Act (OAA), Fogarty introduced legislation (H.R. 9822) to create the White House Conference on Aging. President Dwight D. Eisenhower signed the bill into law (Public Law 85-908) on September 2, 1958. The law established a national forum held every 10 years to address the challenges facing older Americans. The forum also developed policy recommendations to improve their economic security.

According to the Administration for Community Living (ACL), the 1961 White House Conference on Aging (WHCoA) exposed a broken, patchwork system of elder care. It served as the blueprint for the 1965 Older Americans Act. The conference pushed Congress to move away from old “welfare” models and build a community-focused support network for all older adults. In the end, this paved the way for the creation of the Administration on Aging.

Two Times is the Charm

“According to an online article, “AARP Fights for Older Americans Act in 1965,” published on  Sept. 28, 2024, on AARP’s website, the organization played a key role in pushing for the passage of Fogarty’s OAA legislative proposal.  Building support for the Congressional passage of the OAA became AARP’s key legislative priority from 1961 to 1965, as noted.  In that article, Ernest Gidding, AARP’s legislative representative, said, “The bill meets the major organizational recommendations of the WHCoA and overcomes the present welfare stigma of aging.”

However, Fogarty and Sen. Patrick V. McNamara (D-MI) failed to pass their initial OAA proposal in both chambers on the first try.  Lawmakers had begun efforts to pass their legislative proposals (H.R. 7957/S. 2000) in 1963. While this initial attempt stalled and the legislative proposal died in session, it got the whole country talking about how we treat older Americans, planting the seeds for a major comeback.

Two years later, Fogarty would try again. This time, the bill gained unstoppable momentum. During the 89th Congress, logs show the proposal cleared the House Committee on Education and Labor on March 9, 1965, and passed the House on March 31 by an overwhelming 395-to-1 vote. After the Senate passed it on May 27 and the House accepted a minor Senate amendment on July 6, President Lyndon B. Johnson signed Public Law 89-73 on July 14, 1965, in the White House Rose Garden, permanently changing how the nation funds and delivers support to older Americans.

“The OAA is to my mind one of the most significant laws ever passed by Congress,” said William C. “Bill Fitch,” AARP Executive Director from 1959 to 1967, in AARP’s online article.

At the signing, President Johnson stated:  “The Older Americans Act clearly affirms our Nation’s sense of responsibility toward the well-being of all of our older citizens. But even more, the results of this act will help us expand our opportunities to enrich the lives of all our citizens in this country, now and in the years to come.”

The President added: “This legislation is really the seed-corn that provides an orderly, intelligent, and constructive program to help us meet the new dimensions of responsibilities which lie ahead in the remaining years of this century.”

A Final Note…

 According to the Biographical Directory of the United States Congress, Fogarty spent 26 years in Congress, spanning portions of 14 Congresses from the 77th to the 90th, fighting for causes that improved the lives of millions of Americans. The Rhode Island Congressman was a strong believer in the power of government to advance health, education, and opportunity. He helped secure federal funding for medical research, health care, libraries, and programs serving older adults and people with disabilities.

 Some of Fogarty’s most lasting legislative achievements were the Hill-Fogarty “Health for Peace” initiative, which expanded international medical research and training, and the Library Services Act, which provided federal support to rural libraries. He also helped pass important laws that improved research and services for people with intellectual and developmental disabilities, as well as educational opportunities for blind and deaf Americans. According to records from the National Institutes of Health and Congress, these efforts continued to shape public policy long after Fogarty left office and are still part of his legacy.

Fogarty also spent years introducing the bills that led to the creation of the National Endowment for the Arts (NEA) and the National Endowment for the Humanities (NEH) in 1965, noted Thomas J. McAndrew, Esq., of Thomas J. McAndrew & Associates.

Building on Fogarty’s legislative achievements, McAndrew, serving as treasurer of the John E. Fogarty Foundation for Persons with Intellectual and Developmental Disabilities in Rhode Island, also recalls that his father-in-law was honored with the National Heart of the Year Award on Feb. 3, 1966 – less than a year before he would die of a heart attack on Jan. 10, 1967 in his Washington, D.C. office at the age of 53.  

McAndrew calls Fogarty “Everybody’s Congressman” in Rhode Island and points out that he was one of the state’s most important legislators in Congress. He also mentions his skill in influencing colleagues and gaining support for his legislative work.

He recalls that the Congressman rarely issued press releases or promoted himself, instead dedicating his attention to issues that benefited the American people and humanity.

McAndrew asks: “Where have these wonderful public servants gone?”

For more details about the John E. Fogarty Foundation for Persons with Intellectual and Developmental Disabilities in Rhode Island, call 401-274-3279 or visit the website, http://www.fogartyfoundation.org.

To watch SARCI’s State House OAA event, go to The Senior Agenda Coalition of RI – Older Americans Month: 5-6-2026

To view votes from SARCI’s Older Americans Month celebration, go to Out and About in RI: SACRI’s Celebration of Older Americans Month (photos)

To see a Drone’s view of the lighted State Capitol, go to State House Senior Coalition Final.mp4 – Google Drive