Home Foot Care Legislation Gains Momentum Toward Passage in RI

Published in RINewsToday on April 13, 2026

Through the efforts of aging advocates and older Rhode Islanders, the House last week followed the Senate’s lead in passing legislation that would allow certified foot care nurses to provide routine foot care to homebound patients. Under the legislative proposal, nurses must receive proper training and certification and demonstrate clinical competency.

At press time, the two chambers must still reconcile and pass identical versions of the bill before the legislation can be sent to the governor for signature.

On April 7, the Senate unanimously passed S. 2116A, introduced by Sen. Lori Urso, to expand access to routine foot care for homebound patients. Two days later, the House followed suit, passing Rep. Jennifer Boylan’s H 7029A by a vote of 65–0.

The sponsors—Rep. Boylan (D-Dist. 66, Barrington and Riverside) and Sen. Urso (D-Dist. 8, Pawtucket) —say the legislation addresses a critical need for basic, preventive foot care in the home. Many elderly and disabled patients require assistance with services such as toenail care and treatment of corns and calluses, yet are often unable to access care outside the home, including visits to a podiatrist.

Under the legislation, nurses must demonstrate knowledge and clinical competency in foot and nail structure and function, common foot conditions, and appropriate care techniques. They must also be certified by a national professional organization, such as the American Foot Care Nurses Association (AFCNA), or an equivalent approved by the Rhode Island Department of Health. Additionally, two of the required 10 continuing education hours per certification period must focus specifically on foot care. In addition to CEUS, 30 hours of training with a podiatrist are required for certification.

“This bill is about expanding access for vulnerable Rhode Islanders who currently have no safe options for routine foot care,” said Sen. Urso. “While this care may seem simple to some, for others it is difficult or even impossible to perform safely on their own.” She noted that similarly trained nurses already provide this care in most other states, including Massachusetts, whose regulations served as a model for the legislation.

Urso also pointed to the state’s aging demographics. “With the City of Pawtucket joining the AARP Age-Friendly initiative, along with several other Rhode Island communities, it is imperative that we support residents who wish to age in place,” she said. “Rhode Island has more residents over age 65 than under age 20, and initiatives like this help meet their needs.”

Rep. Boylan emphasized the broader issue of healthcare access. While many Rhode Islanders are aware of shortages in primary care and specialty providers, she said, fewer realize that essential services like in-home foot care are largely unavailable. This gap leaves many older adults without safe options.

“It’s especially dangerous for individuals with diabetes, who are prone to infections and other foot problems that can lead to serious complications or even death,” Boylan said.

Strong Backing from Leadership and Advocates

House and Senate leadership, along with aging advocates, say the proposal addresses a longstanding gap in home- and community-based care.

“This legislation will provide a lifeline for vulnerable Rhode Islanders who rely on in-home health services and currently face significant barriers to receiving basic but essential foot care,” said Senate President Valarie J. Lawson. She described the bill as a common-sense solution that improves the quality of life for both patients and caregivers.

House Speaker K. Joseph Shekarchi  called the measure a practical response to a widespread problem. “As someone with diabetes, I understand the serious risks associated with a lack of routine care. This bill helps protect the health and safety of Rhode Islanders,” he said.

Tina McDonald, a registered nurse licensed in both Rhode Island and Massachusetts who is certified in foot care, testified in support of H. 7029A. With 12 years of experience in foot care nursing, she argued that there is a significant unmet need among homebound elderly and chronically ill residents who can no longer visit a podiatrist’s office.

“It’s not a question of doctor versus nurse. It is a matter of nurse versus no one,” McDonald told House lawmakers, warning that podiatrists are not filling this gap in care.

Addressing the primary opposition from podiatrists, she clarified that nurses would not be practicing medicine but instead addressing a “self-care deficit” within the established nursing scope of practice.

During her testimony, McDonald emphasized that nurses are highly trained in assessment, infection control, and wound care.

Carol Anne Costa, executive director of the Senior Agenda Coalition of Rhode Island (SACRI), said the legislation would benefit homebound and mobility-challenged residents and their caregivers.

“SACRI was proud to testify in strong support of this bill,” she said. “It represents a vital step toward ensuring that older adults have the care and support they need to age safely and with dignity in their communities.”

Costa noted that allowing trained nurses to provide limited foot care services at home supports both family caregivers and broader home- and community-based care systems. “Those needing these services are often older adults or individuals with disabilities who face mobility challenges, making it difficult to access care outside the home,” she said.

She added that aging and underlying health conditions can make nail care more difficult and increase the importance of proper foot care.

Catherine Taylor, AARP Rhode Island State Director, echoed those concerns. “Access to in-home foot care is critical for older adults facing mobility, vision, or chronic health challenges,” she said. “Without regular care, minor issues can progress into infections, pain, or mobility limitations that increase fall risk and lead to more serious conditions. Home-based care supports prevention, early detection, and aging in place.”

“The bill would provide relief not only to patients, but also to families and caregivers who are often forced to choose between going without care or attempting to provide it themselves,” Taylor added.

Mary Lou Moran, director of the Pawtucket Division of Senior Services at the Leon Mathieu Senior Center, highlighted the local impact.

“This bill removes unnecessary barriers to essential preventive care and helps close a significant service gap,” she said. “Many individuals we serve cannot safely perform their own foot care and face transportation, mobility, or financial challenges accessing clinic-based services.”

Moran added that regulated, in-home care provided by qualified nurses can help prevent avoidable complications, reduce healthcare costs, and improve quality of life.

Podiatry Association Flags Concerns

Following House passage of H 7029A, the Rhode Island Podiatric Medical Association (RIPMA) issued a statement acknowledging improvements in the bill while raising concerns.

“This issue has always been about ensuring patients can access care from certified and credentialed providers,” the statement read. “We appreciate the inclusion of language requiring nurses to be certified by an accredited organization approved by the Department of Health.”

The organization noted that the bill could benefit truly homebound patients by reducing the risk of self-injury, but emphasized that it is not a substitute for physician care. Patients who can access a podiatrist (in the home or office)—especially those with underlying medical conditions—should continue to receive regular professional treatment.

RIPMA also cited studies showing that Medicare patients with diabetes who receive podiatric care experience fewer hospitalizations and amputations. The group expressed interest in collaborating with certified nurses to ensure safe, appropriate care.

At the same time, Past RIPMA President Dr. Michael Reuter, DPM, FACFAS, voiced concerns about the legislation’s broader impact.

“The legislation aims to solve a problem, but I am concerned it may create new ones,” he said.

Reuter, a board-certified podiatric foot and ankle surgeon in Rhode Island, criticized the absence of a Rhode Island Department of Health recommendation requiring collaboration between nurses and podiatrists. He said such coordination is essential to ensure timely referrals when needed.

“I hope the Department of Health establishes strong safeguards and oversight for providers entering vulnerable patients’ homes,” he said.

He also noted potential cost implications. “Patients will have to pay out of pocket for these services, whereas visits to a podiatrist—whether in-office or through a home visit—are covered by insurance,” he said.

Here is the link to the Feb. 10th House Committee on Health and Human Services on H 7029 A, go to House Committee on Health & Human Services – RISE: 2-10-2026

Here is the link to the March 3rd Senate Committee on Health and Human Services on S. 2116 A, go to Senate Committee on Health & Human Services: 3-3-2026

New AARP Report: Unpaid Care Skyrockets to over $1 Trillion

Published in RINewsToday on April 6, 2025

AARP’s latest report reveals a staggering surge in the economic value of unpaid family caregiving, now exceeding $1 trillion. Since 2006, AARP’s Public Policy Institute has tracked this value through its Valuing the Invaluable reports. Last week, at a virtual media briefing, the organization released its seventh report, Valuing the Invaluable 2026: Family Caregivers’ Contribution Reaches $1 Trillion,  delivering a strong message: in 2024, family caregivers provided nearly 50 billion hours of mostly uncompensated care—valued at a whopping $1.01 trillion. Sixteen years earlier, AARP estimated the value of uncompensated care was just $350 billion.

 Building on the previous data, the 9-page report, released on March 26, 2026, by AARP’s Public Policy Institute, emphasizes throughout that caregiving impacts not just families, but also the economy, labor market, and healthcare system.

 It estimates that 59 million caregivers contributed a total of 49.5 billion hours of care each year, valued at $20.41 per hour. Using the Caregiving in the US 2025 data set (which uses new statistical methods that incorporate the range of tasks and support that family caregivers provide), this amounts to about $1.01 trillion annually. For comparison, family caregivers’ economic contribution surpasses the combined federal, state, and local Medicare spending in 2024 ($931.7 billion) and nearly doubles out-of-pocket health care spending ($556.6 billion).

 To further accentuate the magnitude, the report calculates that the nearly 49.5 billion hours of uncompensated care provided annually equal the labor of about 24 million full-time workers—that’s 17% of the nation’s full-time workforce.

According to the AARP report, American adults spend as much time on caregiving duties as on everyday activities, such as housecleaning and preparing meals, and almost twice as much time as they spend on religious activities and volunteering combined.

This unpaid care—delivered by caregivers to older adults, neighbors, and friends—enables millions to remain independent in their homes and communities. The report warns that, without this assistance, millions of Americans would be forced to rely on assisted living or costly nursing facility care, resulting in significantly higher costs for public programs such as Medicaid. However, it also recognizes that this support comes at a steep personal cost to caregivers, often undermining their health, emotional state, financial security, and general well-being.

 Beyond national implications, AARP’s caregivers report also provides state-by-state estimates of the number of caregivers, total hours provided, economic value, and the average hourly value of care.

These state figures, for example, show that the estimated value of caregiving ranges from $14.12 per hour in Louisiana to $27.05 per hour in Washington, reflecting regional differences. In Rhode Island, approximately 155,000 family caregivers provide 111 million hours of unpaid care, valued at $2.8 billion, or about $25.07 per hour.

Continuing this deeper look, the AARP report finds that family caregivers now provide more care than ever, averaging 27 hours per week. More than half—57%—deliver high-intensity care: tasks such as bathing, dressing, wound care, and administering injections.

 Presser Announces New Caregiver Report’s Release

 To explore the report’s findings in greater depth, AARP convened a 40-minute panel moderated by Ilse Zuniga, Director of External Relations. This discussion brought together Dr. Myesha Minter-Jordan (AARP CEO), Nancy LeaMond (Executive Vice President and Chief Engagement Officer), Paula Cunningham (AARP Michigan State Director), Rita B. Choula (Senior Director at AARP’s Public Policy Institute and lead author), and Megan O’Reilly (Government Affairs Department).

During the panel, Dr. Myechia Minter-Jordan, AARP’s CEO and physician, addressed the 30 journalists present, stating that family caregivers are underwriting a service that millions depend on daily.

 She emphasized that, with family caregiving now exceeding $1 trillion annually, employers, healthcare providers, and policymakers must do more to recognize and support caregivers as they fill essential gaps in the healthcare system.

Dr. Jordan said caregiver stories are powerful and often painful, stressing that AARP is working to magnify these voices and advocate for concrete policies that recognize caregivers’ economic contributions.

 “Given that most Americans will either be a caregiver or need one at some point in their lives, we need to do better,” Dr. Jordan told the journalists.

 “AARP is supporting bold solutions to assist America’s caregivers, says Dr. Jordan. “These include a national paid family and medical leave policy, as well as greater respite services and resources, such as those offered in states through partnerships with United Way and AARP’s 211 Caregiver Support Hotline.”

She concluded that the released report should be a wake-up call and an opportunity for action, hoping that it will drive real, long-lasting change.

Nancy LeaMond, AARP Executive Vice President and Chief Advocacy and Engagement Officer, noted, “Caregiving is not simply a family issue; it’s a labor force, economic, and healthcare issue that compels action. Behind every data point is a person—a daughter, husband, grandchild, or neighbor.”  

According to LeaMond, AARP has been working relentlessly to raise caregiving as a national priority and to push for common-sense, bipartisan solutions that can save caregivers time and money.

LeaMond added that the organization has worked to raise the visibility of caregiving, making it a national priority at both the state and federal levels. She noted, “Oklahoma became the first state in 2023 to pass a comprehensive state-wide caregiver tax credit to put money back in the pockets of family caregivers,” with Nebraska following the next year.

Additionally, she stated that 12 other states have considered enacting statewide caregiver tax credit legislation during the 2026 legislative session.

LeaMond further reported that on Capitol Hill, AARP has been advancing legislation such as the Credit for Caring Act, which offers a $5,000 federal tax credit to offset caregiving expenses, and the Lowering Costs for Caregivers Act, which allows family caregivers to use Health Savings Accounts or Flexible Savings Accounts for care expenses for parents.

Paula Cunningham added a personal dimension, relating stories to illustrate the intense, unceasing nature of caregiving. She narrated stories of caregivers forced to draw from their savings or reduce work commitments, such as Deb Conja, an attorney from Okemos, Michigan, who left her job to care for her mother.

She also shared the experience of a Detroit military veteran who, after two tours of service, described caregiving for her mother as the hardest job she’s ever had—an indication of the intensity of these responsibilities.

“Navigating through who to call and when to call, and what kind of services are available is another layer of stress that we’re trying to help reduce,” says Cunningham. She noted that AARP Michigan is calling for funding for a Caregiving Resource Center to provide one-stop online shopping and connect 1.6 million Michigan caregivers across the state with the support services they need.  

 AARP Michigan is also pushing to expand access to funding for home- and community-based services that are necessary for caregivers to stay in the workplace, says Cunningham.

 Finally, during the Q&A, Megan O’Reilly from AARP’s government affairs department responded to Politico journalist Robert King about whether a federal crackdown on fraud in personal care services could undermine governmental efforts to support family caregivers. “Fraud is a crime, and those who commit fraud should be held accountable. But we have to make sure that we’re protecting the care and the need for the essential care and services that our communities and loved ones need to remain at home…,” she said.  

 In response to a question, Rita B. Choula, the AARP report’s lead author, provided extra insights as to how the economic value of care was calculated for the latest report.  

Today, caregiving encompasses much more than just taking someone to a provider’s office, paying bills, or even mowing the lawn, says Choula, noting that the economic value of care must account for the complexity of the care provided.  “Individuals are now doing things in the home that medical providers and professionals were trained to do,” she notes, explaining that these new duties have resulted in using a higher hourly wage to calculate the cost of unpaid care.  

AARP provides resources to help families navigate the myriad of caregiving challenges by connecting them to reliable resources in every state. AARP’s state-by-state Family Caregiver Resource Guides help family caregivers access key programs, services, and agencies right in their community. Additionally, through its partnership with United Way Worldwide, caregivers can access local support services in 28 states by calling 211, including help finding in-home care, respite care, transportation, and other essential services.

A Final Note…

Urgent policy action must be taken by Congress and state legislatures to provide the concrete financial support needed to deliver real financial relief and structural support for America’s caregivers through measures such as tax credits and paid family leave. It is the right thing to do!

House Lawmakers Must Not View Aging as a Partisan Issue

Published in RINewsToday on March 30, 2026

The Leadership Council of Aging Organizations (LCAO), representing 69 national groups dedicated to the well-being of seniors, is urging Congress to support H. Res. 1013, a bipartisan resolution introduced by Reps. Seth Magaziner (D-RI) and Maria Elvira Salazar (R-FL), which would reestablish the Permanent House Select Committee on Aging (HSCoA). Reestablishing this  committee strengthens House congressional oversight, crucial for meeting the needs of a growing older population.

The original HSCoA served as the House’s investigative panel to spotlight aging issues until 1993, when it was dismantled at the end of the 102nd Congress as part of a budget reduction that cut $1.5 million in funding. From 1974 to 1993, the committee fostered bipartisan collaboration to address a myriad of issues affecting older Americans, expanding its membership from 35 to 65 as its political influence grew.  While the House allowed its committee to expire over 30 years ago, the U.S. Senate continues to operate a Special Committee on Aging.

Today’s aging policy challenges now demand bipartisan solutions and comprehensive, coordinated action. The reestablishment of the HSCoA is a necessary, nonpartisan step to addressing these urgent policy needs.

Working Closely with Standing Committees

“Jurisdiction over many programs affecting seniors is spread across multiple standing committees, making it difficult to fully address problems that do not fit neatly into one category,” said Max Richtman, president of the National Committee to Preserve Social Security and Medicare and chair of LCAO. “The nation faces intergenerational challenges, including increasing strain on family caregivers and a persistent retirement security crisis, which demand forward-looking solutions. A select committee with broad jurisdiction is uniquely positioned to address these issues.”

In a March 16 LCAO endorsement letter, Richtman emphasized that a reestablished committee would be active and engaged—holding field hearings, convening teleconferences, and incorporating community perspectives directly into policymaking.

Support from LCAO’s member organizations underscores that the passage of H. Res. 1013 is a national priority, not a narrow concern. As Richtman noted, the nation’s largest aging coalition is calling for the immediate reinstatement of the House Aging Committee.

Reestablishing the committee would also restore balance to Congress’s approach to aging policy, notes LCAO’s endorsement letter. In recent years, the Senate’s Special Committee on Aging has played a vital bipartisan role in highlighting issues such as elder abuse, scams and fraud, high prescription drug costs, the impact of COVID-19, financial pressures on retirees, and the growing crisis of social isolation. The House lacks a comparable legislative panel—an absence that becomes more significant as the population continues to age.

Without a dedicated body to examine the full scope of aging policy, critical issues risk fragmentation, oversight gaps, and delays. In the past, HSCoA hearings provided a forum for bipartisan debate and dialogue, helping bridge philosophical political divides and enabling standing committees to advance informed legislative solutions.

On January 21, 2026, lawmakers introduced H. Res. 1013 and referred it to the House Rules Committee. As of this writing, the resolution remains in committee, awaiting hearings, markup, or a floor vote.

“It is too hard to be a senior in the United States, and Congress has a responsibility to do more for today’s growing population of older Americans and future generations,” said Rep. Magaziner, the bill’s primary sponsor. “Reestablishing the Select Committee on Aging would create a dedicated forum to address these challenges and help ensure Americans can retire with dignity.”

“America’s seniors built this country, and they deserve more than gratitude—they deserve action,” added Rep. Salazar, an original cosponsor. “From rising health care costs to housing and long-term care, their challenges are too important to be buried in bureaucracy. This committee would provide focus, coordination, and accountability, and deliver meaningful solutions so seniors can live with security and purpose.”

As a cosponsor, Rep. Gabe Amo (D-RI) supports bringing back the HSCoA.  “With rising costs, threats to Medicare, Medicaid, and Social Security, and scams targeting older Rhode Islanders, it is essential that we deliver real solutions for America’s seniors,” says Amo.

As Co-Chair of the Stop Scams Caucus, Rep. Amo introduced the STOP Scams Against Seniors Act to ensure investigators have the resources needed to protect seniors from losing their life savings and to help them retire with dignity. “I supported reestablishing this committee in the 118th Congress, and I remain committed to elevating the voices of seniors in the legislative process,” he says.

Can a Bipartisan Proposal Pass in a Divided House?

“AARP supports exploring the restoration of a House Aging Committee to help encourage bipartisan dialogue and elevate issues important to older adults,” said Debra Whitman, AARP’s chief public policy officer.

AARP Board Member Bob Blancato, former staff director of the House Subcommittee on Human Services, highlighted the strategic importance of AARP’s backing. “AARP’s support gives bipartisan weight to the resolution and can motivate lawmakers across the aisle to consider it,” he said.

Blancato called restoring the committee a “sound policy decision,” noting that the growth of the older population makes action urgent. “The sheer increase in the number of older adults since 1993 is reason enough,” he said, pointing out that the oldest baby boomers are now turning 80. “President Donald Trump, the oldest sitting president in U.S. history, turns 80 on June 14, 2026,” he added.

He also noted that a single vote in 1993 eliminated HSCoA and several other committees as part of an effort led by House Democratic leadership to reduce government spending. Blancato suggested the resolution could pass in today’s Republican-controlled House if lawmakers see it as politically advantageous, adding that Rep. Salazar, a Republican, could play a key role in building support.

Still, Blancato acknowledged uncertainty about how effective a modern version of the committee might be. “It’s a dicey question—it depends on the issues they take on,” he said. However, he emphasized that a reestablished committee could play a crucial role by holding hearings on Social Security reform proposals from both parties.

Rep. Magaziner’s effort to secure a Republican cosponsor reflects the kind of thoughtful, collaborative leadership our country needs—especially as America’s older adult population continues to grow at an unprecedented rate, says aging advocate Vincent Marzullo, a former federal civil rights and social justice administrator. “By working across party lines, he is helping to refocus national attention on a myriad of pressing challenges facing older Americans,” he says.

“Rep. Magaziner’s bipartisan initiative also underscores a shared commitment to dignity, respect, and opportunity for seniors, adds Marzullo, who serves on the Congressman’s senior advisory council, calling a bipartisan approach a constructive path to addressing the needs of aging communities nationwide.

Robert Weiner, former chief of staff of the HSCoA under the late Chairman Claude Pepper (D-FL), now director of an ongoing op-ed writing group recruiting young journalists, which won the National Press Club President’s Award, noted that similar resolutions have been introduced in six previous congressional sessions. He said bipartisan support—including from Rep. Salazar, a member of the House Problem Solvers Caucus—could improve the resolution’s chances for passage.

However, Weiner argued that attracting Republican cosponsors should not be difficult. “Historically, Republicans have received strong support from older voters,” he said. “Bipartisan sponsorship should help overcome partisan resistance,” he believes.

Given that Rep. Salazar is a Republican member of the bipartisan Problem Solvers Caucus, Weiner agrees that it is now time to urge the Problem Solvers Caucus to endorse and become cosponsors of H. Res. 1013. “The Aging Committee has always been bipartisan, with House leaders including not only Pepper and  Ed Roybal (D-CA)as chairs, but supportive ranking minority members, including then House members — later Senators — Charles Grassley (R-IA), William Cohen (R-ME), and John Heinz (R-PA),” notes Weiner. He added that the passage could depend on political timing. “It can and should be a shared victory,” Weiner said. “If not this year, then next year.”

A Call for Support

It is time for the Tallahassee, Florida–based Claude Pepper Foundation to step forward and formally endorse H. Res. 1013. The Foundation’s mission—to advance the ideas, values, and public policy legacy of the late Sen. Pepper, ensuring they remain part of contemporary American discourse—aligns directly with the purpose of this bipartisan resolution.

At its core, the Foundation educates federal and state policymakers and advocates for initiatives that enhance the quality of life for all Americans. H. Res. 1013 embodies that commitment. Endorsing this measure would not only honor Sen. Pepper’s legacy but also reinforce the Foundation’s leadership in shaping policies that address the needs of a growing aging population.

The bipartisan Problem Solvers Caucus, established in January 2017 as an outgrowth of the No Labels organization, was created to foster cooperation across party lines on key policy issues. Nearly evenly divided between Democrats and Republicans, the caucus has demonstrated that consensus-driven policymaking is both possible and necessary.

During the 119th Congress, the Problem Solvers Caucus endorsed 12 legislative proposals. Notably, however, none directly addressed aging programs or services. As an original cosponsor of H. Res. 1013, Rep. Salazar is well-positioned to urge the caucus’s co-chairs—Representatives Brian K. Fitzpatrick (R-PA) and Tom Suozzi (D-NY)—along with their colleagues, to make this resolution their 13th endorsed proposal.

Addressing the needs of older Americans should never be viewed as a partisan issue. Reestablishing the House Select Committee on Aging is a practical, bipartisan step that lawmakers from both parties can and should strongly support.

Restoring the committee is essential—not only to revive a once-vital congressional institution, but also to ensure that today’s Congress is now equipped to meet the evolving needs of the nation’s rapidly aging population.

LCAO member organizations endorsing H. Res. 1013 include AARP, Justice in Aging, CWI Works, Inc., Alzheimer’s Association, Village to Village Network, Gerontological Society of America, Network of Jewish Human Service Agencies, Meals on Wheels America, International Association for Indigenous Aging, APWU, Retirees Department, Service Employees International Union (SEIU), PHI, LeadingAge, Aging Life Care Association, National Adult Day Services Association (NADSA), Post Acute and Long Term Care Medical Association, National Academy of Elder Law Attorneys (NAELA), National Committee to Preserve Social Security and Medicare (NCPSSM), National Council on Aging, USAging, Mairead Painter, CT State Long Term Care Ombudsman,  National Adult Protective Services; and National Association of Nutrition and Aging Services Programs (NANASP), among others.

Read the full resolution here https://www.congress.gov/bill/119th-congress/house-resolution/1013/text

Rep. Magaziner’s one-minute floor statement calling for the passage of H. Res. 1013 – see it here: https://youtube.com/watch?v=IygZGcwnFPg&si=MLAAdY6QctiXd1TF

To read LCAO’s endorsement of H. Res. 1013, go to https://www.lcao.org/wp-content/uploads/2026/03/LCAO-Chairs-Letter-Endorsing-H.-Res.-1013.pdf.