Tag Archives for American Foot Care Nurses Association

New Laws Benefiting Older Rhode Islanders from this Legislative Session

Published in RINewsToday on July 20, 2026

A new group of bills, signed by Gov. Dan McKee, delivers notable benefits for older Rhode Islanders. The new laws focus on three main goals: boosting financial security, expanding healthcare access, and cracking down on fraud and scams targeting seniors.

Rhode Island General Assembly leadership convened this year’s legislative session on Jan. 6 that ran until June 11, with lawmakers working right up until 11:59 a.m. on their final day. Over those five months, the Senate logged 43 days on the floor, while the House logged 45.

In a joint statement, Senate President Valarie J. Lawson (D-Dist.14, East Providence) and House Speaker Christopher R. Blazejewski (D-Dist. 2, Providence) pointed out one of the session’s most significant legislative accomplishments – eliminating the state income tax on Social Security benefits for all low- and moderate-income Rhode Islanders who receive them, regardless of their age.

“We also strengthened protections against scams and financial exploitation, advanced consumer protections, and passed legislation to improve access to affordable, high-quality health care,” they said, stressing that more work remains.

“As we continue to prepare for the impacts of federal funding cuts to vital state programs like Medicaid and the Supplemental Nutrition Assistance Program (SNAP), we must remain vigilant in protecting the services that many older Rhode Islanders depend on,” they added. “We remain committed to working with our partners to address the many challenges facing older Rhode Islanders and to advancing policies that protect their financial security, support healthy aging, and enhance the quality of life for every senior in our state.”

A Strong Year for Aging Issues

More than 2,450 bills were introduced during the 2026 legislative session – 1,157 in the Senate and 1,297 in the House. Excluding resolutions, which were largely congratulatory in nature or recognized prominent Rhode Island residents, only 249 measures ultimately cleared both chambers to reach the Governor’s desk for signature.

Among the most important actions affecting Rhode Islanders was the adoption of the state’s $15.2 billion Fiscal Year 2027 budget. The new spending plan includes a number of provisions benefiting older adults, caregivers, and aging-service providers. It eliminates age thresholds to exempt Social Security income from state taxes, increases Medicaid reimbursement rates for dementia care and other providers, and boosts funding for Meals on Wheels and senior centers.

But the enacted budget was only part of this year’s legislative story. Lawmakers also approved a number of bills that Gov. Dan McKee signed into law, addressing health care, consumer protection, retirement security, and services that help older Rhode Islanders remain independent in their homes and communities.

Among the new laws signed by Gov. McKee are the following:

The General Assembly approved legislation (S 3282, H 8595) sponsored by Senate President Lawson and Rep. Michelle McGaw (D-Dist. 71, Portsmouth, Tiverton, Little Compton) to ensure that Medicare patients over 65 years old are eligible for all Medicare supplemental coverage programs, regardless of preexisting conditions. Under the new law, every Medicare recipient over 65 will have at least one month each calendar year to enroll in any Medigap plan without undergoing medical underwriting. That means older adults cannot be denied coverage – or charged higher premiums because of preexisting conditions if they switch plans during that enrollment period.

Rep. Jennifer Boylan (D-Dist. 66, Barrington, East Providence) and Sen. Lori Urso (D-Dist. 8, Pawtucket) sponsored successful legislation (H 7029A, S 2116A) to help homebound patients access routine foot care at home. The new law allows routine foot care in patients’ homes, provided the provider has received proper training and demonstrates clinical competence. The new measure addresses unmet needs for basic, routine, and preventive foot care at home. Many older adults and people with disabilities need medical assistance for routine foot care, including noninvasive maintenance of toenails, common corns, and calluses.

Legislation (S 2026, H 8171A) from Sen. Victoria Gu (D-Dist. 38, Westerly, Charlestown, South Kingstown) and Rep. Justine Caldwell (D-Dist. 30, East Greenwich, West Greenwich), now law, creates a Medicaid pilot program that leverages medically tailored meals and other nutritional supports to improve the health of those with chronic, diet-related conditions. This coverage could take the form of produce prescriptions, vouchers, or medically tailored meals, prescribed by medical professionals for persons with diet-related diseases or food insecurity. It could also include clinical nutrition education.

Legislation (H 8060A, S 3338) introduced by Rep. Joseph J. Solomon, Jr. (D-Dist. 22, Warwick) and Sen. Matthew L. LaMountain (D-Dist. 31, Warwick, Cranston), now enacted, strengthens the state’s laws to fight identity fraud and emerging forms of digital deception. The act defines “digital forgery” as participating in the generation, creation, or distribution of a computer-generated visual or audio representation intended to deceive people.

Gov. McKee signed legislation (H 7613A, S 2810A) sponsored by Rep. Alex D. Marszalkowski (D-Dist. 52, Cumberland) and Sen. Lammis Vargas (D-Dist. 28, Cranston, Providence) that would protect tax filers from fraudulent or illegal tax preparation services. This new law imposes penalties on tax preparers who intentionally mislead their clients or act as ghost preparers for tax returns. It would also require the tax administrator to publish a list of tax preparers whose privileges to prepare returns have been revoked or suspended.

The Act (H 7551aa, S 2715A) introduced by House Speaker Pro Tempore Brian Patrick Kennedy (D-Dist. 38, Hopkinton, Westerly) and Senate President Lawson would criminalize deed theft. Additionally, it would allow municipalities to refuse to record “suspicious documents” submitted by untrusted submitters. Deed theft usually involves forged documents, such as a quit-claim deed, to record a phony transfer of property ownership. Scammers may then attempt to sell the stolen vacant land or home, or even rent it, to turn a profit, forcing the real owners to head to court to reclaim their property.

The enacted measure (H 7837, S 2878) sponsored by Rep. Caldwell and Senate President Pro Tempore Hanna M. Gallo (D-Dist. 27, Cranston, West Warwick) would improve the oral health of homebound older Rhode Islanders by expanding reimbursement eligibility for public health dental hygienists. Currently, dental hygienists’ services are reimbursable only through Medicaid and insurance plans purchased through HealthSource RI. The new law allows public health dental hygienists to be paid directly by Medicare and other insurers for services provided in the home to older adults who lack transportation or mobility to visit a dentist.

This enacted legislation (H 7475, S 3086), sponsored by Rep. Evan P. Shanley (D-Dist. 24, Warwick, East Greenwich) and Sen. Meghan E. Kallman (D-Dist. 15, Pawtucket, Providence), enacts technical amendments to the Rhode Island Secure Choice Retirement Savings Program Act. These structural modifications, which improve daily operations enable the retirement board to enhance the program’s efficiency and reach and strengthen interstate partnerships. Secure Choice, which offers employees of small businesses access to a portable, Roth-IRA-type retirement accounts through automatic payroll deduction, was enacted last year.

We’ll Be Back

According to Carol Costa, Executive Director of the Senior Agenda Coalition of RI (SACRI), this year’s General Assembly approved several important measures supporting aging in place, including bills on foot care and dental hygienists. She also believes the Food as Medicine legislation will have a tremendous impact on homebound older Rhode Islanders.

Costa noted that consumer protection bills which were signed into law are also laudable, including the enacted bill (H 8106, S 2644), that was introduced by Rep. Stephen M. Casey (D-Dist. 50, Woonsocket) and Sens. Melissa Murray (D-Dist. 24, Woonsocket, North Smithfield) and Brian J. Thompson (D-Dist. 20, Woonsocket, Cumberland) restricting deed covenants on grocery stores addressing anti-competitive deed restrictions. The bills were originally created and pushed forward at the request of Rhode Island Lt. Gov. Sabina Matos as part of her “Fair Price Grocery Agenda”.

SACRI applauds the enactment of legislation (H 7020, S 3180) sponsored by Rep. Jon D. Brien (I-Dist. 49, Woonsocket, North Smithfield) and Sen. Thompson that establishes the framework for veterinary telemedicine in Rhode Island. “It is a good law to help homebound older Rhode Islanders to take better care of their pets,” Costa says. The new law requires Rhode Island-licensed veterinarians to obtain client consent before establishing an electronic relationship and to keep records for one year. Providers must clearly display services and standard fees on their websites.

Workforce development also got a boost this year with passage of the Healthcare Worker Platform Act (H 7030B, S 2107A), says Costa. Sponsored by Rep. Shanley and Sen. Jacob E. Bissaillon (D-Dist. 1, Providence), the new law creates a digital platform that connects qualified healthcare workers with open shifts at healthcare facilities. The platform allows licensed healthcare professionals to identify and accept available shifts, helping healthcare providers fill staffing gaps more quickly and efficiently. “Creating a workforce platform is a positive step that enables quicker access to long-term care staffing,” says Costa.

“SACRI will be supporting bills that did not get over the finish line this session by pushing them on day one,” says Costa, noting that in the next session, the coalition will push for the passage of the removal of the MSP Asset test, the creation of the Office of the Elder Advocate, and making the Rep. Lauren H. Carson’s (D-Dist. 75, Newport) House Study Commission on Aging or House Commission Studying Services and Programs for Older Adults a permanent commission.

“SACRI is reflecting on a year of dedicated advocacy while turning its focus to the work ahead,” explains Costa. “While some major legislative priorities did not make it across the finish line this year, we remain committed to dismantling barriers for Rhode Island’s older adults and individuals with disabilities,” she says.

“While SACRI didn’t secure 100% of all we fought for this past session, our resolve is stronger than ever to push for passage in the General Assembly,” says Costa, stressing that the legislation is vital to the economic security and protection of our older adults. “SACRI will be there to advocate forcefully until they become law,” she said.

For more information about the states’ Fiscal Year 2027 budget, see my article in RI News Today. Go to https://rinewstoday.com/ri-budget-win-for-older-adults-by-herb-weiss.

Read about AARP Rhode Island’s advocacy on bills that were signed into law this legislative session. Go to

https://www.aarp.org/states/rhode-island/rhode-island-2026-legislative-win

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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