Tag Archives for Medicaid

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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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. 

Senate Aging Panel Highlights the Importance of Financial Literacy

Published in RINewsToday on May 18, 2026

Chairman Rick Scott (R-FL) and Ranking Member Kirsten Gillibrand (D-NY) of the U.S. Senate Special Committee on Aging held a hearing last month called “Empowering Seniors Through Financial Literacy: Tools to Protect Savings, Prevent Fraud, and Promote Independence.” The hearing, held during National Financial Literacy Month, focused on the need for financial education and income security for older Americans.

The April 15 hearing lasted just over an hour and focused on improving financial and retirement security for older Americans. During his opening remarks, Sen. Scott announced the release of a bipartisan 2026 Financial Literacy Booklet to help older Americans spot and avoid scams.

At SH-216, the Senate Aging Committee confirmed its continued work to protect older adults from financial exploitation and built on earlier efforts, such as the 2025 Fraud Report.

New Resource for a Secure Retirement

The new 39-page bipartisan booklet, Guarding Your Nest Egg: A Financial Resource for Older Adults, helps older Americans manage their finances, protect themselves from fraud and scams, and plan for a secure retirement.

As Sen. Scott noted: “For so many Americans, especially our seniors, it’s hard to find the information,” Sen. Scott said in his opening statement. “And when you do find it, it’s often incredibly complicated. As a country, we have done a poor job of ensuring people know their options and what route will work best for their needs.”

Sen. Scott says financial literacy is one of the most powerful and most underused tools to protect older Americans. “When they understand how their benefits work, they make better decisions,” he says.

“When they know how to read a financial statement and recognize bad actors, they’re harder to deceive. When they understand the difference between a legitimate investment and a pitch that’s too good to be true, they protect themselves. And when they know where to turn for trusted help, they realize they are not navigating this alone,” said the Florida Senator.

Finally, Sen. Scott added, “The best part is that this doesn’t require a new government program or more federal bureaucracy.” He stressed that the solution is not more federal spending, but “clear information, trusted messengers, and a commitment to getting that information into people’s hands.”

The Senate Aging Committee’s new booklet helps readers make smart retirement and financial decisions. It covers an array of topics, including Social Security, Medicare, housing, charitable giving, disaster preparedness, and even planning for unexpected events. Throughout its pages, practical advice is given to help older adults protect their savings and avoid fraud and scams.

Sen. Gillibrand, in her opening remarks, noted that over 11,000 Americans turn 65 every day. Longer lifespans mean more years in retirement, so careful retirement planning is needed, she says, stressing that aging populations put pressure on budgets and healthcare programs at all levels.

The New York Senator mentioned a recent statement by President Donald J. Trump, who suggested that Medicare and Medicaid should be managed by states rather than the federal government. She countered that comment, noting that since Medicare and Medicaid were enacted in 1965, older Americans have come to rely on these federal programs and expect them to be in place when needed.

Sen. Gillibrand pointed out that the Centers for Disease Control and Prevention data show about 44% of adults over 65 have a disability. Many people don’t see themselves in these statistics, and some find it difficult to plan to take care of a child or adult with special needs. Even when people set financial goals and save, unexpected events can still occur, she says.

Expert Witnesses disclose Insights on Financial Literacy

The Senate Aging Panel brought four expert witnesses from the Financial Industry Regulatory Authority (FINRA), the American Bankers Association Foundation, AARP, and the financial planning community to testify at the hearing. These witnesses stressed the value of financial literacy and highlighted the growing complexity of fraud schemes. They also called for a coordinated approach that leverages education, training, partnerships, and legislation to protect older Americans’ finances.

“For older Americans, financial literacy is not a luxury; it is key for building wealth, protecting savings and preserving autonomy,” says Christine Kieffer, Interim President of the FINRA Investor Education Foundation. Kieffer explained that financial literacy helps manage financial difficulties, but it is not enough to prevent scams. It should be combined with awareness of scams, an understanding of persuasion tactics, and a coordinated approach to ensure real protection.

Sam Kunjukunju, Vice President of Consumer Education at the American Bankers Association Foundation, suggested banks protect and educate older consumers, train bankers, work with law enforcement and adult protective services, and use technology. He also called for a nationwide education campaign and federal laws allowing banks to delay suspicious transactions.

From large banks to small community banks, these financial institutions offer fraud prevention workshops, online banking training, and financial wellness seminars, and coordinate outreach efforts with community organizations, says Kunjukunju, citing several examples.

Carly Roszkowski, AARP’s Vice President of Financial Resilience Programming, shared that 64% of adults worry about having enough money to retire, and nearly one in five non-retirees have no retirement savings. She discussed the real financial challenges older adults face.

AARP provides practical, easy-to-use digital tools (calculators, guides, and other resources) that enable older adults to make informed decisions about their financial future, thereby strengthening their long-term retirement security, says Roszkowski.

“The retirement system now shifts risk to the individuals, but education and support never caught up,” said Roszkowski in her testimony, explaining that the U.S. retirement system now places primary responsibility on individuals to manage savings, investing, and turning those savings into lifelong income.

“Financial literacy works – but only when it’s practical, sustained, timely, and paired with decision support,” adds Roszkowski.

Furthermore, Roszkowski argued that since individuals now bear more risk, financial literacy should be taught throughout one’s life. This approach should cover complex decisions that must be made in later years, as well as fraud risks, drawing on trusted, accessible sources.

In his testimony, Scott Kahan, a certified financial planner, also shared his experience navigating Medicare at age 65, even after 40 years in finance, to illustrate how complex it can be.

“Many people don’t use a financial planner for retirement planning. They might think they don’t have enough money or believe free help online is enough,” says Kahan, warning that this belief is often wrong and misleading.

Getting help from skilled, ethical financial planners like CFPs is essential and should not be considered a luxury, Kahan states, describing this assistance as a lifeline for managing financial complexity and avoiding fraud.

At this hearing, the expert witnesses said that today’s scams are sophisticated schemes that use Artificial Intelligence, voice cloning, and psychological manipulation. They also pointed out how hard it is to make wise choices about when to take Social Security, enroll in Medicare, and manage savings, especially when information is complex, hidden, and difficult to find on government websites, or even biased.

The witnesses also called on banks, government, regulators, nonprofits, and law enforcement to work together to help older Americans make better financial decisions and avoid scams. They often said that information and warnings should come from trusted sources such as family, bankers, financial planners, or groups like AARP.

 A Final Note…

Hopefully, the testimony at the Senate Aging Committee hearing will push Congress to move quickly to establish a “uniform national framework” that eliminates inconsistencies among state laws and better protects older Americans from today’s increasingly sophisticated fraud and scams. Possible steps include a federal “safe harbor” law allowing banks to delay disbursements or temporarily hold transactions when fraud is suspected, the creation of new task forces focused on combating elder fraud, and increased funding for national financial literacy campaigns.

The witnesses’ testimony about scams and complex systems may prompt federal agencies, such as the Securities and Exchange Commission, the Social Security Administration, and the Centers for Medicare & Medicaid Services, to make their communications and processes easier for older adults to access.

To watch the April 15 Senate Aging Committee Hearing, go to Empowering Seniors through Financial Literacy: Tools to Protect Savings, Prevent Fraud, and Promote Independence | United States Senate Special Committee on Aging

Download/read the “Guarding Your Nest Egg, a Financial Resource Guide for Older Adults:   https://www.aging.senate.gov/imo/media/doc/guarding_your_nest_egg_a_financial_resource_guide_for_older_adults.pdf