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Showing posts with label debt. Show all posts
Showing posts with label debt. Show all posts

Monday, April 27, 2026

In Connecticut, Doctors Now Sue Patients Most Over Medical Bills, Surpassing Hospitals

Chasing medical debt

Many hospital systems in Connecticut have stopped suing their patients over unpaid bills, stung by criticism about the harm caused by aggressive collection tactics.

But physicians, dentists, ambulance companies, and other health care providers are still taking their patients to court, a Connecticut Mirror-KFF Health News investigation of state legal records shows.

Lawsuits by doctors and other nonhospital providers now dominate health care collections in Connecticut, the records show, accounting for more than 80% of cases filed against patients and their families in 2024.

That’s a major reversal from just five years earlier, when hospital system lawsuits made up three-quarters of health-related collection cases in the state’s courts.

The shift is moving medical debt collections into a less regulated realm. Most hospitals, because they are tax-exempt nonprofits, must make financial aid available to low-income patients and follow federal regulations that limit aggressive collection activities. Other medical providers, such as private medical groups, are generally exempt from these rules.

The lawsuits are typically over bills of less than $3,000, but the impact on patients can be devastating. Lawsuits are among the most ruinous byproducts of a health care debt problem that burdens an estimated 100 million people in the U.S.

Lawsuits can lead to garnished wages, liens on homes, and hundreds of dollars of added debt from interest and court fees. They also pile additional financial strains on struggling families, prevent patients from getting needed care, and sap trust in medical providers.

Sunday, April 5, 2026

VA Families Losing Homes After Trump Killed Loan Program

"The Most Anti-Veteran President in History"

Julia Conley for Common Dreams

Just as Donald Trump and Republicans in Congress were warned would happen, close to 100,000 US veterans are currently behind on their mortgage payments or are in the process of foreclosure as a result of the White House’s decision to shut down a Department of Veterans Affairs program that helped people with VA-backed home loans when they were behind on their monthly payments.

As NPR reported Thursday, more than 10,000 have already lost their homes, nearly a year after the Trump administration abruptly did away with the VA Servicing Purchase (VASP) program.

The program was rolled out during the Biden administration, after the VA ended a pandemic-era assistance program that had allowed VA home loan borrowers to gradually pay back mortgage payments that they had needed to skip.

Under VASP, the VA purchases home loans that were in default from mortgage services and then modified the loans.

In March 2025, a representative from the Mortgage Bankers Association told the House Veterans Affairs Committee that widespread foreclosures would result if the VASP program—which Republicans in Congress said had been created by former President Joe Biden for “political purposes... to undercut the VA Home Loan program—was not protected.

Despite the warning, the VASP program was halted two months later.

Nearly a year after the program’s end, the VA is still developing a replacement to help veterans—many of whom are struggling to afford essentials just like the majority of other Americans as the cost of living crisis intensifies with rising fuel prices due to Trump’s war on Iran.

Friday, March 13, 2026

Sen. DiMario introduces legislation to address workforce shortages through loan assistance

DiMario wants to help with student debt

Sen. Alana M. DiMario has introduced legislation to attract and retain much-needed workforce talent by establishing a fund to provide partial loan repayments to Rhode Island workers employed in high-need professions.

“Student loan debt is a burden facing so many of our young professionals, and having a program established to assist them will allow the state and its employers to quickly put available workforce development dollars from any source to effective use to attract and retain much-needed talent,” said Senator DiMario (D-Dist. 36, Narragansett, North Kingstown, New Shoreham). 

“In the short term this could address our state’s health care staffing crisis by helping to recruit and retain professionals in high-demand areas, including primary care providers and mental health practitioners, but it would work equally well for other sectors of our workforce that might experience shortages in the future. Additionally, administering this program through the existing Rhode Island Student Loan Authority cuts down on administrative costs for the state by reducing duplicative programs and means that participants could maximize their repayment and tax benefits.”

The bill (2026-S 2662) would establish a fund under the administration of RISLA to provide loan-repayment assistance to workers in high-need professions who have committed to work full-time in their profession for a prescribed term of service.

Friday, December 19, 2025

Trump’s Own Mortgages Match His Accusations of Mortgage Fraud by His Enemies

Classic Trump: He does what he accuses others of doing

For months, the Trump administration has been accusing its political enemies of mortgage fraud for claiming more than one primary residence.

Donald Trump branded one foe who did so “deceitful and potentially criminal.” He called another “CROOKED” on Truth Social and pushed the attorney general to take action.

But years earlier, Trump did the very thing he’s accusing his enemies of, records show.

In 1993, Trump signed a mortgage for a “Bermuda style” home in Palm Beach, Florida, pledging that it would be his principal residence. Just seven weeks later, he got another mortgage for a seven-bedroom, marble-floored neighboring property, attesting that it too would be his principal residence.

In reality, Trump, then a New Yorker, does not appear to have ever lived in either home, let alone used them as a principal residence. Instead, the two houses, which are next to his historic Mar-a-Lago estate, were used as investment properties and rented out, according to contemporaneous news accounts and an interview with his longtime real estate agent — exactly the sort of scenario his administration has pointed to as evidence of fraud. 

At the time of the purchases, Trump’s local real estate agent told the Miami Herald that the businessman had “hired an expensive New York design firm” to “dress them up to the nines and lease them out annually.” In an interview, Shirley Wyner, the late real estate agent’s wife and business partner who was herself later the rental agent for the two properties, told ProPublica: “They were rentals from the beginning.” Wyner, who has worked with the Trump family for years, added: “President Trump never lived there.”

Mortgage law experts who reviewed the records for ProPublica were struck by the irony of Trump’s dual mortgages. They said claiming primary residences on different mortgages at the same time, as Trump did, is often legal and rarely prosecuted. But Trump’s two loans, they said, exceed the low bar the Trump administration itself has set for mortgage fraud.

Friday, November 21, 2025

5 Reasons Trump’s Economy Stinks and 10 Things the Dems Should Do About It

Finally, the public seems to get how badly Trump has trashed the economy

Robert Reich in Inequality Media

Donald Trump claimed last week on social media that “Our economy is BOOMING, and Costs are coming way down,” and that “grocery prices are way down.

Rubbish.

How do I know he’s lying? Official government statistics haven’t been issued during the shutdown—presumably to Trump’s relief (the White House said Wednesday that the October jobs and Consumer Price Index reports may never come out).

But we can get good estimates of where the economy is now, based on where the economy was heading before the shutdown and recent reports by private data firms.

First, I want to tell you what we know about Trump’s truly sh*tty economy. Then I’ll suggest 10 things that Democrats should pledge to do about it.

1. Prices Continue to Rise as Real Wages Fall

Sunday, October 12, 2025

Brown University researcher testifies that non-profit hospitals need to provide more community benefit to compensate for their tax exemption

Lawmakers can ensure that nonprofit hospitals benefit communities, Brown scholar tells Congress

Brown University

More than half of U.S. hospitals are nonprofit organizations, and the total financial value of nonprofit tax exemptions exceeds $37 billion per year nationally. In return for this exemption, the IRS requires that nonprofit hospitals operate with a primary focus of serving the community. But that’s not always the case in reality, said Brown University public health researcher Christopher Whaley. 

In testimony offered before Congress on Tuesday, Sept. 16, Whaley presented his research quantifying the financial value of nonprofit hospital tax exemptions, analyzing hospital use of tax-exempt bond financing and investment income, and examining how those financial advantages influence hospital pricing behavior and community benefit spending. He also shared policy reforms suggestions that could help ensure that tax benefits translate into measurable health care benefits for patients and communities. 

Whaley was among of a panel of experts who testified in a hearing titled “Hearing on Virtue Signaling vs. Vital Services: Where Tax-Exempt Hospitals are Spending Your Tax Dollars,” organized by the Oversight Subcommittee of the U.S. House Committee on Ways and Means. The associate professor of health care policy, who is affiliated with the Center for Advancing Health Policy through Research at Brown’s School of Public Health, was invited to testify given his research on ways to reduce health care costs.

Sunday, August 24, 2025

Trump is angry at banks but for the wrong reasons

Debunking Debanking

By Philip Mattera, director of the Corporate Research Project of Good Jobs First for the Dirt Diggers Digest

With his track record of failing to pay his debts, six
bankruptcies, and $354 million banking and tax fraud
judgment against him by the state of New York,
maybe banks have good reasons for not wanting
to do business with Trump. Shown here with
convicted child sex trafficker Ghislaine Maxwell.
There are plenty of reasons to be critical of the big banks. They hit customers with illegitimate fees. They misuse personal information. They pay meager interest on savings accounts. They do too little to help struggling mortgage holders. Some such as Wells Fargo have a history of creating bogus accounts to generate revenue. Many have been accused of manipulating foreign exchange markets, enabling tax evasion by the wealthy, and helping bring the U.S. economy to the brink of collapse in the late 2000s.

In Violation Tracker, Bank of America has by far the largest cumulative penalty total: $87 billion. JPMorgan Chase is second with $40 billion; Wells Fargo and Citigroup are also among the ten most penalized corporations.

Apparently oblivious to all this, Donald Trump recently launched a tirade against the banks that focused on a bizarre accusation: that they refuse to do business with people with right-wing political views, especially Trump himself.

His sons say Russia bailed him out
In an interview with CNBC, Trump claimed that JPMorgan Chase and Bank of America had refused to accept deposits from his company after his first term as president. “The Banks discriminated against me very badly,” he moaned.

Trump’s account may very well have been fictional. If not, it conveniently ignores the idea that the banks may have shunned him because he was a bad credit risk, and for a period of time after January 6 there was a chance he would end up in prison.

Aside from his personal grievances, Trump’s comments appear to be connected to a move by his administration to address what right-wingers claim is a practice of “debanking” – denying banking services to people based on their political views. There is, of course, no evidence that banks apply an ideological litmus test to potential customers.

Instead, the debanking assault seems to be an effort to undermine rules governing transactions with individuals who might be connected to illegal activities such as money laundering and the financing of terrorist activities. As part of their due diligence, banks are supposed to consult lists of people who may be tied to such activities.

Tuesday, August 5, 2025

Why do MAGA faithful support Trump if his ‘big beautiful bill’ will likely hurt many of them?

This is why Trump said "I love the uneducated"

Alex Hinton, Rutgers University - Newark

Donald Trump signed the wide-ranging One Big Beautiful Bill Act into law on July 4, 2025. It focuses on cutting taxes, mainly for households that earn US$217,000 or more each year, as well as increasing funding for military and border security and revamping social programs.

Republicans tout it as providing “an economic lifeline for working families” and “laying a key cornerstone of America’s new golden age.”

Democrat lawmakers argue that, in reality, Trump’s act “steals from the poor to give to the ultra-rich.”

The act is estimated to increase the country’s debt by more than US$3 trillion over 10 years, while knocking more than 10 million people off Medicaid.

About 41.4 million adults in the U.S. receive Medicaid. And 49% of Medicaid recipients who voted in the 2024 election backed Trump.

While 94% of Democrats and Democratic-leaning independents said in a May 2025 survey that they are worried Medicaid cuts will lead to more adults and children losing their health insurance, 44% of Republicans and Republican-leaning independents expressed concern about this, according to the KFF Health Tracking Poll.

Why, then, do Trump’s Make America Great Again supporters – especially those who will be hit hard by cuts to food assistance programs and health care, including hospitals – continue to support him even as he enacts policies that some think go against their interests? Indeed, over 78% of Republicans or Republican-leaning voters say they support the measure Trump signed.

As an anthropologist who studies MAGA and American political culture, I understand that many of the MAGA faithful believe that Trump is a once-in-a-lifetime leader who is catapulting the U.S. into a new golden age.

Sure, their reasoning goes, bumps in the road are expected. But they think that most of the criticism of Trump and this latest bill is ultimately fake news spread by radical leftists who have what some call Trump Derangement Syndrome, meaning anti-Trump hysteria.

Monday, August 4, 2025

Trump Voters Wanted Relief From Medical Bills.

Surprise! For Millions, the Bills Are About To Get Bigger.

 

Donald Trump rode to reelection last fall on voter concerns about prices. But as his administration pares back federal rules and programs designed to protect patients from the high cost of health care, Trump risks pushing more Americans into debt, further straining family budgets already stressed by medical bills.

Millions of people are expected to lose health insurance in the coming years as a result of the tax cut legislation Trump signed this month, leaving them with fewer protections from large bills if they get sick or suffer an accident.

At the same time, significant increases in health plan premiums on state insurance marketplaces next year will likely push more Americans to either drop coverage or switch to higher-deductible plans that will require them to pay more out-of-pocket before their insurance kicks in.

Smaller changes to federal rules are poised to bump up patients’ bills, as well. New federal guidelines for covid-19 vaccines, for example, will allow health insurers to stop covering the shots for millions, so if patients want the protection, some may have to pay out-of-pocket.

The new tax cut legislation will also raise the cost of certain doctor visits, requiring copays of up to $35 for some Medicaid enrollees.

And for those who do end up in debt, there will be fewer protections. This month, the Trump administration secured permission from a federal court to roll back regulations that would have removed medical debt from consumer credit reports.

That puts Americans who cannot pay their medical bills at risk of lower credit scores, hindering their ability to get a loan or forcing them to pay higher interest rates.

Saturday, July 19, 2025

What’s the Real Reason Elon Musk Wants a Third Party?

He's not doing it for you

Robert Reich 

“The America Party is needed to fight the Republican/Democrat Uniparty,” Elon Musk posted on X, announcing that he’s forming a third party.

Does America need a third party? Possibly, for a reason I’ll get to in a moment.

But America doesn’t need a third party financed by the richest person in the world, who sank a quarter of a billion dollars into making Trump president and was also among the most prolific Republican donors in 2024 (Trump officials are still awaiting $100 million in pledges Musk made this year).

We need a third party dedicated to just the opposite — getting big money out of politics.

Both major parties are far too dependent on big corporations and the ultra-wealthy, although the GOP is far more dependent than are the Democrats.

Just 100 extremely wealthy families invested $2.6 billion in the 2024 election that put Trump back in the White House and Republican majorities in both the House and Senate.

Even if you subtract Musk’s contribution, that’s more than double what billionaire donors contributed just four years ago.

Fully 70 percent of the bounty from the top 100 contributing billionaire families went to Republicans.

Billionaires accounted for almost three-quarters (71 percent) of the total amount used by outside spending groups to attack Democratic presidential candidate Kamala Harris, and over three-fifths (61 percent) of all outside dollars spent praising Trump.

In the three Senate races that gave Republicans control of the Senate, billionaires supplied most Republican outside spending: in Montana, 58.1 percent. Pennsylvania 56.8 percent. Ohio 44.5 percent.

Soon, the billionaires who invested in Trump will get a giant return on their investment, courtesy of Trump’s Big Ugly budget bill.

The Joint Committee on Taxation estimates that by 2027, the richest 0.1 percent of taxpayers (of which the country’s estimated roughly 900 billionaires are a subset) will collectively save $60 billion in federal taxes, due to the Big Ugly.

Clearly, Musk’s purpose in creating a third party has nothing whatever to do with ending this deepening corruption.

He says he wants to unseat Republican lawmakers who backed Trump’s Big Ugly because it will add trillions to the national debt.

“What the heck was the point of @DOGE if he’s just going to increase the debt by $5 trillion??” Musk wrote on X, referring to his so-called Department of Government Efficiency.

Oh, please.

If Musk is really worried about the federal debt, the easiest way to shrink it would be to raise taxes on the wealthy — including himself.

Near-record levels of income and wealth are now concentrated at the very top, yet the rich don’t pay nearly their fair share in taxes.

Consider this: Musk’s 2024 campaign contributions were four times more than what he paid in annual federal income taxes between 2013 and 2018.

In fact, Musk — the richest person in the world — pays a lower tax rate than average Americans.

Monday, July 7, 2025

10 nasty little surprises in Trump's Big Beautiful Boondoggle

Zeros out Planned Parenthood, boosts Medicaid AND Medicare costs, squeezes student loan holders, gives venture capitalists a new tax break and more

By Colin SeebergerAndrea Ducas and Natasha Murphy

Congressional Republicans passed a radical budget and tax bill—the One Big Beautiful Bill Act—on a party-line vote. Many of the plan’s key elements will increase families’ costs for health care, food, and utilities—such as historic cuts to Medicaid and the Supplemental Nutrition Assistance Program (SNAP) as well as terminating tax credits to produce more American-made energy—and are deeply unpopular according to recent survey data. Several provisions, however, remain less understood because they’ve received less media attention or were added during rushed negotiations that took place overnight and behind closed doors.

This article details several lesser-known provisions of the One Big Beautiful Bill Act (OBBBA) that will increase costs and limit Americans’ ability to meet their basic needs; create a slush fund for Trump administration overreach; and waste taxpayer money.

Defunding Planned Parenthood clinics

The OBBBA includes a provision that would effectively defund Planned Parenthood clinics for one year. The bill would do this by prohibiting any health clinic that provides abortion care (even if that care is paid for privately) from accepting Medicaid funds for any other service they provide.

The Hyde Amendment already prohibits federal funds—including Medicaid dollars—from being used to cover abortion. This bill would go even further and prevent women on Medicaid from accessing any Planned Parenthood services, including sexually transmitted infection (STI) screening, Pap smears, breast cancer screenings, and prenatal care. 

This would be exceptionally harmful to Medicaid enrollees, as the majority of people with Medicaid receive contraceptives (85 percent) and STI services (57 percent) from Planned Parenthood clinics. Losing Medicaid funding would put 1 in 3 Planned Parenthood centers at risk of closure and would take away a vital source of health care for more than 1 million people.

Increasing health care costs for more than a million Medicare enrollees

While President Donald Trump has repeatedly promised not to cut Medicare benefits, the OBBBA blocks implementation of an existing regulation that makes it easier for eligible low-income Medicare beneficiaries to enroll in Medicare Savings Programs (MSPs) that lower Medicare premiums and out-of-pocket costs. 

MSPs make health care accessible for Medicare enrollees, who often live on very limited incomes and few assets. Without enrolling in the programs, even modest medical bills can be unaffordable and basic access to care can slip out of reach. Blocking the regulation would prevent states from streamlining and automating enrollment into MSPs.

As a result, the nonpartisan Congressional Budget Office (CBO) estimated that the earlier House-passed bill (with similar provisions also in the Senate-passed bill) would cause 1.3 million Medicare enrollees eligible for these programs to lose or forgo their Medicaid coverage and, therefore, be unable to access the assistance. 

The Center for American Progress previously estimated that Medicare enrollees eligible for two MSP programs—the Qualified Medicare Beneficiary (QMB) Program and the Specified Low-Income Medicare Beneficiary (SLMB) Program—would be hit especially hard. These programs benefit Medicare enrollees living at or just above the federal poverty level (FPL). 

A couple on Medicare who are eligible for but no longer able to enroll in the QMB, making a combined $21,000 per year, could see their out of pocket costs skyrocket by $8,340. A single Medicare enrollee making only $19,000 per year and eligible for SLMB could see their out of pocket costs jump by $3,300 per year if they are unable to enroll in the program as a result of the bill.

Friday, July 4, 2025

Rhode Island Democratic Leaders blast Trump’s Big, Beautiful Boondoggle

Trump and His Mean-Spirited Republican Congress Destroy Sixty Years of Progress

Statement from U.S. Senator Jack Reed

“Republicans knew this bill is a bad deal for their constituents and passed it anyway.  This bill goes against the self-interest of average Americans in favor of the ultra-wealthy and corporations.  It slashes the safety net out from under hardworking families – taking away health care from millions -- in order to give special interests bigger tax benefits.  Republicans structured the bill so the ultra-wealthy can cash out right away while the little guy and average taxpayers will get stuck paying the bill for years to come.

“During this unprecedented time of chaos and dysfunction, it’s easy to get overwhelmed and miss the latest developments. But the negative impacts of this bill must cut through the noise. Americans must be informed about the consequences of this legislation and they deserve to hear plainly from their elected representatives about how this bill is going to impact their families.

“Republicans are shifting a heavier financial burden onto families, communities, hospitals, and states.  Taking away people’s health coverage doesn’t mean they stop getting sick or can’t see a doctor.  Health costs for everyone will rise.  And it takes away over one trillion dollars in federal funding that states and localities rely on to provide vital services like schools, transit, nutrition assistance and aid to families in crisis.

“This fiscally irresponsible giveaway to the wealthy and well-connected is a debt-busting disaster.  It will cost U.S. taxpayers trillions of dollars in interest payments and Republicans unilaterally approved a record-breaking $5 trillion dollar debt limit increase.  But that’s just debt already incurred – this bill will add trillions of dollars in future debt when it’s all said and done, with little to no long-term benefit for middle- and working-class families. 

“Whatever short-term economic benefits this bill may offer, it will do lasting destructive damage to U.S. finances and young Americans will be forced to pay for it long after Donald Trump is gone.”

Statement from U.S. Senator Sheldon Whitehouse

“Trump’s Big, Beautiful-for-Billionaires Bill is one massively destructive piece of legislation.  Cooked in back rooms, dropped at midnight, and fraudulently scored, it increases costs for everyone by walloping the health care system, making families go hungry, and sending utility bills through the roof.  It saddles our children and grandchildren with trillions and trillions of dollars in debt – all to serve giant corporations, fossil fuel polluters, and billionaire Republican megadonors who are already among the richest people on the planet.”

Statement from Congressman Seth Magaziner

“Republicans in Congress have jammed through a bill that guts programs working people rely on to hand out tax breaks to the wealthiest people on the planet.

“The final version will cause millions of people to lose their health insurance, and will increase costs for millions more by slashing Medicaid, Medicare, and the Affordable Care Act. It also cuts over $100 billion from SNAP, which helps 40 million Americans put food on the table, and will eliminate good-paying clean energy jobs in Rhode Island and across the country.

“This bill represents the largest transfer of wealth from working people to the ultra-wealthy in U.S. history, and is a shameful betrayal of the basic promise that the government should work for everyone, not just those at the top.

“Today, I voted ‘no’ and I will keep fighting back against cruel attacks on working Rhode Islanders. Despite today’s setback, our fight to lower costs and improve quality of life for working people will continue.”

Tuesday, July 1, 2025

The Economic Progress Institute celebrates 10 wins that promote progress and equity for Rhode Islanders

Even in hard times, we can move forward

Steve Ahlquist

As the Rhode Island General Assembly concluded its legislative session, the Economic Progress Institute (EPI), a nonpartisan research and policy organization dedicated to improving the economic wellbeing of low- and modest-income Rhode Islanders, highlighted ten wins at an annual celebration.

10. Protecting Consumers from Medical Debt. The Leukemia and Lymphoma Society, a Protect Our Healthcare Coalition member, championed stronger protections for Rhode Islanders with medical debt. Building upon last year’s victories, legislation was enacted to cap interest on medical debt at 4% and prohibit medical debt from resulting in liens placed on principal residences.

“This is important because medical debt leads to bankruptcy for many people,” noted EPI Executive Director Weayonnoh Nelson-Davies.

9. Staffing & Quality Care Act. The Raise the Bar Coalition, led by SEIU 1199NE, advocated for safer staffing for direct care staff and better care for nursing home patients. The General Assembly allocated $12 million to hire new staff at nursing home facilities that do not yet meet the safe staffing requirement or raise wages and benefits for existing direct-care workers at facilities already in compliance. This ensures that nursing homes have the tools and accountability to deliver safe, dignified care and recruit and retain quality direct care staff.

8. Enhancing healthcare coverage for Rhode Islanders. The General Assembly and the enacted budget together improved healthcare coverage for Rhode Islanders in four distinct ways:

  • Removing Prior Authorization Requirements. The Protect Our Healthcare Coalition, co-led by EPI and RIPIN, advocated easing the burden on primary care by removing prior authorization requirements. Enacted legislation established a three-year pilot program prohibiting insurers from requiring prior authorization for services ordered by primary care providers and for in-network outpatient behavioral health services.
  • Sustaining Psychiatry Teleconsultation Programs that Support Healthcare Professionals. The Right from the Start Campaign and the Protect Our Healthcare Coalition advocated to maintain funding for the Psychiatry Resource Network (PRN) programs that connect providers with psychiatric consultants to support better patient care. The General Assembly allocated $750,000 of state funds to sustain MomsPRNPediPRN will also continue through existing federal grant funds. These programs support healthcare professionals through clinical consultations or referral services related to mental health for children and pregnant and postpartum Rhode Islanders.
  • Expanding Eligibility for the Medicare Savings Program. The Senior Agenda Coalition of Rhode Island championed expansions to the Medicare Savings Program alongside the Protect Our Healthcare Coalition. The enacted budget adds $7.1 million, including $0.7 million from general revenues, to expand the Medicare Savings Program. This expansion increases eligibility to 125% of the Federal Poverty Level for the Qualified Medicare Beneficiary group and up to 168% for the Qualified Individuals group.
  • Increasing Primary Care Reimbursement Rates. The Rhode Island Medical Society championed increasing funding for primary care providers, alongside the Protect Our Healthcare Coalition and the Right from the Start Campaign. The enacted budget includes $8.3 million from general revenue and $26.4 million from all funds to increase Medicaid primary care reimbursement rates to match Medicare rates.

“House Speaker Joseph Shekarchi made a statement when he passed the budget that healthcare was a priority for this General Assembly, and many people worked to ensure Rhode Island becomes a healthier and more vibrant state,” said Executive Director Nelson-Davies. “These wins are a testament to that.”

Sunday, June 22, 2025

Compromises on assault weapons, casino smoking and CRMC reform mark end of 2025 session

You can't always get what you want, but if you try some time, you might not even get what you need

On some key issues, General Assembly opts for baby steps

By Nancy Lavin, Christopher Shea and Alexander Castro, Rhode Island Current

Rep. Teresa Tanzi, a South Kingstown Democrat, speaks in
the House chamber on Friday, June 20, 2025.
(Photo by Nancy Lavin/Rhode Island Current)
Explosive debate over assault-style weapons — what types of guns and owners to restrict, if any — carried through the final day of the 2025 legislative session Friday.

After a series of failed attempts to weaken and strengthen a proposed limit on assault-style weapons, a ban on sales and manufacturing — but not possession —  ultimately prevailed.

True to form, lawmakers found plenty more to debate and discuss over the marathon day that stretched late into the evening. 

As the sun went down, the temperature inside the airless second-floor chambers seemed to rise. On what was the first full day of summer, lawmakers quenched their thirst with Del’s frozen lemonade and an endless carousel of caffeinated beverages.

Senate Majority Leader Frank Ciccone donned shorts in an unusually casual fashion choice, displaying a rarely seen calf tattoo of his late dog, Gunther.

Senate softens state’s aim on assault weapons 

You can still own an assault-style weapon in Rhode Island, but can’t buy or sell it. That’s the gist of the legislation approved by both chambers in an eleventh-hour rework aimed at appeasing at least some of its critics.

The rewrite was led by the Senate, which kicked off its marathon session with an hour-long debate, culminating in a 25-11 vote, to approve the bill banning the manufacture and sale of semi-automatic rifles, shotguns, and handguns with military-style features beginning July 1, 2026. It does not address inheritance of these weapons.

“The expectation over time is the proliferation of assault-style weapons, as specified in the bill, will go down,” Sen. Lou DiPalma, a Middletown Democrat and bill sponsor, said. “We need to get this done today.”

The Senate’s checkmate forced the House, which had already approved a more restrictive version that also banned possession, to reconsider. The lower chamber eventually caved to the Senate’s less stringent counterpart by a 43-28 vote just before 9:30 p.m.

The House’s vote came after a nearly two-hour break likely marked by behind-the-scenes negotiations, and an additional, five-minute recess for representatives to familiarize themselves with the Senate’s changes.

“This bill cuts off the supply of weapons of war for the long haul at the point of sale,” Rep. Jennifer Boylan, a Barrington Democrat and gun safety advocate, said. 

Rep. Jason Knight, a Barrington Democrat, also backed the Senate version, despite its significant changes from the more sweeping ban he had successfully advanced through the House chamber already.

“The two bills in their effect on the ground are closer to each other than you think,” Knight said, noting that the difficulty in procuring a new assault-style weapon even in other states prevents expansion of the “universe” of such weapons in Rhode Island.

Yet, the compromise was met with some dissatisfaction from both sides. The Rhode Island Coalition Against Gun Violence had denounced the “watering down” of what had been a much more sweeping ban on assault-style weapons. 

Sen. Pamela Lauria, a Barrington Democrat, sought to amend DiPalma’s bill to mirror the House version, despite the Senate Committee on Judiciary opting to hold the stronger option for further study on Wednesday. 

“As we look to pass critical legislation regarding assault weapons, we should have taken the opportunity to pass the best version of this bill,” Lauria said.

But after Senate Republicans, along with Ciccone, raised objections, Senate President Valarie Lawson ruled that Lauria was out of order.

Republicans, along with some conservative Democrats, and gun rights groups maintained that no ban at all was the answer. All four Senate Republicans, plus some conservative Democrats, voted against the ban on the manufacture and sale of assault-style weapons.

Across the rotunda, Cranston Rep. Charlene Lima, a conservative Democrat, also denounced the compromise bill for going too far. Her critiques were met with raucous applause from yellow T-shirt-wearing Second Amendment supporters seated in the gallery. House Speaker K. Joseph Shekarchi issued a stern rebuke, noting the seriousness of the topic before them.

“We will not have interruptions,” Shekarchi told onlookers. “If there is another uproar, I will close the gallery and you can watch on TV.”

Despite the warning, gun rights advocates booed after the House passed the amended bill.

The final version drew support from Everytown for Gun Safety, which maintained the language still covers the majority of the assault-style weapons frequently used in mass shootings. The Rhode Island AFL-CIO, a strong supporter of Lawson, also backed the proposal in a statement Thursday pointing to the union’s February poll that found 64% of residents support “banning the sale and manufacture of military-style assault weapons” in the state. 

Gov. Dan McKee, who had posed the weapons ban as a budget issue earlier in the year, confirmed via social media he will sign the measure into law.

“I’m proud that Rhode Island took an important step forward in protecting our communities from gun violence,” he posted to X at 9:50 p.m.

Clearing the air in R.I.’s two casinos

Bally’s two Rhode Island casinos will be slightly less smoky starting in 2027 — 18 months later than its advocates wanted.

The delayed start combined with a second, late-in-the-session clawback prompted longtime advocate and sponsor Rep. Teresa Tanzi to withdraw her name from her own bill after the opposite chamber added a carveout for smoking bars within casinos. Tanzi was one of four Democratic representatives to vote against the bill she introduced, though it prevailed with 67 supporters in the House Friday.

Tanzi, a South Kingstown Democrat, railed against the revised proposal, declaring it was “nothing like” her original, which had called for the smoking ban to start July 1, 2025, with no exceptions.

Rather than banning smoking in Bally’s Corp.’s Lincoln and Tiverton casinos altogether, the amended legislation adds an exemption for smoking lounges with a new, hazy definition, Tanzi argued.

“This does not prevent Bally’s from expanding cigarette smoking or cigar smoking or vaping or, I don’t know, cannabis,” Tanzi said. “It’s really not clear to me what this new definition is because there’s all of a sudden a brand-new definition about smoking lounges.”

Existing state law defines “smoking bars” as businesses where tobacco sales are greater than 50% of its total revenue. The amended version offers new meaning for a – “pari mutual facility smoking lounge,” defined as any kind of smoking bar with a “proper ventilation system” that will “prevent the migration of smoke to nonsmoking areas.”

In Tanzi’s interpretation, that means any walled-off section of the casino floors could remain a smokers’ paradise.

The Senate already approved the modified smoking ban under a unanimous vote Wednesday. Though Sen. V. Susan Sosnowski sponsored her chamber’s version, Senate Majority Leader Frank Ciccone brokered the compromised legislation after initially seeking to reach an agreement between Bally’s and union leaders to expand existing nonsmoking areas at the Lincoln facility. 

Bally’s Corp. officials had opposed the proposed smoking ban, citing a potential annual revenue loss of $30 million to $60 million. Company spokesperson Patti Doyle thanked legislators for the compromise.

“Confining smoking to an existing smoking lounge at our Lincoln venue and allowing for a delayed transition away from smoking on the gaming floor will hopefully mitigate a portion of that anticipated revenue loss to the state,” Doyle said in a statement late Friday.

Union workers who for years have decried the health consequences of smoke-filled working conditions reluctantly agreed to the compromise version as “the best we could get,” Tanzi said Friday. However, the union wants to revisit the topic when lawmakers reconvene, either in a possible fall session in October or when it starts its next regular session in January, Tanzi said.

“I had a lot more faith in our legislators,” Vanessa Baker, an iGaming manager at Bally’s Twin River Casino in Lincoln, said in a phone interview Friday. “I thought they thought we were people.”

15th time’s a charm on payday lending reform

Cracking down on predatory payday lending practices drew strong support in the Rhode Island Senate Friday. The 27-6 vote came swiftly and with little debate — a stark contrast to the 15-year battle to move the legislation out of committee to the chamber for a vote.

Having already passed in the House with unanimous support Monday, the Senate’s endorsement sets the stage for the long-awaited end to triple digit interest rates on short-term, small-dollar loans — though not as soon as some advocates had hoped. A last-minute revision delayed the start date till January 2027 in an effort to give time to the “deferred deposit providers” like Advance America to wind down operations, and for their employees to find new jobs.

Under existing law, these storefront lenders had been able to take advantage of a loophole in state law to charge an annual percentage rate up to 360%. The legislation caps the annual interest and fees at no more than 36%, mirroring policies already adopted by 22 states and the federal government.

Kicking the can on a bottle bill

Rather than start prescribing specifics of a deposit-refund program for recyclable bottles, glasses and cans, both chambers approved a modified bottle bill Friday that advances only a small component of the original calling for yet another study of the policy

The 53-11 and 36-0 votes in the House and Senate, respectively, came with reluctant support from Democratic backers who blamed opposing retailers and beverage manufacturers for mounting a misinformation-laden opposition campaign.

“There is still a great deal of conflicting data as to the implementation of best practices to address the problems of improving and disposing of our recyclable products, as well as enhancing our anti-littering efforts,” Shekarchi said in a statement earlier this week.

Rep. Carol McEntee, a South Kingstown Democrat and bill sponsor, also expressed disappointment, stating outright that the watered-down version is not a bottle bill at all, calling just for a series of studies.

Instead, the legislation calls for a “statewide implementation analysis” to be conducted by a third-party consultant hired by the Rhode Island Department of Environmental Management. The study would now be due no later than Dec. 1, 2026, with an interim status report due April 1, 2026. The state-hired consultant would consider the conclusions drawn by an 18-month legislative study commission, and the original bottle bills.

McEntee, who co-chaired the prior study commission, has already indicated she’s planning to introduce a full-fledged bottle bill again next session, even though the state analysis will not be finished yet.

CRMC membership changes on the horizon

Change is coming to the Rhode Island Coastal Resources Management Council, though not the sweeping reform advocates wanted. Rather than abolishing the politically appointed council and reshaping the agency as an administrative authority, lawmakers in both chambers narrowly agreed to a more modest update.

The bills, approved by 49-19 and 25-10 votes in the House and Senate, respectively, Friday, reduce the size of the council from 10 to seven members, simultaneously shrinking the quorum requirement in a nod to the vacancy issues that have plagued the existing panel. And it adds new professional qualifications for the powerful coastal regulatory body, specifically requiring an engineer, a coastal biologist and an environmental organization representative to sit on the new council. 

The existing council does not have any expertise requirements, though members must represent a variety of municipalities based on size and coastal proximity.

How fast the refresh occurs depends largely on how fast new candidates can be found; the legislation calls for Gov. Dan McKee to name six appointees (the seventh is designated as a DEM representative) no later than March 1, 2026. But the bill also says existing members can continue to serve until their replacements are named.

Progressive Democrats and Republicans joined in opposition, with the former insisting the membership changes fell too far short of more comprehensive reforms needed.

Legislators reprimand McKee with anti-bid rigging bill

McKee just can’t seem to escape the stain left by a 2021 state education contract scandal, with an anti bid-rigging bill included on the legislature’s final calendar of the session.

The Rhode Island Senate’s unanimous approval Friday, following passage in the House two days prior, aims to close a loophole in state procurement law by expressly forbidding public officials and administrators from intentionally interfering with the process by which the state awards competitive contracts to outside vendors. 

The need for specificity was laid bare by an investigation by Attorney General Peter Neronha’s office and Rhode Island State Police into a state education contract awarded to the ILO Group. State investigators ultimately found insufficient evidence to charge McKee for steering the $5.2 million school reopening contract to one of his former adviser’s friends — in part because there was nothing in state law saying that he could not.

The newly approved legislation, however, imposes strict penalties on state officials and vendors who participate in future collusion or bid-rigging activities: a felony charge punishable by up to three years in prison and a $1 million fine (or three times the value of the contract, whichever is greater). Vendors found to have participated in bid-rigging or steering activities are also no longer able to perform work for the state for up to five years.

McKee still needs to sign the legislation for it to become law — uncertain given documented attempts by his aides to dismantle the bill earlier in the session. McKee’s office did not immediately respond to inquiries for comment later Friday.

Opposition couldn’t break levy bill

The General Assembly OK’d Providence Mayor Brett Smiley’s request to exceed the state’s annual 4% tax levy cap, clearing the way for a 7.5% increase in the amount of property taxes the city can collect in fiscal year 2026.

Providence Democrats Rep. Rebecca Kislak and Sen. Sam Zurier introduced the bound-to-be unpopular bill in their respective chambers. 

The House was the first to grant the city’s wish, passing Kislak’s bill in a 56-17 vote on May 27. The Senate passed Zurier’s version 30-7 on Wednesday. On Friday night, each chamber voted to concur with the other’s version of the bill, finalizing its passage out of the State House and toward McKee’s desk.

In the House, Zurier’s bill passed 57-14, with opposition from all 10 Republicans plus four Democrats, including Providence Reps. Enrique Sanchez and David Morales. In the Senate, Kislak’s bill passed 27-7, with Providence Democratic Sens. Sam Bell, Tiara Mack and Ana Quezada expressing disapproval similar to their House colleagues.

The extra revenue from the tweaked levy cap is meant to help resolve a budget shortfall introduced last November by a $15 million settlement between the city and the state’s education department over Providence’s public schools. The mayor, with the Providence City Council’s somewhat reluctant approval, has been counting on the levy measure as the critical piece in the city’s fiscal 2026 budget. While the mayor’s budget technically lowers property tax rates, new property valuations mean many homeowners will still see higher tax bills.   

WPRI-12 reported Wednesday that Smiley has asked McKee to sign the legislation as soon as it arrives on his desk. But even with the General Assembly’s blessing, it’s not clear if the added tax revenue will arrive in time to shore up the city’s fiscal 2026 budget, Smiley told the news station. 

Kratom clears Senate

For the second year in a row, a bill to regulate the psychoactive drug known as kratom arrived at the final night of the legislative session. Unlike last year, when the bill provoked a fierce debate in the Senate, it sailed through the chamber with a 22-9 vote.

The House version encountered more vigorous resistance when it went up for a floor vote on May 29. It passed 40-24, with a mix of Republicans, Democrats and one independent lawmaker decrying easier access to the plant-derived drug, which can be used as an opioid substitute or a stimulant.  

The bill was sponsored by Rep. Brian Patrick Kennedy, a Westerly Democrat, and Sen. Hanna Gallo, a Cranston Democrat, with the intent of bringing kratom — a product already available in gray markets like gas stations or head shops — into the sphere of regulation and taxation. This year’s bill is 25 pages, compared to last year’s six, and it would mandate strict labeling, testing, and age restrictions around kratom commerce, as well as limitations on what products could be sold mixed with kratom.

Last year, McKee vetoed the legislation — an outcome sponsors tried to avoid this year by working with the governor and the state health department to craft a more agreeable bill.

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Rhode Island Current is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Rhode Island Current maintains editorial independence. Contact Editor Janine L. Weisman for questions: info@rhodeislandcurrent.com.

Friday, May 30, 2025

No confidence in Trump economic plan causes US credit rating to drop

Credit agencies know a bad risk when they see one

Robert Reich for Inequality Media

Last Friday, the credit rating of the United States was downgraded. Moody’s, the ratings firm, announced that the U.S. government’s rising debt levels will grow further if the Trump Republican package of new tax cuts is enacted. This makes lending to the United States riskier.

(Moody’s is the third of three major credit-rating agencies to downgrade the credit rating of the United States.)

So-called “bond vigilantes” are being blamed. They’ve already been selling the U.S. government’s debt, as the Republican tax package moves through Congress. They’re expected to sell even more, driving long-term interest rates even higher to make up for the growing risk of holding U.S. debt.

Some right-wing Republicans in Congress have already used the Moody’s downgrade to justify deeper spending cuts in Medicaid, food stamps, and other social programs that lower-income Americans depend on.

Just follow the money. The real cause is the growing political power of the super-rich and big corporations...

But, hello? There’s a far easier way to reduce the federal debt. Just end the Trump tax cuts that mainly benefit the wealthy and big corporations — and instead raise taxes on them.

I’m old enough to remember when America’s super-rich financed the government with their tax payments. Under President Dwight Eisenhower — hardly a left-wing radical — the highest marginal tax rate was 91 percent. (Even after all tax credits and deductions were figured in, the super-rich paid way over half their top marginal incomes in taxes.)

But increasingly — since the Reagan, George W. Bush, and Trump 1 tax cuts — tax rates on the super-rich have plummeted.

Monday, April 7, 2025

Basic Human Needs Are Not Fair Game for Billionaire Tax Cuts

Providence schoolteacher describes her dream of financial independence

By Marisa Pesce 

Tens of millions of Americans rely on the public assistance programs — like Medicaid, SNAP, housing aid, and more — that Republican leaders are now threatening to gut.

I’m one of them.

My dream is to regain the financial independence I once enjoyed before life and systemic obstacles got in the way. I come from a family with a history of mental illness and domestic abuse, and I’ve suffered through mental health challenges myself.

I’ve always worked hard. After high school, I earned a college degree and found the calling of being a teacher. I earned and paid for my Master’s degree while teaching full time as a high school math teacher. I still struggled with challenges, but life was good. The system had worked. I had a home and was financially independent.

Then, I was the victim of a major, life changing domestic violence event, and my life started to unwind. I had to relocate to another state where I didn’t have a place to call home, my benefits were less, and my mental illness was exacerbated by the isolation and trauma.

Despite the challenges I faced, I was able to find some needed assistance for food and mental health care as I got on my feet.

Also known as “food stamps,” the Supplemental Nutrition Assistance Program (SNAP) was a godsend for helping me put food on the table. Throughout my life both Medicaid and Medicare have helped with mental health treatment, and the Supplemental Security Disability Income (SSDI) program helped keep me out of poverty.

Tuesday, March 25, 2025

Payday lending reform, protecting immigrants among top priorities of R.I. lawmakers of color

An agenda to lift all boats

By Alexander Castro, Rhode Island Current

Rhode Island’s lawmakers of color unveiled their legislative agenda on March 11, showcasing a suite of 15 bills that includes proposals to eliminate predatory loans, tweak public education funding, and protect immigrants.

The Rhode Island Black, Latino, Indigenous, Asian-American and Pacific Islander (RIBLIA) Caucus consists of 21 Democratic members working across both chambers of the Rhode Island General Assembly on legislation that uplifts the state’s communities of color and level the playing field wrought by racial inequity. 

“This caucus, while composed primarily of people of color, is about all Rhode Islanders,” Sen. Tiara Mack of Providence, who co-chairs the group, said in her opening remarks. “When we uplift the most marginalized, everyone in Rhode Island thrives.” 

Minimum wage hike bills draw maximum crowds to R.I. State House

The members of the caucus comprise about 18% of both the House of Representatives and the Rhode Island Senate.