The Rhode Island House of Representatives on Thursday passed legislation sponsored by Rep. Jennifer Boylan that would expand access to essential routine foot care for older and homebound residents by allowing properly trained nurses to provide the service in patients’ homes.

The measure addresses a significant gap in care that leaves many elderly and disabled Rhode Islanders without safe options for basic foot maintenance, particularly those with diabetes who face heightened risks of infections and complications.

“Most Rhode Islanders recognize the shortage of medical providers when they have trouble finding a primary care provider or have to wait months to see a specialist. But they may not recognize that for some residents, essential services are not available here in Rhode Island home settings,” ,” said Representative Boylan (D-Dist. 66, Barrington, East Providence). Home foot care services are one of these, leaving many older patients without safe options. It’s especially dangerous for those with diabetes, who are prone to infections and other foot problems that can lead to serious complications and even death.”

The bill (2026-H 7029A) would permit nurses to deliver noninvasive routine foot care, such as maintenance of toenails, corns and calluses, in home settings after completing proper training and demonstrating clinical competency in foot anatomy, common foot conditions, nursing interventions and use of appropriate instruments. It also requires that two of the ten hours of continuing education per certification period focus on foot care.

The legislation now heads to the Senate, which earlier this week passed a companion measure (2026-S 2116A) sponsored by Sen. Lori Urso (D-Dist. 8, Pawtucket).

The Senior Agenda Coalition of Rhode Island expressed gratitude to Representative Boylan and Senator Urso for their leadership on this important legislation Supporters say the change would help prevent minor foot problems from escalating into painful infections, increased fall risk or more serious medical issues that could force hospitalizations or limit independence.

Access to in-home foot care is important for older adults who face mobility, vision or chronic health challenges. Without regular care, minor foot issues can progress into infections, pain or mobility problems that increase fall risk and lead to more serious medical needs. Home-based foot care supports prevention, early identification of concerns and the ability of older adults to age in place.

The bill would also ease the burden on family members and caregivers, many of whom currently face difficult choices between skipping necessary care or attempting the service themselves without professional training.