Chronic Lyme disease patients and their physicians now have additional reassurance that the guidelines are medically sound." The state of Connecticut, meanwhile, enacted a law on June 18, 2009, "to allow a licensed physician to prescribe, administer or dispense long-term antibiotics for a therapeutic purpose to a patient clinically diagnosed with Lyme disease." The states of Rhode Island, California, Massachusetts, New Hampshire, Vermont, New York, Maine and Iowa have similar laws. Massachusetts (2016) and Rhode Island (2003) have laws mandating insurance coverage for long-term antibiotic therapy for Lyme disease when deemed medically necessary by a physician. In 1999 Connecticut had passed a similar,
Geology of Rhode Island Pleistocene glaciations. The state's geology is part of the broader geology of New England. Rhode Island is divided into two distinct physiographic regions. The Eastern Highlands occupy the northwestern interior of the state, near the state line with Connecticut while the majority of the state's land area is grouped with the larger Atlantic Coastal Plain that extends along the eastern seaboard of the US. Rhode Island is the only state in New England formed entirely atop basement rock from the microcontinent Avalonia. The bedrock of Rhode Island first took shape with the emergence of a volcanic arc near a subduction