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,
Cuisine of New England in Rhode Island and southern Massachusetts is called a "hot wiener" or "New York System wiener," although it is unknown in New York (including Coney Island). Italian cooking is long established in the region. In Rhode Island and other parts of New England with a large Portuguese American population, Portuguese foods are common, including linguiça, chouriço, caldo verde, malasadas, and Portuguese sweet bread. Vermont produces Cheddar cheese and other dairy products. It is known in and outside of New England for its maple syrup. Maple syrup is used as an ingredient in some Vermont dishes, including baked beans. Rhubarb pie