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,
New England areas of production. Maine is ranked ninth for aquaculture, and has abundant potato fields in its northeast part. Vermont is fifteenth for dairy products, and Connecticut and Massachusetts seventh and eleventh for tobacco, respectively. Cranberries are grown in Massachusetts' Cape Cod-Plymouth-South Shore area, and blueberries in Maine. The region is mostly energy-efficient compared to the U.S. at large, with every state but Maine ranking within the ten most energy-efficient states; every state in New England also ranks within the ten most expensive states for electricity prices. As of January 2017, employment is stronger in New England than in the rest