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On January 14, 2013, the Rhode Island Supreme Court held that a nursing home’s self-insured retention was invalid because the Director of the Department of Business Regulation had not issued regulations providing for self-insurance as required under R.I. Gen. Laws § 42-14.1-2. This article explores the Supreme Court’s decision in Peloquin v. Haven Health Center of Greenville, LLC, 2012 WL 142013 (R.I. 2013) and discusses the probable substance of the provisions in the regulations that DBR is expected to issue.