One Beacon Street
Suite 1320
Boston, MA 02108

T 617.720.5090
F 617.720.5092


One Cedar Street
Suite 300
Providence, RI 02903
T 401.454.0400
F 401.454.0404

Adelita Orefice

Practice Area: Health Law, Corporate

Adelita Orefice is an attorney in Donoghue Barrett & Singal’s Providence office where she focuses on healthcare law and litigation.

Lita brings to the practice of law more than 20 years of experience working in federal and state government primarily in the areas of healthcare, education, labor and employment, pensions, public finance, budgeting, grants management, government regulation, and non-profit governance. She began government service in Washington, D.C. as an appointee to the prestigious Presidential Management Fellows program. During her public service career, Lita held senior policy-making and executive management positions and served on the boards of directors for a number of non-profit organizations. Most recently, she served as the state’s senior healthcare regulator at the Rhode Island Department of Health.

Professional Background

Executive Director and Senior Policy Advisor, Environmental and Health Services Regulation, Rhode Island Department of Health
Acting Secretary/Deputy Secretary, Rhode Island Executive Office of Health and Human Services
Director, Rhode Island Department of Labor and Training
Director, Rhode Island Department of Elderly Affairs
Director of Finance and Accounting, Rhode Island Department of Elementary and Secondary Education
Investigator, Pension and Welfare Benefits Administration, U. S. Department of Labor, Boston, MA
Chief of Staff, Office of the Assistant Secretary for Policy (ASP), U.S. Department of Labor, Washington D.C.
Senior Budget Analyst, Office of the Assistant Secretary for Administration and Management (OASAM), U.S. Department of Labor, Washington D.C.
Presidential Management Fellow, U.S. Department of Labor, Washington, DC


Quinnipiac University School of Law, Hamden, Connecticut, J.D., 2014, Magna Cum Laude
Maryland School of Public Policy, University of Maryland at College Park, M.P.M, 1992
Harvard University, Cambridge, Massachusetts, A.B., Government, 1987, Cum Laude

Awards & Recognitions

Best Lawyers, Health Care Law, 2018

Court / Bar Admissions

Rhode Island

Professional Memberships

American Bar Association
Rhode Island Bar Association
Rhode Island Women’s Bar Association
Massachusetts Bar Association
Massachusetts Women’s Bar Association
Connecticut Hispanic Bar Association
American Health Lawyers Association

Service Areas

Healthcare contracting; Compliance program development; Corporate formation, joint ventures, affiliations, other business arrangements; Corporate governance; Fraud and abuse compliance; Government investigations; Medicaid fraud; Medical staff governance; Medicare/Medicaid reimbursement; Mergers & acquisitions; Patient care issues; Payor contracting; Payor disputes; Physician compensation and financial arrangements; Physician recruitment and retention; Professional licensure and discipline; Provider network formation; Regulatory compliance; State & federal regulatory matters, including: Attorney General transactional reviews; Certificate of Need projects for innovative services and new technology providers; Major construction and renovation projects; Certificate of Need filings for hospitals and nursing homes; State and federal Transfer of Ownership filings (mergers, acquisitions, affiliations) for hospitals, nursing homes, clinics, ambulatory surgery centers, pharmacies, and ambulances; Receivership/Mastership


Academic Medical Centers; Ambulatory Care Providers; Ambulatory Surgery Centers; Ancillary Providers; Clinical Laboratories; Community Hospitals; Healthcare Technology (MRI, PET, Radiation Therapy, etc.); Home/Hospice Care; Hospitals; Health Technology; Licensed Clinics; Managed Care /Behavioral Health; Physicians; Professional Trade Associations; Providers; Psychiatric Providers; Professional Services (attorneys/CPAs, engineers, physicians); Privately-Held Corporations; Nonprofit Organizations; Professional Societies/Associations

Civic & charitable activities

Board Member, PACE (Program for All-Inclusive Care for the Elderly)
Weekend Puppy Raiser, Prison Pup Program, NEADS Dogs for Deaf and Disabled Americans
Board Member, First Generation Harvard Alumni
Mentor, First Generation Harvard Alumni Mentoring Project

Off the record...

Lita stepped away from government service in 2011 to pursue a law degree full-time, an aspiration she put on hold more than 25 years ago. Now she is working hard to complete a 5K run without stopping or getting sick. She enjoys training service dogs as a volunteer for NEADS, knitting hats and scarves for her son who is away at college, and kayaking with her husband on the kettle ponds of Cape Cod.



bio pdf


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