State spending in Rhode Island continues to rise at an unsustainable rate amid slowing revenues and uncertainty about federal funding, a business-backed fiscal watchdog group warned in a report released Wednesday. The Rhode Island Public Expenditure Council found that state general revenue spending climbed by 10.9% over the last two fiscal years, while state general revenue increased during that period by 6.4%. At the same time, the current $14.3 billion state budget is the highest in state history and a 3.8% jump over the previous year. They added: “We feel it is imperative to address the health care crisis our state is experiencing by enhancing reimbursements for primary care, hospital patients and long-term care. To address the mismatch between costs and revenue, RIPEC recommends curbing the growth of spending, avoiding tax increases, controlling healthcare and human service costs, pursuing reform of school funding, and raising the focus on more transparent and accountable evaluations of the effectiveness of state spending.