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PS 443

“Para enmendar el Artículo 7 de la Ley 136-2006, según enmendada, conocida como la Ley de los Centros Médicos Académicos Regionales de Puerto Rico, a los fines de otorgar mayor protección a los hospitales que ofrezcan programas de internado, ya sea aprobados por las autoridades competentes de los Estados Unidos o de Puerto Rico; así como para mitigar el éxodo masivo de médicos hacia otras jurisdicciones y salvaguardar la salud pública de la ciudadanía, entre otros fines.”

2025-2028 Session

Bill PS 443 amends Puerto Rico's medical center law to strengthen protections for teaching hospitals with accredited internship programs to combat physician emigration and safeguard public health.

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Bill Summary · PS 443

Legislative bill overview

Bill PS 443 proposes amendments to Law 136-2006 (the Puerto Rico Regional Academic Medical Centers Law) to strengthen protections for hospitals offering accredited internship programs, whether approved by U.S. or Puerto Rico authorities. The bill aims to address physician emigration from the island and protect public health by creating incentives or regulatory frameworks to retain medical professionals in Puerto Rico.

Why is this important

Puerto Rico faces a critical physician shortage due to emigration to the mainland United States, which strains the healthcare system's capacity and quality. Strengthening academic medical centers and internship programs could improve medical workforce retention and training, directly affecting healthcare accessibility and quality for Puerto Rico's residents. This issue intersects public health, economic development, and brain drain—common challenges for island jurisdictions.

Potential points of contention

  • Scope of "protection": The bill's language is vague about what specific protections or incentives hospitals would receive, raising questions about cost, implementation, and fairness to non-academic facilities
  • Regulatory authority: Clarification needed on how Puerto Rico-approved programs will be treated versus U.S.-accredited ones, and whether this creates parallel certification systems
  • Root cause approach: Critics may argue the bill addresses symptoms (emigration) rather than underlying causes (lower compensation, limited resources, brain drain push factors)

Compiled from official sources — confirm details with the bill’s official record.

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