Para enmendar la Sección 7 de la Ley 95 de 29 junio de 1963, según enmendada, para garantizar el derecho de los empleados públicos a seleccionar su plan médico entre todos los planes que la Administración de Seguros de Salud de Puerto Rico apruebe por cumplir con las normas mínimas establecidas en la Ley.

2025-2028 Session

Public employees would be able to choose from multiple health plans approved by A.S.S.P.R. that meet minimum standards.

Referido a Comisión(es)

Summary of Bill PC 1321 (Session 2025-2028) — Puerto Rico

Purpose and Intent

The bill proposes amending Section 7 of Law 95 of June 29, 1963 (as amended) to guarantee public employees in Puerto Rico the right to select their medical plan from any health plans approved by the Health Insurance Administration of Puerto Rico (Administración de Seguros de Salud de Puerto Rico, A.S.S.P.R.) that meet the minimum standards established by law.

In short, it aims to expand and formalize employees’ choice of medical plans, ensuring options beyond a single plan and tying eligibility to plans that comply with baseline statutory requirements.

Key Provisions (Proposed Changes)

Amendment to Section 7 of Law 95, as amended:

Explicitly entitle public employees to choose among multiple health plan options.
Require that all selectable plans be those approved by the Puerto Rico Health Insurance Administration (A.S.S.P.R.) and satisfy the minimum standards established by Law.

Clarifies criteria for plan approval:

Plans must meet the minimum standards set forth in the governing health insurance law (the exact standards are not enumerated in the summary, but they are described as “normas mínimas”).

Alignment with existing health system framework:

Integrates employee choice within the regulatory framework already administered by A.S.S.P.R., ensuring consistency with current approval processes.

Who Is Affected

Public sector employees in Puerto Rico who are covered under the relevant laws governing public employee health benefits.

Employers or agencies that sponsor, administer, or pay for public employee health benefits.

Health plans that seek approval from A.S.S.P.R. to be offered as employee options.

A.S.S.P.R. as the approving authority for plans that may be selected by employees.

Procedural and Timeline Considerations

Status: Radicado (introduced) as of June 22, 2026.

The bill would become law only if enacted by the Puerto Rico Legislative Assembly and subsequently signed (or otherwise enacted) under the applicable Puerto Rico constitutional process.

Practical implications depend on the amendment’s alignment with existing timelines for plan approval, amendments to employee contracts or collective bargaining agreements, and any transition provisions that may be included in or accompanying the final text.

Potential Impact

Employee Empowerment: Enhances consumer choice for public employees regarding health plan enrollment.

Market Effects: Could expand competition among health plans that meet minimum standards, potentially improving plan features for employees.

Administrative: Increases the role of A.S.S.P.R. in approving multiple plans as viable options, possibly affecting HR administration and compliance processes in public agencies.

Access and Coverage: Depends on which plans are approved and their network adequacy, cost-sharing, and benefits, but the core aim is to provide more options within a standardized regulatory framework.

Notes

Specific dollar amounts, premium rates, or detailed standards are not provided in the summary of the bill text. The detailed text would define the exact minimum standards and any transitional provisions.

For stakeholders, monitoring A.S.S.P.R.’s approval criteria and any implementation timelines will be critical to understanding when and how public employees can begin selecting from newly approved plans.