Para establecer la política pública sobre el acceso a la salud en Puerto Rico; establecer un Seguro Nacional de Salud con cobertura universal; crear la Corporación del Seguro Nacional de Salud, corporación pública que pondrá en vigor y administrará el Seguro Nacional de Salud; enmendar los Artículos 2(I)(P) y 12(A)(B)(C), de la Ley Núm. 111-2020, conocida como “Ley de Protección Social por Accidentes de Vehículos de Motor”; enmendar el inciso (1), enmendar el inciso (3) y renumerarlo como el nuevo inciso (2), enmendar el inciso (4) y renumerarlo como el nuevo inciso (3) del Artículo 1-B; enmendar los Artículos 1-C (a)(b)(C)(4)(8) y 36 de la Ley Núm. 45 de abril de 1935, según enmendada, conocida como “Ley del Sistema de Compensaciones por Accidentes del Trabajo”; y derogar la Ley Núm. 72 de 7 de septiembre de 1993, según enmendada, conocida como “Ley de la Administración de Seguros de Salud de Puerto Rico”; y para decretar otras disposiciones complementarias.

2025-2028 Session

Puerto Rico bill creates universal state-administered health insurance system, eliminates current private insurer regulations, and restructures workers' compensation and auto insurance coverage.

Referido a Comisión(es)

Legislative bill overview

Bill PC 960 proposes establishing universal health coverage in Puerto Rico through a National Health Insurance system administered by a new public corporation. The bill would consolidate existing health insurance regulations, amend current motor vehicle accident and workers' compensation laws, and repeal the 1993 Health Insurance Administration law that currently governs private health insurers.

Why is this important

This represents a fundamental restructuring of Puerto Rico's healthcare system from a mixed public-private model to a state-administered universal coverage system. The change would affect millions of residents' access to healthcare, insurance costs, employer obligations, and the role of private insurers—making it one of the most significant healthcare policy shifts proposed for the island.

Potential points of contention

Implementation costs and funding: The bill doesn't specify how the universal system will be financed; concerns about government budget capacity, potential tax increases, or premium structures remain unclear

Impact on private insurers: Repealing the 1993 health insurance law essentially eliminates the regulatory framework for private insurers, raising questions about transition, job losses, and whether private insurance options would still exist

Healthcare provider disruption: Transitioning from current insurance networks to a single-payer system could disrupt existing doctor-patient relationships, provider contracts, and medical services availability during implementation

Scope of covered services: The bill doesn't detail what services the National Health Insurance would cover, potentially leaving ambiguity about treatment access and cost-sharing