Tribunal de Cuentas clears Ayuso’s Madrid health deal, dismisses PSOE complaint

The Spanish Court of Auditors (Tribunal de Cuentas) has archived the complaint filed by the PSOE in the Madrid Assembly alleging that the regional government, led by President Isabel Díaz Ayuso, had forgiven roughly €71 million owed by private hospital groups Quirón Salud and Ribera Salud. The court concluded that there is no evidence of accounting responsibility or a concrete fiscal loss for public funds, stating that the Community of Madrid has always claimed the amounts due from the concessionaires and acted within the legal framework. The decision, issued in early August 2026, aligns with the position of the regional government and the public prosecutor, both of whom had requested the case be closed. By rejecting the claim of a hidden debt, the ruling backs the Madrid administration’s handling of the inter‑center hospital billing system.

The ruling marks a political win for Ayuso’s government, ending a months‑long dispute that the PSOE hoped would undermine the president on a sensitive health‑policy issue.