# Costa Rica CCSS financial and labor challenges > Developing situation record from CLSTR: https://clstr.news/situations/costa-rica-ccss-financial-and-labor-challenges > Updated: 2026-10-11T20:48:08.000Z. Sources: 10. Developments: 2. The Caja Costarricense de Seguro Social (CCSS) in Costa Rica is facing internal labor disputes and broader financial sustainability challenges. Initially, health sector unions challenged official CCSS figures regarding salary delays. While the institution reported only 482 cases, unions argued the true number reaches into the thousands, claiming official counts omitted workers with pending overtime or unpaid promotion differences. These labor issues coincided with infrastructure failures, such as broken radiology equipment at Hospital México and Hospital de Heredia, driven by state debt. As the situation progressed, the focus shifted toward long-term financial stability. The CCSS began evaluating pension reforms for the Invalidity, Old Age, and Death (IVM) regime to prevent reserves from being exhausted by 2047. Proposed measures include increasing the required contributions from 300 to 360 or reducing monthly pensions by 5% to fund health insurance. Concurrently, the Auditoría Ciudadana de la Seguridad Social (ACSS) has demanded greater transparency, alleging that the CCSS is improperly mixing mandatory social security funds with special law funds. ## Timeline ### 2026-10-11: CCSS evaluates pension reforms and faces transparency challenges The CCSS is considering pension reforms in Costa Rica, including increasing required work years, while the ACSS demands greater financial transparency regarding health insurance funding. 6 sources. https://clstr.news/cluster/ccss-evaluates-pension-reforms-and-faces-transparency-challenges ### 2026-09-21: CCSS faces criticism over salary delays and infrastructure failures Costa Rican health unions dispute CCSS figures, claiming thousands of workers face salary delays, while infrastructure failures and state debt continue to impact patient care and diagnostic services. 5 sources. https://clstr.news/cluster/ccss-faces-criticism-over-salary-delays-and-infrastructure-failures --- Cite as: Costa Rica CCSS financial and labor challenges. CLSTR, https://clstr.news/situations/costa-rica-ccss-financial-and-labor-challenges