# Health system reforms in Latin America and Puerto Rico

> Live situation record from CLSTR: https://clstr.news/situations/health-system-reforms-in-latin-america-and-puerto-rico
> Updated: 2026-10-23T14:12:35.000Z. Sources: 8. Developments: 3.

Health policy reforms in Mexico and surrounding regions have transitioned from legislative proposals regarding disease registries and staffing standards toward broader digital transformation and systemic infrastructure improvements.

In Mexico, initial efforts focused on reforming the General Health Law to establish a National Registry of Rare Diseases to improve research and treatment access. Senator Emmanuel Reyes Carmona has supported this initiative to enhance sanitary planning and ensure access to treatments. Concurrently, discussions in Puerto Rico addressed Senate Bill 687 to regulate patient-to-nurse ratios in hospitals. Health Secretary Víctor Ramos Otero endorsed the bill but recommended amendments to account for patient complexity and to distinguish between clinical supervision and administrative roles.

Subsequent developments in Mexico have emphasized the IMSS-Bienestar program. Undersecretary Eduardo Clark García Dobarganes announced plans to achieve 100% coverage of the Digital Clinical Record and electronic prescriptions within the IMSS-Bienestar system by February 2027, targeting approximately 4,796 medical centers. In Argentina, legislative efforts in Corrientes moved toward a Digital Transformation Program, while the Medical College of the Province of Santa Fe announced that, starting in November 2026, physicians will receive a 20% reimbursement for each Digital Medical Certificate issued via a new digital platform designed to reduce paper use and prevent forgery.

## Timeline

### 2026-10-23: Digital medical record implementation efforts in Mexico and Argentina

Mexico aims for full digital clinical record coverage in IMSS-Bienestar by 2027, while Santa Fe, Argentina, will reimburse doctors 20% of digital certificate fees.

2 sources. https://clstr.news/cluster/digital-medical-record-implementation-efforts-in-mexico-and-argentina

### 2026-10-12: Digital health reforms underway in Argentina and Mexico

Health authorities in Argentina and Mexico are implementing digital reforms, including electronic medical records and telemedicine, to improve efficiency and reduce patient wait times in public health systems.

2 sources. https://clstr.news/cluster/digital-health-reforms-underway-in-argentina-and-mexico

### 2026-09-30: Health policy reforms advance in Mexico and Puerto Rico

Legislators in Mexico are pushing for a National Registry of Rare Diseases, while Puerto Rico officials support a bill to establish mandatory nurse-to-patient ratios in hospitals.

4 sources. https://clstr.news/cluster/health-policy-reforms-advance-in-mexico-and-puerto-rico

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Cite as: Health system reforms in Latin America and Puerto Rico. CLSTR, https://clstr.news/situations/health-system-reforms-in-latin-america-and-puerto-rico