# Healthcare access and administration in Acre > Live situation record from CLSTR: https://clstr.news/situations/healthcare-access-and-administration-in-acre > Updated: 2026-09-08T16:18:23.000Z. Sources: 14. Developments: 2. Healthcare access and public administration remain central points of contention in Acre, Brazil. The Federal Public Ministry (MPF) has recommended that the State Health Secretariat (Sesacre) and Indigenous Special Sanitary Districts (DSEIs) cease requiring civil documents, such as CPF or photo IDs, as a prerequisite for indigenous patients to access the ‘Tratamento Fora de Domicílio’ (TFD) program. This measure aims to ensure that recently contacted indigenous populations can receive medical care without bureaucratic barriers. Local leaders and union representatives are also demanding budgetary reforms. Rosana Nascimento of the Education Workers Union has called on the state government to reduce spending on events, property rentals, and commissioned positions, suggesting these funds be redirected toward salary adjustments for public servants. Regarding specialized medical services, State Deputy Pedro Longo has urged the urgent installation of hemodialysis services in Feijó and Tarauacá. He characterized the current necessity for patients to travel to Cruzeiro do Sul under difficult conditions as ‘inhumane.’ Sesacre has acknowledged the demand and included it on its priority agenda. ## Timeline ### 2026-09-08: Acre leaders demand budget reforms and improved healthcare access Leaders in Acre, Brazil, are demanding government action regarding public servant wages and the urgent installation of hemodialysis services for patients in Feijó and Tarauacá. 4 sources. https://clstr.news/cluster/acre-leaders-demand-budget-reforms-and-improved-healthcare-access ### 2026-09-08: Brazil Public Ministry launches multiple legal actions across various sectors The Brazilian Public Ministry is intervening in multiple sectors, including advocating for indigenous healthcare access in Acre, monitoring mercury in the Amazon, and enforcing inclusive education in Belém. 12 sources. https://clstr.news/cluster/federal-public-ministry-seeks-easier-healthcare-access-for-indigenous-people-in-acre --- Cite as: Healthcare access and administration in Acre. CLSTR, https://clstr.news/situations/healthcare-access-and-administration-in-acre