# São Paulo public healthcare funding and budget expansion > Live situation record from CLSTR: https://clstr.news/situations/so-paulo-public-healthcare-funding-and-budget-expansion > Updated: 2026-10-04T07:14:33.000Z. Sources: 6. Developments: 2. Healthcare services and funding in the state of São Paulo have seen significant growth driven by the ‘Tabela SUS Paulista’ initiative. This program has distributed R$ 12 billion to philanthropic institutions and municipal hospitals to supplement federal SUS values, resulting in increased medical productivity, including a 42.5% rise in vision surgeries and a 45.6% increase in advanced oncology procedures. Building on these developments, the Government of São Paulo has proposed a record Annual Budget Law (LOA) for the 2027 fiscal year. The R$ 411.2 billion proposal represents a 7.56% real increase over 2026 projections. The budget prioritizes social welfare, allocating R$ 39.6 billion to the health sector for infrastructure modernization and decentralized care. Furthermore, R$ 5.6 billion is earmarked to strengthen the ‘Tabela SUS Paulista’ program to ensure the financial sustainability of complex medical procedures. ## Timeline ### 2026-10-04: São Paulo government proposes record R$ 411.2 billion budget for 2027 The São Paulo government has proposed a record R$ 411.2 billion budget for 2027, focusing heavily on health, education, and public security. 4 sources. https://clstr.news/cluster/so-paulo-government-proposes-record-r-4112-billion-budget-for-2027 ### 2026-09-29: Healthcare services and funding expand in São Paulo state São Paulo's healthcare sector reports significant activity, with the Tabela SUS Paulista distributing R$ 12 billion to institutions and Paulínia recording nearly 300,000 medical services in four months. 2 sources. https://clstr.news/cluster/healthcare-services-and-funding-expand-in-so-paulo-state --- Cite as: São Paulo public healthcare funding and budget expansion. CLSTR, https://clstr.news/situations/so-paulo-public-healthcare-funding-and-budget-expansion