Overview

• Deputies passed MP 1.301/2025 by 403–6, sending it to the Senate with the text set to lapse on 26 September if not ratified.
• The plan carries an estimated R$2 billion per year in tax expenditure beginning in 2026, with services allowed to start this year and deductions only from 2026.
• Hospitals, philanthropic entities and health plans indebted to the Union may offset debts by serving SUS patients up to R$2 billion annually, while non‑indebted centers can earn tax credits capped at R$750 million.
• Care can be delivered via telemedicine with electronic records, priority goes to remote areas, and the Health Ministry will set specialties, highlighting pediatric ophthalmology and radiotherapy.
• The text authorizes a SUS support agency, expands access to cancer treatment and dialysis with transport and per diem support, and creates a Mais Médicos Especialistas track limited to Brazil‑trained or revalidated doctors.