Overview

• Both chambers passed MP 1301/2025 on Sept. 24, with the Chamber voting 403–6 and the Senate approving in a unanimous symbolic vote, sending the text for presidential sanction.
• The package prioritizes oncology and dialysis services, allows radiotherapy procedures, enables telemedicine with electronic records, and requires public reporting of specialized-care wait times.
• The fiscal design sets an annual ceiling of R$2 billion in credits, reserves up to R$750 million for non‑indebted providers, allows services to begin in 2025, and starts tax effects in 2026.
• Accredited hospitals, clinics, and health plans may offset federal tax debts with earned credits, with the government estimating about 3,500 indebted providers owing R$34.1 billion.
• Compliance rules include fines up to 20% for violations, recovery of improperly used credits, authorization to create a SUS support agency, a new Mais Médicos Especialistas track, limits to doctors trained in Brazil or with revalidated diplomas, and validity through Dec. 31, 2030.