Overview
- The measure was sanctioned without veto and takes immediate effect after Congress approved the final text in late September.
- Private providers can offset federal tax debts by delivering SUS care, in a sector owing about R$34 billion across roughly 3,500 institutions, and debt‑free providers may join under a R$750 million credit cap.
- Services may begin this year, with fiscal renunciation starting in 2026, and the program is authorized through December 31, 2030 with an estimated R$2 billion per year.
- Officials say patients are already being seen, Hapvida joined first, and more than 300 specialists were mobilized in recent federal actions.
- The law permits telemedicine with express patient consent and creates a private non‑profit agency to support SUS management and policy execution.