1 сент 1993 г. - ley 72 approved (Reforma)

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Plan: basic healthcare to medically indigent people via established private healthcare sys tilizing gov subsidized medical health insurance paid for with medicaid funds, gov funds allocated to doh to operate public healthcare sys, and proceeds from dismantling public healthcare sys (selling hospitals, etc.)

Gov negotiate with insurance companies for competitive rates based on new members it was bringing to program, regulated by puerto rico health insuarance (new)

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