The decree applies only to the municipalities and districts included within the territorial scope of the emergency, including those subsequently incorporated by legislative decree. In each case, the direct impact caused by the earthquake must be substantiated through official records or complementary mechanisms. During the twelve months following its entry into force, Invima may suspend, at the request of the interested party and by means of a reasoned decision, the deadlines for ongoing health regulatory procedures when the applicant is located in an affected municipality and demonstrates that the earthquake prevents them from meeting the requirements. An individual suspension may last up to four months. This does not apply to enforcement actions, renewal of good practice certifications, health alerts, or cases in which public health safety may be compromised. For twelve months, local governments may use available balances from the master accounts of the subsidized health system and surpluses or uncommitted balances from assigned revenues to repair, rehabilitate, rebuild, supply, and equip the public health network directly affected by the earthquake. Certain standard requirements are temporarily waived, such as the prior inclusion of investments in the Master Investment Plan and the absence of debts for services rendered. The funds must be managed separately, with traceability, and may not be used for general expenses or obligations unrelated to the restoration of affected services. For a period of six months, the Ministry of Health and local governments may transfer funds directly to State-Owned Social Enterprises and to administrators of affected public health infrastructure. The funds may be used to finance labor obligations, salaries, social security, and contractual commitments related to healthcare personnel. To access these funds, it must be certified that the earthquake caused a loss of operational capacity or a reduction in revenue that jeopardizes the continuity of service. For a period of six months, the Ministry of Health may modify or rescind, in whole or in part, resource allocations that have not yet been disbursed and that were made prior to August 19, 2026. The reallocation must be used exclusively to mitigate the emergency and restore healthcare capacity in the affected areas. It does not require the beneficiary’s prior consent, but decisions must be justified and remain subject to notification, appeals, and judicial review. ADRES may administer and disburse funds earmarked for addressing the health emergency. It may also use, for a period of twelve months, funds it ordinarily administers for the following mechanisms:
- portfolio purchases;
- interest rate subsidies;
- soft credit lines for providers affected by the earthquake or who provided care to the affected population.
These funds must be managed separately and may not be subject to automatic offsets.
The statute of limitations for claims filed with ADRES by providers whose infrastructure was affected by the earthquake is suspended for twelve months.
This measure applies only to statutes of limitations that were running on August 10, 2026, or that begin during the suspension period. It does not revive statutes of limitations that have already expired or rights that were barred before that date. During the period specified in the decree, no late-payment interest will accrue on late payments of contributions to the Comprehensive Social Security System and parafiscal contributions owed by independent contributors and affected employers identified by the Ministry of Health.
This measure does not eliminate the obligation to pay the principal, maintain enrollment, report changes, or comply with the system’s other obligations. Nor does it allow for claims for the refund of interest already paid.
For twelve months, affected members identified in the Single Registry of Affected Persons and validated in the BDUA are exempt from paying copayments and co-insurance fees for all health services and technologies they require, regardless of where they receive care.
Health insurance providers (EPS) and other entities responsible for payment may not deny, delay, restrict, or split up care due to nonpayment of these amounts, nor may they charge for services provided during the term of this measure at a later date.