Mexico Announces Plan to Achieve Universal Health Coverage by 2027
New reform will integrate public health systems and guarantee free access to care nationwide
Mexico’s President Claudia Sheinbaum has announced a sweeping health reform aimed at achieving Universal Health Coverage (UHC) by 2027, describing the initiative as a “historic step” toward guaranteeing free and equitable access to health services for the entire population.
The reform will gradually integrate Mexico’s three public health subsystems—the Mexican Social Security Institute (IMSS), the Institute for Social Security and Services for State Workers (ISSSTE), and IMSS‑Bienestar—into a single, coordinated public health network. As part of the process, every resident will receive a unified health identification card, allowing them to access services across institutions without financial barriers.
Phased rollout begins in January 2027
Beginning January 1, 2027, health services will start to be shared across the three subsystems, initially prioritizing:
- Emergency care
- Continuity of treatment across institutions
- Access to services regardless of insurance affiliation
During this first phase, patients will be able to receive services such as mammograms, biopsies, and breast cancer treatment at the health facility closest to their home.
In the second half of 2027, the integration will expand to cover specialized services, including radiotherapy, laboratory services, and diagnostic imaging. The reform will also incorporate more complex treatments, such as care for additional cancers and kidney disease.
By 2028, the government expects to consolidate universal access to essential medicines, specialist consultations through referral, hospitalization, and long‑term follow‑up for people living with chronic diseases.
President Sheinbaum stated that the goal is to ensure that “any person can access medical care, free of charge, through an integrated public health network.”
Civil society welcomes the announcement
The México SaludHable Coalition, a national civil society network advocating for Universal Health Coverage, welcomed the announcement and expressed support for the reform.
Since 2020, the coalition—supported by the NCD Alliance through its partnership with The Leona M. and B. Hemsley Charitable Trust—has promoted UHC with a strong focus on improving care for people living with noncommunicable diseases (NCDs).
As part of its advocacy efforts, México SaludHable has conducted a situational analysis of UHC in Mexico, including stakeholder mapping and reviews of public policies. These initiatives identified key challenges and opportunities for better integrating NCDs into the national UHC agenda.
The coalition has also produced advocacy materials, including a policy brief on Social Participation, Universal Health Coverage, and Noncommunicable Diseases, reflecting the perspectives of people living with chronic conditions.
Currently, México SaludHable is implementing a project to analyze health spending and financing mechanisms across IMSS, ISSSTE, and IMSS‑Bienestar, while raising awareness among decision‑makers on the importance of strengthening health financing to ensure the sustainability of Universal Health Coverage.
