Health minister defends UPC increase before Constitutional Court

Colombia's Health Minister Guillermo Alfonso Jaramillo appeared before the Constitutional Court on Monday to defend the UPC increase set at the end of 2025, during a technical hearing called over a contempt charge.

The hearing, starting at 8:00 a.m., aims to verify the UPC calculation, the per capita value Adres pays EPS for each affiliate's health care. Four months earlier, the Court opened a contempt case against Jaramillo for alleged non-compliance and requested probes by the Fiscalía and Procuraduría.

The minister rejected pressures for larger hikes: "We cannot allow a series of actors to conspire to demand a UPC increase." He defended the 9.03% adjustment, citing technical criteria despite criticism from groups like Andi, Acemi, and Afidro, and a prosecutorial document finding no irregularities in UPC use.

Jaramillo blamed EPS failures: "They put me here to answer for what the EPS do not do (...) What needs to be done is to liquidate them." He expressed openness to a new methodology. Acemi's Ana María Vesga called for at least 17.33%, citing inflation and minimum wage rises.

Adres director Félix León Martínez attributed the health system's crisis to poor EPS data quality, not funding shortfalls, noting historic budget increases from 2022 to 2026.

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President Gustavo Petro and Finance Minister Germán Ávila announcing Colombia's $16 trillion tax reform at a press conference.
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Finance ministry confirms $16 trillion tax reform after court ruling

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After the Constitutional Court struck down the December 2025 emergency economic decree, the Colombian government will present a tax reform to raise $16 trillion. Finance Minister Germán Ávila and President Gustavo Petro confirmed the plan in response to the fiscal imbalance. The measure aims to avoid cuts to social spending and address inherited deficits.

Nueva EPS announced timely payments to the public hospital network as part of its stabilization plan, starting with December 2025 funds received in January 2026. The entity faces embargoes worth $2.1 billion and is among 10 intervened EPS serving 25 million affiliates. Experts warn of structural issues in Colombia's health system.

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In the televised Council of Ministers, President Gustavo Petro Urrego stated that there is no chaos in Colombia's health system, citing a continuous reduction in under-5 child mortality rates during his administration. Health Minister Guillermo Alfonso Jaramillo presented figures showing a drop in malnutrition deaths, from 404 cases in 2022 to 160 in 2025.

Colombia's Constitutional Court provisionally suspended Decree 1390 of December 22, 2025, which declared an Economic and Social Emergency. President Gustavo Petro criticized the decision as a rupture of the constitutional order and stated that the cost of the debt will not fall on the working class. The government plans to present new tax laws to address the deficit.

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Colombia's National Health Superintendency has reported an approximate $2.6 billion impact on the General Social Security Health System from 291 precautionary embargo measures. This situation threatens the financial sustainability and the right to health for Colombians. The most affected regions include Bogotá, Antioquia, Bolívar, and Caquetá.

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