State council provisionally suspends decree reorganizing health insurers

Colombia's State Council provisionally suspended Decree 0182 of 2026, which reorganized health insurers territorially and capped the number of providers per region. The decision follows a lawsuit by Representative Katherine Miranda warning of forced transfers of millions of users to Nueva EPS.

The high court’s ruling temporarily halts the decree issued by President Gustavo Petro’s government. The measure aimed to implement a territorial and population-based health insurance model.

The lawsuit claimed the reorganization would limit user options and concentrate affiliates in entities like Nueva EPS, which is under intervention by the National Health Superintendency. The ruling noted it could lead to the reassignment of more than six million affiliates and the transfer of about 2.6 million to that entity.

The government argued the decree would fix structural issues such as system fragmentation and financial unsustainability of some insurers. The State Council, however, found grounds to review the claims and suspended the decree’s effects pending the judicial process.

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