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Buenos Aires City Formalizes Resident Priority Across Public Services

The decree intensifies the fight with the Province over who funds and runs services used across the metro area.

Overview

  • Jorge Macri signed Decree 142-26 on Friday, extending a resident-first rule from public hospitals to all City services such as appointments, slots, school places, and paperwork.
  • City officials said the policy sets an order of attention rather than a ban on non-residents, with emergency medical care and some public-safety areas excluded, and the Chief of Cabinet tasked with implementation.
  • Macri paired the move with a formal claim that the Province owes more than 27,000 million pesos for care of bonaerense residents living on the streets in the capital, while criticizing Governor Axel Kicillof for failing to cover those costs.
  • The measure builds on a March 2025 hospital rule, and City data cited more than 30 million health services in 2025, a roughly 30% rise in consultations, and over 12,000 additional surgeries as justification for prioritizing locals.
  • Greater Buenos Aires sends about 3 million people into the capital each day, which could now mean longer waits for non-residents, and some legal analysts warned the new order may face discrimination challenges even as emergencies remain exempt.