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Spain Approves Decree Guaranteeing Public Health Care for Undocumented Residents

The measure removes regional disparities by creating a single declaration-based route to coverage.

Overview

  • The Council of Ministers approved a Royal Decree that restores and standardizes access to the National Health System for foreign nationals without legal residency.
  • Applicants will file a declaración responsable and receive a provisional document granting immediate, nationwide care while their case is processed.
  • Proof of residence is broadened beyond municipal registration to include school certificates, social services reports, utility bills, and consular documents.
  • Authorities have three months to decide applications, with approval granted by administrative silence if no response arrives within the deadline, and anti-fraud rules allow annulment and reimbursement if falsehoods are found.
  • Vulnerable groups gain guaranteed immediate care, including minors, pregnant women with access to abortion, victims of gender and sexual violence and trafficking, and asylum seekers, while temporary coverage is extended to Spaniards of origin living abroad and their families.