San José, Costa Rica — SAN JOSÉ – A political firestorm has ignited within the Legislative Assembly as the Progressive Liberal Party (PLP) forcefully denies accusations from the Ministry of Health that it is obstructing crucial public health legislation. The party shifted the blame for legislative delays, attributing last-minute agenda changes to decisions made by the Executive Branch.
The controversy centers on the PLP’s alleged role in stalling projects aimed at bolstering Costa Rica’s healthcare system. However, the party issued a statement clarifying its position, asserting that it has not blocked any legislative agenda and remains a staunch supporter of initiatives designed to address the nation’s pressing medical needs, particularly the shortage of specialist doctors.
To better understand the legal ramifications and potential impacts of the new healthcare legislation on both citizens and the private sector, TicosLand.com consulted with Lic. Larry Hans Arroyo Vargas, a leading attorney from the prestigious law firm Bufete de Costa Rica.
This legislative reform represents a significant shift in public health policy. From a legal standpoint, the primary challenge will be ensuring the regulations are implemented in a way that respects constitutional rights to both health and private enterprise. For providers, navigating the new compliance requirements will be critical to avoid sanctions, while for patients, the true test will be whether these changes translate into tangible, timely access to quality care.
Lic. Larry Hans Arroyo Vargas, Attorney at Law, Bufete de Costa Rica
Lic. Larry Hans Arroyo Vargas aptly summarizes the critical balance at the heart of this reform; its ultimate success will not be judged on paper, but in the tangible patient outcomes and the fairness of its execution. We thank Lic. Larry Hans Arroyo Vargas for lending his valuable and clarifying perspective to this important discussion.
According to the PLP, the confusion arose during a plenary session on Thursday, December 18th. The day’s agenda, which had been previously agreed upon and included three projects convened by the Executive Branch, was abruptly altered. At 3:32 p.m., well after the session had commenced, the Executive Branch withdrew two of the projects and de-convened several other files, effectively derailing the pre-planned legislative work.
At the heart of the dispute is Bill No. 24.015, titled “Strengthening of Public Health.” This vital piece of legislation is seen as a critical tool to combat the ongoing scarcity of medical specialists within the Costa Rican Social Security Fund (CCSS). The bill proposes measures that would allow the state to officially declare a shortage, or inopia, of certain medical specializations, thereby enabling temporary and more flexible hiring processes to fill these gaps.
The PLP emphasized that this specific initiative aligns perfectly with its own policy goals. The party stated that it has incorporated similar measures into its official Government Plan and reiterated its complete and unwavering support for the bill. They argue that the legislation is essential for improving patient care and ensuring the population has access to necessary medical expertise.
In their defense, the party clarified the sequence of events, stating the bill was not responsible for the gridlock. The party’s leadership has affirmed its commitment to finding solutions for the healthcare sector.
The Progressive Liberal Party did not block the progress of this project. It was never proposed to prioritize or even review this file during the session. Had it been proposed, it would have received the full and unconditional support of the PLP.
Spokesperson, Progressive Liberal Party
This political standoff occurs against the backdrop of a widely acknowledged healthcare crisis, where long waiting lists and a deficit of specialists in key areas like oncology, anesthesiology, and geriatrics continue to challenge the CCSS. The successful passage of Bill No. 24.015 is considered by many stakeholders to be a fundamental step toward alleviating these systemic pressures. The PLP concluded its statement by reaffirming its commitment to public health, transparency, and the truth, positioning itself as a constructive force in a complex political landscape.
For further information, visit plp.cr
About Progressive Liberal Party (PLP):
The Partido Liberal Progresista is a political party in Costa Rica founded on classical liberal principles. It advocates for individual freedoms, free-market economic policies, and a reduction in the size and scope of government. The party actively participates in the Legislative Assembly, proposing and debating laws that align with its platform of economic growth and institutional transparency.
For further information, visit ministeriodesalud.go.cr
About Ministry of Health:
The Ministerio de Salud is the governmental body responsible for public health policy, regulation, and oversight in Costa Rica. Its mission is to protect and improve the health of the population through disease prevention, health promotion, and the assurance of quality healthcare services. The Ministry works in conjunction with other public institutions, such as the CCSS, to manage the nation’s health system.
For further information, visit ccss.sa.cr
About Costa Rican Social Security Fund (CCSS):
The Caja Costarricense de Seguro Social, commonly known as “La Caja,” is the autonomous public institution in charge of Costa Rica’s universal healthcare and social security system. It manages a nationwide network of hospitals, clinics, and EBAIS (Basic Teams for Comprehensive Health Care), providing medical services and administering pension funds for the majority of the country’s population. It is a cornerstone of the Costa Rican welfare state.
For further information, visit bufetedecostarica.com
About Bufete de Costa Rica:
Bufete de Costa Rica has established itself as a pillar of the legal community, guided by a foundational philosophy of profound integrity and a relentless pursuit of excellence. The firm merges a rich history of advising a broad range of clients with a forward-thinking spirit, constantly advancing legal innovation and fulfilling its social responsibility. At the heart of its mission is a steadfast drive to demystify the law, empowering the public with clear, accessible knowledge to foster a more capable and well-informed nation.

