Building a Stronger Healthcare Future for Puerto Rico
More than two-thirds of Puerto Rico's residents depend on Medicaid or Medicare Advantage for their health coverage, making these programs the foundation of the Island's healthcare system. Ensuring that they remain strong, sustainable, and adequately funded is essential to protecting access to quality care, supporting healthcare providers, and strengthening Puerto Rico's future.
Latest News
MMAPA supports the Medicare Low Income Subsidy Equality Act of 2026
Resident Commissioner Pablo José Hernández recently introduced the Medicare Low Income Subsidy Equality Act of 2026 in the U.S. House of Representatives. The bill is co-sponsored by Republican Delegate James Moylan of Guam and Democratic Congressman Darren Soto of Florida, who is of Puerto Rican descent. MMAPA voiced strong support for the bill, which would extend federal prescription drug
assistance already available to U.S. citizens in the states to Puerto Rico’s approximately 307,000 dually eligible Medicare Advantage beneficiaries, American citizens who currently don’t have access to the same benefit. Many seniors on the Island are rationing medications just to make it to the end of the month, a risk no senior should face simply because of where they live.
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Our Federal Priorities
Accountability and Results
Puerto Rico has strengthened program integrity, enhanced accountability, and demonstrated responsible stewardship of federal healthcare resources through compliance with federal oversight requirements while continuing to improve access to quality care.
Puerto Rico at a Glance
3.2 million
Residents
Puerto Rico ranks first among U.S. states and territories for both oldest median age and the proportion of residents aged 65 and older.
40%
of residents live below the federal poverty levels, compared with 11.5% in the United States
25%
of residents are age 65 or older, compared with 18% in the United States
$27,000
Median household income
60.4%
Utility costs in Puerto Rico are 60.4% higher than the U.S. national average.
68.7
Healthcare Cost Index: 68.7 (the lowest among nearly 300 U.S. cities), despite operating
with some of the highest utility costs in the nation
Medicaid Snapshot
2 in 5 residents
Rely on Medicaid
307,000+
Beneficiaries are enrolled in D-SNP plans that integrate Medicare and Medicaid benefits
Sept 30, 2027
Current Medicaid Funding Expires
Congressional action is needed to avoid a future Medicaid funding cliff and ensure continued access to care.
One of the Nation's Strongest
Program Integrity Frameworks
Puerto Rico has strengthened accountability, oversight, and program integrity while improving access to healthcare.
Medicare Advantage Snapshot
683,000+
Medicare Advantage Beneficiaries
More than 680,000 beneficiaries rely on the Medicare Advantage program in Puerto Rico.
96%
Medicare Advantage Enrollment
96% of eligible Medicare beneficiaries in Puerto Rico are enrolled in Medicare Advantage plans.
99%
4.5- or 5-Star Plans
99% of Medicare Advantage beneficiaries in Puerto Rico are enrolled in plans rated 4.5 or 5 stars.
20+ Years
Integrated D-SNP Model
Puerto Rico has more than 20 years of experience operating an integrated Medicare-Medicaid D-SNP model.