The Regional Government amended the statutes of IASAÚDE, IP-RAM, creating a new directorate specialized in auditing and inspecting public health resources.
Ordinance No. 538/2026, of September 22, implements the first amendment to the Statutes of the Institute of Health Administration, IP-RAM (IASAÚDE, IP-RAM), approved by Ordinance No. 97/2025, of January 30.
The main change is the creation of a new organic unit: the Directorate of Audit and Inspection (DAF). This new directorate emerges to provide an organic and specialized response to the audit and control competencies already legally assigned to the Institute, which lacked a dedicated structure. The DAF will operate with technical and functional autonomy.
The competencies of the new directorate include:
In addition to the creation of the DAF, the ordinance also adjusts and clarifies the competencies of other organic units of IASAÚDE, such as the Directorate of Administration and Human Resources, the Directorate of Contracting, the Directorate of Financial Management, the Directorate of Information Systems, the Legal Office, and the Planning and Strategy Office, with the aim of ensuring greater functional coherence.
The ordinance entered into force the day after its publication, i.e., on September 23, 2026.
The Regional Government approved the decree defining the structure and mission of the Regional Health and Civil Protection Secretariat, creating the Regional Directorate of Health and Longevity and the Regional Health Activities Inspectorate.
The Madeira Institute of Social Security will update the values of financial contributions for various typical-funded social responses, representing a total investment of approximately 631 thousand euros for 2026.
The price for each block of 50 temporary incapacity for work certificates has been set at 5 euros plus VAT, supplied exclusively by the Health Administration Institute.