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 Regional Government approved, through Regional Regulatory Decree No. 17/2026/M, of September 21, the new structure of the Regional Secretariat for Health and Civil Protection (SRS). The decree, published in the Official Journal, enters into force the day after its publication.
The new structure aims for greater integration of sectoral public policies, unifying strategies for health promotion, disease prevention, and active aging management. To this end, the Regional Directorate of Health and Longevity (DRSL) is created, which succeeds and unifies the responsibilities of the former Regional Health Directorate (DRS) and the Regional Directorate for Integrated Public Policies and Longevity (DRPPIL).
The Regional Health Activities Inspectorate (IRAS) is also created, which assumes control, audit, and inspection functions in the health sector, strengthening institutional capacity to ensure the legality and quality of care.
The Regional Secretariat for Health and Civil Protection includes the following services:
The decree also establishes a centralized human resources management system for direct administration services and maintains, until the approval of their specific structures, the Mission Structure for the Central and University Hospital of Madeira (EMHCUM) and advisory bodies, such as the Regional Health Council and the Mental Health Advisory Council.
Two ordinances update prices and co-payment rules for home respiratory care in the SRS-Madeira, effective 1 October 2026.
Portaria No. 623/2026 redistributes the base price of 2,257,200.00 euros for total knee arthroplasty items, phased between 2026 and 2029.
Resolution No. 1025/2026 extends by 30 days the deadline for approving PREAS 2027-2031, the Regional Plan for Active and Healthy Ageing.