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It was locally referred to simply as La Reforma (The Reform) — for many years. Puerto Rico's Medicaid program is, similar to other Medicaid programs of states of the United States. [ 3 ] [ 4 ] [ 5 ] The funding is by the U.S. Medicaid program in the form of a block grant, unlike how states of the United States Medicaid programs are funded [ 6 ...
The General Health Law was complemented in 2003 by the Law of Cohesion and Quality of the National Health System (Ley 16/2003 de cohesión y calidad del Sistema Nacional de Salud), which maintained the basic lines of the General Health Law, but modified and broadened the articulation of that law to reflect existent social and political reality ...