National Council of Social Security in Health

The National Council of Social Security in Health was an entity of the General System of Social Security in Health, which had the purpose of reaching an agreement and adopting measures to guide and orient the system in administrative and financial matters such as the value and destination of contributions, the amounts of contributions, the eligibility criteria for the beneficiaries, the contents of the mandatory health plan, the rates and the operating requirements of the Health Promoting Entities. The Council was composed of central sector officials, decentralized sector experts, health system experts and members of civil society related to the health service. The Council was created in 1993 with the Reform to the Social Security System in Health, through the approval of Law 100. This reform had a decentralization and privatization mandate, and in search of the specialization of power, divided the leadership competencies and regulation between the Ministry of Health and the National Council of Social Security in Health, which had the functions of establishing the rules of operation of the insurance in a framework of regulated competition. This Council was eliminated in 2007 and its functions were transferred to the Commission for Health Regulation (Span. CRES), which was created in that same year through a modification made to the Social Security System in Health. This Commission was considered as a special administrative unit, attached to the Ministry of Social Protection. However, the participation of civil society was reduced to expert commissioners, appointed by the President of the Republic from lists sent by different entities.

Institutional design


Formalization: is the innovation embedded in the constitution or legislation, in an administrative act, or not formalized at all?

Frequency: how often does the innovation take place: only once, sporadically, or is it permanent or regular?

Mode of Selection of Participants: is the innovation open to all participants, access is restricted to some kind of condition, or both methods apply?

Type of participants: those who participate are individual citizens, civil society organizations, private stakeholders or a combination of those?

Decisiveness: does the innovation takes binding, non-binding or no decision at all?

Co-governance: is there involvement of the government in the process or not?

embedded in the constitution/legislation 
Mode of selection of participants
Type of participants
private stakeholders  
democratic innovation yields a binding decision  


  • Deliberation
  • Direct Voting
  • E-Participation
  • Citizen Representation


  • Accountability
  • Responsiveness
  • Rule of Law
  • Political Inclusion
  • Social Equality

Policy cycle

Agenda setting
Formulation and decision-making
Policy Evaluation


How to quote

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Pogrebinschi, Thamy. (2017). LATINNO Dataset. Berlin: WZB.

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