República Dominicana
Presidential Decree No. 047-DR
Issued by: Future DR President Candidate
PREAMBLE
In light of recent public revelations and credible investigations into irregularities and alleged acts of corruption within SeNaSa’s subsidized health service contracting, and recognizing that access to health care is a non-negotiable human right and a cornerstone of the Dominican Republic’s social contract, the State cannot look the other way.
The people of this country deserve not only access to essential health services, but full transparency in how public money is spent and how their rights are protected. The era of secrecy, favoritism, and impunity in public health administration is over. It is the duty of this generation to demand honesty, accountability, and a health system that serves everyone—no exceptions, no backroom deals.
By this Decree-Law, the Dominican Republic takes a clear stand: every contract, every peso, every patient matters. Corruption and negligence will face real consequences. And every resident, regardless of status or means, must have fair, timely, and dignified access to the health care they need.
Chapter I
General Provisions
Article 1. Purpose
This Decree-Law establishes binding rules to guarantee full transparency, institutional accountability, and public access to information regarding SeNaSa’s operations. It also mandates effective, universal access to essential health services for every resident, without discrimination.
Article 2. Scope
Applies to SeNaSa, the Ministry of Public Health, SISALRIL, the Attorney General, the Superior Administrative Court, the Office of the Comptroller General, and any public or private agent that contracts with SeNaSa for health service provision.
Article 3. Governing Principles
All actions taken under this Decree-Law must be guided by legality, impartiality, efficiency, transparency, civic participation, accountability, and universal access.
Chapter II
Transparency and Oversight Mechanisms
Article 4. Public Registry of Contracts and Procurement
SeNaSa is required to publish all contracts, procurement processes, awards, amounts, timelines, and parties involved on its official website, in a machine-readable open data format, accessible to all.
Article 5. External, Independent Audits
Mandatory periodic audits must be conducted by nationally or internationally accredited independent entities. Reports are to be made public and submitted no later than 90 days after the audit’s conclusion.
Article 6. Civil Society Oversight Committee
A Citizen Oversight Committee will be established, made up of representatives from civil society, health professional associations, patient advocacy groups, academia, and other relevant stakeholders. This committee will have access to review documents, request information, and issue public reports.
Article 7. Sanctions for Irregularities
Clear disciplinary, administrative, civil, and criminal penalties will apply to anyone engaged in misconduct, including:
a) immediate removal from office;
b) fines proportional to the damage caused;
c) disqualification from future state contracts;
d) criminal prosecution for offenses involving public funds, corruption, or fraud.
Chapter III
Right to Access Health Services
Article 8. Universal Coverage and Continuity
Every legal resident of the Dominican Republic has the right to essential health services under the Subsidized Regime. SeNaSa must ensure continued access regardless of changes in contract administrators or providers.
Article 9. Quality, Timeliness, and Dignity
All health services contracted through SeNaSa must meet minimum standards of technical quality, reasonable wait times, and the respectful treatment of every patient.
Article 10. User Information Rights
SeNaSa must provide clear and accessible information to all users regarding their rights, available benefits, expected wait times, complaint and appeal channels, and service quality standards.
Article 11. Complaints and Whistleblower Protection
Users have the right to file formal complaints or reports with SeNaSa or relevant authorities, which must be resolved within 30 business days. Whistleblowers who report irregularities are guaranteed protection against any form of retaliation.
Chapter IV
Institutional Strengthening and Coordination
Article 12. Institutional Capacity
Resources—material, technical, and human—will be allocated to develop and improve internal monitoring, auditing, and control systems within SeNaSa, SISALRIL, and other regulators.
Article 13. Interagency Coordination
Mandatory protocols will be established for collaboration among SeNaSa, the Attorney General, Comptroller General, Superior Administrative Court, and other state bodies to share information, investigations, and coordinate enforcement.
Article 14. Transparent Budgeting
SeNaSa’s budget must include dedicated funds for audits, transparency initiatives, and user assistance, with public reporting and tracking of those resources.
Chapter V
Final Provisions
Article 15. Entry into Force
This Decree-Law enters into force the day after its publication in the Official Gazette.
Article 16. Implementation Regulations
Within 90 days, the Executive Branch must issue the regulations necessary for the full enforcement of this Decree-Law.
Article 17. Repeals
All prior provisions that contradict this Decree-Law are hereby repealed.
This is a real, enforceable foundation. No loopholes, no sweet talk. If you want extra teeth—like mandatory jail minimums, digital transparency dashboards, or quarterly reporting—let me know and I’ll add it. Want it formatted as a PDF for print or public release, just say so.
You said:
can you add Preamble in it
ChatGPT said:
Here’s a real preamble you can use—nothing generic, just straight talk about the purpose, context, and what this decree is fixing. Dropping it right at the start, before Chapter I, as it should be. This is not just empty legal filler; it sets the tone and shows exactly why this law exists and what it demands.
PREAMBLE
In light of recent public revelations and credible investigations into irregularities and alleged acts of corruption within SeNaSa’s subsidized health service contracting, and recognizing that access to health care is a non-negotiable human right and a cornerstone of the Dominican Republic’s social contract, the State cannot look the other way.
The people of this country deserve not only access to essential health services, but full transparency in how public money is spent and how their rights are protected. The era of secrecy, favoritism, and impunity in public health administration is over. It is the duty of this generation to demand honesty, accountability, and a health system that serves everyone—no exceptions, no backroom deals.
By this Decree-Law, the Dominican Republic takes a clear stand: every contract, every peso, every patient matters. Corruption and negligence will face real consequences. And every resident, regardless of status or means, must have fair, timely, and dignified access to the health care they need.
Signed,
Future DR President Candidate
President of the Dominican Republic
Date: Day One, Term One