The Government of the Community of Madrid, led by Isabel Díaz Ayuso, approved on June 24th a fund transfer of 257 million euros. These funds, sourced from various regional entities and organizations, are allocated to the Madrid Health Service (Sermas) to process invoices for current goods and services, as the 2026 budget credits are insufficient.
The money comes from available funds deemed “not necessary for the exercise of budgetary activity” within six public sector entities. The Regional Transport Consortium (CRTM) contributes 124 million euros, and the Health Contracting Agency, 59.9 million. The Madrid Social Care Agency contributes 32.1 million, and the Agency for the Re-education and Rehabilitation of Juvenile Offenders, 22.5 million. The Madrid 112 Security and Emergencies Agency allocates 17.5 million, and the Regional Institute for Safety and Health at Work, 1.63 million.
The agreement, validated by the Ministry of Economy, Finance, and Employment, justifies the measure by an “exceptional situation” due to “financial tensions” that could delay payments to suppliers. It is acknowledged that the need cannot be met through ordinary budgetary management procedures.
The report from the General Audit Office details that the missing credit will be used for hospital financing, medical prescriptions, and payment of invoices for healthcare centers. The Directorate-General for Budgets also approved the initiative.
Sources from the Ministry of Health describe this operation as a common practice rather than an exceptional one, stating that “any available surplus, fully audited and approved by the Governing Council, can be used precisely for Healthcare.” They note that this mechanism has been used on other occasions.
However, the Ministry of Health has requested a total of 588 million euros in additional funds. La Paz and Doce de Octubre hospitals are set to receive the largest portions of this request, with over 95 and nearly 91 million euros respectively. Other centers like Ramón y Cajal or Clínico San Carlos would also receive amounts exceeding 50 million euros.
From the PSOE of Madrid, regional deputy Sara Bonmati criticizes the measure, viewing it as an “attempt to cover up the dismantling of the Madrid public health system.” She denounces cuts in Emergency 112, social care, nursing homes, and public transport, while healthcare faces “collapse.”
Bonmati warns that another 325.8 million euros are yet to be transferred for ordinary operations, questioning which other resources will be cut to meet the needs of Madrid's Public Healthcare to continue operating minimally normally.
