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Bruno Marcelos — Escritório de Advocacia

Pauta Regulatória · Daily brief

No. 253

Automatically translated from the Portuguese edition, which prevails in case of discrepancy. Ler em português

Federal Official Gazette

CONSTITUTIONAL AMENDMENT No. 141

Amends Article 7 of the Federal Constitution to reduce the maximum weekly working hours and to provide for 2 (two) days of paid weekly rest, without any salary reduction.

https://www.planalto.gov.br/ccivil_03/constituicao/emendas/emc/emc141.htm?utm_source=chatgpt.com

Analysis (see also the Investnews report, below). Implementation will occur as follows:

  • on Dec 16, 2026, the maximum working week will be reduced from 44 to 42 hours and the right to two rest days will take effect;
  • on Dec 16, 2027, the maximum working week will be reduced to 40 hours;
  • two months after publication, clauses of collective agreements and conventions that are incompatible with the new rules will cease to have effect; and
  • collective agreements or conventions may establish a compensatory regime that ensures, on average, two rest days per week within the month, guaranteeing at least one day of rest in each maximum period of seven days.

The amendment establishes that the reduction of working hours and the extension of rest apply to existing contracts, without salary reduction, including wage floors. It also provides for specific treatment for employees with a higher-education degree and remuneration equal to or greater than two and a half times the RGPS ceiling, and for transition rules for public contracts involving the direct employment of labor.

The change has a direct and significant impact on health plan operators, hospitals, clinics, laboratories, home care services, call centers and other structures that operate continuously or in shifts. The transition may also affect care costs and the prices charged by providers. The amendment, however, does not automatically authorize price adjustments to plan premiums, nor does it change ANS’s price adjustment rules.

ANS NORMATIVE RESOLUTION No. 682, OF OCTOBER 15, 2026

Amends Normative Resolution (RN) No. 465, of February 24, 2021, which governs the List of Health Procedures and Events (Rol) within supplementary health, to regulate the mandatory coverage of the procedure bronchoscopy with transbronchial cryobiopsy for patients with suspected interstitial lung disease, in compliance with paragraphs 4, 7 and 8 of Article 10 of Law No. 9,656/1998.

https://www.in.gov.br/web/dou/-/resolucao-normativa-ans-n-682-de-15-de-outubro-de-2026-738862822

ANS PERSONNEL ORDINANCE No. 306, OF OCTOBER 16, 2026

ANS made changes to strategic positions in its structure, including:

  • Vitor de Lima Guimarães, Deputy Executive Secretary;
  • Flavio Carneiro Guedes Alcoforado, Deputy Director of the Management Directorate (Diretoria de Gestão);
  • Maria Rachel Jasmim de Aguiar Serafini, occasional substitute for the Executive Secretary; and
  • Rafael Pedreira Vinhas, occasional substitute for the General Manager of Technical Analysis of the Presidency.

ANS PERSONNEL ORDINANCE No. 309, OF OCTOBER 16, 2026

To designate the Interim Director of the Directorate of Standards and Qualification of Operators (Diretoria de Normas e Habilitação das Operadoras) – DIOPE, civil servant CARLA DE FIGUEIREDO SOARES, SIAPE Registration No. 1512417, to serve as occasional substitute for the Executive Commissioned Position of Director-President – CCE 1.18, of the National Supplementary Health Agency (Agência Nacional de Saúde Suplementar) – ANS, during the Director-President’s legal, temporary and occasional absences.

ANS news

13th Extraordinary Meeting of the 2026 Board of Directors

The Board of Directors will hold an extraordinary meeting today, Oct 19, at 10 a.m., to deliberate on a proposal to amend Regimental Resolution No. 21/2022 within the Directorate of Standards and Qualification of Operators (Diretoria de Normas e Habilitação das Operadoras) – DIOPE.

ANS promotes dialogue on criteria for the Beneficiary Satisfaction Survey

Online workshop takes place on Oct 22 and 23, with the participation of health plan operators, consumer representatives, research companies and auditors

https://www.gov.br/ans/pt-br/assuntos/noticias-1/periodo-eleitoral/ans-promove-dialogo-sobre-criterios-para-pesquisa-de-satisfacao-de-beneficiarios

Open public consultations

  • CP 178. Subject: preliminary recommendations against the incorporation of somatrogon and cabozantinib levomalate. Deadline: October 7 to 26, 2026
  • CP 179. Subject: proposed update of Normative Instruction ANS – IN ANS No. 31, of December 19, 2022, which governs the monitoring and assessment of health plan operators’ guarantee of care for beneficiaries. Deadline: Oct 23, 2026 to Dec 7, 2026

Scheduled public hearings

There are no scheduled public hearings.

Open public calls for input

  • The call for input addressed to operators’ ombudsman offices, concerning the resolution capacity of service channels and the monitoring provided for in RN No. 623/2024, is open until Oct 20.

Open public calls

There are no open public calls or targeted social participation initiatives.

Other news

Enamed will be mandatory for the practice of medicine, Senate approves

On Thursday (15), the Senate approved the provisional measure establishing the National Medical Training Assessment Exam (Exame Nacional de Avaliação da Formação Médica, Enamed) as a condition for the practice of medicine. Under the approved rules, there will be three assessments during the undergraduate course — at the end of the second, fourth and sixth years of medical school, instead of only two assessments, as provided in the Executive Branch’s text. Professional registration will be conditioned on the student’s performance, who must reach a minimum level of proficiency.

https://www12.senado.leg.br/noticias/materias/2026/10/15/enamed-sera-obrigatorio-para-exercicio-da-medicina-aprova-senado?utm_source=chatgpt.com

ANS suggests setting guidelines for the treatment of people with autism by health plans

Source: futurodasaude.com.br · read the full article

The side effect of the end of the 6×1 work schedule for Rede D’Or, Hapvida and Fleury

Source: investnews.com.br · read the full article

Co-payment in health plans advances with no defined limit, and ANS tries to review 1998 rule

Source: feebpr.org.br · read the full article

Sources: Federal Official Gazette (DOU) and the ANS website. Press items link to the original article. This brief is for information only and does not constitute legal advice.