Bill May Prohibit EAD Courses in Health in Brazil and Require In-Person Training in All Degrees. Understand:
Bill Seeks to Prohibit EAD Courses in Health in Brazil and Raises Alert for In-Person Training
The training in health fields may change radically in Brazil, because Bill 5.694/2025 aims to prohibit EAD Courses in undergraduate programs and impose fully in-person education.
Deputy Fausto Pinato (PP-SP) presented the proposal in the Chamber of Deputies this week, where the topic has started to generate strong reactions.
The text amends the LDB and requires theoretical, practical, laboratory classes, and internships to be exclusively in-person, as the author argues that real practice is essential for training qualified professionals.
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According to Pinato, direct contact with patients and multidisciplinary teams is essential. Therefore, he claims that the digital model cannot replicate the practical experience required in health.
Thus, the text puts in-person education back at the center of training, reigniting a debate involving universities, professional councils, and students across Brazil.
Bill Requires 100% In-Person Training in Health Fields
The Bill modifies Article 80 of the LDB and stipulates that courses such as Medicine, Nursing, Dentistry, Psychology, Physical Therapy, Nutrition, Radiology, Pharmacy, Biomedicine, Veterinary Medicine, Speech Therapy, Physical Education, Occupational Therapy, and Social Work function only as In-Person Courses.
Thus, the proposal eliminates any possibility of fully digital degrees in these areas. Furthermore, the author emphasizes that in-person training ensures safety for patients and improves the quality of services provided.
Technology Will Remain Present, But Only As Support
The text does not eliminate the use of technology. However, it limits its application. Thus, digital tools may complement education, but never replace practical classes, internships, or essential activities.
Pinato cites Recommendation 040/2024 from the National Health Council. The document advocates that courses use technology for only up to 20% of the total workload. “Learning in the health field requires practical experience and direct interaction with patients and multidisciplinary teams,” says the congressman.
Additionally, he recalls Resolution 287/1998, which recognizes all the professions that would be impacted by the bill.
Performance in Enade Fuels Criticism of EAD Courses
The deputy also presents data from Enade. According to him, 90% of EAD Courses in Health receive scores of 1 or 2. On the other hand, 60% of In-Person Courses achieve scores between 3 and 5.
Thus, Pinato argues that the indices prove the fragility of distance learning in these careers. For him, the quality of training depends on continuous practice and real supervision.
Processing Continues in the Chamber Before Going to the Senate
The text will now go through the thematic committees of the Chamber. After that, it will proceed to a vote in plenary. Therefore, there is still no final decision. If approved, the Bill will be analyzed by the Senate.
In the meantime, the discussion is growing rapidly. Consequently, universities, faculty, and students are following each step, as the measure could eliminate EAD Courses in the health fields and completely transform the training model in Brazil.

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