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São Paulo revolutionizes public health financing with R$ 9.7 billion, transfers up to five times larger, and a record of 3.5 million surgeries.

Published on 18/05/2026 at 08:00
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With transfers up to five times greater, the SUS Paulista Table strengthened hospitals, expanded surgeries, reopened beds, and reduced queues, benefiting Santas Casas, philanthropic units, and municipal hospitals in dozens of cities in the state

The SUS Paulista Table enabled São Paulo to increase the amounts paid by up to five times, add about 3.5 million surgeries, and reduce queues by strengthening hospitals and Santas Casas.

New model expands resources

The change in public health financing was created to complement the amounts paid by the national Unified Health System.

With the model, the state began to cover differences between the federal table and the real costs of the units.

Since the implementation of the SUS Paulista Table, São Paulo has allocated more than R$ 9.7 billion to public health.

The additional transfer allowed for the expansion of surgeries, beds, and exams, with a direct impact on service.

Transfers can be up to five times greater

The initiative was born in response to the lag in payments for medical procedures. A normal delivery, which received R$ 443.40 by the federal table, began to receive R$ 2,217 in the Paulista model, an increase of 400%.

Other procedures also had significant adjustments, including gallbladder removal and radical mastectomy.

The proposal was to provide more financial breathing room to hospitals that serve through the SUS and depend on these transfers.

Surgeries increase and queues recede

With more resources, the state recorded a historic record of scheduled surgeries, with about 3.5 million procedures performed. The SUS Paulista Table also enabled more than 130,000 additional elective surgeries.

The progress reached cardiac, oncological, breast, and maxillofacial areas. The expansion of funding helped hospitals maintain teams, reopen beds, and increase operational capacity.

Philanthropic hospitals gain momentum

About 800 institutions were benefited by the measure, including philanthropic hospitals and Santas Casas. These units began to receive larger transfers to sustain services and better organize the offer.

The program was also expanded to more than 100 municipal hospitals in about 70 cities in São Paulo. The expansion brought the Tabela SUS Paulista to a larger network, reinforcing access in different regions.

Case shows impact on service

The practical effect appears in the case of Valdecir Heguedusch, 71 years old, diagnosed with uterine cancer. With the agility of the new system, she underwent exams and surgery in less than two months.

The service she received summarizes the impact of the model, which seeks to provide more structure to those who depend on the public network. The Tabela SUS Paulista reinforced services, reduced bottlenecks, and showed results where resources were lacking.

With information from O Cafézinho.

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Romário Pereira de Carvalho

I have published thousands of articles on recognized portals, always focusing on informative, direct content that provides value to the reader. Feel free to send suggestions or questions.

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