PR| Circular Letter CC-2026-2053-D (original Spanish version) issued by the Office of the Commissioner of Insurance of Puerto Rico announces that, effective immediately, Puerto Rico Act 10-2026 requires insurers, health service organizations, health plans, and any contracted health service entities to submit an annual report to the Department of Health’s Tobacco Prevention, Control and Oral Health Division describing their medical coverage and available medications for the treatment of tobacco use and dependence, as part of a broader public policy to promote smoking cessation and prevent initiation. It explains that the law amends Article 3 of Act 21-2008 and authorizes the Secretary of Health to notify the Commissioner of Insurance about any entities that fail to comply, enabling the Commissioner to begin proceedings to revoke their Certificate of Authority after a second violation and prohibiting certification of new or continued authority until compliance is demonstrated. The circular instructs all affected entities to take note of and strictly adhere to these new statutory requirements.

See Circular Letter CC-2026-2053-D (English translation) below: