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This Law may be cited as the Health Services (Fees) Law (2002 Revision).\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_2\", \"num\": \"2.\", \"text\": \"Definitions 2. In this Law \u2014 \u201cCaymanian\u201d means a person possessing Caymanian status for the purpose of the Immigration Law (2001 Revision); \u201cDirector of Health Services\u201d includes any person authorised by him to act on his behalf; and \u201chealth care facilities\u201d means the George Town Hospital in Grand Cayman, the Faith Hospital in Cayman Brac and any other public health facility or public hospital established or operated in the Islands by the Government.\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_3\", \"num\": \"3.\", \"text\": \"Fees payable by patients of the health care facilities 3. Except as otherwise provided by this Law, the fees specified in regulations made by the Governor in Council shall be payable by patients of the health care facilities. Health Services (Fees) Law\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_4\", \"num\": \"4.\", \"text\": \"Residents of Cayman Brac and Little Cayman 4. (1) Subject to subsection (2), a Caymanian ordinarily resident in Cayman Brac or Little Cayman who is a patient at the Faith Hospital in Cayman Brac is liable to pay fees at fifty per cent of the rate specified in regulations made under this Law. (2) Subsection (1) does not apply in respect of a person who is covered by health care insurance which would otherwise cover the whole cost of any service provided at the Faith Hospital.\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_5\", \"num\": \"5.\", \"text\": \"School children 5. Subject to section 10, fees are not payable in respect of a patient at a health care facility if the patient has not attained the upper limit of school age as defined in the Education Law (1999 Revision).\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_6\", \"num\": \"6.\", \"text\": \"Ante-natal services 6. Subject to section 10, fees are not payable for ante-natal services provided at a health care facility to a Caymanian or his spouse.\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_7\", \"num\": \"7.\", \"text\": \"Contraceptive services 7. Subject to section 10, fees are not payable for contraceptive services including clinics, devices and drugs provided at a health care facility to a Caymanian or his spouse.\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_8\", \"num\": \"8.\", \"text\": \"Waiver of fees 8. Fees payable by a patient at a health care facility may be waived, in whole or in part by the Director of Health Services after such assessment as shall be prescribed in regulations has been carried out and if he is satisfied that the patient is unable to pay all or any part of the fees.\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_9\", \"num\": \"9.\", \"text\": \"Free treatment 9. (1) Subject to subsection (2) and section 10, fees are not payable by a patient at a health care facility if the patient presents a card issued or recognised by the Director of Health Services identifying the patient to be \u2014 (a) a public officer or the spouse or a dependent of a public officer (but only to the extent provided in the terms of employment of the public officer); (b) a member of the Cayman Islands Veterans Association or the spouse of such a member; (c) a member of the Veterans\u2019 and Seamen\u2019s Society of Cayman Brac and Little Cayman, or the spouse of such a member, who satisfies the conditions specified in subsection (2); Health Services (Fees) Law (2002 Revision) (d) a member of the Cayman Islands Seafarers\u2019 Association, or the spouse of such a member, who satisfies the conditions specified in subsection (2); (e) a person receiving a pension from the Government or the spouse of such a person; (f) a patient who is being investigated or treated for AIDS, tuberculosis or malaria if so certified by the Medical Officer of Health; or (g) a prisoner as defined in the Prisons Law [Law 14 of 1975]. (2) The conditions referred to in paragraphs (c) and (d) of subsection (1) are \u2014 (a) the member of the Veterans\u2019 and Seamen\u2019s Society of Cayman Brac and Little Cayman or the member of the Cayman Islands Seafarers\u2019 Association shall be aged fifty-five years or older at the date of requesting treatment; and (b) the patient, or if the patient is the spouse of a member, the member shall have produced written evidence of having been a merchant seaman for a continuous period of at least three years beginning before the 31st December, 1984.\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_10\", \"num\": \"10.\", \"text\": \"Exemption not to apply in certain circumstances 10. The exemptions from and waiver of fees provided for by sections 5, 6, 7 and 8 and by paragraphs (a) to (e) of section 9(1) do not apply in respect of a person who is covered by health care insurance which would otherwise cover those fees, to the extent that such insurance cover is in force.\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_11\", \"num\": \"11.\", \"text\": \"Fees not payable for medical examinations carried out for Government 11. Fees are not payable \u2014 (a) by patients for medical examinations carried out at the request of government ministries or portfolios as a condition of engagement as a public officer; or (b) for medical examinations or tests certified by the Medical Officer of Health as being conducted in the interests of the public health of the Islands.\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_12\", \"num\": \"12.\", \"text\": \"Offence 12. Whoever supplies false or misleading information when applying for an exemption, discount or waiver of fees otherwise payable under this Law is guilty of an offence and liable on summary conviction to a fine of five thousand dollars and to imprisonment for six months.\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_13\", \"num\": \"13.\", \"text\": \"Regulations 13. (1) The Governor in Council may make regulations \u2014 (a) specifying the fees payable under section 3; Health Services (Fees) Law (b) prescribing matters required or permitted by this Law to be prescribed; and (c) for carrying the purpose and provisions of this Law into effect. (2) Regulations made under this Law may provide that the contravention of any provision constitutes an offence and may prescribe penalties for any such offence not exceeding the maximum fine or term of imprisonment prescribed in this Law for any offence under this Law. (3) Regulations made under paragraph (a) of subsection (1) shall be subject to affirmative resolution. Publication in consolidated and revised form authorised by the Governor in Council this 4th day of June, 2002. Carmena Watler Clerk of Executive Council Notes (not forming part of the Law): 1. On 11th January, 2002 Gazette Extraordinary No 4\/2002 published the Health Services (Fees and Charges) Regulations, 2002 made on the 4th December, 2001 under section 13 of the Law. 2. By notice dated 29th October, 1992 and published in Gazette No. 23 of 16th November, 1992, H.E. the Governor confirmed that, under section 5 of the Interpretation Law (1995 Revision), the person for the time being carrying out the duties of the office of Medical Officer of Health is the Government Chief Medical Officer.\", \"element\": \"section\", \"heading\": null}], \"meta\": {\"notes\": null, \"workflow\": null, \"lifecycle\": {\"source\": \"#cilegis\", \"eventRef\": [{\"eId\": \"e_commence_2002_06_04\", \"date\": \"2002-06-04\", \"type\": \"generation\", \"source\": \"#cilegis\"}]}, \"references\": {\"source\": \"#canary\", \"TLCRole\": [], \"TLCEvent\": [{\"eId\": \"ev_commencement\", \"href\": \"\/akn\/ontology\/canary\/event\/commencement\", \"showAs\": \"commencement\"}], \"TLCPerson\": [], \"TLCConcept\": [{\"eId\": \"inForce\", \"href\": \"\/akn\/ontology\/canary\/concept\/temporal\/in-force\", \"showAs\": \"in force\"}], \"TLCProcess\": [], \"TLCLocation\": [], 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4th day of  June, 2002\nc\n\nPUBLISHING DETAILS\nConsolidated with the Health Services (Fees) Law (9 of 1993) (part)-revised as the\nHealth Services (Fees) Law (1998 Revision) and with the Health Services (Fees and\nCharges) Regulations, 2002 (part).\n\nRevised under the authority of the Law Revision Law (1999 Revision).\n\nOriginally enacted-\n\nLaw 9 of 1993-21st June, 1993\nLaw 18 of 1999-24th September, 1999.\n\nOriginally made-\n\nRegulations 2002-4th December 2001 (sic).\n\nConsolidated and revised this 4th day of June, 2002.\n\nNote (not forming part of the Law): This revision replaces the 2001 Revision which\nshould now be discarded.\n\nHealth Services (Fees) Law (2002 Revision)\nArrangement of Sections\n\nc\nRevised as at 4th day of  June, 2002\nPage 3\n\nCAYMAN ISLANDS\n\nHEALTH SERVICES (FEES) LAW\n(2002 Revision)\nArrangement of Sections\nSection\nPage\n1.\nShort title ...................................................................................................................................5\n2.\nDefinitions ..................................................................................................................................5\n3.\nFees payable by patients of the health care facilities .................................................................5\n4.\nResidents of Cayman Brac and Little Cayman ...........................................................................6\n5.\nSchool children ..........................................................................................................................6\n6.\nAnte-natal services ....................................................................................................................6\n7.\nContraceptive services...............................................................................................................6\n8.\nWaiver of fees ............................................................................................................................6\n9.\nFree treatment ...........................................................................................................................6\n10.\nExemption not to apply in certain circumstances ........................................................................7\n11.\nFees not payable for medical examinations carried out for Government ....................................7\n12.\nOffence ......................................................................................................................................7\n13.\nRegulations ...............................................................................................................................7\n\nHealth Services (Fees) Law (2002 Revision)\nSection 1\n\nc\nRevised as at 4th day of  June, 2002\nPage 5\n\nCAYMAN ISLANDS\n\nHEALTH SERVICES (FEES) LAW\n(2002 Revision)\nENACTED by the Legislature of the Cayman Islands.\n1.\nShort title\n1.\nThis Law may be cited as the Health Services (Fees) Law (2002 Revision).\n2.\nDefinitions\n2.\nIn this Law \u2014\n\u201cCaymanian\u201d means a person possessing Caymanian status for the purpose of\nthe Immigration Law (2001 Revision);\n\u201cDirector of Health Services\u201d includes any person authorised by him to act\non his behalf; and\n\u201chealth care facilities\u201d means the George Town Hospital in Grand Cayman,\nthe Faith Hospital in Cayman Brac and any other public health facility or\npublic hospital established or operated in the Islands by the Government.\n3.\nFees payable by patients of the health care facilities\n3.\nExcept as otherwise provided by this Law, the fees specified in regulations made by\nthe Governor in Council shall be payable by patients of the health care facilities.\n\nSection 4\nHealth Services (Fees) Law\n\nPage 6\nRevised as at 4th day of  June, 2002\nc\n\n4.\nResidents of Cayman Brac and Little Cayman\n4.\n(1) Subject to subsection (2), a Caymanian ordinarily resident in Cayman Brac or\nLittle Cayman who is a patient at the Faith Hospital in Cayman Brac is liable\nto pay fees at fifty per cent of the rate specified in regulations made under\nthis Law.\n(2) Subsection (1) does not apply in respect of a person who is covered by health\ncare insurance which would otherwise cover the whole cost of any service\nprovided at the Faith Hospital.\n5.\nSchool children\n5.\nSubject to section 10, fees are not payable in respect of a patient at a health care\nfacility if the patient has not attained the upper limit of school age as defined in the\nEducation Law (1999 Revision).\n6.\nAnte-natal services\n6.\nSubject to section 10, fees are not payable for ante-natal services provided at a\nhealth care facility to a Caymanian or his spouse.\n7.\nContraceptive services\n7.\nSubject to section 10, fees are not payable for contraceptive services including\nclinics, devices and drugs provided at a health care facility to a Caymanian or his\nspouse.\n8.\nWaiver of fees\n8.\nFees payable by a patient at a health care facility may be waived, in whole or in part\nby the Director of Health Services after such assessment as shall be prescribed in\nregulations has been carried out and if he is satisfied that the patient is unable to pay\nall or any part of the fees.\n9.\nFree treatment\n9.\n(1) Subject to subsection (2) and section 10, fees are not payable by a patient at a\nhealth care facility if the patient presents a card issued or recognised by the\nDirector of Health Services identifying the patient to be \u2014\n(a)\na public officer or the spouse or a dependent of a public officer (but only\nto the extent provided in the terms of employment of the public officer);\n(b) a member of the Cayman Islands Veterans Association or the spouse of\nsuch a member;\n(c)\na member of the Veterans\u2019 and Seamen\u2019s Society of Cayman Brac and\nLittle Cayman, or the spouse of such a member, who satisfies the\nconditions specified in subsection (2);\n\nHealth Services (Fees) Law (2002 Revision)\nSection 10\n\nc\nRevised as at 4th day of  June, 2002\nPage 7\n\n(d) a member of the Cayman Islands Seafarers\u2019 Association, or the spouse of\nsuch a member, who satisfies the conditions specified in subsection (2);\n(e)\na person receiving a pension from the Government or the spouse of such\na person;\n(f)\na patient who is being investigated or treated for AIDS, tuberculosis or\nmalaria if so certified by the Medical Officer of Health; or\n(g) a prisoner as defined in the Prisons Law [Law 14 of 1975].\n(2) The conditions referred to in paragraphs (c) and (d) of subsection (1) are \u2014\n(a)\nthe member of the Veterans\u2019 and Seamen\u2019s Society of Cayman Brac and\nLittle Cayman or the member of the Cayman Islands Seafarers\u2019\nAssociation shall be aged fifty-five years or older at the date of\nrequesting treatment; and\n(b) the patient, or if the patient is the spouse of a member, the member shall\nhave produced written evidence of having been a merchant seaman for a\ncontinuous period of at least three years beginning before the 31st\nDecember, 1984.\n10.\nExemption not to apply in certain circumstances\n10. The exemptions from and waiver of fees provided for by sections 5, 6, 7 and 8 and\nby paragraphs (a) to (e) of section 9(1) do not apply in respect of a person who is\ncovered by health care insurance which would otherwise cover those fees, to the\nextent that such insurance cover is in force.\n11.\nFees not payable for medical examinations carried out for Government\n11. Fees are not payable \u2014\n(a)\nby patients for medical examinations carried out at the request of\ngovernment ministries or portfolios as a condition of engagement as a\npublic officer; or\n(b) for medical examinations or tests certified by the Medical Officer of\nHealth as being conducted in the interests of the public health of the\nIslands.\n12.\nOffence\n12. Whoever supplies false or misleading information when applying for an exemption,\ndiscount or waiver of fees otherwise payable under this Law is guilty of an offence\nand liable on summary conviction to a fine of five thousand dollars and to\nimprisonment for six months.\n13.\nRegulations\n13. (1) The Governor in Council may make regulations \u2014\n(a)\nspecifying the fees payable under section 3;\n\nSection 13\nHealth Services (Fees) Law\n\nPage 8\nRevised as at 4th day of  June, 2002\nc\n\n(b) prescribing matters required or permitted by this Law to be\nprescribed; and\n(c)\nfor carrying the purpose and provisions of this Law into effect.\n(2) Regulations made under this Law may provide that the contravention of any\nprovision constitutes an offence and may prescribe penalties for any such\noffence not exceeding the maximum fine or term of imprisonment prescribed\nin this Law for any offence under this Law.\n(3) Regulations made under paragraph (a) of subsection (1) shall be subject to\naffirmative resolution.\n\nPublication in consolidated and revised form authorised by the Governor in Council\nthis 4th day of June, 2002.\nCarmena Watler\nClerk of Executive Council\n\nNotes (not forming part of the Law):\n1.\nOn 11th January, 2002 Gazette Extraordinary No 4\/2002 published the Health\nServices (Fees and Charges) Regulations, 2002 made on the 4th December, 2001 under\nsection 13 of the Law.\n2.\nBy notice dated 29th October, 1992 and published in Gazette No. 23 of 16th\nNovember, 1992, H.E. the Governor confirmed that, under section 5 of the Interpretation\nLaw (1995 Revision), the person for the time being carrying out the duties of the office of\nMedical Officer of Health is the Government Chief Medical Officer.","akn_extracted_at":"2026-06-22 15:33:14.110908+00","cms_id":"1993-0009","law_type":"principal","year":"1993","number":"9","title":"Health Services (Fees) Act","status":"in_force"},"provenance":{"files":[{"file_id":"4968","expr_id":"166","kind":"akn_xml","filename":"1993-0009_2002 Revision.akn.xml","source_url":null,"storage_path":"\/Users\/q\/kyleg-data\/working\/PRINCIPAL\/1993\/1993-0009\/1993-0009_2002 Revision.akn.xml","content_md5":"79981ea59f7af6f87d2a4012b19661d2","byte_size":"10529","http_last_modified":null,"fetched_at":"2026-06-22 15:33:14.248097+00"},{"file_id":"331","expr_id":"166","kind":"pristine_pdf","filename":"1993-0009_2002 Revision.pdf","source_url":"\/cms\/images\/LEGISLATION\/PRINCIPAL\/1993\/1993-0009\/1993-0009_2002 Revision.pdf","storage_path":"\/Users\/q\/kyleg-data\/pristine\/PRINCIPAL\/1993\/1993-0009\/1993-0009_2002 Revision.pdf","content_md5":"78bdb96f6a15c96bdf8eba42ce221e09","byte_size":"360117","http_last_modified":null,"fetched_at":"2026-06-21 23:09:35.349204+00"},{"file_id":"332","expr_id":"166","kind":"working_pdf","filename":"1993-0009_2002 Revision.pdf","source_url":"\/cms\/images\/LEGISLATION\/PRINCIPAL\/1993\/1993-0009\/1993-0009_2002 Revision.pdf","storage_path":"\/Users\/q\/kyleg-data\/working\/PRINCIPAL\/1993\/1993-0009\/1993-0009_2002 Revision.pdf","content_md5":"78bdb96f6a15c96bdf8eba42ce221e09","byte_size":"360117","http_last_modified":null,"fetched_at":"2026-06-21 23:09:35.349204+00"}],"paragraph_count":5,"latest_history":null},"quality":{"expr_id":"166","doc_id":"166","quality_state":"needs_review","quality_score":"84","needs_human_review":"t","deterministic_categories":"{duplicate_text,page_header_footer_noise}","llm_categories":"{truncated_text,other}","repair_actions":"{collapse_duplicate_text,manual_review,reextract_full_text,strip_page_furniture}","finding_severity_counts":"{\"low\": 1, \"medium\": 1}","finding_summary":"Sample shows likely truncation at Section\u202f10; review full source to ensure completeness.","assessed_at":"2026-06-22 15:29:45.049346+00","updated_at":"2026-06-22 15:29:45.049346+00"}}