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The Bill also amends the Health Insurance Commission Act (2016 Revision) to provide a definition for the words \u201cmedically indigent person\u201d by reference to the definition of those words in the Health Insurance Act (2021 Revision). Clause 1 provides the short title and commencement of the legislation. Since the legislation contains an amendment that is consequential upon the amendments made to the Health Insurance Act (2021 Revision) under the Health Insurance (Amendment) Act, 2026, the legislation comes into force immediately after the Health Insurance (Amendment) Act, 2026 comes into force. Clause 2 amends section 2 of the Health Insurance Commission Act (2016 Revision) to, among other things, introduce a definition for the words \u201cmedically indigent person\u201d by reference to the definition of those words in the Health Insurance Act (2021 Revision) after the coming into force of the Health Insurance (Amendment) Act, 2026. A medically indigent person is defined under the Health Insurance Act (2021 Revision) as a person who \u2014 (a) is a recipient, as defined in section 2(1) of the Financial Assistance Act, 2022; or (b) in the opinion of the Minister responsible for health, acting on the advice of the Chief Medical Officer, is unable to pay for the person\u2019s health insurance or medical services by reason of inadequate financial resources. Clause 3 amends section 8(2) of the Health Insurance Commission Act (2016 Revision) by deleting the reference to the words \u201cindigent persons\u201d and substituting the words \u201cmedically indigent persons\u201d. This amendment aligns the terminology used under the legislation with the terminology which will be used under the Health Insurance Act (2021 Revision) after the coming into force of the Health Insurance (Amendment) Act, 2026. Health Insurance Commission (Amendment) Bill, 2026 Clause 1 Introduced HEALTH INSURANCE COMMISSION (AMENDMENT) BILL, 2026 A BILL FOR AN ACT TO AMEND THE HEALTH INSURANCE COMMISSION ACT (2016 REVISION) TO DELETE THE REFERENCE TO THE WORDS \u201cINDIGENT PERSONS\u201d AND SUBSTITUTE THE WORDS \u201cMEDICALLY INDIGENT PERSONS\u201d; TO PROVIDE A DEFINITION FOR THE WORDS \u201cMEDICALLY INDIGENT PERSON\u201d BY REFERENCE TO THE DEFINITION OF THOSE WORDS IN THE HEALTH INSURANCE ACT (2021 REVISION); AND FOR INCIDENTAL AND CONNECTED PURPOSES ENACTED by the Legislature of the Cayman Islands.\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_1\", \"num\": \"1.\", \"text\": \"Short title and commencement 1. (1) This Act may be cited as the Health Insurance Commission (Amendment) Act, 2026. (2) This Act comes into force immediately after the Health Insurance (Amendment) Act, 2026 comes into force.\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_2\", \"num\": \"2.\", \"text\": \"Amendment of section 2 of the Health Insurance Commission Act (2016 Revision) - definitions 2. The Health Insurance Commission Act (2016 Revision) is amended in section 2 as follows \u2014 Clause 3 Health Insurance Commission (Amendment) Bill, 2026 Introduced (a) by repealing the section heading and substituting the following section heading \u2014 \u201cInterpretation\u201d; and (b) by inserting after the definition of the word \u201cCommission\u201d, the following definition \u2014 \u201c \u201cmedically indigent person\u201d has the meaning assigned by section 2 of the Health Insurance Act (2021 Revision);\u201d.\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_3\", \"num\": \"3.\", \"text\": \"Amendment of section 8 of the Health Insurance Commission Act (2016 Revision) - segregated insurance fund 3. The Health Insurance Commission Act (2016 Revision) is amended in section 8(2) by deleting the words \u201cindigent persons\u201d and substituting the words \u201cmedically indigent persons\u201d. Passed by the Parliament the day of , 2026. 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Since the legislation\ncontains an amendment that is consequential upon the amendments made to the Health\nInsurance Act (2021 Revision) under the Health Insurance (Amendment) Act, 2026, the\nlegislation comes into force immediately after the Health Insurance (Amendment) Act,\n2026 comes into force.\nClause 2 amends section 2 of the Health Insurance Commission Act (2016 Revision) to,\namong other things, introduce a definition for the words \u201cmedically indigent person\u201d by\nreference to the definition of those words in the Health Insurance Act (2021 Revision) after\nthe coming into force of the Health Insurance (Amendment) Act, 2026.\nA medically indigent person is defined under the Health Insurance Act (2021 Revision) as\na person who \u2014\n(a) is a recipient, as defined in section 2(1) of the Financial Assistance Act, 2022; or\n(b) in the opinion of the Minister responsible for health, acting on the advice of the\nChief Medical Officer, is unable to pay for the person\u2019s health insurance or\nmedical services by reason of inadequate financial resources.\nClause 3 amends section 8(2) of the Health Insurance Commission Act (2016 Revision) by\ndeleting the reference to the words \u201cindigent persons\u201d and substituting the words\n\u201cmedically indigent persons\u201d. This amendment aligns the terminology used under the\nlegislation with the terminology which will be used under the Health Insurance Act (2021\nRevision) after the coming into force of the Health Insurance (Amendment) Act, 2026.\n\nHealth Insurance Commission (Amendment) Bill, 2026\nClause 1\n\nc\n Introduced\nPage 5\n\nCAYMAN ISLANDS\n\nHEALTH INSURANCE COMMISSION\n(AMENDMENT) BILL, 2026\n\nA BILL FOR AN ACT TO AMEND THE HEALTH INSURANCE COMMISSION ACT (2016\nREVISION) TO DELETE THE REFERENCE TO THE WORDS \u201cINDIGENT PERSONS\u201d\nAND SUBSTITUTE THE WORDS \u201cMEDICALLY INDIGENT PERSONS\u201d; TO PROVIDE A\nDEFINITION FOR THE WORDS \u201cMEDICALLY INDIGENT PERSON\u201d BY REFERENCE\nTO THE DEFINITION OF THOSE WORDS IN THE HEALTH INSURANCE ACT (2021\nREVISION); AND FOR INCIDENTAL AND CONNECTED PURPOSES\nENACTED by the Legislature of the Cayman Islands.\n1.\nShort title and commencement\n1.\n(1) This Act may be cited as the Health Insurance Commission (Amendment) Act,\n2026.\n(2) This Act comes into force immediately after the Health Insurance (Amendment)\nAct, 2026 comes into force.\n2.\nAmendment of section 2 of the Health Insurance Commission Act (2016\nRevision) - definitions\n2.\nThe Health Insurance Commission Act (2016 Revision) is amended in section 2 as\nfollows \u2014\n\nClause 3\nHealth Insurance Commission (Amendment) Bill, 2026\n\nPage 6\n Introduced\nc\n\n(a)\nby repealing the section heading and substituting the following section\nheading \u2014\n\u201cInterpretation\u201d; and\n(b) by inserting after the definition of the word \u201cCommission\u201d, the following\ndefinition \u2014\n\u201c \u201cmedically indigent person\u201d has the meaning assigned by section\n2 of the Health Insurance Act (2021 Revision);\u201d.\n3.\nAmendment of section 8 of the Health Insurance Commission Act (2016\nRevision) - segregated insurance fund\n3.\nThe Health Insurance Commission Act (2016 Revision) is amended in section 8(2) by\ndeleting the words \u201cindigent persons\u201d and substituting the words \u201cmedically indigent\npersons\u201d.\nPassed by the Parliament the\nday of\n, 2026.\nSpeaker\nClerk of the Parliament","akn_extracted_at":"2026-06-22 15:41:13.725968+00","cms_id":"2026-0009","law_type":"bill","year":"2026","number":"9","title":"2026-0009","status":"bill"},"provenance":{"files":[{"file_id":"7169","expr_id":"2370","kind":"akn_xml","filename":"2026-0009.akn.xml","source_url":null,"storage_path":"\/Users\/q\/kyleg-data\/working\/BILLS\/2026\/2026-0009\/2026-0009.akn.xml","content_md5":"e7d7690e483645f16ded31570bcf6a63","byte_size":"7454","http_last_modified":null,"fetched_at":"2026-06-22 15:41:13.771755+00"},{"file_id":"4739","expr_id":"2370","kind":"pristine_pdf","filename":"2026-0009.pdf","source_url":"\/cms\/images\/LEGISLATION\/BILLS\/2026\/2026-0009\/2026-0009.pdf","storage_path":"\/Users\/q\/kyleg-data\/pristine\/BILLS\/2026\/2026-0009\/2026-0009.pdf","content_md5":"1f234f17c591dc4037936f94ef69a7a0","byte_size":"198834","http_last_modified":null,"fetched_at":"2026-06-16 04:01:11.393076+00"},{"file_id":"4740","expr_id":"2370","kind":"working_pdf","filename":"2026-0009.pdf","source_url":"\/cms\/images\/LEGISLATION\/BILLS\/2026\/2026-0009\/2026-0009.pdf","storage_path":"\/Users\/q\/kyleg-data\/working\/BILLS\/2026\/2026-0009\/2026-0009.pdf","content_md5":"1f234f17c591dc4037936f94ef69a7a0","byte_size":"198834","http_last_modified":null,"fetched_at":"2026-06-16 04:01:11.393076+00"}],"paragraph_count":10,"latest_history":null},"quality":{"expr_id":"2370","doc_id":"2370","quality_state":"known_issue","quality_score":"55","needs_human_review":"t","deterministic_categories":"{commencement_metadata_problem,duplicate_text,page_header_footer_noise,title_mismatch}","llm_categories":"{}","repair_actions":"{collapse_duplicate_text,strip_page_furniture,verify_commencement_metadata,verify_title_metadata}","finding_severity_counts":"{\"low\": 2, \"high\": 1, \"medium\": 1}","finding_summary":"stored title is not visible in the opening extracted text; repeated line furniture detected: introduced x4; health insurance commission amendment bill 2026 x3","assessed_at":"2026-06-22 15:29:46.224459+00","updated_at":"2026-06-22 15:29:46.224459+00"}}