Millions of public-sector workers, pensioners and their families are due to see a change in how their health insurance is managed, with the National Social Security Fund (CNSS) set to take over from the National Fund of Social Welfare Organisations (CNOPS) on 1 February 2027. The transfer is part of a wider reform of social protection, aimed at bringing the management of compulsory health insurance (AMO) under one organisation. Several regulations still need to be approved to set out how the change will work.
The government says the bodies overseeing the transfer have been set up, an assessment of the current system has been completed and a plan for the transition has been finalised, according to information published by Médias24 on 25 October 2026. Several legal texts must still be adopted before the February deadline.
Public-sector employees, retired workers and their dependants covered by CNOPS will be affected by the change. The reform provides for their existing rights to be maintained, benefits to continue and ongoing claims to be processed.
The outstanding regulations are expected to clarify how CNOPS’s assets and financial obligations will be transferred, how administrative procedures will change and how agreements with mutual insurance organisations will continue.
Law No. 54-23 provides the legal basis for the transfer. The CNSS already manages several other health insurance schemes and will take over the administration of the public-sector scheme under the reform.
The move will bring the management of public and private health insurance under the same organisation, while leaving the two schemes with their own rules and funding arrangements.
The change is part of a wider effort to extend compulsory health insurance across the country. Figures presented as part of the 2027 Finance Bill show that more than 32.5 million people are registered with AMO schemes, covering nearly 89% of the population.
