{"id":13334,"date":"2025-06-09T09:03:25","date_gmt":"2025-06-09T12:03:25","guid":{"rendered":"https:\/\/www.lembeye.cl\/ley-num-21-746\/"},"modified":"2026-10-20T10:51:41","modified_gmt":"2026-10-20T13:51:41","slug":"labor-law-alert-law-no-21746","status":"publish","type":"post","link":"https:\/\/www.lembeye.cl\/en\/labor-law-alert-law-no-21746\/","title":{"rendered":"LABOR LAW ALERT: LAW No. 21,746"},"content":{"rendered":"<p><span style=\"text-decoration: underline;\"><strong>New law regulating the issuance and use of medical leave certificates and establishing new penalties<\/strong><\/span><\/p>\n<p><strong>Introduction<\/strong><\/p>\n<p>On May 24, 2025, Law No. 21,746 was published in the Official Gazette. The law amends Law No. 20,585, which governs the issuance and use of medical leave certificates, with the aim of strengthening the powers of regulatory and supervisory authorities and establishing administrative and criminal penalties.<\/p>\n<p>The new law introduces changes to the requirements applicable to healthcare professionals authorized to issue medical leave certificates, as well as to the procedures governing their issuance. It also establishes an investigative procedure for cases in which authorized professionals issue one or more medical leave certificates without medical justification or in the absence of a medical condition causing temporary incapacity to work. In addition, it introduces severe penalties where the issuance of one or more certificates without medical justification is established, as well as the possibility of imposing administrative and criminal sanctions for the unjustified or fraudulent issuance of medical leave certificates.<\/p>\n<p><strong>Main Amendments<\/strong><\/p>\n<p>The law grants new powers to the Superintendence of Social Security (Superintendencia de Seguridad Social, or <strong>SUSESO<\/strong>), which will be responsible for supervising and overseeing the information system used for the electronic issuance and processing of medical leave certificates. Its oversight will also extend to the operators of the information system and other entities involved in the process, with particular emphasis on ensuring compliance with data protection regulations.<\/p>\n<p>Accordingly, SUSESO and the Preventive Medicine and Disability Commissions (Comisiones de Medicina Preventiva e Invalidez, or <strong>COMPIN<\/strong>) may instruct entities operating this system to suspend the authority of professionals who have been sanctioned to issue medical leave certificates for the period determined for that purpose.<\/p>\n<p>Similarly, COMPIN may require authorized professionals to provide or submit supporting documentation or supplementary reports substantiating the issuance of medical leave certificates. They may also summon such professionals to a hearing to clarify aspects of the issuance process. Professionals will have 10 business days from the date of the request to comply, a period that may be extended by up to an additional seven business days. Failure to comply may result in fines ranging from 10 to 50 Monthly Tax Units (Unidades Tributarias Mensuales, or <strong>UTM<\/strong>), as well as suspension of the authority to issue medical leave certificates, whether electronically or on paper, for up to 30 days.<\/p>\n<p>Where there is substantiated evidence suggesting that one or more medical leave certificates were issued without medical justification, COMPIN will request that SUSESO initiate an investigation. It may also refer evidence of the issuance of false medical leave certificates to the Public Prosecutor\u2019s Office.<\/p>\n<p>The new law also establishes a procedure for cases in which authorized professionals issue one or more medical leave certificates without medical justification, that is, in the absence of an underlying medical condition. SUSESO may initiate this procedure on its own initiative, at the request of institutions responsible for processing the relevant certificates, or upon a complaint by any individual, provided there are sufficient grounds to do so.<\/p>\n<p>Once the procedure has been initiated, the professional who issued the medical leave certificates under investigation must respond within the applicable deadline, submitting a written response and providing the relevant portions of the patient&#8217;s medical record, together with any other documents substantiating the medical care provided.<\/p>\n<p>For these purposes, the professional may request the relevant records from the institutional healthcare provider, which must supply the information within a prescribed period. This period may be extended by SUSESO. The provider may refuse to disclose the documentation by issuing a certificate stating the grounds for its refusal. However, this exception does not apply where the professional under investigation manages the healthcare provider or directly or indirectly holds at least a 10% ownership interest in it. In such cases, the provider must supply the medical record within the applicable deadline.<\/p>\n<p>In any event, the legal representative of the healthcare provider may be held jointly and severally liable for payment of the fine imposed on the professional under investigation if the provider fails to submit, within the prescribed period, the certificate setting out the grounds for refusing to provide the documentation.<\/p>\n<p>If the professional fails to submit the supporting documentation within the applicable deadline, SUSESO may suspend their authority to issue medical leave certificates as a coercive measure.<\/p>\n<p>Where it is established that one or more medical leave certificates were issued without medical justification, SUSESO may impose sanctions ranging from a suspension of at least 180 days to a permanent suspension, in addition to fines payable to the State ranging from 140 to 600 UTM. In determining the applicable sanction, SUSESO will consider, among other criteria, the number of medical leave certificates issued without medical justification or without a corresponding healthcare consultation.<br \/>\nSUSESO may also request reports from the healthcare providers where the medical consultations took place, as well as from the contributors to the social security system or beneficiaries of the relevant medical leave certificates. Those receiving such requests will be given a deadline within which to respond.<\/p>\n<p>SUSESO will maintain on its website an anonymous reporting system for the misuse of medical leave certificates, as well as a public registry of sanctions imposed under the law. This registry must also be published on healthcare providers\u2019 websites and displayed at their physical healthcare facilities. In addition, a National Registry of Healthcare Providers will be established to record sanctions imposed in accordance with the law.<\/p>\n<p>Finally, the law entered into force upon its publication on May 24, 2025, although the public registry of sanctions will become operational beginning in the second month following publication.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>New law regulating the issuance and use of medical leave certificates and establishing new penalties Introduction On May 24, 2025, Law No. 21,746 was published in the Official Gazette. The law amends Law No. 20,585, which governs the issuance and use of medical leave certificates, with the aim of strengthening the powers of regulatory and [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":11667,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[32],"tags":[114,45,115,116],"class_list":["post-13334","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-legal-news","tag-area-laboral","tag-lembeye-abogados-en","tag-ley-21-746","tag-licencias-medicas"],"acf":[],"featured_image_src":{"landsacpe":["https:\/\/www.lembeye.cl\/wp-content\/uploads\/2025\/06\/LEY-NUM.-21.746-1140x445.png",1140,445,true],"list":["https:\/\/www.lembeye.cl\/wp-content\/uploads\/2025\/06\/LEY-NUM.-21.746-463x348.png",463,348,true],"medium":["https:\/\/www.lembeye.cl\/wp-content\/uploads\/2025\/06\/LEY-NUM.-21.746-300x157.png",300,157,true],"full":["https:\/\/www.lembeye.cl\/wp-content\/uploads\/2025\/06\/LEY-NUM.-21.746.png",1200,628,false]},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - 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