Nursing floor can more than double payroll at philanthropic hospitals in 11 states

The new nursing salary floor, sanctioned earlier this month by President Jair Bolsonaro (PL), should impact Brazilian philanthropic hospitals of R$ 6.3 billion, according to an estimate by the CMB (Confederation of Santas Casas de Misericórdia, Hospitals and Entities). philanthropic). In at least 11 states, nursing payroll must more than double.

Piauí is the federation that will proportionally have the greatest impact, with an increase of 159%, followed by Paraíba (147%), Sergipe (142%), Alagoas (129%) and Ceará (127%).

The adjustment brings concern to philanthropic institutions, as there is no indication of a source of funds to cover the new amount. By the law passed, philanthropic hospitals will have to pay the new floor of R$ 4,750 already in September, as well as establishments in the private network. Technicians must receive 70% of this amount, and auxiliaries and midwives, 50%.

The Santas Casas and the philanthropic hospitals are currently responsible for 50% of public care and 70% of high-complexity care by the SUS (Unified Health System). The scenario is one of instability and apprehension in hospitals, according to the president of the CMB, Mirocles Campos Véras Neto.

“We don’t know what will happen from September 5. Some institutions will have to cut costs with service, personnel or both. This is critical and will have repercussions on the SUS. In the country, there are 800 municipalities in which the only assistance hospital is philanthropic. We warned the deputies and senators that we would not be able to afford this cost if there was no defined source of funding”, he says.

Neto says that the decades-long battle of nursing professionals to set a floor is fair, but that the financial situation faced by philanthropic hospitals is already quite critical. “It is recognized that today the amount paid by the SUS does not even reach 40% of the value of the procedures. Who is funding public health are our philanthropic entities, indebting us to maintain our mission”, he says.

This week the CMB filed a request to enter as an amicus curiae (interested party in the case) in the action in the STF (Supreme Federal Court) that asks for the nullity of the law on the remuneration of professionals. The ADI (Direct Action of Unconstitutionality) was proposed by the CNSaúde (National Confederation of Health). “We decided to show our difficulties and now we are waiting from Congress and the government for a source to pay our nurses with dignity”, he says.

Friar Francisco Belotti, president of Associação Lar São Francisco de Assis na Providência de Deus, explains that one of the biggest challenges faced in recent years is finding partners to maintain the 76 health services, spread across nine states of the country, including three boats. hospitals. “Imagine getting partners to pay for the increase in the floor now. That way, few institutions will have the breath to continue. This situation kills the entire system. Only people who are able to pay will end up having access to health care”, he says.

Some institutions fear that, unable to assume the salary commitment of the new legislation, they will be subject to labor penalties. “Which will certainly result in the unfeasibility of the survival of centenary entities that are considered as a reference for health services”, says, in a note, Marcelo Perello, president of Femerj (Federation of Mercies and Philanthropic and Charitable Entities of the State of Rio de Janeiro) .