Lula signs law making Enamed mandatory and authorizing sanctions on weak medical schools

President Luiz Inácio Lula da Silva signed into law on November 6 a mandatory Enamed regime that creates a national quality-control mechanism for medical training in Brazil. The law allows federal authorities to use performance results to sanction underperforming medical schools, including reducing seats or suspending new admissions. The measure turns a testing regime into an enforcement tool over the medical education pipeline and gives the Health Ministry and education authorities a new lever over training quality.