Health Record Rights Index · country brief · this country's data as of October 1, 2026

Who holds the health record in Cuba?

In 2026, Cuba scores 35 out of 100 for how much say a person has over their own health record. It is tied for 121st of 198 countries and territories, and could rank anywhere from 96th to 158th allowing for scoring error, in the Weak band (25 to 44). Who holds the keys: the government. Source: Health Record Rights Index, SuperTruth, this country's data as of October 1, 2026.

The government decides, with limited say for the person. Its strongest right, compared with the typical country, is rules for AI in your care (40 out of 100, against 30 for the typical country). The furthest behind is one record across your care (25 out of 100, against 38 for the typical country).

Cuba's new health law grants unlimited access to one's clinical record, but a national digital record is still a project and state exceptions are broad.

Published · updated · this country's data as of October 1, 2026 · research tool, not legal advice

overall score · Weak band, 25 to 44
35/100
rank among 198 countries and territories; likely 96th to 158th, allowing for scoring error
Tied for 121st
confidence in our evidence
Low
strength of our evidence (DTI™)
89/100 (Gold)

Low confidence. Thin evidence on 4 of the 8 rights: your copy, privacy, joined-up record and doctors see it. The evidence grade rates all our sources together; confidence looks at each right. Neither changes the score.

Questions people ask

Can I see my health record in Cuba?

In 2026, getting your full record scores 45 out of 100 in Cuba; the typical country scores 40 to 45. The Public Health Law regulation (Decreto 133/2025) lets people access their clinical record without limits, and Ley 149 sets a 5 plus 10 working day deadline for data requests. No patient portal was found, and whether copies are free was not verified. Source: gacetaoficial.gob.cu, January 23, 2026, and the other sources below.

Who controls health records in Cuba?

In 2026, the government holds the keys to your health record in Cuba. Control over who sees it scores 30 out of 100 in Cuba; the typical country scores 30. Ley 149 requires express consent for health data but exempts prevention, diagnosis and urgent care, and also anything justified by public order, defence or national security. No access log or opt-out for patients was found. Source: gacetaoficial.gob.cu, August 25, 2022, and the other sources below.

How does Cuba compare?

In 2026, Cuba scores 35 out of 100, against 39 for the typical country. This brief compares it with Belize (34 out of 100), Dominican Republic (34 out of 100) and Antigua and Barbuda (33 out of 100). Source: the ranking of all 198 countries and territories.

Eight rights, compared with Belize, Dominican Republic, Antigua and Barbuda and the typical country

Scores out of 100, by right
Getting your full record20%4525 · 40 · 35
Control over who sees it20%3025 · 30 · 30
Privacy and security15%3330 · 35 · 42
One record across your care15%2555 · 30 · 28
Protection from sale and ads10%4525 · 42 · 42
Doctors see it when treating you10%2555 · 28 · 25
Your say over research use5%4943 · 49 · 43
Rules for AI in your care5%4020 · 25 · 20

Black dot: Cuba. Hollow dots: Belize, Dominican Republic, Antigua and Barbuda (scores out of 100 on the right, same order). Gray line: the typical country of all 198. Overall: Cuba 35 out of 100. Scores move in steps of about 5 points, so read a rank with its likely range.

What would Cuba need to change to score higher?

Cuba sits in Weak (25 to 44); Mixed starts at 45. Its two weakest rights, compared with the typical country and weighted by how much each counts, are one record across your care (25 out of 100, against 38 for the typical country) and privacy and security (33 out of 100, against 45 for the typical country). Our scoring rules give more points for:

  • One record across your care: Family doctors, hospitals, labs, pharmacies, insurers and public health all linked to one record that is used across the country.
  • Privacy and security: A health data regulator that is independent and actually acts: it decides cases about health records, breaches must be reported, and fines are applied.

Which laws give health record rights in Cuba?

  • Ley 149/2022 De Proteccion de Datos Personales: Health data sensitive; express consent with care and security exceptions; access in 5 plus 10 days; fines to 20,000 pesos.
  • Resolucion 58/2022 (Ministerio de Comunicaciones), Reglamento para la Seguridad y Proteccion de los Datos Personales en Soporte Electronico: Electronic data security; anonymised data for research only without commercial interest.
  • Ley 165/2023 Ley de la Salud Publica: Published January 2026; patient rights, informed consent, research ethics, trial consent, digital health mandate.

Doctors, waits and private care context, not part of the score

Doctors per 10,000
85.0 2022
Nurses and midwives per 10,000
71.9 2022
Private insurance + out-of-pocket
16.6% 2023
Record reaches private care?
unknown

Real cases

  • August 16, 2025 · Martí Noticias · archived copy Mother says prison clinic refused her request for her detained daughter's medical record
  • December 2, 2024 · Martí Noticias · archived copy Patient says specialist institute told her that her medical record had been erased

Compare Cuba

Cite this brief

In 2026, Cuba scored 35 out of 100 for how much say a person has over their own health record, tied for 121st of 198 countries and territories (could be 96th to 158th), in the Weak band. Who holds the keys: the government. Source: Health Record Rights Index, SuperTruth, this country's data as of October 1, 2026, https://healthrecordrights.com/brief/cuba/

The 8 sources for Cuba

Each source appears once, under the first right it supports. Titles are shown as our research agents recorded them, usually in the page's own language; text in square brackets is our machine translation. Links were checked on the date shown.

Getting your full record (2 sources)

  1. “Gaceta Oficial No. 9 Ordinaria 2026: Ley 165/2023 Ley de la Salud Publica and Decreto 133/2025 Reglamento” [Official Gazette No. 9 Ordinary 2026: Law 165/2023 Public Health Law and Decree 133/2025 Regulations] our machine translation

    gacetaoficial.gob.cu (law or regulation) · Title in Spanish

    Dated January 23, 2026 · Link checked October 2, 2026 (opened)

    Used for: Getting your full record; Control over who sees it; Privacy and security; Doctors see it when treating you; Your say over research use

    https://www.gacetaoficial.gob.cu/sites/default/files/goc-2026-o9.pdf

  2. “Gaceta Oficial No. 90 Ordinaria 2022: Ley 149/2022 De Proteccion de Datos Personales” [Official Gazette No. 90 Ordinary 2022: Law 149/2022 on Personal Data Protection] our machine translation

    gacetaoficial.gob.cu (law or regulation) · Title in Spanish

    Dated August 25, 2022 · Link checked October 2, 2026 (opened)

    Used for: Getting your full record; Control over who sees it; Privacy and security; Protection from sale and ads; Your say over research use

    https://www.gacetaoficial.gob.cu/sites/default/files/goc-2022-o90_0.pdf

One record across your care (3 sources)

  1. “Visito Diaz-Canel otro centro de Salud inmerso en la transformacion digital” [Diaz-Canel visited another health centre immersed in digital transformation] our machine translation

    Presidencia [Presidency] (government guidance) · Title in Spanish

    Dated January 30, 2026 · Link checked October 2, 2026 (opened)

    Used for: One record across your care; Doctors see it when treating you

    https://www.presidencia.gob.cu/es/noticias/visito-diaz-canel-otro-centro-de-salud-inmerso-en-la-transformacion-digital/

  2. “Mision de la OPS en Cuba para impulsar la transformacion digital en salud” [PAHO mission in Cuba to drive digital transformation in health] our machine translation

    OPS/OMS [PAHO/WHO] (international body) · Title in Spanish

    Dated October 23, 2025 · Link checked October 2, 2026 (opened)

    Used for: One record across your care

    https://www.paho.org/es/noticias/23-10-2025-mision-ops-cuba-para-impulsar-transformacion-digital-salud

  3. “Nueva Ley de Salud Publica en Cuba: Una apuesta a largo plazo” [New Public Health Law in Cuba: A long-term bet] our machine translation

    Cubadebate (news) · Title in Spanish

    Dated February 20, 2026 · Link checked October 2, 2026 (opened)

    Used for: One record across your care

    http://www.cubadebate.cu/especiales/2026/02/20/nueva-ley-de-salud-publica-en-cuba-una-apuesta-a-largo-plazo-para-seguir-protegiendo-la-vida/

Rules for AI in your care (3 sources)

  1. “CECMED Resolucion 45/2025, Regulacion E 130-25 Requisitos para el Registro Sanitario del Software de Uso Medico” [CECMED Resolution 45/2025, Regulation E 130-25 Requirements for the Health Registration of Medical Use Software] our machine translation

    cecmed.cu (law or regulation) · Title in Spanish

    Dated May 29, 2025 · Link checked October 2, 2026 (opened)

    Used for: Rules for AI in your care

    https://www.cecmed.cu/file/13820/download?token=blr-FIzU

  2. “Politica para la Transformacion Digital, Agenda Digital Cubana y Estrategia de Inteligencia Artificial” [Policy for Digital Transformation, Cuban Digital Agenda and Artificial Intelligence Strategy] our machine translation

    Fiscalia General [Attorney General's Office] (government guidance) · Title in Spanish

    Dated June 13, 2024 · Link checked October 2, 2026 (opened)

    Used for: Rules for AI in your care

    https://www.fgr.gob.cu/politica-para-la-transformacion-digital-agenda-digital-cubana-y-estrategia-de-inteligencia

  3. “Avanza Cuba en el uso de la Inteligencia Artificial para enfermedades cardiovasculares” [Cuba advances in the use of Artificial Intelligence for cardiovascular diseases] our machine translation

    Presidencia [Presidency] (government guidance) · Title in Spanish

    Dated February 3, 2026 · Link checked October 2, 2026 (opened)

    Used for: Rules for AI in your care

    https://www.presidencia.gob.cu/es/noticias/avanza-cuba-en-el-uso-de-la-inteligencia-artificial-para-la-prediccion-y-tratamiento-de-enfermedades-cardiovasculares-audio/

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Something wrong? Tell us · Questions or a briefing: supertruth.ai/on-the-record#contact · Full index: healthrecordrights.com
OECD: Organisation for Economic Co-operation and Development (38 mostly high-income countries). DTI™: the Data Trust Index, which grades the evidence behind each score. SuperTruth makes it and publishes this index. Everything here comes from public information: laws, government and regulator pages, court decisions, published news, WHO, OECD and World Bank data. Full sources: https://healthrecordrights.com/brief/cuba/#sources. SuperTruth built this index and sells health data verification products; no one paid to be included. Research tool, not legal advice. Our scores and our own words are CC BY 4.0; quoted law and source titles stay with their owners.