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

Who holds the health record in Marshall Islands?

In 2026, Marshall Islands scores 23 out of 100 for how much say a person has over their own health record. It is tied for 189th of 198 countries and territories, and could rank anywhere from 170th to 196th allowing for scoring error, in the Poor band (0 to 24). 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. No right is above the typical country. The closest is your say over research use (46 out of 100, against 46 for the typical country). The furthest behind is protection from sale and ads (15 out of 100, against 45 for the typical country).

A 2025 data law covering only government bodies gives no record access right and is not yet in force, while most records stay on paper.

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

overall score · Poor band, 0 to 24
23/100
rank among 198 countries and territories; likely 170th to 196th, allowing for scoring error
Tied for 189th
confidence in our evidence
Low
strength of our evidence (DTI™)
90/100 (Platinum)

Low confidence. Thin evidence on 4 of the 8 rights: your copy, joined-up record, research and AI rules. 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 Marshall Islands?

In 2026, getting your full record scores 20 out of 100 in Marshall Islands; the typical country scores 40 to 45. No law giving patients a right to see or copy their health record was found, and there is no patient portal. The 2025 data protection law covers only government bodies, has no access right and takes effect 12 months after its 7 October 2025 certification. Source: Nitijela, October 7, 2025, and the other sources below.

Who controls health records in Marshall Islands?

In 2026, the government holds the keys to your health record in Marshall Islands. Control over who sees it scores 25 out of 100 in Marshall Islands; the typical country scores 30. No opt-out, granular choice or patient-visible access log was found. Only sexually transmitted disease information has a statutory consent rule, and the 2025 law lets ministries share personal data with each other without asking the person. Source: BWC Implementation copy, and the other sources below.

How does Marshall Islands compare?

In 2026, Marshall Islands scores 23 out of 100, against 39 for the typical country. This brief compares it with Tuvalu (23 out of 100), Micronesia (25 out of 100) and Solomon Islands (25 out of 100). Source: the ranking of all 198 countries and territories.

Eight rights, compared with Tuvalu, Micronesia, Solomon Islands and the typical country

Scores out of 100, by right
Getting your full record20%2020 · 20 · 30
Control over who sees it20%2525 · 22 · 25
Privacy and security15%3022 · 22 · 25
One record across your care15%2024 · 34 · 20
Protection from sale and ads10%1515 · 15 · 20
Doctors see it when treating you10%1825 · 34 · 20
Your say over research use5%4643 · 49 · 43
Rules for AI in your care5%1825 · 20 · 18

Black dot: Marshall Islands. Hollow dots: Tuvalu, Micronesia, Solomon Islands (scores out of 100 on the right, same order). Gray line: the typical country of all 198. Overall: Marshall Islands 23 out of 100. Scores move in steps of about 5 points, so read a rank with its likely range.

What would Marshall Islands need to change to score higher?

Marshall Islands sits in Poor (0 to 24); Weak starts at 25. Its two weakest rights, compared with the typical country and weighted by how much each counts, are getting your full record (20 out of 100, against 40 to 45 for the typical country) and protection from sale and ads (15 out of 100, against 45 for the typical country). Our scoring rules give more points for:

  • Getting your full record: A national portal that shows most people at least part of their record (a summary, prescriptions, lab results) puts this right at 60 to 75 out of 100. A near-full record that you can download, with a long history and used by most people, puts it at 76 to 90.
  • Protection from sale and ads: Clear limits on selling health data or using it for ads, covering apps and data brokers as well as doctors and hospitals.

Which laws give health record rights in Marshall Islands?

  • Constitution of the Republic of the Marshall Islands, Article II section 13 (1979): Freedom from unreasonable interference in personal choices and from unreasonable intrusions into privacy.
  • Personal Data Protection Act 2025 (P.L. 2025-43): Data principles for core government bodies only; health data sensitive; no access right; no damages; effective 12 months after certification.
  • Communicable Diseases Prevention and Control Act 1988, 7 MIRC Ch.15: STD and HIV information confidential; release with consent or listed exceptions; $1,000 fine per breach.

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

Doctors per 10,000
11.3 2021
Nurses and midwives per 10,000
48.1 2021
Private insurance + out-of-pocket
2.1% 2023
Record reaches private care?
unknown

Real cases

  • We found no real cases published in the last two years.

Compare Marshall Islands

Cite this brief

In 2026, Marshall Islands scored 23 out of 100 for how much say a person has over their own health record, tied for 189th of 198 countries and territories (could be 170th to 196th), in the Poor 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/marshall-islands/

The 11 sources for Marshall Islands

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. “Personal Data Protection Act 2025 (P.L. 2025-43)”

    Nitijela (law or regulation) · Title in English

    Dated October 7, 2025 · 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

    https://www.rmiparliament.org/cms/library/public-laws-by-years/60-2025.html?download=893:pl-2025-43-personal-data-protection-act-2025&start=20

  2. “Constitution of the Republic of the Marshall Islands”

    RMI Judiciary copy (law or regulation) · Title in English

    No date recorded · Link checked October 2, 2026 (opened)

    Used for: Getting your full record

    https://rmicourts.org/wp-content/uploads/2022/02/ConstitutionoftheRepublicoftheMarshallIslands_1.pdf

Control over who sees it (2 sources)

  1. “Communicable Diseases Prevention and Control Act 1988, 7 MIRC Ch.15”

    BWC Implementation copy (law or regulation) · Title in English

    No date recorded · Link checked October 2, 2026 (opened)

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

    https://bwcimplementation.org/sites/default/files/resource/MH_Communicable Diseases Prevention and Control Act_EN.pdf

  2. “Cancer Registry Act 2009”

    Nitijela (law or regulation) · Title in English

    Dated 2009 · Link checked October 2, 2026 (opened)

    Used for: Control over who sees it; Your say over research use

    https://rmiparliament.org/cms/images/LEGISLATION/PHOCA/PL_2009_19_Cancer Registry Act 2009.pdf

Privacy and security (2 sources)

  1. “Digital Republic of the Marshall Islands Project (P171517), Aide Memoire, March 2026 missions”

    World Bank (international body) · Title in English

    Dated June 28, 2026 · Link checked October 2, 2026 (opened)

    Used for: Privacy and security; One record across your care

    https://documents1.worldbank.org/curated/en/099062826194018850/pdf/P171517-d70f1d25-0f6a-4a39-a27c-a28f3be6eb53.pdf

  2. “Marshall Islands Health Fund Act of 2002, 7 MIRC Ch.2 (WHO copy)”

    platform.who.int (law or regulation) · Title in English

    No date recorded · Link checked October 2, 2026 (opened)

    Used for: Privacy and security

    https://platform.who.int/docs/default-source/mca-documents/policy-documents/law/MHL-CH-14-01-LAW-2014-eng-Marshall-Islands-Health-Fund-Act-of-2002.pdf

One record across your care (3 sources)

  1. “National Electronic Health Record Coverage in Pacific Island Countries and Territories”

    JMIR, PMC (other) · Title in English

    Dated October 3, 2025 · Link checked October 2, 2026 (opened)

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

    https://pmc.ncbi.nlm.nih.gov/articles/PMC12534756/

  2. “The Primary Health Care System of the Republic of the Marshall Islands: A PHCPI Assessment”

    World Bank (international body) · Title in English

    Dated 2023 · Link checked October 2, 2026 (opened)

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

    https://documents1.worldbank.org/curated/en/099121523194155037/pdf/P1598650e39db8048080d8013c44af6a5a8.pdf

  3. “Marshall Islands Immunization Registry (WebIZ) login”

    Ministry of Health and Human Services (government guidance) · Title in English

    No date recorded · Link checked October 2, 2026 (opened)

    Used for: One record across your care

    https://webiz.rmihealth.org/webiznet_rmi/Login.aspx

Protection from sale and ads (1 source)

  1. “AI Regulation in the Marshall Islands”

    Levellers.ai (other) · Title in English

    Dated June 8, 2026 · Link checked October 2, 2026 (opened)

    Used for: Protection from sale and ads; Rules for AI in your care

    https://www.levellers.ai/what-is/ai-regulation-marshall-islands

Rules for AI in your care (1 source)

  1. “Republic of the Marshall Islands Policies and Regulations”

    Pacific Basin Telehealth Resource Center (other) · Title in English

    No date recorded · Link checked October 2, 2026 (opened)

    Used for: Rules for AI in your care

    https://www.pbtrc.org/policies-and-regulations/republic-of-the-marshall-islands-policies-and-regulations/

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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/marshall-islands/#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.