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

Who holds the health record in Micronesia?

In 2026, Micronesia scores 25 out of 100 for how much say a person has over their own health record. It is tied for 183rd of 198 countries and territories, and could rank anywhere from 159th to 194th 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 your say over research use (49 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).

Micronesia is joining its state hospital records into one national system, but no law yet gives patients access, consent or privacy rights.

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

overall score · Weak band, 25 to 44
25/100
rank among 198 countries and territories; likely 159th to 194th, allowing for scoring error
Tied for 183rd
confidence in our evidence
Low
strength of our evidence (DTI™)
86/100 (Gold)

Low confidence. Thin evidence on 4 of the 8 rights: your copy, joined-up record, doctors see it and research. 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 Micronesia?

In 2026, getting your full record scores 20 out of 100 in Micronesia; the typical country scores 40 to 45. Micronesia has no data protection law and no statutory right to see or copy a health record was found. The 2025 data protection bill is still pending, covers only national departments, and contains no access right. Source: FSM Legal Information System, and the other sources below.

Who controls health records in Micronesia?

In 2026, the government holds the keys to your health record in Micronesia. Control over who sees it scores 22 out of 100 in Micronesia; the typical country scores 30. Records now sit in one national system that a clinician can open from any state, with no opt-out or patient-visible access log found. The cancer registry law requires reporting every case and only tells the patient it was reported. Source: BES International, September 14, 2026, and the other sources below.

How does Micronesia compare?

In 2026, Micronesia scores 25 out of 100, against 39 for the typical country. This brief compares it with Solomon Islands (25 out of 100), Papua New Guinea (26 out of 100) and Marshall Islands (23 out of 100). Source: the ranking of all 198 countries and territories.

Eight rights, compared with Solomon Islands, Papua New Guinea, Marshall Islands and the typical country

Scores out of 100, by right
Getting your full record20%2030 · 30 · 20
Control over who sees it20%2225 · 28 · 25
Privacy and security15%2225 · 30 · 30
One record across your care15%3420 · 20 · 20
Protection from sale and ads10%1520 · 20 · 15
Doctors see it when treating you10%3420 · 15 · 18
Your say over research use5%4943 · 43 · 46
Rules for AI in your care5%2018 · 20 · 18

Black dot: Micronesia. Hollow dots: Solomon Islands, Papua New Guinea, Marshall Islands (scores out of 100 on the right, same order). Gray line: the typical country of all 198. Overall: Micronesia 25 out of 100. Scores move in steps of about 5 points, so read a rank with its likely range.

What would Micronesia need to change to score higher?

Micronesia 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 getting your full record (20 out of 100, against 40 to 45 for the typical country) and privacy and security (22 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.
  • 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 Micronesia?

  • Constitution of the FSM, Article IV, section 5 (1978): Protects against unreasonable search, seizure or invasion of privacy; gives no record-access right.
  • Cancer Registry System Act (PL 15-39), 41 F.S.M.C. 1101-1108 (2008): Mandatory cancer reporting; data confidential; research release needs ethics approval; $2,000 fine for leaks.
  • FSM Safe Pharmaceutical Act of 2022 (Public Law No. 22-136): Medicines registration and import control; no medical device or software rules.

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

Doctors per 10,000
9.7 2020
Nurses and midwives per 10,000
22.2 2019
Private insurance + out-of-pocket
14.3% 2023
Record reaches private care?
unknown

Real cases

  • March 16, 2025 · Security Affairs · archived copy Ransomware forces Yap health department to shut down its computer network

Compare Micronesia

Cite this brief

In 2026, Micronesia scored 25 out of 100 for how much say a person has over their own health record, tied for 183rd of 198 countries and territories (could be 159th to 194th), 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/micronesia/

The 16 sources for Micronesia

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 (4 sources)

  1. “Constitution of the Federated States of Micronesia, Article IV (Declaration of Rights)”

    FSM Legal Information System (law or regulation) · Title in English

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

    Used for: Getting your full record

    https://fsmlaw.org/fsm/constitution/article4.htm

  2. “C.B. No. 24-17, FSM Personal Data Protection Act of 2025”

    Congress of the FSM (law or regulation) · Title in English

    Dated May 17, 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.cfsm.gov.fm/wp-content/uploads/2025/06/CB-24-17.pdf

  3. “FSM Code (Annotated) 2014, Title 41 Public Health, Safety, and Welfare”

    fsmlaw.org (law or regulation) · Title in English

    Dated 2014 · Link checked October 2, 2026 (opened)

    Used for: Getting your full record

    http://www.fsmlaw.org/fsm/code/PDF/FSMCA2014Tit41.pdf

  4. “FSM Digital Health Strategic Plan 2026-2030”

    FSM Department of Health and Social Affairs (government guidance) · Title in English

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

    Used for: Getting your full record; Control over who sees it; One record across your care; Doctors see it when treating you; Rules for AI in your care

    https://hsa.gov.fm/wp-content/uploads/2026/03/FSM-Digital-Health-Strategic-Plan-Signed-1.pdf

Control over who sees it (2 sources)

  1. “Unifying health data across the four Federated States of Micronesia”

    BES International (other) · Title in English

    Dated September 14, 2026 · Link checked October 2, 2026 (opened)

    Used for: Control over who sees it; One record across your care; Doctors see it when treating you; Rules for AI in your care

    https://www.bes.au/unifying-health-data-across-the-four-federated-states-of-micronesia/

  2. “FSM Code Title 41, Chapter 11, Cancer Registry System Act”

    FSM Legal Information System (law or regulation) · Title in English

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

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

    https://fsmlaw.org/fsm/code/code2014/FSMCode2014Tit41Chap11.html

Privacy and security (3 sources)

  1. “Data protection laws in the Federated States of Micronesia”

    DLA Piper (other) · Title in English

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

    Used for: Privacy and security; Protection from sale and ads

    https://www.dlapiperdataprotection.com/?t=law&c=FM

  2. “Ransomware attack takes down health system network in Micronesia”

    The Record (news) · Title in English

    Dated March 14, 2025 · Link checked October 2, 2026 (opened)

    Used for: Privacy and security

    https://therecord.media/ransomware-attack-micronesia-health-system

  3. “Standing Committee Report on C.B. No. 24-15, with Kosrae State submission on the digital governance bills”

    Congress of the FSM (government guidance) · Title in English

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

    Used for: Privacy and security

    https://www.cfsm.gov.fm/wp-content/uploads/2026/05/SCR-No.-24-29.pdf

One record across your care (2 sources)

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

    J Med Internet Res, PMC (other) · Title in English

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

    Used for: One record across your care

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

  2. “Job Vacancy: Immunization Information System Coordinator”

    FSM DHSA (government guidance) · Title in English

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

    Used for: One record across your care

    https://hsa.gov.fm/job-vacancy-immunization-information-system-coordinator/

Doctors see it when treating you (1 source)

  1. “FSM Health ICT Team Conducts Successful Reverse Site Visit to Palau Ministry of Health and Human Services”

    FSM DHSA (government guidance) · Title in English

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

    Used for: Doctors see it when treating you

    https://hsa.gov.fm/fsm-health-ict-team-conducts-successful-reverse-site-visit-to-palau-ministry-of-health-and-human-services/

Your say over research use (2 sources)

  1. “The Federated States of Micronesia Cultural Research Policy”

    FSM NACH (government guidance) · Title in English

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

    Used for: Your say over research use

    https://nach.gov.fm/wp-content/uploads/2018/05/the-federated-states-of-micronesia-cultural-research-policy_5-30-18.pdf

  2. “Conducting Research in the FSM”

    FSM Office of National Archives, Culture and Historic Preservation (government guidance) · Title in English

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

    Used for: Your say over research use

    https://nach.gov.fm/research/

Rules for AI in your care (2 sources)

  1. “FSM Safe Pharmaceutical Act of 2022, Public Law No. 22-136”

    FSM DHSA (law or regulation) · Title in English

    Dated June 21, 2022 · Link checked October 2, 2026 (opened)

    Used for: Rules for AI in your care

    https://hsa.gov.fm/wp-content/uploads/2023/06/FSM-Safe-Pharmaceutical-Act-of-2022.pdf

  2. “AI Regulation in Micronesia (FSM)”

    Levellers.ai (other) · Title in English

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

    Used for: Rules for AI in your care

    https://www.levellers.ai/what-is/ai-regulation-micronesia

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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/micronesia/#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.