Antigua and Barbuda is set to implement a National Health Insurance (NHI) system in 2026, marking a significant shift from the 46-year-old Medical Benefits Scheme (MBS). The new system aims to provide broader coverage, enhance protection for vulnerable populations, and ensure portability across CARICOM member states. Governor General Sir Rodney Williams announced the initiative during the Throne Speech at the opening of Parliament, emphasizing the government’s commitment to modernizing healthcare in response to evolving national needs. The NHI will expand the range of covered diseases, address the growing burden of non-communicable diseases (NCDs) like diabetes and hypertension, and ensure equitable access to care for all citizens, particularly the elderly and those with chronic illnesses. The transition aligns with ongoing upgrades to health infrastructure, including a new mental health facility in Seaview Farm and a state-of-the-art dialysis center at the old Holberton site, which will also support kidney transplants. Sir Rodney also highlighted the government’s focus on promoting healthier lifestyles to combat rising NCD rates. As the 2026 rollout approaches, details on contribution rates and benefits are expected to be unveiled, positioning the NHI as a cornerstone of universal healthcare access in Antigua and Barbuda’s next phase of development.