Dominican prosecutors detain about 29 more people, mostly doctors, in the Senasa health-insurance fraud case; ex-director Santiago Hazim remains in preventive detention

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Santiago Hazim, former executive director of Seguro Nacional de Salud (Senasa), the Dominican Republic's public health-insurance agency, has been held in preventive detention since December 11, 2025 (an 18-month measure confirmed on February 4, 2026) in the fraud case prosecutors call "Senasa 2.0." Diario Libre reported that raids on September 18, 2026 by the Procuraduria Especializada de Persecucion de la Corrupcion Administrativa (PEPCA) led to at least 29 further detentions, mostly doctors, over alleged data manipulation and double billing; charges had not been published. Listin Diario reported on September 21, 2026 that PEPCA's evidence offer in a related 'Senasa 2.0-A' case includes testimony from hundreds of affiliates who say they did not receive billed services; these are the prosecution's claims and a court has not assessed them. Separately, the Camara de Cuentas issued a preliminary special audit report on August 3, 2026 covering January 2020 to September 2025, and Hazim's lawyer told it on September 7 that his detention prevents him from accessing the files needed to respond within the 30-business-day window.

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