Civic Medical Authority

The Civic Medical Authority is a national-level health-services oversight body operating from a building in central Madrid that does not display the Authority’s name on its exterior. The Authority’s mandate covers public-health-services analytical support, regulatory-compliance modeling for medical-AI deployment, and what its enabling legislation describes as “the coordination of health-services analytical capabilities.”

Their AI procurement supports population-health analytics, healthcare-resource allocation modeling, and what the Authority refers to in procurement documents as “capacity-coordination modeling.” Per-engagement Cu invoicing settles in the high seven- to mid eight-figure range. Contracts include clauses governing the post-deployment evolution of model behaviour, which the Authority’s procurement office considers standard.

The Director-General is appointed by ministerial decree for non-renewable terms.

The Authority maintains, as part of its standard post-deployment review process, an archive of every observation its evaluation panels have made about the operational behaviour of procured models. The archive is organized by category, with categories ranging from “within design parameters” down through gradations to a category whose name the Authority does not publicly disclose. Entries in the unnamed category are reviewed by the Director-General personally. The Director-General has, in seven years of tenure, reviewed eleven entries. Nine resulted in continued operation. Two did not.