The government of Morocco approved two reforms in 2005 to expand health insurance coverage. The first is a payroll-based mandatory health insurance plan for public-and formal private–sector employees to extend coverage from the current 16% of the population to 30%. The second creates a publicly financed fund—RAMED—to cover services for the poor.

Both reforms aim to improve access to high-quality care and reduce disparities in access and financing between income groups and between rural and urban dwellers. In 2011 Morocco declared a right to health and health coverage for all in its constitution. Today, close to 62% of the population is covered. However, out-of-pocket expenditures remain high, accounting for over half of total health spending.

Morocco, through accession to the 2030 global health coverage pact, signed in September 2018 in Salalah-Oman, has achieved a 90% medical coverage rate by 2021, through the implementation of implementation of Law 98-15 on compulsory health insurance for self-employed professions, which constitutes nearly 32% of the total population.