This article discusses the refusal of services to BPJS Kesehatan patients at community health centers (Puskesmas) as a legal event from a legal theory perspective. BPJS Kesehatan was established to ensure fair and equitable access to health services for all citizens as part of fulfilling social rights guaranteed by the constitution. However, in practice, cases of refusal of services at primary health facilities are still found due to administrative, procedural, and institutional limitations. This condition raises legal issues related to the fulfillment of patient rights, the obligations of health service providers, and the state's responsibility in providing public services. This study uses a normative juridical method by examining relevant laws and regulations, legal doctrine, and legal theories, particularly the theory of legal protection and social justice. A real-life case study in Tebing Tinggi, North Sumatra, is used as an illustration to strengthen the legal analysis. The results of the study indicate that the refusal of BPJS Kesehatan patients at community health centers is a legal event that has the potential to cause administrative violations and undermine the principles of legal certainty and justice in health services.
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