<![CDATA[This study analyzes the implementation of the Lamongan Regency Government's authority in administering mandatory basic health services and identifies the supporting and inhibiting factors. Using an empirical (sociological) legal method with juridical-empirical and statute approaches, primary data were gathered through in-depth interviews with officials of the Lamongan Health Office and Community Health Centers (Puskesmas), while secondary data comprised statutory materials and Minimum Service Standard (SPM) achievement reports. The findings show that implementation is reasonably effective, supported by strong regional political will, flagship programs such as the “1-10-100” stunting initiative and “Lamongan Sehat”, clear Standard Operating Procedures, and dedicated frontline health workers. However, implementation remains uneven due to the post-transition effects of abolishing the 10% mandatory health-spending allocation under Law Number 17 of 2023, facility disparities and geographical barriers in the southern and northern regions, the maldistribution of health personnel, and difficulties synchronizing health-insurance data for low-income residents. The study recommends performance-based budget regulations and incentive schemes to redistribute medical personnel to remote areas.]]>
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