The Puerto Rico Court of Appeals recently ruled on a significant case regarding the mandatory membership of nurses in a professional association. The court's decision affects nurses across Puerto Rico who are required to join the Colegio de Profesionales de la EnfermerÃa de Puerto Rico (Nursing College) to practice their profession. This ruling has implications for the rights of professionals concerning mandatory association memberships and could reshape the landscape of professional regulations in Puerto Rico.
The case, Keyshla Figueroa Ceara Y Otros v. Colegio De Profesionales De La EnfermerÃa De Puerto Rico Y Otros, was filed on August 28, 2026, under docket number TA2026CE00998. The petitioners, including Keyshla Figueroa Ceara and several other licensed nurses, challenged the constitutionality of the mandatory membership requirement imposed by the Nursing College. They argued that being forced to join and pay dues infringed upon their right to freedom of association.
The dispute began when Figueroa Ceara filed a lawsuit against the Nursing College and the Commonwealth of Puerto Rico, seeking a declaratory judgment that the compulsory membership violated her constitutional rights. The petitioners contended that the requirement for mandatory membership in the Nursing College, established by Law No. 82 of June 1, 1973, imposed undue restrictions on their freedom to choose whether to associate with the organization. They argued that the regulatory functions of the Nursing Board, as outlined in Law No. 254-2015, provided sufficient oversight without the need for compulsory membership in a private professional organization.
The Nursing College, in its defense, argued that the dual structure of the Nursing College and the Nursing Board was necessary to ensure public health and safety. They claimed that the association played a crucial role in regulating the profession and maintaining ethical standards. The College emphasized that the annual fee of $40 was a small price for the benefits provided, including representation and advocacy for nurses.
Initially, the lower court denied the petitioners' request for a judgment based solely on the allegations presented, stating that further discovery was needed to assess the regulatory functions of the Nursing Board. The court recognized that the mandatory membership created tension with the freedom of association but deemed it necessary to explore whether the current regulatory framework was indeed the least restrictive means to achieve public health goals.
On August 28, 2026, the Court of Appeals issued its ruling, reversing the lower court's decision. The court stated, "The petitioners have demonstrated that the compulsory membership requirement imposes a significant burden on their constitutional right to freedom of association." The panel, composed of judges Marrero Guerrero, Boria Vizcarrondo, and Robles Adorno, emphasized that the state must prove that mandatory membership is essential to protect public health and that no less restrictive alternatives exist.
The court's ruling highlighted the importance of evaluating the necessity of mandatory membership in professional organizations. It pointed out that while the state has a compelling interest in regulating professions, it must also respect individual rights. The court noted that the existence of the Nursing Board, with its regulatory powers, could potentially fulfill the state's interest without requiring compulsory membership in the Nursing College.
This ruling is significant as it sets a precedent regarding the balance between professional regulation and individual rights. It underscores the need for the state to justify any mandatory association requirements, particularly when they infringe upon fundamental freedoms. The decision could influence other professions in Puerto Rico and beyond, as it raises questions about the constitutionality of similar mandatory membership laws.
Going forward, the ruling may lead to changes in the regulatory landscape for nursing and potentially other professions. It emphasizes the need for lawmakers to carefully consider the implications of mandatory membership requirements and to ensure that they align with constitutional protections. The decision also opens the door for other professionals facing similar compulsory membership laws to challenge their validity.
As for next steps, the Nursing College may seek to appeal the ruling, although details were not available in the court filing regarding any plans to do so. The broader implications of this case will likely continue to unfold as it prompts discussions about the rights of professionals and the role of regulatory bodies in Puerto Rico.











