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The General Health Law in Mexico was reformed in 2019. Since that moment the re-centralization began. Part of these process were the following actions: the Health Welfare Institute creation; the Popular Insurance disappearance; the coordination agreements signature between the national and the subtnationals governments, and the medicines consolidated purchase. These actions produced consequences in organizational functioning. Through the staff perception, this paper seeks to investigate these consecuences in a pimary healthcare organization in Nezahualctoyotl, Estado de México. Findings shouw that: 1. Second and third level hospitals were regionalized; 2. Contracts to treat diseases like cancer were eliminated; 3. Less existance of medicines and medical supplies; 4.Staff hired with fixed-term contract were given a regular contract. The re-centralization is usefull to study the health system changes. [ABSTRACT FROM AUTHOR]