While some data exists, particularly within Seguro Popular where there is compulsory reporting for areas like expenditure on covered drugs, information regarding other state purchases in the basic package and for public health are often underreported. The legislative change of June 4th, 2014 addresses this issue, but the effectiveness of the reform is not yet known. Nevertheless, access to data on how money is spent by states should be made more widely available. For example, Italy has also been faced with a comparable situation to Mexico, having significant variation in administrative and managerial capacity across regions in a largely decentralised setting (Tediosi et al., Since the beginning of the 2000s, the central government has given regions incentives for improving their reporting. There have been agreements between the central government and the regions whereby regions can obtain additional resources conditional on improved reporting.