This study was aimed at understanding the Policy Implementation of Social Health Care Security (JAMKESMAS) at the Tembilahan Puri Husada Public Hospital Tembilahan. Distict of Indragiri Hilir and the factors influencing the policy implementation. The study was analytic descriptive which aimed to know how smooth Jamkesmas was implemented at the Tembilahan Puri Husada Public Hospital and what factors influenced the implementation. The respondents were Jamkesmas staff and Jamkesmas card consumer patients The field officers included were 6 persons. plus one organizer. The results showed that the implementation of the policy at the Puri Husada Public Hospital was far from meeting the consumers' expectations They were confused about the administrative procedures as well as about how to receive the medicine. . Jamkesmas was seldom evaluated or monitored so that it was difficult to see its efficacy index. Incomplete data made the Jamsostek staff difficult in planning for the future.