Andorra has a solid health system, delivering strong outcomes with lower public spending than the average in EU countries. However, health spending increased significantly between 2014 and 2025 and will remain a key source of pressure over the medium and long-term as the population continues to age. This paper reviews recent trends in government health spending in Andorra and identifies reforms that strengthen health financing and more tightly manage high-cost areas that could help reduce pressure on government expenditures, preventing the crowding out of other spending and/or the need for higher contributions.