The medal is awarded by the Legislative Assembly of Madeira to 'natural or legal entities, public or private, national or foreign, living or posthumously, who have rendered outstanding services to the Region or who, for any other reason, the Region understands that must be distinguish ”.

[1] The honour was created by Regional Decree n. 3/79/M, signed on January 30 and published on March 24, 1979.

The honour is presented by the President of the Legislative Assembly, in a solemn act defined by the Permanent Commission.

The medal model must comply with the following requirements defined by law: be made of silver, have a silver filigree cord and bear, on its reverse, the cross of the Order of Christ (present on the flag and coat of arms of Madeira) and the sayings 'Autonomous Region of Madeira' and 'Portuguese Republic'.

[1]To date, the medal has only been awarded to five personalities, four of them Madeirans (Ornelas Camacho, Rodrigues, Jardim and Ronaldo) and two continental ones (Sá Carneiro and Bishop Santana).