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ORDER OF THE GOVERNMENT OF THE RUSSIAN FEDERATION

of December 8, 2017 No. 1492

About the Program of the state guarantees of free rendering medical care to citizens for 2018 and for planning period of 2019 and 2020

(as amended of the Order of the Government of the Russian Federation of 21.04.2018 No. 490)

For the purpose of ensuring constitutional rights of citizens of the Russian Federation on free delivery of health care the Government of the Russian Federation decides:

1. Approve the enclosed Program of the state guarantees of free rendering medical care to citizens for 2018 and for planning period of 2019 and 2020.

2. To the Ministry of Health of the Russian Federation:

a) bring in accordance with the established procedure in the Government of the Russian Federation:

till July 1, 2018 - the report on realization in 2017 of the Program of the state guarantees of free rendering medical care to citizens for 2017 and for planning period of 2018 and 2019;

till September 25, 2018 - the draft of the program of the state guarantees of free rendering medical care to citizens for 2019 and for planning period of 2020 and 2021;

b) make explanations concerning forming and economic case of territorial programs of the state guarantees of free rendering medical care to citizens for 2018 and for planning period of 2019 and 2020, including approaches to determination of the differentiated standard rates of amount of medical care, including together with Federal Compulsory Health Insurance Fund - concerning forming and economic case of territorial programs of compulsory medical insurance;

c) perform monitoring of forming, economic case and assessment of implementation of territorial programs of the state guarantees of free rendering medical care to citizens for 2018 and for planning period of 2019 and 2020, including together with Federal Compulsory Health Insurance Fund - territorial programs of compulsory medical insurance;

d) bring the regulatory legal acts into accord with this resolution.

3. Recommend to public authorities of subjects of the Russian Federation to approve till December 30, 2017 territorial programs of the state guarantees of free rendering medical care to citizens for 2018 and for planning period of 2019 and 2020.

Russian Prime Minister

D. Medvedev

Approved by the Order of the Government of the Russian Federation of December 8, 2017 No. 1492

The program of the state guarantees of free rendering medical care to citizens for 2018 and for planning period of 2019 and 2020

I. General provisions

The program of the state guarantees of free rendering medical care to citizens for 2018 and for planning period of 2019 and 2020 (further - the Program) establishes the list of types, forms and conditions of medical care which rendering is performed free of charge, the list of diseases and conditions in case of which delivery of health care is performed free of charge, categories of citizens, delivery of health care by which is performed free of charge, average standard rates of amount of medical care, average standard rates of finance costs per unit of amount of medical care, average per capita standard rates of financing, procedure and structure of forming of rates for medical care and methods of its payment, and also the requirement to territorial programs of the state guarantees of free rendering medical care to citizens regarding determination of procedure and conditions of provision of medical care, criteria of availability and quality of medical care.

The program is created taking into account procedures for delivery of health care and on the basis of standards of medical care, and also taking into account the features of gender and age structure of the population, level and structure of population morbidity of the Russian Federation based on data of medical statistics.

Public authorities of subjects of the Russian Federation according to the Program are developed and approve territorial programs of the state guarantees of free rendering medical care to citizens for 2018 and for planning period of 2019 and 2020, including the territorial programs of compulsory medical insurance installed in accordance with the legislation of the Russian Federation about compulsory medical insurance (further - respectively the territorial program of compulsory medical insurance, the territorial program).

II. The list of types, forms and conditions of provision of medical care which rendering is performed free of charge

Within the Program (except for) it are free of charge provided to the medical care provided within clinical approbation:

primary health care, including primary pre-medical, primary medical and primary specialized;

specialized, including high-technology, medical care;

fast, including fast specialized, medical care;

the palliative medical care provided by the medical organizations.

The concept "medical organization" is used in the Program in the value determined in the Federal Laws "About Bases of Protection of Public Health in the Russian Federation" and "About Compulsory Medical Insurance in the Russian Federation".

Primary health care is basis of system of delivery of health care and includes actions for prevention, diagnostics, treatment of diseases and conditions, medical rehabilitation, observation of the course of pregnancy, forming of healthy lifestyle and sanitary and hygienic education of the population.

Primary health care is given free of charge in out-patient conditions and in the conditions of day hospital, in planned and urgent forms.

Primary pre-medical medical and sanitary help appears paramedics, obstetricians and other health workers with secondary medical education.

Primary medical medical and sanitary assistance appears therapists, therapists district police officers, pediatricians, pediatricians district police officers and general practitioners (family doctors).

Primary specialized medical and sanitary help appears specialists doctors, including specialists doctors of the medical organizations rendering specialized, including high-technology, medical care.

Specialized medical care is provided free of charge in stationary conditions and in the conditions of day hospital by specialists doctors and includes prevention, diagnostics and treatment of the diseases and conditions (including during pregnancy, childbirth and the postnatal period) requiring use of ad hoc methods and difficult medical technologies, and also medical rehabilitation.

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