LAW OF THE KYRGYZ REPUBLIC

of October 18, 1999 No. 112

About medical insurance of citizens in the Kyrgyz Republic

Accepted by General Court of Jogorku Kenesh of the Kyrgyz Republic on September 21, 1999

The preamble voided according to the Law of the Kyrgyz Republic of 22.08.2020 No. 142

Section I. General provisions

Article 1. Concept of medical insurance

Medical insurance is the system of actions for social protection of citizens in the Kyrgyz Republic providing high-quality medical, preventive and other services.

Article 1-1. Subject of this Law

This Law determines legal, organizational and financial basis of medical insurance of citizens in the Kyrgyz Republic, obligatory for public authorities, legal entities and physical persons.

Article 2. Types of medical insurance

Medical insurance is performed in the following types:

- paragraph two of ceased to be valid according to the Law of the Kyrgyz Republic of 07.08.2024 No. 163

- obligatory (compulsory medical insurance);

- voluntary (voluntary medical insurance).

Article 3. Basic concepts and determinations

In this Law the following concepts and determinations are applied:

1) subjects of medical insurance - the insurer, body, authorized to perform collection of fees on compulsory medical insurance, the insurer, insured, the supplier;

2) insurer - the physical person or legal entity making contribution payment on medical insurance;

3) executive body, authorized to perform financing of programs of compulsory medical insurance - the executive body realizing state policy in the sphere of compulsory medical insurance;

4) executive body of system of the national social insurance - the body performing accumulation of funds of fees for compulsory medical insurance and their transfer to the executive body realizing state policy in the sphere of compulsory medical insurance;

5) body, authorized to perform collection of fees on compulsory medical insurance - the state body of the Kyrgyz Republic determined by the Cabinet of Ministers of the Kyrgyz Republic, having functions and powers on collection of insurance premiums and their transfer to executive body of system of the national social insurance;

6) the insurer - the legal entity performing insurance activity in the field of medical insurance;

7) insured - person concerning whom fees on medical insurance to the insurer arrived;

8) the supplier - treatment-and-prophylactic, pharmaceutical organization or the organization irrespective of pattern of ownership or person conducting the private medical practice or pharmaceutical activities having the license for occupation this type of activity and performing medical, preventive, rehabilitation, improving, pharmaceutical services;

9) medical, preventive, pharmaceutical, rehabilitation, improving services - the medical and preventive care, provision of medicines;

10) the program of compulsory medical insurance - amount and conditions of rendering the medical and preventive services, provision of medicines provided by suppliers on the basis of agreements on compulsory medical insurance;

11) the program of voluntary medical insurance - amount and conditions of rendering the medical, preventive and other services provided by insurance company according to the signed agreements and rendered over the program of compulsory medical insurance;

12) fees on medical insurance - insurance payments on obligatory or to voluntary medical insurance, paid to the insurer;

13) rate of insurance premiums - the size of insurance premium paid to the insurer;

14) authorized state body on forecasting and budget implementation - the central executive body authorized by the Cabinet of Ministers of the Kyrgyz Republic on implementation of development of state policy, coordination regulation and accomplishment of executive functions in the budget and financial spheres;

15) the Program of the state guarantees for providing citizens with the medical and sanitary help (further - the Program of the state guarantees) - the guaranteed amounts, types and conditions of provision of the medical and sanitary help to citizens providing realization of their rights to the medical and sanitary help in the organizations of health care irrespective of patterns of ownership according to the legislation of the Kyrgyz Republic in health sector and compulsory medical insurance.

Section 1-1. Basic national health insurance

The Section I-1 ceased to be valid according to the Law of the Kyrgyz Republic of 07.08.2024 No. 163

Section II. Compulsory medical insurance

Article 4. Concept of compulsory medical insurance

Compulsory medical insurance is the type of social protection representing system of the legal, economic and organizational measures created by the state aimed at providing in case of loss occurrence, guarantees of rendering medical care to insured person at the expense of means of compulsory medical insurance within the Program of the state guarantees."

Chapter 1. Basic provisions of compulsory medical insurance

Article 5. Purpose and tasks of compulsory medical insurance

The purpose of compulsory medical insurance is secured provision of insured citizens in the Kyrgyz Republic the high-quality medical and preventive care within the program of compulsory medical insurance.

Tasks of compulsory medical insurance are:

- management of financing of medical and preventive services, provision of medicines in system of compulsory medical insurance;

- quality management of the provided medical, preventive services, provision of medicines in system of compulsory medical insurance;

- maximum scope compulsory medical insurance of all categories of the population;

- protection of the rights and interests of insured citizens in case of receipt of medical, preventive and other services in programs of compulsory medical insurance;

- the paragraph of the sixth ceased to be valid according to the Law of the Kyrgyz Republic of 07.08.2024 No. 163

- coordination of introduction of compulsory medical insurance with reforms in health care sector;

- creation of the legislation based on system approach when reforming the social sphere.

Article 6. Principles of compulsory medical insurance

Basic principles of compulsory medical insurance:

- all insured citizens have the equal rights to medical and preventive services in volume of the basic program of compulsory medical insurance irrespective of the social status insured and the size contributed;

- relations in system of compulsory medical insurance are regulated based on contracts between subjects of compulsory medical insurance;

- publicity concerning budget implementation of compulsory medical insurance before payers of fees;

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