LAW OF THE KYRGYZ REPUBLIC

of July 30, 2003 No. 159

About system of the single payer in financing of health care of the Kyrgyz Republic

Accepted by General Court of Jogorku Kenesh of the Kyrgyz Republic on June 24, 2003

This Law determines legal, organizational and financial basis of functioning of system of the Single payer when financing health care in the Kyrgyz Republic.

Chapter I. General provisions

Article 1. Concept of system of the Single payer

System of the Single payer - consolidation of financial resources of health care from means of compulsory medical insurance for the purpose of the subsequent carrying out financing by calculations for the medical and sanitary and pharmaceutical services rendered to the population insured on compulsory medical insurance by the organizations of health care.

Functioning of system of the Single payer provides determination in the Kyrgyz Republic of the single financing body of health care with transfer of powers of management of means of basic national health insurance and compulsory medical insurance to it.

Article 2. The basic concepts and determinations used in this Law

In this Law the following concepts and determinations are used:

1) 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;

2) average cost of the treated case - the average settlement value reflecting the sizes of the means of compulsory medical insurance and copayment of the population directed for each treated insured patient;

3) the per capita standard rate - average settlement value of financing of primary and specialized medical and sanitary help on one served or attached inhabitant insured on compulsory medical insurance with adjustment on correction coefficients;

4) the consolidated budget of health care of the Kyrgyz Republic - set of means of the government budget, compulsory medical insurance, external borrowings and grant help of donors, and also the means accumulated on special treasurer accounts, the means received from copayment of the population in health care system and other means which are not forbidden by the legislation of the Kyrgyz Republic;

5) the Supplier - the physical person or legal entity providing medical and other services in system of the Single payer on the basis of the signed agreements;

6) the executive body realizing state policy in the sphere of compulsory medical insurance - subordinated division of authorized state body in health sector.

Article 3. Purpose and basic principles of system of the Single payer

The purpose of introduction of system of the Single payer is consolidation of the budget of health care for resource ensuring execution of the Program of the state guarantees and enhancement of methods of financing in health care.

Basic principles of functioning of system of the Single payer:

- equal availability to the citizens insured on compulsory medical insurance in receipt of the medical and sanitary help according to the Program of the state guarantees;

- equal access for suppliers to means of compulsory medical insurance;

- contractual relations between the bodies performing functions of the Single payer and the Supplier;

- use by the Supplier in case of program implementation of the state guarantees of single methods of forming of rates (prices) of the provided services;

- financial autonomy of the Supplier in use of means of compulsory medical insurance and copayment.

The means of compulsory medical insurance, copayment of the population and special means received by the Supplier by calculations in system of the Single payer are not subject to the taxation and withdrawal in the government budget.

Article 4. Body, authorized to perform functions of the Single payer

Single payer in the Kyrgyz Republic is the executive body realizing state policy in the sphere of compulsory medical insurance and authorized to perform financing of programs of compulsory medical insurance.

Article 5. Financial bases of functioning of system of the Single payer

The system of the Single payer functions by the territorial principle.

Means of compulsory medical insurance are transferred to the control Fund of compulsory medical insurance.

The single payer based on the agreements signed with the Supplier performs payment of their services from means of compulsory medical insurance by carrying out single-channel financing.

The payment procedure of the medical, preventive and pharmaceutical services rendered to citizens in system of the Single payer consists of basic standard rates of payment with adjustment on the correction coefficients determined by the Cabinet of Ministers of the Kyrgyz Republic.

The basic standard rate of payment of medical, preventive and pharmaceutical services is determined by types of the medical and sanitary help taking into account the predicted financial performance and amounts of the medical and sanitary help.

On means of copayment of the population the Single payer creates aggregated data on the basis of reports of the organizations of health care and uses them in case of creation of the consolidated budget.

Article 6. Relations between state bodies and the Single payer

In volume of planned receipt of the income the Single payer creates the budget for the medium term for the purpose of program implementation of the state guarantees and other programs in health sector and compulsory medical insurance according to the budget legislation of the Kyrgyz Republic.

The part two voided according to the Law of the Kyrgyz Republic of 07.08.2024 No. 163

Body, authorized to perform collection of fees on compulsory medical insurance, carries out timely and complete transfer of the raised funds for compulsory medical insurance to the budget of the Single payer according to the procedure, established by the budget legislation of the Kyrgyz Republic.

Chapter II. Rights and obligations of the single payer

Article 7. Rights of the Single payer

The single payer has the right:

- take part in development of the budget strategy;

- to annually make calculations for financial provision of the Program of the state guarantees from means of compulsory medical insurance;

- take part in development of the Program of the state guarantees;

- make offers on review of the Program of the state guarantees;

- exercise control of use by the Supplier of means of compulsory medical insurance, copayment.

Article 8. Obligations of the Single payer

The single payer shall:

- provide efficiency and target use of means of compulsory medical insurance;

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