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ORDER OF THE GOVERNMENT OF THE KYRGYZ REPUBLIC

of February 20, 2012 No. 133

About Fund of compulsory medical insurance under the Government of the Kyrgyz Republic

(as amended on 07-09-2018)

According to the order of the Government of the Kyrgyz Republic "About state bodies under the Government of the Kyrgyz Republic and other organizations under the authority of the Government of the Kyrgyz Republic" of January 12, 2012 the No. 12 Government of the Kyrgyz Republic decides:

1. Approve:

- Regulations on Fonda of compulsory medical insurance under the Government of the Kyrgyz Republic according to appendix 1;

- the scheme of management of Fund of compulsory medical insurance under the Government of the Kyrgyz Republic according to appendix 2.

2. To fund of compulsory medical insurance under the Government of the Kyrgyz Republic to take the exhaustive measures following from this resolution.

4. To impose control of execution of this resolution on department of social development of Government office of the Kyrgyz Republic.

5. This resolution becomes effective from the date of official publication.

Prime Minister

O. Babanov

Appendix 1

Regulations on Fonda of compulsory medical insurance under the Government of the Kyrgyz Republic

Chapter 1. General provisions

1. The fund of compulsory medical insurance under the Government of the Kyrgyz Republic (further - compulsory health insurance Fund) is the state body of the executive authority of the Kyrgyz Republic realizing state policy in the field of basic state and compulsory medical insurance of citizens.

2. Compulsory health insurance fund performs the activities according to the Constitution of the Kyrgyz Republic, the laws and other regulatory legal acts of the Kyrgyz Republic and this Provision.

3. Compulsory health insurance fund interacts with state bodies, local government bodies, public, international, scientific and other organizations.

4. Compulsory health insurance fund is legal entity, has seal with the image of the State Emblem of the Kyrgyz Republic, with the name in the state and official languages, separate balance, deposit, settlement and other accounts.

Chapter 2. Purpose and tasks of compulsory health insurance Fund

5. The purpose of compulsory health insurance Fund is secured provision of citizens in the Kyrgyz Republic the high-quality medical and preventive care by consolidation of the budget of the organizations of health care working in system of the Single payer within program implementation of the state guarantees on providing citizens in the Kyrgyz Republic with the medical and sanitary help.

6. Tasks of compulsory health insurance Fund are:

- realization of state policy in the field of basic state and compulsory medical insurance;

- ensuring financial stability of system basic state both compulsory medical insurance and creation of conditions of equalization of amount and quality of medical care for achievement of fair and equal access for citizens to preventive, medical and pharmaceutical services;

- accumulation of the financial resources intended for ensuring financial stability of system of the Single payer and system of medical insurance;

- control of rational and target use of means of system of the Single payer;

- creation of equal conditions in payment of medical services to the organizations of health care irrespective of patterns of ownership within programs in health sector and medical insurance;

- enhancement of quality control of the preventive, medical and pharmaceutical services provided by suppliers.

Chapter 3. Functions of compulsory health insurance Fund

7. Compulsory health insurance fund performs the following functions:

1) functions on realization of industry policy:

- realization of state policy in the sphere basic state and compulsory medical insurance;

- participation in project development of regulatory legal acts, programs and strategy in protection of public health and medical insurance;

- program implementation basic state and compulsory medical insurance, and also programs of preferential provision of medicines at the out-patient level;

- accumulation of all profitable and other budget receipts which are subject to transfer in the budget of compulsory health insurance Fund;

- administration of forming and execution of budgets of the organizations of health care working in system of the Single payer on receipts from rendering paid state services regarding approval and refining of budget estimates, creation and acceptance of the reporting;

- forming of safety stock for ensuring financial stability of system of the Single payer;

- expansion of scope of the population with compulsory medical insurance;

- holding actions for legal promotion in the field of medical insurance;

2) functions of monitoring and control:

- ensuring quality control of the medical and other services provided by suppliers of medical services in system of the Single payer;

- monitoring of execution of agreements and indicators of quality of the medical and other services provided by suppliers in system of the Single payer;

- control of use of means of the consolidated budget by the organizations of health care working in system of the Single payer;

- carrying out internal audit of effective and target use of means by compulsory health insurance Fund and the organizations of health care working in system of the Single payer;

3) regulation functions:

- the conclusion of contracts with the organizations of health care for provision of medical and other services in health sector;

- participation in optimization of organization activity of health care, working in system of the Single payer;

4) functions of provision of services:

- registration and distribution of the policy of compulsory medical insurance;

5) support functions:

- payment of the medical and other services rendered by suppliers within the Program of the state guarantees in system of medical insurance according to the signed agreements;

- the direction of funds for improvement of hardware and implementation of the latest technologies in the field of medicine for the organizations of health care working in system of the Single payer;

- stimulation of the organizations of health care working in system of the Single payer, to improvement of quality of the medical and other services provided by them;

- interaction with state bodies, local government bodies concerning financing and program implementation in health sector and medical insurance.

Chapter 4. Rights and obligations of compulsory health insurance Fund

8. For implementation of the assigned functions compulsory health insurance Fund has the right:

- take part in development of the Program of the state guarantees, programs in the field of protection of public health, including in case of incomplete budget implementation of compulsory health insurance Fund to make offers in authorized state body of the Kyrgyz Republic in the field of health care on their review;

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