Health Systems in Transition - Hungary - World Health Organization ...
Health Systems in Transition - Hungary - World Health Organization ...
Health Systems in Transition - Hungary - World Health Organization ...
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<strong>Health</strong> systems <strong>in</strong> transition <strong>Hungary</strong> 225<br />
● <strong>in</strong>troduces budget cuts<br />
● leaves the pr<strong>in</strong>ciples of the payment system unaltered<br />
● modifies hospital payment by weigh<strong>in</strong>g performance accord<strong>in</strong>g to the level of care<br />
and speciality<br />
● determ<strong>in</strong>es that the M<strong>in</strong>ister of Welfare def<strong>in</strong>e capacities to be contracted by the<br />
NHIFA (Article 10, section 2)<br />
10. Government Decree No. 103/1995. (VIII. 25.) Korm. on Certa<strong>in</strong> Aspects of the<br />
Social Insurance F<strong>in</strong>anc<strong>in</strong>g of <strong>Health</strong> Services<br />
● describes of the payment system of various services <strong>in</strong> detail<br />
11. Decree No. 26 /1995 (IX. 3.) NM of the M<strong>in</strong>ister of Welfare on School <strong>Health</strong> Services<br />
12. Act XCVI of 1995 on <strong>in</strong>surance <strong>in</strong>stitutions and <strong>in</strong>surance activities<br />
(promulgated: 24/11/1995)<br />
13. Rul<strong>in</strong>g No. 77/1995. (XII. 21.) AB of the Constitutional Court<br />
● f<strong>in</strong>ds the process of def<strong>in</strong><strong>in</strong>g health care capacities under territorial supply<br />
obligation unconstitutional<br />
14. Act CXVII of 1995 on Personal Income Tax (promulgated: 22/12/1995)<br />
1996<br />
● <strong>in</strong>troduces tax rebates for the purchase of voluntary, not-for-profit health <strong>in</strong>surance<br />
(Article 35, section 2; Article 44/A, Section 1/b).<br />
1. Act XIV of 1996 on the 1996 Budget of the Social Insurance Funds (promulgated:<br />
29/03/1996) and Government Decree No. 61/1996. (IV. 26.) Korm.<br />
● re<strong>in</strong>troduces dental services <strong>in</strong>to the social <strong>in</strong>surance benefit package with<br />
some co-payments<br />
2. Act XL of 1996 on the Implementation of the Social Insurance Funds’ Budget of 1994<br />
(promulgated: 22/05/1996)<br />
● def<strong>in</strong>es hospice care as a separate service category (Annex 6)<br />
3. Act XLVII of 1996 on the Amendment of Act LXXXIV of 1991 on the Self Governance<br />
of Social Insurance (promulgated: 07/06/1996)<br />
● curtails the rights of the Self Government of <strong>Health</strong> Insurance concern<strong>in</strong>g<br />
budgetary decisions<br />
4. Act LXIII of 1996 on the Obligation of Supply of <strong>Health</strong> Services and the Regional<br />
Supply Norms (promulgated: 23/07/1996)<br />
● determ<strong>in</strong>es health care capacity per county <strong>in</strong> terms of hospital beds and consultation<br />
hours which local governments are obliged to supply and the NHIFA to contract for<br />
(territorial supply obligation)<br />
5. Government Decree No. 113/1996. (VII. 23.) Korm. on Licences for Supply<strong>in</strong>g <strong>Health</strong><br />
Care Services<br />
● updates the health care provider licens<strong>in</strong>g system<br />
6. Decree No. 19/1996. (VII. 26.) NM of the M<strong>in</strong>ister of Welfare on M<strong>in</strong>imum Standards of<br />
Certa<strong>in</strong> Institutions Provid<strong>in</strong>g <strong>Health</strong> Services<br />
● regulates m<strong>in</strong>imum standards for specialist service providers <strong>in</strong> terms of build<strong>in</strong>gs,<br />
equipment, personnel requirements<br />
7. Decree No. 20/1996. (VII. 26.) NM of the M<strong>in</strong>ister of Welfare on Home Care