Health Systems in Transition - Hungary - World Health Organization ...

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Health systems in transition Hungary
in Hungary, and all dependent family members and children. Hungarian citizens in
otherwise exempted activities (including dependents) who have no alternative coverage
must contribute for medical benefits. (Article 5, 6, 10,11,12,13 and 39 with section 2–4
9. Act LXXXIII of 1997 on the Services of Compulsory Health Insurance (promulgated:
25/07/1997) and its executive order of Government Decree No. 217/1997. (XII. 1.) Korm.
● determines the in-kind and cash benefits of the social health insurance, and the rules
of their utilization
● declares the responsibility of the state to provide services, regardless of the revenues
of the HIF (Article 4)
● regulates entitlement to services for foreigners (Article 8)
● determines the right to free choice of family doctors and change of providers and
medical professionals (Articles 11, 18, 19, GD 3, GD 11)
● defines services, which are excluded from statutory health insurance coverage
(Article 18, section 4–6; high cost, high-tech interventions – Article 18, section 5,
point g), which can be utilized with co-payment (Article 23), and whose price is
subsidized (Article 21)
● defines the rules of utilization and the referral system (Article 18, section 1–3;
Executive order, Article 2)
● regulates the concept, type and supervision of waiting lists, when these are to be set up
and what deviation rules are (Article 20)
● regulates provision and reimbursement issues for treatment abroad (Articles 27 and 28)
● defines the rules of contracting (Article 30–33, and Executive order Article 13–25) and
the control of implementation of the contracts (Article 36–38)
● determines methods of payment in general, and that the HIF covers recurrent costs of
services only (Article 34–35)
● further regulates dental care (Article 10, section (1), points bb) and dc), Article 12,
Article 23, points a) and c), Article 24, section (3)
10. Decree No. 26/1997. (IX. 3.) NM of Minister of Welfare on School Health Services
● regulates the operation of school health services in Hungary in detail
11. Decree No. 32/1997. (X. 28.) NM of the Minister of Welfare on the Registration and
Licensing of Health Care Providers
● regulates the administration of registration and licensing in detail
12. Act CXXIX of 1997 on the Amendment of Act CXXVI of 1996 on the Use of a Specified
Amount of Personal Income Tax for Public Purposes in Accordance with the Taxpayer’s
Instruction (promulgated: 10/12/1997)
● allows for taxpayers to offer 1% of their personal income tax to registered churches
13. Act CXXXI of 1997 on the Amendment of Act LXXXIX of 1992 on the System of
Earmarked and Target Subsidies for Local Governments (promulgated 10/12/1997)
● introduces a new, decentralized component of the earmarked and target subsidy system,
the target-type decentralized grants, which are allocated by the county regional
development councils (Article 2)
14. Decree No. 46/1997. (XII. 17.) NM of the Minister of Welfare on Health Services, which
are not Covered by Social Health Insurance
● lists services that are excluded from HIF financing but covered by the central
government budget (Annex 1)