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

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Health systems in transition Hungary
24. Decree No. 22/1998. (XII. 27.) EüM of the Minister of Health on Health Services that can
be Provided on the Basis of Waiting Lists
● establishes waiting lists and waiting list committees, to be set up in the first half
of 1999
25. Decree No. 23/1998. (XII. 27.) EüM of the Minister of Health on the Hospital Supervisory
Councils
● establishes hospital supervisory councils, to be set up in the first half of 1999
● determines that councils are to be set up for hospitals with territorial supply obligation,
and should represent the interests of the local population cared for by the hospital
26. Act XCI of 1998 on the Social Insurance Funds’ Budget of 1999 (promulgated:
29/12/1998)
● strengthens control of the pharmaceutical budget (Article 4, section 1, point d)
● empowers the Minister of Health to reallocate between sub-budgets of preventive
and curative services of the HIF (Article 5, section 3)
● launches the care coordination pilot with a maximum population of 200 000
(Article 16)
● abolishes the partial fixed element in the payment for specialist services (Article 19)
● stipulates that primary and secondary dental be paid for by capitation and FFS points,
respectively
● relocates the collection of social insurance contributions to the Tax Office
(Article 24–31)
27. Government Decree No. 217/1998. (XII. 30.) on the functioning of the National Budget
● determines the process of transferring collected contributions from the Tax Office
to the account of the HIF (Article 1–4)
● obligates the Tax Office to report to the HIF on the outcome of collection
(Article 5, 8–9)
28. Government Decree No. 229/1998. (XII. 30.) Korm. on the Scope of Duties, Organization
and Operation of the National Health Council
1999
● establishes the National Health Council for assisting the Government in health policy.
1. Government Decree No. 43/1999. (III. 3.) Korm. on Certain Aspects of the Social
Insurance Financing of Health Services
● regulates payment methods for all services in detail (Article 31, section 1 – chronic
outpatient care; Article 32 – CT, MRI; Article 33 – patient transportation; Article 43
– expensive medical devices and prostheses; Article 44 – not widespread, high cost
interventions, Annex 8 – chronic inpatient care includes hospice care, Articles 22–23
– dental care)
● determines that the national base fee for inpatient services is fixed in advance for a year
as of 1 April 1999 (Article 38, section 3)
● regulates the care coordination pilot programme in detail (Article 50)
● sets the details of obligatory provider reports to the NHIFA, including pathways and
data structure (Article 4, Section 2 and appendices)