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

Health systems in transition Hungary 241
● establishes new criteria to be used as a basis for decision-making regarding, for
example, cost-containment and cost-effectiveness in the classification of
pharmaceuticals reimbursed by the HIF
● defines possible reimbursement categories for pharmaceuticals (Article 4)
● regulates internal reference pricing (Articles 6–10) and step pricing (Article 19)
● sets the list of countries to be used for external price referencing (Annex 6/a)
● endorses the establishment of a Technology Appraisal Committee and the involvement
of ESKI in the process of HTA on behalf of the NHIFA (Article 19)
5. Decree No 44/2004 (IV.28.) ESzCsM of the Minister of Health, Social and Family Affairs
on the Prescription and Dispensing of Pharmaceuticals for Human Use
● determines the rules for the prescription of medicines
6. Decree No. 49/2004. (IV. 29.) ESzCsM on the Regional Mother-and-Child Health Nurse
Service
● reorganizes the MCH Service by transfering the responsibility for the age group
6–16 from the regional service to the school health service (Article 3, point d) and f),
Article 8, section (2))
7. Resolution No. 2207/2004. (VIII. 27.) Korm. of the Government on the Actual Tasks in
Connection with the Infrastructure Development Programme of Higher Education
Institutions under the Supervision of the Ministry of Education
8. Deed of Foundation of the Public Foundation for the Homeless (Official Bulletin – the
Annex of the Hungarian Gazette, issue No. 134/2004, 14/09/2004)
9. Decree No. 5/2004. (XI.19.) EüM of the Minister of Health on the Therapeutic Services
that can be Utilized with Social Health Insurance Subsidy for the Purpose of Medical
Rehabilitation
● regulates the professional minimum standards for balneotherapy and medicinal
swimming for children and the rules of utilization
● stipulates that services have to be prescribed by an authorized specialist (Article 3,
Annex 5), and utilized at a provider with a valid contract with NHIFA (Article 12)
● limits the number of subsidised treatment courses (2), and the number of treatment
episodes per course (15) per year (Article 5 and 8)
10. Act CXXIII of 2004 on young people starting a career, unemployed persons over the age
of 50, job-seekers after maternity leave and on other specified social groups(promulgated
21/12/2004)
● defines exemption types from different contribution payments (Article 4/A)
11. Act CXXXV of 2004 on the budget of the Hungarian Republic for the year 2005 and
amendment of the Act CLIV of 1997 on health care (Section 149/A) (promulgated
27/12/2004)
● establishes the Regional Health Councils (Article 149/A-D)
● endorses that priorities of the National Public Health Programme be enforced in
decision making and implementation of all sectoral policy-making (Article 105,
Section 2)
12. Act CXXXVI of 2004 on the Amendment of Certain Social Care Related Acts
(27/12/2004).