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

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Health systems in transition Hungary
● liberalizes the retail market of pharmaceuticals, eliminates most of the restrictions on
ownership (no limitations regarding the type of business entity, no minimum share of
pharmacists stipulated, manufacturers and wholesalers not excluded, pharmacy chains
not prohibited (Articles 74–75)), relaxes the criteria on the establishment of new
pharmacies (Article 49, section (3))
● bases taxation of companies and pharmacies on the reimbursed value of their sales and
the number of employed marketing agents (Article 36, section 1–4)
● defines the various types of pharmacies (Articles 3, 49–52)
● Further defines the process and responsibilities for deciding whether certain
pharmaceuticals are to be included in or excluded from the benefits package
(Article 22–35) – before these were regulated by Government Decree No. 91/2004 (IV.6)
● further defines reimbursement categories and the reimbursement application process
for pharmaceuticals (Articles 24–30)
● sets the rules for exclude products from the positive list administered by the NHIFA
(Article 31)
● permits the retail sale of certain OTC drugs outside of pharmacies (Articles 67–72)
● authorizes the Minster of Health to develop and approve an IT tool that will support
cost-effective prescription and to determine the date after which utilization of said tool
becomes mandatory as well as the related accreditation rules (Articles 77 and 87)
9. Act CXV of 2006 on the Amendment of Certain Health Care Related Acts in Connection
with the Reform of the Health Care System (promulgated: 18/12/2006)
● Curtails the social health insurance funded benefit package by introducing (1)
financing protocols, whereby extra costs associated with any patient-requested
deviation from the system have to be covered by the patient (Articles 1, 8), (2)
co-payments for the utilization of family doctor services, outpatient specialist care
(together the so-called “visit fee”) and inpatient care (the so-called “hospital per diem”)
(Articles 3,7,17,18,19,40,42), (3) co-insurance for free choice of doctor and (without a
valid referral) hospital (Articles 8, 11,13), and (4) the exclusion of certain services, such
as health services for accidents due to extreme sports, health services connected to
professional sporting (Article 7) and sex change operations (Article 11)
● introduces the so-called “declaration of services provided”, which has to be printed and
signed by the patient (Articles 6,18,43)
● provides detailed new regulations for the administration of waiting lists (Articles 9,10)
10. Act CXVI of 2006 on the authority supervision of health insurance
(promulgated: 18/12/2006)
● defines the tasks of the Health Insurance Supervisory Authority regarding quality
evaluation (Article 8 Section b and c)
11. Act CXXI of 2006 on the Amendment of Certain Act for the Establishment of the Budget
of 2007 of the Republic of Hungary (promulgated: 19/12/2006)
● suspends conditional capital grants for 2007–2008 (Article 3, section (2), Article 34)
● abolishes the system of “target-type decentralized grants” (Article 29, section (3)
point a))
12. Act CXXXII of 2006 on the Development of the Health Care Delivery System
(promulgated on 22/12/2006)
● defines the quantity of publicly funded specialist capacities in the Hungarian health
care system (Article 2, section (1), Annex 1 and 2)