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

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246<br />

<strong>Health</strong> systems <strong>in</strong> transition <strong>Hungary</strong><br />

● def<strong>in</strong>es the organizational structure (Articles 1–4) and the ma<strong>in</strong> tasks of the National<br />

Emergency Ambulance Service (Articles 5–7)<br />

19. Government Decree No. 323/2006. (XII. 23.) on the National Blood Supply Service<br />

20. Decree No. 53/2006 (XII.28.) EüM of the M<strong>in</strong>ister of the <strong>Health</strong> on the amendment of<br />

Decree No. 32/2004 (IV.26) ESzCsM of the M<strong>in</strong>istry of <strong>Health</strong>, Social and Family affairs<br />

● substantially decreases pharmaceutical reimbursement categories to be covered by the<br />

HIF (from 90% to 85%, 70% to 55% and 50% to 25%) and establishes new categories<br />

for specific conditions which are to be prescribed for by a specialist (now 90%, 70%<br />

and 50%) (Article 2, Sections 4–8)<br />

● regulates step pric<strong>in</strong>g for generics (Article 10, Section 2)<br />

21. Government Decree No. 361/2006. (XII. 28.) Korm. on the Implementation of Act<br />

CXXXII of 2006 on the Development of the <strong>Health</strong> Care Delivery System (the executive<br />

order of Act CXXXII of 2006)<br />

● provides detailed procedural rules regard<strong>in</strong>g the decision-mak<strong>in</strong>g process on specialist<br />

<strong>in</strong>patient care capacities<br />

22. Government Decree No. 362/2006. (XII. 28.) Korm. on the National Public <strong>Health</strong> and<br />

Medical Officer Service and the Designation of the Pharmaceutical Public<br />

Adm<strong>in</strong>istration Authority<br />

● regionalizes the organization of the National Public <strong>Health</strong> and Medical Officer Service<br />

(Article 4)<br />

● def<strong>in</strong>es the tasks of the NPHMOS (Articles 5–9, 10–14/B)<br />

23. Decree No. 57/2006. (XII.29.) EüM of the M<strong>in</strong>ister of <strong>Health</strong> on the Criteria of the<br />

Distribution of Specialist Care Capacities and of Access to Care<br />

2007<br />

● def<strong>in</strong>es the availability and access criteria to be met when decid<strong>in</strong>g on the distribution<br />

of specialist care capacities (Article 2)<br />

● stipulates that previous downsiz<strong>in</strong>g decisions have to be taken <strong>in</strong>to account <strong>in</strong> the<br />

decision mak<strong>in</strong>g process (Article 4).<br />

1. Decree No. 5/2007. (I. 24.) EüM of the M<strong>in</strong>ister of <strong>Health</strong> on the Price Marg<strong>in</strong>s of<br />

Subsidized Pharmaceuticals<br />

● <strong>in</strong>troduces a fixed retail marg<strong>in</strong> for medic<strong>in</strong>es over HUF 5 000 (about €20) on<br />

wholesale price (Article 2, section (2))<br />

2. Government Decree No. 35/2007 (III. 07.) on the amendment of Government decree<br />

No.217/1997 of December 1st on the enforcement of Law LXXXIII/1997 relat<strong>in</strong>g to the<br />

services provided for by statutory health <strong>in</strong>surance and the amendment of the<br />

Government Decree no. 43/1999 of March 3d relat<strong>in</strong>g to the specified rules of f<strong>in</strong>anc<strong>in</strong>g<br />

health services from the budget of the <strong>Health</strong> Insurance Fund)<br />

● establishes a procedure to control the HIF registration status of patients<br />

3. Government Decree No. 41/2007. (III. 13.) Korm. on Certa<strong>in</strong> Payment, Contract<strong>in</strong>g and<br />

Procedural Issues <strong>in</strong> Connection with the Implementation of Act CXXXII on the<br />

Development of the <strong>Health</strong> Care System<br />

4. Government Decree No. 63/2007. (III. 31.) Korm. on the Amendment of Certa<strong>in</strong> <strong>Health</strong><br />

Care Related Government Decrees and on the Compensation of the Visit Fee of Patients<br />

on Job Seek<strong>in</strong>g Allowance

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