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

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Health systems in transition Hungary
4. Ruling No. 109/2008. (IX.26.) AB
● finds the decision-making regarding the distribution of inpatient care capacities
unconstitutional, because the criteria are too vague and leave to much discretion for
the minister of health
5. Act LXI of 2008 on the Amendment of Act XXXIII of 1992 on the Legal Staus of Public
Employees (promulgated: 31/10/2008)
● Articles 22, 23 and 33
6. Decree No. 52/2008. (XI. 12.) EüM of the Minister of Health on Medical Professional
Colleges
7. Government Decree No. 297/2008. (XII. 11.) on the amendment of Government
Decree No. 317/2006. (XII. 23.)
● determines the regional administrative districts within the NHIFA (Sections 1 and 3)
8. Act CV of 2008 on regulating the legal status and financial management of public
budgetary institutions (22/12/2008)
9. Act CVI of 2008 on the Amendment of Certain Health Care Related Acts (promulgated
on 22/12/2008)
● redefines the decision criteria and decision-making process on specialist care capacities
and catchment areas under territorial supply obligation and designates the NPHMOS as
the main decision-maker (Articles 47–56, 59–61)
● enables the NHIFA (health insurer) to contract selectively on the basis of quality of care
(Article 58)
● introduces the concept of “pharmaceutical care” (Article 24, section (3))
● eliminates the care coordination system (Article 73, Section 4/A)
10. Government Decree No. 337/2008. (XII.30.) Korm. on the Implementation of Act
CXXXII of 2006 on the Development of the Health Care Delivery System (executive
order of Act CXXXII of 2006)
● replaces the previous procedural rules regarding the decision-making process on
specialist inpatient care capacities, according to the provisions of Act CVI of 2008
● designates the national chief medical officer as the final decision maker regarding
capacity redistributions among regions (Article 17, section (1))
● further designates the regional offices of the NPHMOS as the final decision-makers
regarding capacity modifications within regions (Article 17, section (2), points da), dc)
and de)) and makes them responsible for the designation of catchment areas (Article 17,
section (2), point dd)
11. Government Decree No. 348/2008 (XII.31) on dissolving the managed care system
12. Government Decree No. 356/2008. (XII.31.) Korm. On the Implementation of the
Provisions of Act XXXIII of 1992 on the Legal Status of Public Employees in Health
Care Organizations.