14 • Demand for invasive and noninvasive surgery equipment, oncology, ultrasound equipment, invitro diagnostic equipment, urology equipment, laboratory and testing equipment, diagnostic imaging equipment, equipment for haemodialysis, tissue and blood bank related equipment, veterinary turnkey project equipment, hospital care equipment, information systems, modern patient monitoring systems, hospital management systems, new high tech products such as laser instruments, MRI and computerized systems for cosmetic, dental, aesthetic and restorative medicine. • X-ray systems, dental mechanical tools and instruments, dental surgery services, surgical tools, chairs, ultrasound equipment, photopolymer equipment, physiotherapy equipment, abrasive tools, maxillary surgery, anesthetics, sterilizing equipment, fittings, appliances, metal workplaces, ceramic work places and plastic workplaces • Telemedicine and the introduction of an electronic healthcare portal to be based on unified healthcare database files for every Bulgarian citizen fully compatible with EU standards. Market Entry There are no specific challenges to the business environment which could be considered a serious threat. The institutions responsible for regulatory monitoring of market entry rules and laws are the Ministry of <strong>Healthcare</strong> (www.mh.<strong>gov</strong>ernment.bg), Bulgarian Drug Agency (bda.bg), National Health Insurance Fund (nhif.bg), National Veterinary Institute (vetinst.bg) Current Market Trends Among the healthcare short term priorities outlined by current and former Ministers are the improvement of prophylaxis and prevention in the fields of maternal healthcare, improvement of emergency care, improvement of junior dental healthcare, early diagnostics of breast and prostate cancer; introduction of new non-invasive surgeries, reduction of prices for drugs; introduction of hightech biotechnology and products. Another aspect of healthcare reform is related to the measures which have to be introduced by the Bulgarian Ministry of Agriculture and its newly established Food Safety Agency concerning sanitation and eradication of pandemic diseases. Being the entry point to the EU veterinary markets, Bulgaria is mandated to carefully and strictly undertake sanitation and eradication measures of any possible veterinary pandemic diseases such as Classic Swine Fever, Foot-and-Mouth disease, Bird Flu. Main Competitors Main competitors are all major EU companies which have maintained a presence in the local market for decades. Some Asian firms are also present in the local healthcare market. Current Demand Best sales prospects are generally outlined in the previous sections of the present report. Registration Process Mandatory required certifications are the CE mark as well as some ISO standards such as ISO 9001, ISO 13485, ISO 13795. Medical equipment and consumables, which are subject to the mandatory registration regime can be viewed on the web page of the Bulgarian Drug Agency (bda.bg). Few exceptions are made in cases where Bulgaria has Mutual Recognition Agreements with individual US companies, which have production facilities outside of the USA. Barriers There are no significant barriers on healthcare products in Bulgaria. U.S. Commercial Service <strong>Healthcare</strong> <strong>Technologies</strong> <strong>Resource</strong> <strong>Guide</strong> | 2012–2013
Some tariff and non-tariff barriers are reported in the pharmaceutical market sub-segment which are reported by the LAWG in Bulgaria and are included in the National Trade Estimate report. Trade Events Medicus, Dento, Galenia October 30–November 2, 2013 • Plovdiv, Bulgaria Pharmaceuticals, laboratory equipment, and dental technology. BaSS (Balkan Dental Society) Meets annually • Varna, Bulgaria American <strong>Healthcare</strong> & Natural Products Expo 2013 February 29–March 1, 2013 US healthcare technologies, products, and equipment Available Market Research • Bulgaria Dental Equipment Market Overview • Bulgaria Pharmaceutical Market Overview U.S. Commercial Service <strong>Healthcare</strong> <strong>Technologies</strong> <strong>Resource</strong> <strong>Guide</strong> | 2012–2013 15