CHI is one of several types of mandatory social insurance for residents of the Russian Federation. To provide insurance to every citizen, a complex of economic, legal and organizational methods is applied. They are directed to ensure guarantees for the provision of free insurance to the insured person. medical care at a high level, in accordance with the volume and deadlines. Payment is made at the expense of the state insurance company.

The current Federal Law was created on the basis of the Constitution of the Russian Federation. It regulates the relations that are formed in the process of obtaining a compulsory insurance policy (CHI). The law defines the rights of such citizens, their obligations, as well as guarantees, thanks to which the state insurance company is still operating.

The law was adopted by the State Duma on November 19, 2010, and approved by the Federation Council 6 days later. The last changes were made on December 28, 2016.

• General provisions federal law;
• Enumeration of the powers of the constituent entities of the Russian Federation in the field of providing services for compulsory insurance;
• Definition of participants and subjects;
• Identification of the rights and obligations of the insured persons;
• Determining the amount of compulsory health insurance payment;
• Description of the legal provision of the law;
• Listing of programs in the field of CHI;
• Signing contracts in the field of CHI;
• Control of the volume of conditions, quality and timing of assistance;
• Registration of each member of the CHI according to the law;
• Final information.

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Law "On Mandatory health insurance in the Russian Federation" consists of 11 chapters and 53 articles. It contains the main principles.

What do you know about compulsory pension insurance? Details

These are:

• Provision of medical care at the expense of the state insurance company. In the event of an insured event, you can use the following services;
• High stability of the financial system for compulsory health insurance;
• The obligation to the insurers to pay insurance premiums. The amount of contributions is established in accordance with the Federal legislation;
• Compliance with the rights of the insured clients on the part of the state. All health insurance obligations between the parties must be fulfilled within the time period specified in the contract;
• Compliance with the conditions for ensuring the quality of care and general accessibility to the services of the insurance company.

To download the latest version of the law with the changes, additions and amendments, go to the following.

In addition, you should know the basics of social services for citizens in the Russian Federation. To do this, study.

Recent changes made to the Federal Law "On Compulsory Medical Insurance in the Russian Federation"

The last changes were made to the edition of December 28, 2016. Part 1 of Article 31, the title of Article 32, part 1 of Article 32 and part 2 of Article 32 were changed.

Ch 1 article 31

Part 1 of Article 31 of the law describes methods for calculating expenses, including funds for the purchase of a health insurance policy. The client is provided with a payment after a severe accident at work or at home. If the company proves that the injury to health was not an accident, then the person who caused harm to the health of the insured citizen must reimburse the funds for treatment.

Article 32

In article 32 of the law, the name was changed. Now it sounds like this: "Payment of medical expenses to the insured person immediately after a severe accident at work."

Part 1 article 32

The sentence was changed from "treatment of the insured person" to "medical assistance to the insured person".

Part 2 article 32

In part 2 of article 32 of the law, the sentence was changed from “treatment of the insured person” to “medical assistance to the insured person”.

Below is another article.

Article 16

326-FZ article 16 lists the rights and obligations of the insured person.

1. For the purposes of this Federal Law, medical organizations in the field of compulsory health insurance (hereinafter referred to as medical organizations) include those having the right to carry out medical activities and included in the register of medical organizations operating in the field of compulsory medical insurance (hereinafter also referred to as the register of medical organizations) , in accordance with this Federal Law:

1) organization of any organizational and legal form provided for by the legislation of the Russian Federation;

2) individual entrepreneurs engaged in medical activities.

2. A medical organization is included in the register of medical organizations on the basis of a notification sent by it to the territorial fund before September 1 of the year preceding the year in which the medical organization intends to operate in the field of compulsory medical insurance. The territorial fund does not have the right to refuse to include a medical organization in the register of medical organizations. The commission for the development of a territorial program of compulsory medical insurance in a constituent entity of the Russian Federation may establish other deadlines for submitting notifications by newly created medical organizations. Information on the timing and procedure for submitting a notice of inclusion of a medical organization in the register of medical organizations operating in the field of compulsory medical insurance is posted by the territorial fund on its official website on the Internet.

3. The register of medical organizations contains the names, addresses of medical organizations and a list of services provided by these medical organizations within the framework of the territorial program of compulsory medical insurance. The procedure for maintaining, the form and list of information in the register of medical organizations are established by the rules of compulsory medical insurance. The register of medical organizations is maintained by the territorial fund, posted on a mandatory basis on its official website on the Internet and may be additionally published in other ways.

4. Medical organizations included in the register of medical organizations do not have the right, during the year in which they operate in the field of compulsory medical insurance, to withdraw from the number of medical organizations operating in the field of compulsory medical insurance, except in cases of liquidation of a medical organization, loss of the right to carry out medical activities, bankruptcy or other cases provided for by the legislation of the Russian Federation. A medical organization included in the register of medical organizations that sent to the territorial fund a notice of exclusion from the register of medical organizations before the conclusion of an agreement for the provision and payment of medical care under compulsory medical insurance is excluded by the territorial fund from the register of medical organizations on the next business day after the day of receipt by the territorial fund the specified notice.

5. A medical organization carries out its activities in the field of compulsory medical insurance on the basis of an agreement for the provision and payment of medical care under compulsory medical insurance and is not entitled to refuse to provide medical care to insured persons in accordance with the territorial program of compulsory medical insurance.

6. Medical organizations keep separate records of operations with compulsory medical insurance funds.

7. Medical organizations established in accordance with the legislation of the Russian Federation and located outside the territory of the Russian Federation are entitled to provide types of medical care to insured persons established by the basic program of compulsory medical insurance, at the expense of compulsory medical insurance in the manner established by the rules of compulsory medical insurance.

Judicial practice under article 15 of the Federal Law of November 29, 2010 No. 326-FZ

Judgment dated November 11, 2019

Supreme Court of the Russian Federation - Administrative

3.2 of Appendix 8 to the Procedure, referring to the fact that the contested provisions of the normative legal act do not comply with paragraphs 1, 4 of Article 4, part 5 of Article 15, paragraph 1 of Part 1, paragraph 1 of Part 2 of Article 20, parts 6-9 of Article 38, part 6 Article 39 of the Federal Law of November 29, 2010 No. 326-...

Decision dated August 28, 2019 in case No. А01-714/2019

Arbitration Court of the Republic of Adygea (AC of the Republic of Adygea)

Programs of compulsory medical insurance, and the insurance medical organization undertakes to pay for medical care provided in accordance with the territorial program of compulsory medical insurance. In accordance with Article 15 of Law No. 326-FZ, medical organizations participating in compulsory medical insurance include organizations that have the right to carry out medical activities and are included in the register of medical organizations operating in ...

Decision dated August 28, 2019 in case No. А73-9063/2019

Arbitration Court of the Khabarovsk Territory (AC of the Khabarovsk Territory)

Conditions for the provision of medical care under compulsory medical insurance). according to acts No. 270017/1-000059/2, No. 270017/1-000059/6, 270017/1-000059/9, 270017/1-000059/15, 270017/1-000059/22, 270017/1-000059/ 23, 270017/1-000060/5, 270017/1-000060/11, 270017/1-000060/31, 270017/1-0000/32, 270017/1-000062/...

Decision dated August 27, 2019 in case No. А31-7791/2019

Arbitration Court of the Kostroma Region (AC of the Kostroma Region)

1511 in the amount of 10,291,522 rubles 10 kopecks. The indicated invoices were accepted for payment for the total amount of 48,638,831 rubles 71 kopecks: - an act dated 15 . 02.2018 No. 1123841 of medical and economic control account No. 1401 in the amount of 9,306,079 rubles 79 kopecks; act dated 03/14/2018 No. 1124377 of medical and economic control account No. 1421 ...

Decision dated August 27, 2019 in case No. А82-14042/2019

On the Internet, and there is also a note in the minutes of the court session. After the break, the hearing continued. The plaintiff submitted to the case file a copy of invoice No. 003 dated 15 . 01.2019 After examining the case materials, the court found. As follows from the case file, on 01/01/2016 between the Limited Liability Company "Insurance Medical Company RESO-Med" and ...

Decision dated August 27, 2019 in case No. А82-14048/2019

Arbitration Court of the Yaroslavl Region (AC of the Yaroslavl Region) - Civil

The essence of the dispute: About non-fulfillment or improper fulfillment of obligations under insurance contracts

On the Internet, and there is also a note in the minutes of the court session. After the break, the hearing continued. The plaintiff submitted to the case file a copy of invoice No. 5 dated 15 . 01.2019 After examining the materials of the case, after hearing the representative of the plaintiff, the court found. As follows from the case file, on January 11, 2013 between the Limited Liability Company "Insurance Company" Ingosstrakh-...

Decision dated August 27, 2019 in case No. А82-14047/2019

Arbitration Court of the Yaroslavl Region (AC of the Yaroslavl Region)

On the Internet, and there is also a note in the minutes of the court session. After the break, the hearing continued. The plaintiff submitted to the case file a copy of invoice No. 00000002 dated 15 . 01.2019 After examining the materials of the case, after hearing the representative of the plaintiff, the court found. As follows from the case file, on December 29, 2011, the parties concluded an agreement No. 4 for the provision and...

This law guarantees free medical care to Russian citizens through the creation of a system compulsory insurance health. The regulatory document (FZ RF 326 on compulsory health insurance) regulates relations between structural units, the procedure for financing and control.

The structure of the social system for providing the population with medical services

The system of compulsory medical insurance (CHI), as well as, includes policyholders, an insurer and insured persons.

OMC members:

• citizens;
• organizations and enterprises;
• medical institutions;
• insurance organizations;
• Social Security Fund;
• territorial funds.

The role of the insurer is played by the state represented by the Government of the Russian Federation. It transfers part of its functions to the local authorities, to the heads of the subjects of the federation. The regulatory framework, including tariffs, the definition of the list of services, is established by the Government.

The video simply and clearly talks about compulsory health insurance:

Territorial conditions are developed and implemented on the basis of the State Program.

The essence of the system is the receipt of the basic package of medical care at the place of residence. An emergency ambulance service is available throughout the territory.

Policyholders are legal entities, individual entrepreneurs paying insurance premiums in the FSS.

It can be:

• state;
• municipal;
• private enterprises.

Insured persons are working citizens who have a CHI policy.

The Social Insurance Fund was established as a non-profit organization and has its own structural units in the form of territorial funds. Its functions include the accumulation of insurance premiums, co-financing of regional programs.

Rights and obligations of the FSS:

• is one of the developers of the state program for guaranteed free medical care;
• controls and manages financial resources;
• maintains a record of all insured persons;
• determines the number of regional insurance organizations;
• medical institutions providing services;
• checks the competence of territorial funds;
• cooperates with international organizations in the field of CHI.

Territorial funds are representatives of the regional insurer, which is the highest body of local executive power.

Functions of territorial funds:

• collection, accounting and spending of social insurance funds;
• development of regional programs based on federal, including per capita standards;
• formation of the register of insurers;
• insured persons;
• protection of the rights of citizens when receiving low-quality assistance;
• audit of the activities of medical institutions and medical insurance organizations.

A health insurance organization is an intermediate link between the Terfund and medical institutions, between insured persons and a polyclinic (hospital).

It concludes a contract for the provision of services with each institution and monitors their implementation. Based on the data provided, the regional fund allocates funds to the health insurance company, which then disposes of them according to the agreed conditions.

To provide outpatient, inpatient, emergency services, you must obtain a state license.

If you ask yourself, then in order to participate in the state compulsory medical insurance program, you need to submit an application to the Terfund. Organizations of all types of ownership have the right to be included in the register of medical institutions providing compulsory medical services.

Legal guarantees and obligations of medical organizations:

• timely and in full receipt of funds for the provided insurance services;
• appeal against the actions of insurance organizations;
• the provision of free medical care in accordance with the MHI, in some cases the patient is provided;
• providing the necessary information to patients about the services provided, the mode of operation;
• keeping records of insured persons;
• informing the territorial fund about the services rendered.

In the case of incomplete assistance, poor quality, funding is reduced, or the issue of deprivation of the license is resolved.

The video explains the difference between compulsory and voluntary health insurance:

Financing of the State CHI program in accordance with the federal law

Contributions for each insured person to the insurance fund are made by enterprises and organizations registered in the territory of the Russian Federation. Do you need OSAGO, if there is CASCO, find out.

The amount of contributions is approved in each subject on the basis of an agreement between the executive branch, the territorial fund, the insurance organization and the medical institution. The tariff structure (cost items) is determined by the federal executive body.

Its composition includes:

• staff salaries and accruals;
• the cost of medicines, tools, consumables;
• nutrition of patients;
• payment for diagnostics in other institutions;
• communal payments;
• social contributions for health workers;
• communication services, Internet;
• software installation and support;
• purchase of equipment up to 100 thousand rubles.

The established rate of compensation for the service rendered to the insured person in a polyclinic (hospital) is constant for all insurance organizations in a given region. He will tell you about car insurance without life insurance.

On the video Financing the State CHI Program:

The income part of the Federal Fund consists of:

• from mandatory insurance premiums;
• amounts of fines and penalties;
• unreceived payments;
• subsidies from the federal budget;
• profits from free funds placed in credit or investment organizations. Find out how to add a driver to an electronic OSAGO policy at.

Expenditure items of the Federal Insurance Fund:

• subventions to territorial funds;
• fulfillment of the obligations of the Government;
• device content.

The budget of the territorial fund is formed on the basis of:

• additional deductions for compulsory medical insurance from enterprises and organizations;
• regional payments for the provision of services not included in the basic program;
• subsidies from the FSS;
• accrued arrears, fines, penalties.

Territorial funds in case of insufficiency of their own funds receive subventions (grants) from the Federal Fund.

Financial support is provided under the following conditions:

• fulfillment of the requirement for insurance of the non-working population in the amount specified in the regional budget;
• its compliance with the indicator calculated according to the federal standard;
• monthly transfer of 1/12 of the approved annual amount to the FSS.

Expenses of terfunds are mainly the implementation of regional compulsory medical insurance programs.

As part of the Federal and territorial funds, a normalized reserve is created, which is necessary for stable financing, the amount and procedure for using which are determined by the highest federal and regional bodies. Read about the compulsory medical insurance policy from Rosgosstrakh.

Basic program of compulsory medical insurance of citizens in accordance with the Federal Law of the Russian Federation 326

The federal standard laid down in the mandatory medical insurance is adjusted at the level of the subjects of the federation, based on local conditions: age categories, the state of public health and infrastructure. Find out about the life and health insurance of a child athlete at.

Territorial programs should ensure a reduction in mortality from diseases, an increase in the quality medical services.

Insured citizens who have issued are entitled to receive all types of assistance free of charge: from emergency to preventive care using modern diagnostic equipment and tools.

On the video - the basic program of compulsory health insurance:

Federal Law 326-FZ, adopted in 2010, is the basis for the functioning of the compulsory health insurance system. The purpose of the document is to establish legal relations between the participants, determine the basic Program, sources of funding and responsibilities of the parties, which is mandatory for.

The Constitution of the Russian Federation (Article 49) guarantees the protection of the health of citizens, the provision of medical assistance to them and the possibility of life and health insurance. Thus, the state took full responsibility for organizing and paying for social, medical, health and preventive measures at the central and local levels. In particular, medical care for all categories of citizens is provided free of charge in federal and municipal medical institutions, at the expense of funds from compulsory medical insurance (compulsory medical insurance) funds. The procedure and conditions for their work are enshrined in Law No. 326 FZ on compulsory medical insurance of the Russian Federation.

Description of the law

The State Duma adopted the law on November 19, 2010 and six days later, by unanimous vote, it was approved by the Federation Council of Russia. Throughout the operation, the law has been improved by changing some of the individual provisions. The latest revision was adopted on December 28, 2016.

The law regulates the relationship between all participants in the CHI, establishes the rights and obligations of the parties, the claim procedure for resolving contentious issues and determines the sources of funding for the program. The main provisions of the law are as follows:

• general provisions, explain what CHI is, what terms are used in the text, their interpretation is given;
• the second chapter distributes the boundaries of the powers of state and local structures, as well as the procedure for their humiliation;
• further, the requirements for insurance companies, medical institutions, and other program participants are disclosed;
• the fourth chapter clarifies the obligations of the subjects of compulsory medical insurance, as well as the rights that they can use;
• basics of providing in cash implementation of the program are enshrined in chapter five of the law, including contributions, the procedure, the timing of their payment; billing of medical care;
• delimitation of powers, interaction between the federal and territorial MHIF, considers the sixth chapter;
• the provisions of basic assistance are fixed by chapter seven, where programs of territorial funds are simultaneously defined;
• chapter seven provides for the obligatory conclusion of contracts between subjects of compulsory medical insurance;
• fixes the controlling functions and the order of their application with the head of the ninth;
• the tenth chapter defines a unified procedure for recording personal information and medical data of insured persons, and also reveals the principles for processing, issuing documents confirming the fact of belonging to the MHI;
• the final provisions of the law reveal the essence, and the content of measures aimed at the development of health care, presents a list of norms (orders) that are no longer in force, determines the procedure for the entry into force of this law.

You can familiarize yourself with the current content of Law No. 326-FZ in full, with the changes that have come into force, by clicking on the link.

Changes in 2020

Funds allocated from the central and territorial budgets to state medical institutions within the framework of compulsory health insurance do not cover the needs of the population to receive quality medical care. They do not provide the full range of medical services necessary for the treatment of the spectrum. In this regard, citizens are forced to go to private clinics and pay for treatment from their own funds.

At the initiative of the All-Russian Union of Insurers (ARIA), in 2017, a draft reform of compulsory medical insurance was prepared, which was sent for consideration by specialists from the Center for Strategic Research (CSR), and the result of finalizing the project allowed the Ministry of Finance to draw up a concept for reforming the MHI.

The reform provides for the introduction of the following innovations into the legislation of the Russian Federation:

1. CHI insured persons will have the opportunity to choose a medical institution for treatment, regardless of the form of ownership. That is, it is envisaged to cover the vast majority of hospitals, polyclinics, and medical centers with cooperation agreements.
2. By exercising the right to apply to private medical institutions, the MHIF policy will partially cover the cost of treatment, and the costs of compensating the financial difference will be borne by the potential patient. Thus, a citizen will determine the need, but not the possibility, of turning to a private trader, based on his capabilities, state assistance.
3. The possibility of using this method of payment not only for medical care within the framework of domestic medical institutions, but even when contacting foreign specialists outside the country is being considered.

The start of the reform is scheduled for 2020. The priority measures include:

• completion of the implementation of a multi-level network of medical institutions (primary medical care, territorial medical institutions, special high-tech clinics);
• continuing to optimize the training system, improve the professional level of medical personnel;
• start implementation activities on scientific, technical innovations in the daily work of physicians;
• end the regulation of relations between private and public medicine.

The fact remains that cooperation with private clinics, foreign partners in the field of medicine, as well as expanding the basic list of services requires significant investments in the financing of the program. The source of funds is likely to be an increase in MHIF contributions. The measure will be justified only if the level of medical care, as well as the possibilities of treatment, move to a conceptually new level.

What else to expect

The main provisions of the draft reform, among other things, involve changes in approaches to established insurance issues, support of concluded contracts, including:

• the powers and capabilities of private insurers will be expanded;
• in addition to the classical insurance model, a corporate insured can be added as a separate entity;
• provides for the possibility of organizing private medical institutions to provide medical care to the population within the framework of insurance coverage.

According to the Center for Reform Research, the ongoing optimization of the branches of medicine has reduced the total number of medical institutions. From the zero to the fifteenth year, their number has halved (from 10.7 thousand to 5.4 thousand medical institutions), and places in hospitals, over the same period, have decreased by 27.55%.

At the same time, the reform proposes a fundamental change in attitude towards the following:

1. The financial position of medical workers (regardless of the level of training of personnel) should be increased by at least 200.0%.
2. Adoption of legislative measures that equalize the rights of doctors practicing in large cities, as well as in the rest of the country.
3. Development, technical support, systems of online consultations of the medical staff of territorial medical institutions with specialists from medical institutes, leading specialized clinics, for the prompt and correct determination of the patient's diagnosis.

In order to quickly identify the clinic of diseases, the possibility of prescribing preventive treatment, providing equal assistance at any territorial location of a medical institution, the reform involves the creation of an integrated system for registering diseases (“passports” of patients).

Estimated results of innovations

CSR calculations show that by 2024 healthcare and education will become the leading sectors of the state's development. The financing of these areas will reach the level of the leading countries of the world per capita, the costs will increase by 3.2 times. Ways to achieve these goals are related to the following tasks:

1. Distribution of funds between state medical and educational development programs. The result can be represented by an increase in funding for medicine from 3.3 to 4.3% of GDP.
2. The ability of the population to equally use the services of public and private medical institutions.
3. Expansion of the list of medicines free of charge under compulsory health insurance.
4. Clarification of the categories of privileged segments of the population receiving free medicines.
5. Introduction of preventive measures to preserve public health, including:

• further work on the prevention of alcoholism (measures to limit the sale of alcohol, tightening measures of influence);
• creation of conditions for mass sports, physical culture;
• introduction to the curriculum of schools of classes aimed at a healthy lifestyle;
• stimulation of the working population to go in for sports facilities, including up to 30.0 thousand rubles financially.

1. Organization of the work of medical institutions, aimed at early detection, treatment of diseases in the initial stages.
2. Active participation of citizens in preventive work to prevent diseases, their prevention

The Ministry of Health of Russia assumes that the planned implementation of the provisions of the reform should be carried out, with the simultaneous implementation of Law 326 Federal Law on Compulsory Medical Insurance in the Russian Federation. The complex of the above measures, by 2025, will provide an opportunity to increase the average life expectancy in the country to seventy-six years of age, with today's sixty-six for men and seventy-seven for women. At the same time, there should be a decrease in the mortality of the working population, which should be no more than three hundred and eighty per one hundred thousand people (today five hundred and thirty), child deaths should decrease from 5.4 to 4.5 per one thousand live births.

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Chapter 9. Constitutional amendments and revision of the Constitution

Program of state guarantees for the provision of free medical care to citizens of the Russian Federation for 2009

Section II. Federal laws Fundamentals of legislation on the protection of the health of citizens (Extracts) Section I. General provisions

Section II. Powers of the Federal State Authorities, State Authorities of the Subjects of the Russian Federation and Local Self-Government Bodies in the Field of Health Protection

Section III. Organization of public health protection in the Russian Federation

Section IV. The rights of citizens in the field of health protection

Section V. The rights of certain groups of the population in the field of health care

Section VI. The rights of citizens in the provision of medical and social assistance

Section VII. Medical activities for family planning and regulation of human reproductive function

Section VIII. Guarantees for the implementation of medical and social assistance to citizens

Section IX. medical expertise

Section X. Rights and social support of medical and pharmaceutical workers

Section XI. The international cooperation

Section XII. Responsibility for causing harm to the health of citizens

Section 2. Health insurance system

Part 3 of Article 12 is no longer valid in terms of the creation of the Federal Compulsory Medical Insurance Fund by the Supreme Council of the Russian Federation. - Decree of the President of the Russian Federation of December 24, 1993 n 2288.

Section 3. Activities of insurance medical organizations

Section 4. Activities of medical institutions in the health insurance system

Section 5. Regulation of relations between the parties in the health insurance system

Law of the Russian Federation "On the Prevention of the Spread in the Russian Federation of a Disease Caused by the Human Immunodeficiency Virus (HIV Infection") Chapter I. General Provisions

Chapter II. Medical care for HIV-infected people

Chapter III. Social support for HIV-infected people and their families

Chapter IV. Social support for persons at risk of contracting the human immunodeficiency virus in the performance of their official duties

Chapter V Final Provisions

Law of the Russian Federation “On donation of blood and its components” Section I. General provisions

Section II. Rights, obligations of the donor and measures of social support provided to him

Section III. Organization of blood donation of its components

Section IV. Final provisions

Law of the Russian Federation “On transplantation of human organs and (or) tissues Section I. General provisions

Section II. Removal of organs and (or) tissues from a corpse for transplantation

Section III. Removal of organs and (or) tissues from a living donor for transplantation

Section IV. Responsibility of the health care institution and its staff

Law of the Russian Federation "on psychiatric care and guarantees of the rights of citizens in its provision" Section I. General provisions

Section II. Provision of mental health care and social support for people with mental disorders

Section III. Institutions and persons providing mental health care. Rights and obligations of medical workers and other specialists

Section IV. Types of psychiatric care and the procedure for its provision

Section V. Control and prosecutorial supervision over the provision of psychiatric care

Section VI. Appealing mental health actions

Section iii. Codes of the Russian Federation (extracts) Criminal Code of the Russian Federation (extracts) Section I. Criminal Law (General Part)

Section II. A crime

Chapter 8

Section III. Punishment

Section VI. Other criminal law measures

Section VII. Crimes against the person (Special part)

Chapter 16. Crimes against life and health

Chapter 17. Crimes against freedom, honor and dignity of a person

Chapter 19. Crimes against the constitutional rights and freedoms of man and citizen

Chapter 20. Crimes against the family and minors

Section IX. Crimes against public safety and public order

Chapter 30

Labor Code of the Russian Federation Section III. Labor contract

Section IV. Work time

Section V Rest Time

Section VI. Pay and labor regulation

Section VIII. Labor schedule. Labor discipline

Civil Code of the Russian Federation Section I. General provisions (citizens (individuals))

Chapter 28

Chapter 29

Family Code of the Russian Federation Section I. General Provisions

Chapter 1. Family Law

Chapter 2. Implementation and protection of family rights

Section II. Conclusion and termination of marriage

Chapter 3. Conditions and procedure for entering into marriage

Chapter 4

Section III. Rights and obligations of spouses

Chapter 6. Personal rights and obligations of spouses

Chapter 7. Legal Regime of Spouses' Property

Chapter 8. Contractual regime of property of spouses

Section VI. Paid services On approval of the rules for the provision of paid medical services to the population by medical institutions

Regulations on the provision of medical services to the population in excess of the Program of State Guarantees in the territory of the Krasnoyarsk Territory

Section vii. Regulations on Clinical Residency Order of the Ministry of Health of the Russian Federation on approval of the “Regulations on Clinical Residency”

Notes

Law of the Russian Federation "On health insurance of citizens in the Russian Federation" (Extracts) Section 1. General provisions Article 1. Medical insurance

Health insurance is a form of social protection of the population's interests in health protection.

The purpose of health insurance is to guarantee citizens, in the event of an insured event, receiving medical care at the expense of accumulated funds and to finance preventive measures.

Medical insurance is carried out in two types: compulsory and voluntary.

Compulsory medical insurance is an integral part of state social insurance and provides all citizens of the Russian Federation with equal opportunities to receive medical and drug assistance provided at the expense of compulsory medical insurance in the amount and on conditions corresponding to compulsory medical insurance programs.

Voluntary medical insurance is carried out on the basis of voluntary medical insurance programs and provides citizens with additional medical and other services in excess of those established by compulsory medical insurance programs.

Voluntary health insurance can be collective and individual.

Article 2. Subjects of health insurance

The subjects of health insurance are: a citizen, an insurer, an insurance medical organization, a medical institution.

The insurers for compulsory health insurance are the executive authorities of the constituent entities of the Russian Federation and local governments - for the non-working population; organizations, individuals registered as individual entrepreneurs, private notaries, lawyers, individuals who have concluded employment contracts with employees, as well as paying remuneration under civil law contracts, on which, in accordance with the legislation of the Russian Federation, taxes are charged in the part to be credited to compulsory medical insurance funds - for a working population.

The insurers in case of voluntary medical insurance are individual citizens with legal capacity and/or enterprises representing the interests of citizens.

Insurance medical organizations are legal entities that provide medical insurance and have a state permit (license) for the right to engage in medical insurance.

Medical institutions in the health insurance system are licensed medical institutions, research and medical institutes, other institutions providing medical care, as well as persons engaged in medical activities, both individually and collectively.

Section 2. Health insurance system

Article 3. Object of voluntary medical insurance

The object of voluntary medical insurance is the insured risk associated with the costs of providing medical care in the event of an insured event.

Article 4. Medical insurance contract

Medical insurance is carried out in the form of an agreement concluded between the subjects of medical insurance. Subjects of health insurance fulfill obligations under the concluded contract in accordance with the legislation of the Russian Federation. A medical insurance contract is an agreement between the insured and the insurance medical organization, according to which the latter undertakes to organize and finance the provision of medical care of a certain volume and quality or other services to the insured contingent under the programs of compulsory medical insurance and voluntary medical insurance.

The health insurance contract must contain:

names of the parties;

the duration of the contract;

number of insured persons;

the amount, terms and procedure for making insurance premiums;

a list of medical services corresponding to programs of compulsory or voluntary medical insurance;

rights, obligations, liability of the parties and other conditions that do not contradict the legislation of the Russian Federation. (as amended by the Law of the Russian Federation of 04/02/1993 N 4741-1)

The form of standard contracts for compulsory and voluntary medical insurance, the procedure and conditions for their conclusion are established by the Council of Ministers of the Russian Federation.

The health insurance contract is considered concluded from the moment of payment of the first insurance premium, unless otherwise provided by the terms of the contract.

In the event that the insured loses the rights of a legal entity during the term of the contract of compulsory medical insurance due to the reorganization or liquidation of the enterprise, the rights and obligations under the specified contract are transferred to its successor.

During the period of validity of the contract of voluntary medical insurance, if the court recognizes the insured as incapable or limited in capacity, his rights and obligations are transferred to the guardian or custodian acting in the interests of the insured.

Article 5. Insurance medical policy

Each citizen in respect of whom a medical insurance contract has been concluded or who has concluded such an agreement independently receives an insurance medical policy. The health insurance policy is in the hands of the insured.

The form of the medical insurance policy and the instructions for maintaining it are approved by the Council of Ministers of the Russian Federation.

The insurance medical policy is valid throughout the territory of the Russian Federation, as well as in the territories of other states with which the Russian Federation has agreements on medical insurance of citizens.

Article 6. The rights of citizens of the Russian Federation in the system of medical insurance

Citizens of the Russian Federation have the right to:

compulsory and voluntary medical insurance;

choice of medical insurance organization;

the choice of a medical institution and a doctor in accordance with the contracts of compulsory and voluntary medical insurance;

receiving medical care throughout the Russian Federation, including outside the permanent place of residence;

receipt of medical services corresponding in volume and quality to the terms of the contract, regardless of the amount of the actually paid insurance premium;

filing a claim against the policyholder, medical insurance organization, medical institution, including for material compensation for damage caused through their fault, regardless of whether it is provided for in the health insurance contract or not;

repayment of a part of insurance premiums for voluntary medical insurance, if this is determined by the terms of the contract.

The norms relating to compulsory medical insurance established by this Law and normative acts adopted in accordance with it shall apply to working citizens from the moment an employment contract is concluded with them.

The interests of citizens are protected by the Councils of Ministers of the Russian Federation and the republics within the Russian Federation, government bodies of the autonomous region, autonomous districts, territories, regions, cities of Moscow and St. Petersburg, local administration, trade unions, public or other organizations (associations).

Article 7. Rights and obligations of stateless persons in the health insurance system

On the territory of the Russian Federation, stateless persons have the same rights and obligations in the health insurance system as citizens of the Russian Federation.

Article 8. Medical insurance of citizens of the Russian Federation abroad and foreign citizens on the territory of the Russian Federation

Medical insurance of citizens of the Russian Federation who are abroad is carried out on the basis of bilateral agreements between the Russian Federation and the host countries of citizens.

Medical insurance of foreign citizens temporarily staying in the Russian Federation is carried out in accordance with the procedure established by the Council of Ministers of the Russian Federation.

Foreign citizens permanently residing in the Russian Federation have the same rights and obligations in the field of health insurance as citizens of the Russian Federation, unless otherwise provided by international treaties.

Article 9. Rights and obligations of the insured

The insured has the right to:

participation in all types of health insurance;

free choice of insurance organization;

control over the fulfillment of the terms of the medical insurance contract;

repayment of a part of insurance premiums from an insurance medical organization in case of voluntary medical insurance in accordance with the terms of the contract.

The insured company, in addition to the rights listed in the first part of this article, has the right to:

attraction of funds from the profit (income) of the enterprise for voluntary medical insurance of its employees.

The insured is obliged:

conclude a compulsory medical insurance contract with an insurance medical organization;

pay insurance premiums in the manner prescribed by this Law and the medical insurance contract;

within its competence, take measures to eliminate adverse factors affecting the health of citizens;

provide the insurance medical organization with information on the health indicators of the contingent subject to insurance;

register as an insurer in the territorial compulsory health insurance fund in the manner prescribed by Article 9.1 of this Law.

Article 9.1. Registration of insurers under compulsory health insurance

Registration of policyholders under compulsory medical insurance is carried out in the territorial funds of compulsory medical insurance:

insured organizations and individual entrepreneurs within five days from the date of submission to the territorial funds of compulsory medical insurance by the federal executive body carrying out state registration legal entities and individual entrepreneurs, information contained respectively in the unified state register of legal entities, the unified state register of individual entrepreneurs and submitted in the manner established by the Government of the Russian Federation;

policyholders - private notaries at their place of residence (if they carry out activities in another place at the place of these activities) on the basis of an application submitted no later than 30 days from the date of receipt of a license for the right to notarial activities of an application for registration as an insurant and submitted simultaneously with application of copies of the license for the right to notarial activities, documents proving the identity of the insured and confirming his registration at the place of residence, as well as his registration with the tax authority;

The amendments introduced by Federal Law No. 137-FZ of July 27, 2006 apply to legal relations regulated by the legislation on taxes and fees that arose after December 31, 2006.

policyholders-lawyers at their place of residence (if they carry out their activities in another place at the place of these activities) on the basis of an application submitted no later than 30 days from the date of issuance of an attorney’s certificate for registration as an insurant and copies of an attorney’s certificate submitted simultaneously with the application , documents proving the identity of the insured and confirming his registration at the place of residence;

policyholders - individuals who have entered into employment contracts with employees, as well as paying remuneration under civil law contracts, on which taxes are levied in accordance with the legislation of the Russian Federation in the part to be credited to the compulsory medical insurance funds, at the place of residence of these individuals on on the basis of an application for registration as an insured, submitted no later than 30 days from the date of conclusion of the relevant agreements;

policyholders-organizations at the location of their separate subdivisions on the basis of an application for registration as an insurant, submitted no later than 30 days from the date of the creation of a separate subdivision;

policyholders - state authorities and local governments on the basis of an application for registration as an insurer, submitted no later than 30 days from the date of their establishment.

The procedure for registration of policyholders in the territorial fund of compulsory medical insurance and the form of the certificate of registration of the policyholder are established by the Government of the Russian Federation.

Article 10. Sources of financing of the healthcare system in the Russian Federation

The sources of financial resources for the healthcare system in the Russian Federation are:

funds of the republican (Russian Federation) budget, the budgets of the republics within the Russian Federation and the budgets of local Soviets of People's Deputies;

funds of state and public organizations (associations), enterprises and other economic entities;

personal funds of citizens;

gratuitous and (or) charitable contributions and donations;

income from securities;

loans from banks and other creditors;

other sources not prohibited by the legislation of the Russian Federation and the republics within the Russian Federation.

From these sources, the financial resources of the state, municipal health care systems and the financial resources of the state system of compulsory medical insurance are formed.

Article 11. Financial resources of the state, municipal health care systems

The financial resources of the state, municipal health care systems are intended for the implementation of state policy in the field of public health protection. The government of the Russian Federation, the governments of the republics within the Russian Federation, the government bodies of the autonomous region, autonomous districts, territories, regions, cities of Moscow and St. Petersburg, the local administration determine the amount of funding for the state, municipal health care systems.

The financial resources of the state, municipal health care systems are used for:

financing of activities for the development and implementation of targeted programs approved by the Councils of Ministers of the Russian Federation and the republics within the Russian Federation, government bodies of the autonomous region, autonomous districts, territories, regions, cities of Moscow and St. Petersburg, local administration;

providing professional training of personnel;

research funding;

development of the material and technical base of healthcare institutions;

subsidizing specific territories in order to equalize the conditions for providing medical care to the population under compulsory medical insurance;

payment for especially expensive types of medical care;

financing of medical institutions providing assistance in socially significant diseases;

providing medical care in case of mass diseases, in areas of natural disasters, catastrophes and other purposes in the field of public health protection.

Funds not spent in the past year are not subject to withdrawal and are not taken into account when appropriating appropriations from the budget for the next year.

Article 12. Financial resources of the state system of compulsory medical insurance

The financial resources of the state system of compulsory medical insurance are formed at the expense of deductions from insurers for compulsory medical insurance.

To implement the state policy in the field of compulsory medical insurance, the Federal and territorial funds of compulsory medical insurance are being created as independent non-profit financial and credit institutions.

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