Newspaper “News”, writes about the new rules on the provision of paid medical care, which will come into force on September 1 and will be valid until 2026. These changes are designed to streamline existing norms and make them more transparent to citizens. In early August, the media wrote that if there is no serious threat to life, you will have to pay for the arrival of the ambulance – this is not so.
The rules of work and the list of paid services were analyzed by lawyers and experts.
In accordance with the government decree dated May 11, 2023 and numbered 736, information emerged that from September 1, ambulance doctors will charge for emergency care if there is no direct threat to the patient’s life.
The text of the document really says that medical institutions operating under compulsory medical insurance (CHI) have the right to provide paid services when citizens independently apply for medical care, except in cases provided for by the health legislation of the Russian Federation. At the same time, emergency services are excluded from the paid list.
The Ministry of Health of the Russian Federation denied the rumors about the introduction of paid medical care. All medical care and medication provided under the state guarantee program will be provided free of charge. Changes in this area are not planned.
Lawyers and medical professionals confirm that state guarantees provided by federal law to Russian citizens cannot be canceled by this decree. However, changes may affect foreign nationals.
In the previous legislation regulating paid health services, there was a prohibition on paid emergency and emergency care. The new document only excludes paid emergency services, but emergency care becomes paid. Thus, budget medical organizations can begin to charge foreign citizens for emergency care.
Experts point out that the new rules described in the new document have several purposes. One is to reduce the burden on doctors, and the other is to increase the availability of additional services. These changes are explained by the overall change in the situation in healthcare, including the development of telemedicine and the emergence of new clinical guidelines.
The official regulation on paid healthcare was updated more than 10 years ago, and a lot has changed since then. The new document reflects these changes, including the requirement to provide paid medical care in accordance with clinical guidelines approved by the Ministry of Health. This directly affects the quality of diagnosis and treatment. In addition, long-standing legal disputes have been resolved and important explanations have been added.
According to the decree, medical institutions are given the right to provide paid services in a number of cases. First of all, this applies to cases where the patient wants to take a particular drug that is not vital, not purchased at a budgetary expense and not caused by vital signs. In addition, paid services may be provided if the patient needs medical products or additional special nutrition that is not included in government guarantees. In some cases, fees may also be charged for individual nursing care that is not medically necessary.
But some experts have expressed concerns about the new rules. For example, he states that patients may have to pay for drugs that medical institutions do not have in stock. It is also noted that if a citizen does not want to give his personal information, he will have to pay for medical care.
Currently, the department has not disclosed the need for a new regulation and has not answered some questions about it.
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