Parliament adopted the bill NHIF budget for 2019 in first reading. Of voters 180 MPs were "in favor", 62 were against and 10 abstaineda. The vote abstained from MPs from the BSP and MRF.
The report of the Committee on Budgets and Finance states that in 2008 budget revenue page for 2019 it is expected that it will receive total revenue transfers in the amount of BGN 4 299 600 000., which is 439.6 million BGN higher than 2018. It is proposed that the income from health insurance is BGK 4 236 800 000, or BGN 418 400 000 more than in 2018. From the total amount of health insurance income for that health insurance premiums will amount to BGK 2 824 300 000 and health insurance transfers from the central budget 1 BGN 1 394 600 000.
Total costs and transfers for 2019 are estimated at BGN 4,350,000,000, or BGN 490,000,000 more than the amount for 2018.
About me running costs are provided BGN 4 212 800 000, which are allocated as follows: Main outpatient medical care BGN 225 million; for specialist outpatient medical care – BGN 250 700 000; for dental care – BGN 166,000,000; for medical diagnosis – BGN 90,000,000; for medical products, medical and dietetic products foodstuffs for special medical purposes for household treatment in the territory of the country and medicinal products used in the treatment of malignant tumors and medicinal products in life-threatening bleeds and in surgical emergencies and invasive interventions in patients with congenital coagulopathy, under conditions hospital medical care, which NHIF pays for the value of medical services provided – BGN 1 117 800 000; in the case of medical devices used in hospital medical assistance – BGN 104 000 000; for BGN hospital medical aid 2 001 500 000
Anticipates withis a negative budget balance up to BGN 50 400 000 with a source of financing – availability of NHIF to the BNB account at the beginning of the period. The estimated funds accept a health insurance premium of 8%.
Together with the transitional and final provisions of the project, changes are proposed The Health Insurance Act, the Act on Medicinal Products in Human Medicine, the Act on Health Care Establishments, the Health Act and other Acts.
Changes provide for creation Medical surveillance agency as a subordinate budget manager for the Minister of Health, as the legal successor to the assets, liabilities, archives, rights and duties of the Executive Agency "Medical Audit" and the Executive Agency for Transplants. Introductory control is introduced in order to establish new hospitals for medical assistance by agreeing to the National Assembly and expanding the operation of existing medical facilities with the consent of the Council of Ministers.
The changes provide for abolition of the existing accreditation procedure for medical facilities for their general medical activity and / or individual medical activities. The establishment and maintenance of the National Health Information System is planned. The aim is to create a database containing full information on the health status of each person, for the needs of all subsequent medical activities – diagnosis, treatment, rehabilitation, medical expertise, prevention, clinics, etc.
It is expected that the National Medical Commission of the Expert will create and maintain a database of information for all persons who have passed through TEMC / NELC in order to establish a permanently reduced ability / type of work and disability. The texts regulate the obligatory structure and content of medical standards that will be prepared for all specialties.
They are provided new payment mechanisms for medicinal products and medical equipment. The activities of the Children's Treatment Center and the Commission for Medical Treatment abroad are transferred to the National Health Insurance Fund and the funds will be transferred by the Ministry of Health through handover. This process will be carried out without lifting the existing rights of patients requiring access to treatment.