Name of law
Law amending the Law on Medical Institutions




Name Bill
Bill amending the Law on Medical Institutions





Date of adoption
23/07/2010



Number / year Official Gazette
59/2010







DECREE № 222
Pursuant to Art. 98 pt. 4 of the Constitution of the Republic of Bulgaria
DECREE:
To be published in the "Official Gazette" Law amending the Law on Medical Institutions adopted by HLI National Assembly on July 23, 2010 || | Released in Sofia on July 28, 2010
President of the Republic, Georgi Parvanov
stamped with the state seal.
Minister of Justice Margarita Popova

Law amending the Law on Medical Institutions (prom. SG. 62 of 1999 .; amend., SG. 88 and 113 in 1999 ., corr., No. 114 of 1999 .; amend., SG. 36, 65 and 108 of the 2000 .; Decision № 11 of the Constitutional Court of 2001 - SG. 51 of 2001 .; amend. pcs. 28 and 62 of 2002, pcs. 83, 102 and 114 of 2003, SG. 70 of 2004, pcs. 46, 76, 85, 88 and 105 of 2005, pcs. 30 34, 59 and 105 of 2006, pcs. 31, 53 and 59 of 2007 pcs. 110 of 2008, pcs. 36, 41, 99 and 101 of 2009 and SG. 38 of 2010 .)
§ 1. In art. 2a par. 1 is amended as follows:
"(1) the medical faculties of dentistry higher medical schools can be carried out medical and diagnostic activity in practical training of students in medicine, dentistry and pharmacy, graduate training of doctors and dentists, as well as conducting research. "
§ 2. in art. 3 par. 2 is amended as follows:
"(2) The medical establishments of art. 8, para. 1, p. 1, letter "a", and so on. 2, letter "a" are established by:
1. individuals - doctors and dentists;
2. sole traders or sole trading companies registered doctors and dentists; when the hospital was established as a private company, the sole owner managed and represented hospital. "
§ 3. In art. 5 following amendments and additions:
1. In para. 1 the word "psychic" is replaced by "mental".
2. A par. 4:
"(4) The medical institutions for inpatient psychiatric care can provide social services under the Social Assistance Act."
§ 4. In art. 6 The following amendments and additions:
1. In para. 1 in the first sentence, the word "standards" is replaced by "medical standards" in the second sentence, the word "standards" is replaced by "medical standards".
2. A par. 5:
"(5) The control over medical establishments for compliance with standards under par. 1 and requirements of Art. 19, para. 2 and 3 are performed by the bodies referred to in this Act, the Health Act and the Health Insurance Act. "
§ 5. In art. 8 made the following amendments:
1. In para. 1:
a) in item. 2, letter "c" words "Dental Centre" shall be deleted;
B) the item. 4:
"4. dental centers. "
2. Paragraph 2 is amended as follows:
"(2) The medical institutions under par. 1 pt. 2, letter "c" and "d" and so on. 4 can detect up to 10 beds for observation and treatment within 48 hours. "
§ 6. In art. 9 par. 4 and 5 are canceled.
§ 7. In art. 10 be made the following amendments:
1. Point 3 is amended as follows:
"3. Center for mental health. "
2. Created so. 3a and 3b:
"3a. Center for Skin and venereal diseases;
3b. comprehensive cancer center; ".
§ 8. In art. 16 be made the following amendments:
1. In para. 1, 'dental center "are deleted.
2. A new paragraph. 2:
"(2) Dental Center is a hospital in which not less than three dentists with different specialties recognized conduct primary and specialized outpatient dental care."
Third. Former para. 2 becomes para. 3.
4. Former para. 3 becomes para. 4 and the words "para. 2 "is replaced with" para. 3 '.
§ 9. In art. 19 be made the following amendments:
1. The previous text becomes para. 1 and it creates so. 4c:
"4c. dispensary; ".
2. Created al. 2, 3 and 4:
"(2) The medical establishment for hospital care under par. 1 operates:
1. in accordance with approved under Art. 6 para. 1 medical standards and rules of good medical practice;
2. provision at the hospital for hospital care with medical specialists with basic employment contract; 3
. the presence of certain medical standards of art. 6 para. 1 technically correct medical devices and equipment inside the relevant hospital.

(3) The medical establishment for hospital care under par. 1 provides continuous 24-hour performance of medical care in medical specialties as authorized under Art. 47 including medical assistance during emergencies.
(4) The financing of medical care in emergency conditions under par. 3 is performed according to methods determined by the Minister of Health, within the funds provided in the budget of the Ministry of Health for the calendar year. "
§ 10. In art. 20 be made the following amendments:
1. The previous text becomes para. 1.
2. Created al. 2 and 3:
"(2) In the hospital for active treatment can be detected structures for further treatment and continuous treatment or rehabilitation.
(3) The activities under par. 2 can be done after authorization under Art. 47. "
§ 11. Article 23 is amended as follows:
" Art. 23. (1) Hospital is a hospital that has wards or clinics at least two medical specialties.
(2) Specialized Hospital is a hospital that has wards or clinics in a medical or dental specialty.
(3) Specialized Hospital can detect structures and subjects with predominantly surgical, therapeutic, clinical diagnostic or other purpose and in anesthesiology and intensive care, ensuring the implementation of the program under which the hospital specializes.
(4) specialties under par. 1-3 and their orientation are determined in accordance with Art. 181, para. 1 of the Health Act. "
§ 12. Article 26 is amended as follows:
" Art. 26. (1) Mental Health Center is a hospital in which doctors with the help of other staff perform the following activities:
1. Emergency psychiatric care;
2. diagnosis and treatment of persons with mental disorders; 3
. periodic monitoring and counseling of persons with mental disorders and home care;
4. psychotherapy and psychosocial rehabilitation;
5. psychiatric and psychological expert activity;
6. creating and maintaining a regional information system for persons with mental disorders needs to register under Art. 147a para. 1 of the Health Act;
7. promotion, prevention and improving the mental health of the population;
8. informing the public on issues of mental health;
9. Research in the field of mental health.
(2) The medical activity at the Center for Mental Health is guided by a physician board certified in psychiatry and training in health management.
(3) Center for Mental Health consists of the following units: diagnostic alarm; and emergency mobile psychiatric care; Active treatment of persons with severe mental disorders who can specialize by sex, age profile of the disease or other status; rehabilitation and re-socialization, including occupational therapy.
(4) The Center for Mental Health can be found beds for diagnostic and curative stays.
(5) The Centre for Mental Health may provide social services under the Social Assistance Act.
(6) The structure, activity and internal order of the Center for Mental Health are governed by regulations approved by the head of para. 2. "
§ 13. created art. 26a and 26b:
"Art. 26a. (1) Center for Skin and Venereal disease is a hospital in which doctors with the help of other staff perform the following activities:
1. diagnosis, treatment and rehabilitation of individuals with acute and chronic dermatological diseases;
2. periodic monitoring of persons with skin and venereal diseases, including life-threatening bullous dermatologic diseases (forms of pemphigus); 3
. diagnosis, treatment and prevention of persons with sexually transmitted infections;
4. periodically prepare an analysis of epidemiological indicators for sexually transmitted infections and evaluate the quality and efficiency of the diagnostic, therapeutic, and rehabilitation activities;
5. Expert in the field of sexual health and skin-venereal diseases;
6. promotion, prevention and improve the sexual health of the population and skin-venereal diseases;
7. informing the public on issues of sexual health and skin-venereal diseases;
8. research in the field of sexual health and skin-venereal diseases.
(2) Healing activity center for skin and venereal diseases are supervised by a physician specialist in skin and venereal diseases and qualification in health management.
(3) The Centre for Skin and Venereal Diseases consists of specialized diagnostic consulting rooms and supporting their business units.
(4) The center for skin and venereal diseases can be detected up to 10 beds for diagnostic and curative stays.

(5) The structure, activity and the internal order of the center for skin and venereal diseases are governed by regulations approved by the head of para. 2.
Art. 26b. (1) Complex Oncology Center is a hospital in which doctors with the help of other staff perform the following activities:
1. active search, diagnosis and treatment of people with cancer;
2. periodic monitoring, advice and follow-up of patients with cancer and pre-cancer; 3
. and dispensary registration of patients with cancer and pre-cancer;
4. creation and maintenance of a cancer registry for the territory of the service area and the needs of the National Cancer Registry;
5. promotion and prevention of oncological diseases;
6. informing the public on issues of oncological diseases;
7. expertise and advice in the field of oncology and medical oncology;
8. Research in the field of oncology;
9. conducting clinical and therapeutic trials in the field of medical oncology;
10. realization of complex training programs and specialization in oncology, medical oncology and radiotherapy and health care;
11. providing consultations on issues of oncological diseases in the service area;
12. making prevention and screening programs for cancer.
(2) Healing activity in the complex oncology center is headed by a physician specialist in oncology or medical oncology and qualification in health management.
(3) The complex oncology center has the following structure:
1. diagnostic-consultative block, which consists of specialized diagnostic consulting rooms, laboratories and wards without beds imaging, anatomy and nuclear medicine;
2. stationary block, which consists of sections corresponding to the main methods of complex treatment - medical oncology, radiotherapy, oncology surgery; 3
. Unit registration and prevention of oncological diseases;
4. pharmacy to meet their own needs.
(4) integrated oncology center can be found beds for post treatment, rehabilitation and palliative care.
(5) The comprehensive cancer center may provide social services under the Social Assistance Act.
(6) The structure, activity and the internal order of complex oncology center are governed by regulations approved by the head of para. 2. "
§ 14. In art. 27 make the following additions:
1. In para. 1 after the word "disease" a comma and added "specific home care for persons with chronic debilitating diseases."
2. A par. 4:
"(4) Homes for medical and social care can provide social services under the Social Assistance Act."
§ 15. Article 28 is amended as follows:
"Art. 28. (1) The hospice is a hospital when there are medical and other specialists carry out palliative care for terminally ill patients.
(2) Healing activity in hospice registered under this Act shall be governed by a healthcare professional.
(3) The structure, activity and the internal order of the hospice - hospital are governed by regulations approved by the head of para. 2.
(4) The Hospices - hospitals may provide social services under the Social Assistance Act. "
§ 16. In art. 29 be made the following amendments:
1. In para. 1 word "dispensaries" is replaced by "centers mental health centers for skin and venereal diseases, complex oncology centers."
2. Created al. 3-7:
"(3) development of regional health card Health Minister appoint a committee that includes the governor, one representative of the regional health center, a representative of the Regional Inspectorate for Protection and Control of Public Health, two representatives of the regional health Insurance Fund, a representative of the regional board of the Bulgarian medical Association, regional college of Bulgarian dental Association and the regional Association of Bulgarian Association of healthcare professionals, a representative of the representative organizations for protection of patient rights and a representative of municipalities in the area, whose territory has a medical establishment for hospital care.
(4) representatives of the municipalities under par. 3 shall be determined under the Law on Local Government and Local Administration. Representatives of the organizations for protection of patients' rights be appointed and dismissed by the organizations recognized under Art. 86B of the Health Act.
(5) For each area map covers the municipalities as listed under Art. 6 para. 2 of the Health Insurance Act.

(6) In developing a regional health cards commission under par. 3 is obliged to comply access to medical care for the population living in inaccessible and remote areas.
(7) Each Regional Commission shall submit to the Minister of Health, the regional health card and all primary information used to create it, and proposals to restructure the medical establishments for hospital care. "
§ 17. Article 30 amended as follows:
"Art. 30. (1) The regional health cards are created after assessing the needs of emergency, primary and specialized outpatient and hospital care and compliance of medical institutions with the requirements of Art. 19, para. 2 and 3.
(2) The medical establishments for hospital care is financed by the state budget or the budget of the National Health Insurance Fund only for the activities of clinics and wards, which are found to comply with the requirements under par. 1 and Art. 34, para. 4.
(3) The medical establishments for hospital care is financed by the state budget or the budget of the National Health Insurance Fund on the activities of clinics and wards for which there is no compliance with the requirement of art. 19, para. 2 pt. 2 under the terms and conditions of Art. 59 para. 12 of the Law on Health Insurance. "
§ 18. Article 31 is amended as follows:
" Art. 31. (1) The regional health cards contain:
1. geographical boundaries of health regions;
2. the type, number, operation and distribution of medical institutions at different levels of medical care in the field without those under Art. 32, para. 2 pt. 2; 3
. the minimum number of doctors and dentists in outpatient care in specialties;
4. minimum and maximum number of beds for active treatment (therapeutic, surgical, pediatric, gynecological and beds for intensive care) and Long Treatment and Aftercare;
5. medical establishments for hospital care with which the National Health Insurance Fund must conclude annual contracts under the Health Insurance Act.
(2) The distribution of the number of beds under par. 1 pt. 4 is determined according to the number of population in the area in an order determined by a method approved by the Minister of Health.
(3) In developing the methodology under par. 2 Health Minister is obliged to comply access to medical services to the population. "
§ 19. Article 32 is amended as follows:
" Art. 32. (1) The National Health Card is made by a national commission appointed by the Minister of Health, who is chairman of the committee.
(2) National Health card contains:
1. the contents of the regional health cards under Art. 31, para. 1 prior coordination and approval from the Minister of Health;
2. required number of centers for emergency medical care, blood establishments, hospitals for inpatient psychiatric care, hospitals for the treatment of cancer, with the exception of complex oncology centers, hospitals for treatment of infectious diseases, including especially dangerous infectious diseases and homes for medical care in carrying out medical observation and specific care for children; 3
. national health priorities;
4. medical establishments for hospital care with which the National Health Insurance Fund must conclude annual contracts under the Health Insurance Act to provide affordable medical care;
5. minimum and maximum number of beds for active treatment (therapeutic, surgical, pediatric, gynecological and intensive care) and for further and continued treatment of medical institutions under it. 1 and 2;
6. list of medical establishments for hospital care, which are not subject to privatization. "
§ 20. Article 33 is repealed.
§ 21. In art. 34 be made the following amendments:
1. In para. 3 words "take into account accreditation assessments" be replaced with "account compliance with the requirements of Art. 19, para. 2 and 3 ".
2. A par. 4:
"(4) National health card under par. 1 is mandatory for distribution of medical institutions under Art. 29, para. 1 and for financing paid by the National Health Insurance medical activities, with the exception of medical institutions under Art. 8, para. 1 created by dentists under this law. "
§ 22. In art. 35 create par. 4 and 5:
"(4) The issuance of regulations under par. 3 is made after verification by the Regional Centre for Health and the Regional Inspectorate for Protection and Control of Public Health on compliance with medical standards and health requirements as evidenced by documents and in accordance with Art. 47, para. 4.

(5) In cases where the hospital will carry out collection and transplantation of organs, tissues and cells issuing regulations under par. 3 takes place after inspection by the Executive Agency for Transplantation and issued pursuant to Art. 47, para. 6 certificate. "
§ 23. In art. 36 para. 2 is amended as follows:
"(2) The medical establishments of art. 8, para. 1, p. 1, letter "a", and so on. 2, letter "a" is set up as sole commercial companies or sole traders, then register under Art. 40. In cases where medical institutions under Art. 8, para. 1, p. 1, letter "a", and so on. 2, letter "a" are established by individuals - doctors and dentists, they register only under Art. 40. "
§ 24. In art. 37 be made the following amendments:
1. In para. 1 word "dispensaries" is replaced by "centers mental health centers for skin and venereal diseases, complex oncology centers."
2. In para. 2 after the words "Art. 26, para. 1 "is added" art. 26a para. 1, Art. 26b para. 1, Art. 27 para. 1 ". 3
. In para. 3 word "dispensary" is replaced by "centers mental health centers for skin and venereal diseases, comprehensive cancer centers."
§ 25. In art. 39, para. 3, 'dental faculty "are replaced by" medical faculty or faculty of dental medicine. "
§ 26. In art. 40 made the following amendments:
1. In para. 1:
a) in item. 1 the words "actual certificate for commercial registration" is replaced by "data for unique identification code of a company or cooperative from the Trade Register";
B) Point 7 is amended as follows:
"7. certificate of conviction - for those members of management and supervisory bodies of the hospital; "
c) points 8, 9 and 11 shall be repealed;
D) point 12 shall be amended as follows:
"12. documents for paid state charge under Art. 41, para. 3 of this Act and under Art. 46 of the Health Act, and in the cases under par. 5 - and paid state charge under Art. 11, para. 6 of the transplantation of organs, tissues and cells. "
2. Paragraph 2 is repealed. 3
. Create a new paragraph. 3, 4 and 5:
"(3) On the day of filing the application for registration under par. 1 and 7 Regional Health Center sent through official channels to request the relevant Regional Inspectorate for Protection and Control of Public Health for verification of the compliance with the health requirements of the hospital.
(4) Within 14 days of receiving the request under par. 3 Regional Inspectorate for Protection and Control of Public Health issued hygienic conclusion on the subject. In conclusion indicating whether the project complies with the health requirements and, if discrepancies are given instructions and set a deadline for their removal.
(5) In cases where the hospital will carry out sampling and tissues and cells, the regional health center on the day of receipt of the application under par. 1 sent through official order request to the Executive Agency for Transplantation for checking on compliance with the approved medical standards by the medical establishment. "
4. A par. 6:
"(6) Within 14 days of receiving the request under par. 5 Executive Agency for Transplantation certificate. The certificate indicating whether the hospital can perform sampling and tissues and cells in accordance with established medical standards, and when discrepancies are given instructions and set a deadline for their removal. "
5. Former para. 3 becomes para. 7 and in it:
a) in item. 2, 'doctors - professors of dentistry "are replaced by" doctors professors and doctors - professors of dentistry ";
B) Section 3 is repealed.
6. Former para. 4 becomes para. 8 and is amended as follows:
"(8) incompleteness of the documents under par. 1 and 7 to 14 days after the director of the regional health center shall notify the person about it and set a deadline for their removal. "
7. Former para. 5 becomes para. 9 and amended as follows:
"(9) Within 14 days of receipt of the documents under par. 4 and 6 or elimination of the incompleteness under par. 8 Director of Regional Health Center issued a certificate of registration of the hospital or certified to perform medical activity under Art. 2a. "
§ 27. In art. 41 is amended as follows:
1. In para. 1:
a) in the text before item. 1 the word "layman" is replaced by "public";
B) pt. 4 words "name, passport data, identification number, address" are replaced by "name of the identity document";
C) pt. 5, the words "name, passport data, identification number, address" are replaced by "name of the identity document."
2. In para. 2 pt. 4 the words "Art. 40, para. 3 pt. 2 "are replaced by" Art. 40, para. 7 pt. 2 ".
§ 28. In art. 44 para. 1 is amended as follows:
"(1) The director of the regional health center a motivated refusal to register:

1. deficiencies in the documents submitted under Art. 40 and failure to remove them within the period specified under Art. 40, para. 8;
2. when a person representing the hospital, been convicted for premeditated indictable offense, unless rehabilitated, or deprived of the right to practice a profession or business; 3
. when the Regional Inspectorate for Protection and Control of Public Health found non-compliance with health requirements are not removed within that time-limit;
4. when the Executive Agency for Transplantation found non-approved medical standards that are not removed within that time-limit. "
§ 29. In art. 45 is amended as follows:
1. Paragraph 1 shall be amended as follows:
"(1) The registration of a medical establishment is deleted:
1. when regional college of the professional organization was removed from the doctor or dentist who has founded a hospital under Art. 8, para. 1, p. 1, letter "a", and so on. 2, letter "a";
2. found in violation of Art. 3, para. 4; 3
. in carrying out activities in violation of the registration;
4. in carrying out activities in violation of the established medical standards and health conditions;
5. in previous Annual Report for more than 6 months;
6. in the circumstances of art. 44, para. 1, p. 2;
7. at the request of the hospital;
8. termination of the legal person upon the death of the registered or placed under guardianship. "
2. In para. 2 pt. 2 the words "dental faculty" are replaced by "medical school or faculty of dentistry." 3
. In para. 4 the words "under par. 1, p. 1, 2 and 5 "are replaced by" under par. 1, p. 1-6 and par. 2 pt. 4 ".
§ 30. In art. 46 be made the following amendments:
1. In para. 1 word "dispensaries" is replaced by "centers mental health centers for skin and venereal diseases, complex oncology centers."
2. In para. 3, after the words "medical institutions" insert "for hospital care and homes for medical and social care, as well as terms and conditions for the detection of structures of art. 20, para. 2 ".
§ 31. Article 47 is amended as follows:
"Art. 47. (1) Permission to operate from medical institutions under Art. 46, para. 1 shall be issued after submission of an application to the Minister of Health, enclosing:
1. data for unique identification code of a company or cooperative from the Commercial Register and for companies registered in the state - member of the European Union or a State party to the Agreement on the European Economic Area - proof of current registration under national law issued by the competent authority of the State;
2. Rules for the structure, activity and the internal order of the medical establishment; 3
. diploma respective higher education of the persons managing the hospital, and for persons under Art. 63, para. 1 respectively and a diploma, certificate or a certificate of qualification in health management or a diploma or certificate of specialist in medical informatics and health management or health economics;
4. Data from the identity document - for members of the executive and supervisory bodies of the hospital;
5. certificate of conviction - for those members of management and supervisory bodies of the hospital;
6. authorization of the competent state authority when the medical establishment will use medical equipment with a source of ionizing radiation;
7. certificate of registration of the Bulgarian Medical Association, or the Bulgarian Dental Association - for members of the executive or supervisory authorities who are doctors or dentists;
8. documents for paid state charge under Art. 49, para. 3 of this Act and under Art. 46 of the Health Act, and in the cases under par. 6 - and paid state charge under Art. 11, para. 6 of the transplantation of organs, tissues and cells.
(2) The application under par. 1 is fed into the regional health center.
(3) On the day of receipt of the application Regional Health Center sent through official channels request to the Regional Inspectorate for Protection and Control of Public Health to carry out a joint inspection on the compliance with the requirements of the ordinance under Art. 46, para. 3 Rules of art. 28a par. 3 and established medical standards.
(4) Within 30 days of receiving the request under par. 3 Regional Health Center and Regional Inspectorate for Protection and Control of Public Health issued relevant certificate and hygienic conclusion to meet the requirements of the ordinance under Art. 46, para. 3 Rules of art. 28a par. 3 and established medical standards, while discrepancies give instructions and set a deadline for their removal.

(5) In cases where the hospital will carry out collection and transplantation of organs, tissues and cells, the Ministry of Health on the day of receipt of the application by the regional health center sent through official channels to request the Executive Agency for Transplantation to perform check on compliance with the approved medical standards in the field of transplantation from hospital.
(6) Within 30 days of receiving the request under par. 5 Executive Agency for Transplantation certificate. The certificate indicating whether the hospital can perform sampling and transplantation of organs, tissues and cells in accordance with established medical standards, and when discrepancies are given instructions and set a deadline for their removal.
(7) Within one week of the deadline under par. 4 and 6 regional health center sent to the Minister of Health documents under par. 1, 2, 4 and 6.
(8) incompleteness of the documents under par. 1 Minister of Health within 30 days notify the person about it and set a deadline for their removal.
(9) To remove the deficiencies term of art. 48, para. 1 stop.
(10) Where necessary, officials appointed by the Minister of Health, can perform a check on compliance with the requirements under par. 3. "
§ 32. In art. 48 be made the following amendments:
1. Paragraph 1 shall be amended as follows:
"(1) Within three months of the submission of documents under Art. 47 Minister of Health authorizes the carrying out of the hospital or a motivated refusal to issue. The permit for medical activity fit:
1. full name of the hospital on commercial registration - for commercial companies and cooperatives;
2. Unique identifier of the hospital (for commercial companies and cooperatives) and single registration number; 3
. activities respectively Art. 19, art. 20, para. 2, Art. 24, 25, 26, 26a, 26b, 27 and 28a;
4. the level of competence of the relevant structures;
5. medical specialties in which the hospital operates;
6. clinics and wards, which operates and clinical diagnostic structures with their levels of competence;
7. address where the activity takes place. "
2. A new paragraph. 2:
"(2) The Minister of Health shall issue a reasoned refusal:
1. deficiencies in the documents submitted under Art. 47 and failure to remove their definitions under Art. 47, para. 8 deadline;
2. when a person representing the hospital, been convicted for premeditated indictable offense, unless rehabilitated, or deprived of the right to practice a profession or business; 3
. when discrepancies are found with the health requirements approved medical standards of art. 6 para. 1 ordinance of art. 46, para. 3 and regulations under Art. 28a par. 3 are not removed within the term of art. 47, para. 4;
4. when the Executive Agency for Transplantation found non-approved medical standards that are not removed within that time-limit. "
third. Former para. 2 becomes para. 3.
§ 33. In art. 49 be made the following amendments:
1. Paragraph 1 shall be amended as follows:
"(1) The Ministry of Health keeps a register of medical institutions authorized to medical activity. The register is public and contains:
1. number and date of authorization of medical activity;
2. data about the medical establishment - name, registered office, capital, unified identification code and a single registration number, address of the activity; 3
. level of competence of the relevant structures;
4. name of identity document - for those members of management and supervisory bodies of the hospital;
5. types of therapeutic activities for which authorization was granted;
6. date of withdrawal of the authorization and the reason for this;
7. changes in the circumstances under item. 1 - 6. "
2. A par. 4:
"(4) Funds from fees under par. 3 be spent for establishing, maintaining and keeping the register under par. 1, and the training of employees of the central administration of the Ministry of Health. "
§ 34. In art. 50 para. 2 is amended as follows:
"(2) Changes in circumstances entered in the authorization under Art. 48, para. 1 are made pursuant to Art. 46, para. 2 and 3 and art. 47. "
§ 35. In art. 51 made the following amendments:
1. In para. 1:
a) point 3 is amended as follows:
"3. disturbing Chapter Three, Sections I, II and III and Chapter IV, Sections III and IV of the Health Act; "
b) The pt. 4 and 5:
" 4. found repeated violation of the established medical standards of art. 6 para. 1;
5. not started or stopped performing medical activity for six months. "
2. A new paragraph. 3:

"(3) In the cases under par. 1, p. 4 permit shall be revoked by written reasoned order of the Minister of Health in its part of medical activity in the medical specialty for which it was established violation of the approved medical standard. "
Third. Former para. 3 becomes para. 4 and in it after the figure "2" is added "and 3".
4. Former para. 4 becomes para. 5.
§ 36. In art. 56 para. 1 p. 1 is amended as follows:
"1. He has a higher education degree "master" in medicine, dentistry, economics or law; ".
§ 37. In art. 57 be made the following amendments:
1. The previous text becomes para. 1.
2. A par. 2:
"(2) clinics, wards and medical and diagnostic laboratories have a level of competence determined in accordance with established medical standards of art. 6 para. 1. The level of competence is determined by the order and criteria specified in the ordinance under Art. 46, para. 3. "
§ 38. In art. 59 is amended as follows:
1. In para. 1, first sentence, the words "or basic profile" are deleted.
2. Paragraph 2 is repealed.
§ 39. A Art. 60a:
"Art. 60a. Consulting offices perform inspections and reception of patients in need of hospitalization or check-ups after hospital discharge. "
§ 40. In art. 63, para. 5 after the words "item. 3 "insert" and 4 ".
§ 41. In art. 65 shall be created para. 3:
"(3) The director of the center for emergency care center for Haematology at a hospital for inpatient psychiatric care and home medical care, which carried medical observation and specific care for children It is testimonial every three years by a commission appointed by the Minister of health. The procedure for conducting attestation is determined by the respective regulations of art. 35, para. 3. "
§ 42. In art. 69, para. 2, the p. 10:
"10. provide conditions for active cooperation of the hospital with the Social Assistance Agency and its territorial units on the prevention of child abandonment and child abuse. "
§ 43. In art. 79, para. 1, p. 2, 'nurses in the medical establishment "is replaced by" medical professionals in hospital with a degree "Bachelor" and "professional bachelor".
§ 44. In art. 80 shall be created para. 3:
"(3) The medical establishment for hospital care is required to provide doctors with recognized specialty of basic labor contract in the respective specialty."
§ 45. In art. 82 'outside those under Art. 5 para. 1 "are deleted.
§ 46. In art. 86 made the following amendments:
1. Paragraph 1 shall be amended as follows:
"(1) The medical establishments for hospital care, dialysis centers, transfusion hematology centers for emergency medical care centers mental health centers for skin and venereal diseases, complex oncology centers, homes for medical care, medical diagnostic and medical technical laboratories, medical centers, dental centers, medical and dental centers and diagnostic-consultative centers and tissue banks subject to a voluntary accreditation:
1. overall medical activities of the hospital;
2. individual medical actions; 3
. training opportunities for students and graduates. "
2. A new paragraph. 2:
"(2) The medical institutions under par. 1 who want to conduct training of students and specialists, must be accredited for the activities under par. 1. "
third. Former para. 2 and 3 shall become para. 3 and 4.
§ 47. In art. 87 para. 3 is amended as follows:
"(3) The methodology for accreditation contains the rules for the formation of the accreditation evaluation and a standard protocol for a decision."
§ 48. Article 88 is amended as follows:
"Art. 88. (1) Accreditation is an initial or follow-up and is performed under terms and conditions determined by the ordinance under Art. 87, para. 1.
(2) Initial accreditation is carried out of hospitals or entities which were active less than one year, respectively less than six months. Each subsequent accreditation and subsequent be made after the expiry awarded accreditation assessment or change the received accreditation assessment at the request of the hospital.
(3) Initial accreditation is not operated centers and departments for transfusion hematology centers for emergency medical care centers mental health centers for skin and venereal diseases, complex oncology centers, homes for medical and social care for children and tissue banks.
(4) The hospital provides the necessary conditions and assist with accreditation.
(5) is accredited hospital charged a fee for accreditation procedure defined by the tariff adopted by the Council of Ministers.

(6) Funds under par. 5 operating expenses of carrying out accreditation procedure. "
§ 49. A Art. 88a:
"Art. 88a. (1) The accreditation is performed by the Accreditation Council, which is specialized accreditation body to the Minister of Health.
(2) The Accreditation Council consists of 13 members, t. H. Chairman and Vice-Chairman.
(3) Members of the Accreditation Council include five representatives of the Ministry of Health, two representatives of the National Health Insurance Fund, three representatives of the Bulgarian Medical Association and a representative of the Bulgarian Dental Association, Bulgarian Association of Healthcare Professionals and representative organizations to protect patients' rights.
(4) Representatives under par. 3 Ministry of Health is determined by the Minister of Health.
(5) Representatives under par. 3 of the National Health Insurance Fund is determined by the Supervisory Board of the National Health Insurance Fund.
(6) Representatives under par. 3 Bulgarian Medical Association, Bulgarian Dental Association and the Bulgarian Association of Healthcare Professionals are determined by the board of the relevant professional organization.
(7) representative under par. 3 representative organizations for protection of patients' rights shall be determined by organizations recognized under Art. 86B of the Health Act.
(8) The Ministry of Health, the National Health Insurance Fund, the Bulgarian Doctors Union, the Bulgarian Dental Association, Bulgarian Association of Healthcare Professionals and representative organizations to protect the rights of patients set and one alternate member, who may replace the holder in members of the Accreditation Council for participation in meetings and decision-making.
(9) The Accreditation Council shall be established by the Minister of Health, which sets the chairman and deputy chairman, and the amount of meeting fees. The order shall specify and reserve members under par. 8.
(10) Chairman of the Accreditation Board shall be representative of the Ministry of Health and deputy chairman - the Bulgarian Medical Association.
(11) The organization of the activities and functions of the Accreditation Board shall be determined in accordance with Art. 87, para. 1. "
§ 50. Article 89 is amended as follows:
" Art. 89. (1) The assessment of the hospital is carried out according to the methodology of art. 87, para. 3 five-rating scale that includes positive ratings - "excellent", "very good", "good", "average", and the negative assessment - "bad."
(2) Positive accreditation assessments are set for a period of one to five years. "
§ 51. In Chapter Nine create art. 89a:
"Art. 89a. (1) The accreditation assessment is determined by the Minister of Health at the proposal of specialized accreditation body to the Minister of Health.
(2) The order to award accreditation assessment contains one or more of the following estimates:
1. assessment of overall medical activities of the hospital and the period for which it is awarded;
2. assessment of individual medical and other activities of the hospital and the period for which it is awarded; 3
. assessment of training of students and / or graduates in the medical establishment and the period for which it is awarded.
(3) In order to determine the accreditation assessment for education of students and / or graduates fit the type of training and specialties in which it takes place.
(4) The order under par. 1 subject to appeal under the Administrative Code. "
§ 52. In art. 90 be made the following amendments:
1. In para. 2, first sentence, the word "positive" is replaced by "very good" or "excellent."
2. A par. 5:
"(5) The funds for the training of students and postgraduates are provided from the state budget in part for education and science, and the funds for training for acquiring specialty in the healthcare system in places funded by the state - from the state budget in part for health. "
§ 53. a Art. 99a:
"Art. 99a. The costs of medical establishments for hospital care for carrying out forensic and related medical transport are paid with funds from the budget of the judiciary in accordance with Art. 403, para. 1 pt. 4 of the judiciary. "
§ 54. In art. 101, para. 2 the words "2 to 4" are replaced by "and 2".
§ 55. In art. 106 new para. 3:

"(3) The state may provide subsidies to established municipal hospitals support a proposal from the National Association of Municipalities in Republic of Bulgaria in difficult and / or remote areas criteria and procedures set out in the methodology of the Minister of health agreed with the Minister of Finance, within the funds provided in the budget of the Ministry of health for the calendar year. "
§ 56. Paragraph 1 of the additional provision is amended as follows:
" § 1. in purposes of this Act:
1. "A single registration number" is a ten-digit code that is formed by the code of the area (first two digits) code of the municipality (second two digits) code of the type of hospital (next three digits) and the serial number of the hospital for field (last three digits) when entering hospital in the register under Art. 49.
2. "State or municipal hospital" is a hospital whose capital over 50 per cent of the state or the municipality. 3
. "Repeated violation" is a violation committed within one year from the entry into force of a penalty decree whereby the offender was penalized for the same offense.
4. "Terminally ill patients" are persons with progressive and incurable diseases in which the application of the treatment does not change the unfavorable medical prognosis regarding life expectancy.
5. "Inaccessible" is an area with an unfavorable geographic terrain - mountain, hilly and / or unfavorable road infrastructure and access time to the nearest hospital for inpatient care over 60 minutes with specialized medical road.
6. "Remote area" is an area with distance from the nearest hospital for inpatient care over 60 minutes with specialized medical road.
7. "A major employment" is employment contract for a definite or indefinite period of full-time established for the position.
8. "Level of competence" are the type and scope of medical activity performed by the structure of the medical establishment for hospital care and its capacity.
9. "Capacity" is the maximum volume of medical activities to be carried out by the relevant clinics and wards in compliance with the requirements for provision of medical specialists with basic employment contract, the presence of certain medical standards technically correct medical appliances and equipment and in accordance with approved by the Minister health medical standards.
Transitional and Final Provisions
§ 57. In the Law for the budget of the National Health Insurance Fund for 2010 (SG. 99 of 2009) is amended as follows:
1. In art. 1, para. 4 the word "Management" is replaced by "Surveillance."
2. In art. 3, para. 2 the word "Management" is replaced by "Surveillance." 3
. In art. 4:
a) in para. 3 word "Management" is replaced by "Surveillance";
B) in para. 4 the word "Management" is replaced by "Surveillance."
4. In art. 5 word "Management" is replaced by "Surveillance."
5. In the transitional and final provisions:
a) in § 1 the word "Management" is replaced by "Surveillance";
B) in § 6, the word "Management" is replaced by "Surveillance";
C) in § 7 of the word "Management" is replaced by "Surveillance";
D) in § 8 the word "Management" is replaced by "Surveillance";
E) § 10 the word "Management" is replaced by "Surveillance."
§ 58. In Health Act (prom. SG. 70 of 2004 .; amend., SG. 46, 76, 85, 88, 94, 103 2005, pcs. 18 30 34, 59, 71, 75, 81, 95, 102 in 2006, pcs. 31, 41, 46, 59, 82, 95 in 2007, pcs. 13 102 110 2008 SG . 36, 41, 74, 82, 93, 99 and 101 of 2009, pcs. 41, 42 and 50 from 2010) the following amendments:
1. In art. 96, para. 2 words "dispensaries" shall be replaced with "and".
2. In art. 101:
a) in para. 1 after the words "To establish" insert "temporary incapacity to establish"
B) a new paragraph. 3:
"(3) In the course of examination of temporary disability shall consider whether the health condition of the person allows his appearance before the investigating authorities or to the judicial authorities when required appearance before these bodies during the period of temporary disability . ';
C) the former para. 3, 4 and 5 shall become para. 4, 5 and 6;
D) the previous paragraph. 6 becomes para. 7 and is amended as follows:
"(7) The principles and criteria of the medical expert, the procedure for establishing a temporary disability, the type and extent of damage, the extent of permanent disability, confirmation of occupational disease, as well as terms and conditions for perform medical expertise of art. 103, para. 3 shall be determined by an ordinance of the Council of Ministers. "
Third. In art. 103:
a) a new para. 3:

"(3) recognized the face of the possibility of his appearance before the investigating authorities or to the judicial authorities is carried out by MCC, the centers for emergency medical care, LEDC and NEPC. Certification shall be certified by an expert decision - "medical certificate" in a form approved by the Minister of Health and Minister of Justice. "
B) the previous paragraph. 3 and 4 shall become par. 4 and 5.
4. In art. 105, para. 1, 'and dispensaries "are replaced by" mental health centers, centers for skin and venereal diseases and complex oncological centers. "
5. In art. 111, para. 1, second sentence after the word "solutions for temporary disability" insert "and expert solutions under Art. 103, para. 3 '.
6. In art. 112:
a) in para. 1 pt. 2 after the abbreviation "DCC" add "and centers for emergency medical care";
B) a par. 10:
"(10) According to par. 1 pt. 2, 3 and 4, para. 2-8 appealed and expert decisions under Art. 103, para. 3 from interested parties and the investigating bodies or judicial authorities. "
7. In art. 149, para. 1 word "dispensary" is replaced by "centers for mental health."
8. In art. 153, para. 2 words "psychiatric dispensaries" are replaced by "centers for mental health."
9. In art. 156, para. 2 words "psychiatric dispensaries" are replaced by "centers for mental health."
10. In art. 180 new para. 4:
"(4) The time during which the specialists are trained to acquire specialty on a contract basis for learning and provide pursuant to Art. 4 para. 1, p. 9 of the Social Security Code, respecting seniority. "
11. In art. 193, para. 1 created item. 3:
"3. repeated violations of the procedures for conducting medical examination of art. 103, para. 3. "
§ 59. In the Health Insurance Act (prom. SG. 70 of 1998 .; amend., SG. 93 and 153 in 1998, pcs. 62, 65, 67, 69 , 110 and 113 in 1999, pcs. 1, 31 and 64 of 2000, pcs. 41 2001 pcs. 1, 54, 74, 107, 112, 119 and 120 of 2002, No. . 8, 50, 107 and 114 of 2003, pcs. 28, 38, 49, 70, 85 and 111 of 2004, pcs. 39, 45, 76, 99, 102, 103 and 105 of 2005 No.. 17, 18, 30, 33, 34, 59, 80, 95 and 105 of 2006, pcs. 11 2007 .; Decision № 3 of the Constitutional Court from 2007 - SG. 26 of 2007 ., amend., SG. 31, 46, 53, 59, 97, 100 and 113 in 2007, pcs. 37, 71 and 110 of 2008, pcs. 35, 41, 42, 93 and 101 of 2009 and SG. 19, 26, 43 and 49 from 2010) the following amendments:
1. In art. 45, para. 1, p. 9, 'and dental "are deleted.
2. In art. 59:
a) create a new paragraph. 4-6:
"(4) The control bodies of the Regional Health Insurance Fund and the Ministry of Health carried out a compliance check on the activities of the health care providers - hospitals help with accessibility criteria and quality of medical care under Art. 59 c at least once a year.
(5) With funds from the state budget or the budget of the National Health Insurance Fund is financed only activities of clinics and wards in hospitals for hospital care, which has been found according to the criteria of art. 59c.
(6) If an inconsistency with the criteria of art. 59c change in the financing of activities of the health care providers - hospitals for hospital care is done by amending the contract under par. 1. ";
B) the previous paragraph. 4 and 5 shall become new paragraph. 7 and 8.
third. In § 1 of the additional provision creates so. 24:
"24. "The main employment contract" is the main contract within the meaning of § 1, p. 7 of the additional provision of the Hospitals Act. "
4. In § 77 of the transitional and final provisions of the Law amending the Law on Health Insurance (prom. SG. 101 of 2009 .; amend., SG. 19 of 2010) pt. 7 is canceled.
§ 60. In the Judiciary Act (prom. SG. 64 of 2007 .; amend., SG. 69 and 109 of 2008, pcs. 25, 33, 42, 102 and 103 2009) in art. 403, para. 1 created item. 4:
"4. terms and conditions for payment of the costs of medical institutions in carrying out forensic and related medical transportation. "
§ 61. In the Law on Control of Narcotic Substances and Precursors (prom. SG. 30 of 1999 ., amend., SG. 63 of 2000, pcs. 74, 75 and 120 of 2002, pcs. 56 2003 pcs. 76, 79 and 103 of 2005, pcs. 30, 75 , 82, 2006, issue. 31 and 55 of 2007, pcs. 36, 43 and 69 of 2008, pcs. 41, 74, 82 and 93 of 2009, pcs. 22, 23 and 29 2010) in art. 89, para. 1, p. 3, 'dispensaries for psychiatric disorders "are replaced by" centers for mental health. "
§ 62. In the Law on blood donation and blood transfusion (prom. SG. 102 of 2003 .; amend., SG. 70 of 2004, pcs. 30 and 65, 2006, issue . 31 of 2007, pcs. 41 and 74 of 2009) in art. 34a para. 1, 'dispensaries with beds "are replaced by" blood establishments. "

§ 63. In the Law for Medicinal Products for Human Use (prom. SG. 31 of 2007 .; amend., SG. 19 of 2007 .; Decision № 5 of the Constitutional Court from 2008 - SG. 65 of 2008 .; amend., SG. 71 of 2008, pcs. 10, 23, 41, 88 and 102 of 2009) is amended as follows:
1. In art. 87, para. 1 word "dispensary" is replaced by "centers mental health centers for skin and venereal diseases, comprehensive cancer centers."
2. In art. 222, para. 4 tons. 3 is amended as follows:
"3. centers mental health centers for skin and venereal diseases and complex oncological centers. "
§ 64. In the Law on Limiting Administrative Regulation and Administrative Control on Economic Activity (prom. SG. 55 of 2003 .; amend., SG. 59 and 107 of 2003, pcs. 39 and 52 of 2004, pcs. 31 and 87, 2005, issue. 24, 38 and 59 of 2006 Nos. 11 and 41, 2007, issue. 16 of 2008, pcs. 23 36, 44 and 87 of 2009 and SG. 25 of 2010) in item. 16 of the Annex to Art. 9, para. 1, p. 2 the word "dispensary" is replaced by "centers mental health centers for skin and venereal diseases, comprehensive cancer centers."
§ 65. In the Law on private security activity (prom. SG. 15 of 2004 .; amend. Pcs. 105 of 2005, pcs. 30, 34, 80 and 82 of 2006 No.. 53 and 109 of 2007, pcs. 69 of 2008 and SG. 35 of 2010) in art. 27 para. 2 words "district (urban) dispensaries for mental illnesses" are replaced by "centers for mental health."
§ 66. In the Social Security Code (prom. SG. 110 of 1999 .; Decision № 5 of the Constitutional Court from 2000 - SG. 55 of 2000 .; amend., SG. 64 from 2000 .; pcs. 1, 35 and 41 of 2001, pcs. 1, 10, 45, 74, 112, 119 and 120 of 2002, pcs. 8, 42, 67, 95, 112 and 114 2003 pcs. 12, 21, 38, 52, 53, 69, 70, 112 and 115 of 2004, pcs. 38, 39, 76, 102, 103, 104 and 105 of 2005, No. . 17, 30, 34, 56, 57, 59 and 68 of 2006 .; corr. SG. 76 of 2006 .; amend., SG. 80, 82, 95, 102 and 105 of 2006, No. . 41, 52, 53, 64, 77, 97, 100, 109 and 113 in 2007, pcs. 33, 43, 67, 69, 89, 102 and 109 of 2008, pcs. 23, 25, 35 , 41, 42, 93, 95, 99 and 103 of 2009, pcs. 16, 19, 43 and 49 from 2010) the following amendments:
1. In art. 4 para. 1 created item. 9:
"9. graduate students who receive remuneration under a contract for training for acquiring specialty the list of specialties established pursuant to Art. 181, para. 1 of the Health Act. "
2. In art. 98 para. 5 and 6 are amended as follows:
"(5) The decisions of the Medical Committee shall be issued within 14 days from receipt of files regional medical expertise of expert solutions with a particular 50 and 50 per cent permanent disability after consideration of medical documentation certifying the present state of health of the person, the decisions of LEDC and NEPC for determining the amount of permanent disability / type and degree of disability, date of disability and duration of disability.
(6) Where the medical committee decided that expert solutions to LEDC and NEPC improperly issued its chairman appealed against the decisions of the bodies of the medical examination within 14 days from the day of receipt in the respective territorial division of NII. The appeal against the decisions of LEDC be submitted to the NEPC and against the decisions of NEPC - before the Administrative Court - Sofia, under the Administrative Code. "
Third. In art. 110, para. 1 p. 1 is amended as follows:
"1. It has caused damage to the state public insurance from incorrectly implemented insurance expenses and issued false documents; ".
§ 67. (1) Medical standards of art. 6 para. 1 and methodology of art. 31, para. 2 be approved within one month from the entry into force of this Act.
(2) The regional health cards are made and national health card is accepted under this Act within four months of the approval of the medical standards of art. 6 para. 1.
§ 68. (1) general and specialized hospitals that do not meet the requirements of Art. 9 Art. 19, para. 2 and 3 and art. 23 bring their operations into compliance with this law and apply for a change of issued permits for medical activity to the Minister of Health within three months of entry into force of this Act.
(2) The controlling bodies of NHIF and the Ministry of Health within December 1, 2010 to verify compliance of the activities of the health care providers - hospitals support the requirements of Art. 19, para. 2 and 3 and art. 23.
(3) If an inconsistency with the requirements under par. 2 change in financing activities of the health care providers - hospitals for hospital care is done by amending the contract under Art. 59 para. 1 of the Law on Health Insurance.

(4) The medical establishments for hospital care is financed by the state budget or the budget of the National Health Insurance Fund only for the activities of clinics and wards, which are found to comply with the requirements under par. 2.
§ 69. (1) The medical establishments for hospital care, which had not brought their activities in compliance with this law and have not submitted documents to change the issued permits for medical activity in the period under § 68 para . 1 can be converted and / or re-register in the same period in outpatient care.
(2) The conversion and / or re-registration of medical institutions under par. 1 is carried out under the Commercial Code and Art. 40 following a decision by their owner. The director of the regional health center issued a certificate of registration of the hospital for outpatient care in terms of art. 40.
(3) After the issuance of the certificate of registration under par. 2 Minister of Health issued an order for the withdrawal of authorizations for medical activity under Art. 47 converted and / or re-registered hospitals help.
(4) After the deadline under par. 1 Minister of Health issued an order for the withdrawal of authorizations for medical activity under Art. 47 medical institutions for hospital care have not converted and / or re-registered under par. 2.
§ 70. (1) Any pending the enactment of this Act dispensaries are converted and / or re-register after the decision of the owner and apply for authorization of medical activity to the Minister of Health within three months the entry into force of this Act as follows:
1. dispensaries for mental illness - in centers for mental health;
2. dispensaries pneumatic lung diseases located - in medical centers or specialized hospitals for pneumatic lung diseases located; 3
. dispensaries for skin and venereal diseases - in centers for skin and venereal diseases;
4. dispensaries cancer - in complex oncology centers or specialized hospitals for cancer.
(2) welded to the entry into force of this Act dispensaries continue to operate its existing activities in the Hospitals Act and other laws provided for in activities in the period under par. 1, if you have not converted and / or re-registered.
(3) The medical institutions that are successors of dispensaries under par. 1 will continue to operate in active search, diagnosis, treatment and periodic monitoring of patients.
(4) dispensaries that were not converted and / or re-registered in the period under par. 1 shall terminate and be liquidated in accordance with Art. 54, 55 and 56.
(5) After the deadline under par. 1 Minister of Health issued an order to revoke the license for medical activity of dispensaries under par. 4.
§ 71. (1) In cases of § 70 para. 4 decision the owner of the dispensary and owner of the hospital for patient care activities of the closed dispensary without property can pass to an existing or newly established clinic of the hospital for inpatient care.
(2) Until completion of the liquidation of § 70 para. 4 liquidators and persons representing the medical establishment for hospital care to which the action passes under par. 1, organized its transfer and transmission of the documentation related to the activity.
(3) The employment relationships of physicians and medical professionals with degree "Bachelor" and "professional bachelor" in health care dispensaries under par. 1 shall be settled under the terms and conditions of Art. 123, para. 1 pt. 7 and par. 2 of the Labor Code and employment of staff from the administrative, business and service units of dispensaries under par. 1 terminated under the Labour Code.
(4) The medical establishment for hospital care to which the action passes under par. 1 filed documents under Art. 50 to change the permit for medical activity Art. 47.
§ 72. (1) Hospices that do not meet the requirements of Art. 28 bring their operations into compliance with its requirements and apply for a change of issued permits for medical activity to the Minister of Health within three months of entry into force of this Act.
(2) Patients in hospices under par. 1, which do not require the care of art. 28, para. 1 may continue their treatment in homes for medical and social care.
§ 73. (1) The medical establishments or structures until the entry into force of this Act were active more than one year, respectively, more than six months without being accredited, subject only to the subsequent accreditation.

(2) which began before the enactment of this Act accreditation procedures shall be completed under the previous order, unless within 14 days after hospital withdraw its application for accreditation. The application for accreditation may be withdrawn if the date of entry into force of this law expert committee submitted the Accreditation Council report on the external evaluation of the hospital and a draft decision on accreditation.
§ 74. (1) For the issue or change the permissions of medical activity by the Minister of Health or the issue or change of registration certificates in regional health center in term of § 68, § 70 and § 72 related bringing the activities of the incumbent until the entry into force of this Act hospitals in accordance with its requirements, medical institutions do not pay state tax.
(2) The medical institutions that have opened pharmacies and submitted within the period under par. 1 for modifying the authorization for retail trade in medicinal products associated with the change of name, type of trader, headquarters and management do not pay state tax.
§ 75. (1) The Ministry of Health, regional health centers, regional Inspectorates for Protection and Control of Public Health and the Executive Agency for Transplantation provide an opportunity for accepting applications and documents related to the registration of medical institutions, the issue of permission for medical activity and providing information on medical procedures performed by medical institutions electronically under the terms and conditions of the electronic document and electronic signature Act and the electronic governance.
(2) Acceptance of applications and documents electronically is done after providing appropriate technical and organizational conditions as well as the relevant software.
§ 76. (1) The Minister of Health brought into conformity with this law ordinance under Art. 87, para. 1 within two months of its entry into force.
(2) The Council of Ministers approves the tariff of art. 88, para. 5 within three months of entry into force of this Act.
§ 77. This Act shall enter into force on the day of its promulgation in the "Official Gazette" except:
1. paragraphs 9 (on art. 19, para. 4), 53, 60 and 66 (on Art. 98, para. 5 and 6), which enter into force from January 1, 2011 .;
2. paragraph 75, which came into force on September 30, 2011
law was adopted by the 41 th National Assembly on July 23, 2010 and was affixed with the official seal of the National Assembly.
Chairman of the National Assembly Tsetska Tsacheva
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