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Change In The Law On Public Health Insurance

Original Language Title: změna zákona o veřejném zdravotním pojištění

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1/2015 Coll.


LAW
Dated 22 December 2014

Amending Act no. 48/1997 Coll., On public health insurance and
amending and supplementing some related laws, as amended regulations


Parliament has passed this Act of the Czech Republic:

Art. I

Law no. 48/1997 Coll., On public health insurance and amending and supplementing certain
related laws, as amended by Act no. 242/1997
Coll., Act no. 2/1998 Coll. Act no. 127/1998 Coll., Act no. 225/1999
Coll., Act no. 363/1999 Coll., Act no. 18/2000 Coll., Act no. 132/2000 Coll
. Act no. 155/2000 Coll., the Constitutional court judgment promulgated under no.
167/2000 Coll., Act no. 220/2000 Coll., Act no. 258/2000 Coll., Act. || | 459/2000 Coll., Act no. 176/2002 Coll., Act no. 198/2002 Coll., Act no. 285/2002 Coll
., Act no. 309/2002 Coll., Act no. 320 / 2002 Coll., Act no. 222/2003 Coll
., Act no. 274/2003 Coll., Act no. 362/2003 Coll., Act no. 424/2003
., Act. 425/2003 Coll., Act no. 455/2003 Coll., Act no.
85/2004 Coll., Act no. 359/2004 Coll., Act no. 422/2004 Coll., Act. || | 436/2004 Coll., Act no. 438/2004 Coll., Act no. 123/2005 Coll., Act no. 168/2005 Coll
., Act no. 253/2005 Coll., Act no. 350 / 2005 Coll., Act no. 361/2005 Coll
., Act no. 47/2006 Coll., Act no. 109/2006 Coll., Act no. 112/2006 Coll
., Act. 117/2006 Coll., Act no. 165/2006 Coll., Act no. 189/2006 Coll
., Act no. 214/2006 Coll., Act no. 245/2006 Coll., Act. || | 264/2006 Coll., Act no. 340/2006 Coll., the Constitutional court judgment
promulgated under no. 57/2007 Coll., Act no. 181/2007 Coll., Act.
261 / 2007 Coll., Act no. 296/2007 Coll., Act no. 129/2008 Coll., Act no. 137/2008 Coll
., Act no. 270/2008 Coll., Act no. 274/2008 Coll ., Act no. 306/2008 Coll
., Act no. 59/2009 Coll., Act no. 158/2009 Coll., Act no. 227/2009 Coll
., Act no. 281/2009 Coll., Act no. 362/2009 Coll., Act no. 298/2011 Coll
., Act no. 365/2011 Coll., Act no. 369/2011 Coll., Act.
458 / 2011 Coll., Act no. 1/2012 Coll., Act no. 275/2012 Coll., Act no. 401/2012 Coll
., Act no. 403/2012 Coll., Act no. 44/2013 Coll ., finding
Constitutional court promulgated under no. 238/2013 Coll., Act no. 60/2014
Coll., Act no. 109/2014 Coll., Act no. 250/2014 Coll., Act no. 256/2014 Coll
. and Act no. 267/2014 Coll., is amended as follows:

First In § 33 paragraph 2 reads:

"(2) Spa treatment rehabilitation care is provided solely as a
inpatient care in health facilities that are in place
occurrence of natural medicinal resources or territory
with climatic conditions favorable for treatment, and the provision of care are
natural healing resources and favorable climatic conditions to treat
used. ".

Second In § 33, paragraphs 8 to 12 are added:

"(8) Spa treatment rehabilitation care in accordance with paragraphs 4 and 5
provided to the insured for the first time indication is referred to as
basic medical stay. Other therapeutic stay adequate indication, on the basis
was made basic treatment stay is referred to as
repeated treatment stay, unless in Annex no. 5 to this Act
otherwise specified.

(9) Diseases which can be curative and rehabilitative care spa
provide ways of providing spa treatment rehabilitation care for individual
indication, length of stay and basic curative treatment repeated
stay for the specific indication, frequency reuse
therapeutic residence period for the onset of treatment stay for indications where this deadline
establish reasonable in terms of therapeutic effect, extendable
medical stay according to indication and ways of providing
spa treatment rehabilitation care and other
professional criteria relating to individual indications are specified in Annex no. 5 to this
Act (Indication list for spa treatment rehabilitation care).

(10) Extension set length of basic medical stay or residence
repeated treatment provided a comprehensive spa
curative and rehabilitative care doctor can suggest the appropriate
medical equipment providers
spa treatment rehabilitation care if this option under the respective indication indicated in Annex no. 5
to this Act. Proposal to extend the stay of the treatment is administered
revision physician of the health insurance company that extension and

Approves its length.

(11) Extension of repeated treatment stay provided as
contributory spa treatment rehabilitation care for 21 days in cases where the
was such a stay based on indications requesting physician approved
physician reviewer respective insurance only in length
14 days (hereinafter "indicated the case"), may propose to the relevant doctor
medical equipment providers
spa treatment rehabilitation care. Proposal to extend the stay of the treatment is administered by a revision physician
competent health insurance company that extension and the length
approved.

(12) The Ministry of Health provides for the specific indication
decree contain the elements of the spa curative and rehabilitative care
adults, children and adolescents, indicating the assumptions
contraindications, technical criteria for granting Spa Hospital || | rehabilitation care, including necessary tests, field of specialization
doctor who recommends such care, accessibility requirements
health workers in medical facilities provider
spa treatment rehabilitation care and focus indicator
spa locations in which It is a natural healing source or
climatic conditions suitable for the treatment of diseases. ".

Third After Annex no. 4 supplementing the Annex no. 5, which reads:

"Annex no. 5 of the Law no. 48/1997.

Indication List for spa rehabilitation care
SECTION
A

A. List indication groups for adults

I
Oncological Diseases
II Diseases of the circulatory system

III Diseases of the digestive tract

IV Diseases of metabolic disorders and endocrine

In Respiratory diseases

VI Diseases of the nervous

VII Diseases of the musculoskeletal system

VIII Diseases of the urinary tract


IX Mental Disorders
X Skin diseases

XI gynecological diseases

B. List of indications for spa treatment rehabilitation care for adults
------------------------------------------------------------------------------------------------------------------------------------
Number Indication bases repeatedly
indication curative stay curative stay
------------------------------------------------------------------------------------------------------------------------------------
- Method of providing medical spa - way of delivering Spa Hospital
rehabilitation: rehabilitation:
K (complex) or P (contributory) K (complex) or P (contributory)
- Other professional criteria relating - further professional criteria relating
to individual indications to individual indications
- Duration of the treatment - duration of the treatment
- The deadline for the onset of treatment stay - the deadline for the onset of treatment stay
- The possibility of extension - the possibility of extension
------------------------------------------------------------------------------------------------------------------------------------
I oncological diseases
------------------------------------------------------------------------------------------------------------------------------------
I / 1 - malignant tumors. The 21 days to 21 days
Within 12 months after the completion of a complex Hodgkin's disease
anticancer therapy (with the exception of 36 months from the beginning of the base stay.
long-term hormonal therapy).

The possibility of extension. P 21 days in indicated cases P 14 days

Hodgkin's disease after 36 months from the beginning
Basic stay.

P 21 days in indicated cases P 14 days
Other.
------------------------------------------------------------------------------------------------------------------------------------
II circulatory system diseases
------------------------------------------------------------------------------------------------------------------------------------
II / 1 - symptomatic ischemic P P 21 days 21 days in indicated cases P 14 days
heart disease.
------------------------------------------------------------------------------------------------------------------------------------

II / 2 - Post-myocardial infarction. For 28 days
12 months after myocardial infarction.

The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
II / 3 - Hypertensive to 28 days P 21 days in indicated cases P 14 days
II. to III. Hypertension III grade rating. Grades complicated Hypertensive disease refractory.
hypertensive disease. coronary heart disease,
chronic heart failure
stroke, transient
ischemic attack or chronic
renal insufficiency on the basis
vascular nefrosklerosy.

The possibility of extension.
P 21 days
Other.

------------------------------------------------------------------------------------------------------------------------------------
II / 4 - Disorders of arteries to the limbs to 21 days to 21 days
basis atherosclerotic II b. Diseases of arteries of limbs on the basis of the disease extremity arteries on the basis
or inflammatory. atherosclerotic II b. atherosclerotic

21 days P II b. 18 months from the beginning of the base
Other. stay if not possible invasive treatment.

P 21 days in indicated cases P 14 days
Other.
If it is not possible invasive treatment.
------------------------------------------------------------------------------------------------------------------------------------
II / 5 - Functional disorders of peripheral K P 21 days 21 days in indicated cases P 14 days
and vascular conditions after thrombosis.

- Chronic lymphatic edema. Functional peripheral vascular disorder
as occupational diseases under another
legislation which provides
the list of occupational diseases,
at least 3 months after remission
acute stage.


P 21 days
Other.
Functional peripheral vascular disorder and
conditions following thrombosis earliest
3 months after remission of the acute stage.

------------------------------------------------------------------------------------------------------------------------------------
II / 6 - States after cardiac K P 28 days 21 days in indicated cases P 14 days
performance type:
replacement of the valve bioprosthesis Direct transfer of medical Within 12 months from the beginning of the base stay.
or metallic prosthesis, equipment providers of inpatient care
Reconstructive procedures on or
valves, atrial septal defects within 3 months after surgery.
or chambers
The possibility of extending surgical revascularization.
infarction - coronary artery
bypass graft (CABG)
congenital heart surgery 21 days P
defects in adults, Other
Operations left ventricular aneurysm,
Heart surgery tumors, surgery
pericardium,
operations on the thoracic aorta.
------------------------------------------------------------------------------------------------------------------------------------
II / 7 - Conditions after percutaneous P 21 days
transluminal coronary Within 3 months after perkutánnítransluminární
angioplasty (PTCA). coronary angioplasty (PTCA).


------------------------------------------------------------------------------------------------------------------------------------
II / 8 - Conditions after reconstructive K and 21 days
Conditions after revascularization surgery and reconstructive
on the outside of the vascular system and heart revascularization surgery on vascular
thoracic aorta. outside of the heart within 4 months after
- Conditions after percutaneous surgery.
transluminal angioplasty.
P 21 days
Between 4-12 months after percutaneous
transluminal angioplasty.
------------------------------------------------------------------------------------------------------------------------------------
II / 9 - States after heart transplantation. For 28 days to 28 days

Direct transfer of medical Within 12 months from the beginning of the base stay.
Equipment providers of inpatient care
or within 12 months after surgery. The possibility of extension.

The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
III neurological diseases
------------------------------------------------------------------------------------------------------------------------------------
III / 1 - Chronic and recurrent P P 21 days 21 days in indicated cases P 14 days
diseases of the stomach and intestines
maldigestivními with symptoms
persisting in standard
pharmacotherapy.

- Conditions after severe intestinal
infections, and parazitózách
fungal diseases.
------------------------------------------------------------------------------------------------------------------------------------
III / 2 - states after stomach surgery 21 days to P 21 days in indicated cases P 14 days
duodenum, esophagus and intestines to 6 months after surgery. Between 12-18 months after surgery or
postresectional with symptoms completion of comprehensive treatment while continuing
endoscopically verified. The possibility of extension. symptomatology.

P 21 days
In the range of 6-12 months after surgery.
------------------------------------------------------------------------------------------------------------------------------------
III / 3 - Crohn's disease. The 21 days to 21 days
- Ulcerative colitis. The severe form of the disease. Repeated exacerbation: 1 during
calendar year to the stabilization of the situation.
The possibility of extension.
P 21 days in indicated cases P 14 days
Other P 21 days.
Other.
------------------------------------------------------------------------------------------------------------------------------------
III / 4 - Chronic diseases of the gallbladder P P 21 days 21 days in indicated cases P 14 days
and biliary tract lithiasis, to maintain remission.
if the operation is contraindicated.
- Sclerosing cholangoitis.
- Functional disorders of the biliary tract.
------------------------------------------------------------------------------------------------------------------------------------
III / 5 - Conditions after complicated surgery to 21 days P 21 days in indicated cases P 14 days
gallbladder and biliary tract after
procedures for stenosis and lithiasis Within 6 months after a complicated operation lasting dysfunction of the biliary tract.
biliary tract - surgery of the gallbladder and biliary tract.
pankreatitidocholangoitis,
jaundice, biliary instrumentation After interventions for stenosis and lithiasis
tract endoscopic retrograde biliary tract.
cholangiopancreatography (ERCP).
- Conditions after lithous dissolution and the possibility of extension.
extracorporeal lithotripsy.
P 21 days
Within 6 months after lithous dissolution
and extracorporeal lithotripsy.
------------------------------------------------------------------------------------------------------------------------------------
III / 6 - Conditions after acute hepatitis to 21 days to 21 days
any etiology and toxic Within 6 months of the establishment of disease Liver damage with sustained
liver damage (drug even with conservative therapy. Mark activities as a disease process
due to work). the occupation by other legislation
- Chronic hepatitis with the possibility of extension. which provides a list of occupational diseases.
positivity persistence markers.
- The associated autoimmune hepatitis. P 21 days in indicated cases P 14 days
- Primary biliary cirrhosis.
Others, with sustained biochemical
or histological signs of liver disease.
------------------------------------------------------------------------------------------------------------------------------------
III / 7 - Conditions after resections K P 21 days 21 days in indicated cases P 14 days
and liver transplantation or condition after resections in 6
operations and transplantations months after surgery.

pancreas. Organ transplantation to 12
months after surgery.

The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
III / 8 - Conditions after acute pancreatitis to 21 days P 21 days in indicated cases P 14 days
or exacerbation within 6 months of starting treatment of acute
pancreatitis. pancreatitis or exacerbation of protracted maldigestion and malabsorption in
- Proven chronic chronic pancreatitis, a proven failure of nutritional status, if
pancreatitis. It is causing dysfunction of the pancreas.
when complications within 12 months
initiating treatment of acute pancreatitis or
after exacerbation of chronic pancreatitis.

The possibility of extension.

P 21 days
Other.



------------------------------------------------------------------------------------------------------------------------------------
IV Disorders of fat metabolism and endocrine glands
------------------------------------------------------------------------------------------------------------------------------------
IV / 1 - Diabetes mellitus. The P 21 days 21 days in indicated cases P 14 days

The states with complications (microangiopathy cases with complications (
microangiopathy and macroangiopathy, neuropathy). And macroangiopathy, neuropathy).

P 21 days
Other.
------------------------------------------------------------------------------------------------------------------------------------
IV / 2 - Conditions after total thyroidectomy. The P 21 days 21 days in indicated cases P 14 days
- Hypothyroidism during difficult
ongoing drug substitution. Within 6 months after surgery. Difficult ongoing substitution or
the development of secondary symptoms
P 21 days (in particular arthropathies and benign myopathy).
Within 6 months of the establishment of disease
Hypothyroidism.
------------------------------------------------------------------------------------------------------------------------------------
IV / 3 - status after surgery hyperfunkčního to 21 days
benign pituitary adenoma
adrenal glands and in the presence of up to 6 months after surgery.
secondary symptoms of disease
(Especially arthropathy and myopathy). The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
In nontuberculous respiratory diseases
------------------------------------------------------------------------------------------------------------------------------------
V / 1 - Conditions after surgery of the upper respiratory K 28 days
respiratory and lower urinary
breathing; does not apply to states after the state after surgery of the lower airways
tonsil surgery, adenoid within 6 months after surgery.
vegetation and nasal septum.
- States after lung transplantation. The possibility of extension.

For 28 days

States after lung transplantation in 12 months
after transplantation.
The possibility of extension.

For 21 days

Conditions after surgery of the upper airways
within 6 months after surgery.

The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
V / 2 - Damage to the larynx and vocal cords to 21 days P 21 days in indicated cases P 14 days
due to voice congestion.
- Conditions after fonochirurgické treatment. States, where over the use of all possible states, where over the use of all possibilities
conservative or surgical treatment versus surgical treatment
failure to adjust the voice functions. failure to adjust the voice functions.
------------------------------------------------------------------------------------------------------------------------------------
V / 3 - condition after a complicated inflammation to 21 days
lungs. 4 months after hospitalization.

------------------------------------------------------------------------------------------------------------------------------------
V / 4 - bronchiectasis K 21 days to 21 days
- Recurrent inflammation of the lower
respiratory tract infections and chronic inflammation of the possibility of an extension. 1x during the calendar year.
Respiratory disease as
occupation under another legal
regulation, which provides a list
occupational diseases.
The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
V / 5 - Bronchial asthma. For 28 days to 28 days
- Chronic obstructive pulmonary
disease. Proven ventilation disorder - decrease proven ventilation disorder - a decline
the value of the volume of air exhaled value of volume of air exhaled
In the first seconds at maximum effort in the first seconds at maximum effort
(FEV) 1 sec repeatedly below 60% predicted (FEV) 1 sec repeatedly below 60% due
the value or necessity of long-term (more value or necessity of long-term (more than 6
months of the year) system than six months in a year) system
corticosteroid therapy for the disease. corticosteroid therapy for the disease.

The possibility of extension. 1x during the calendar year.

P 21 days possibility of extension.
Other.
P 21 days in indicated cases P 14 days
Other.
------------------------------------------------------------------------------------------------------------------------------------
V / 6 - Interstitial Pulmonary Fibrosis to 28 days to 21 days
any etiology in systematic occupational diseases under a different legal system diseases under another legal
treatment. regulation, which provides for a list of diseases regulation, which provides for a list of diseases
by profession. by profession.

The possibility of extension. 1x during the calendar year.

The possibility of extending 28 days.
When proven ventilation failure -pokles
the value of vital capacity (VC) repeatedly to 21 days
below 80% of predicted value.
When proven ventilation malfunction - drop
The possibility of extension. the value of vital capacity (VC) repeatedly
below 80% of predicted value.
P 21 days
Other. 1x during the calendar year.

The possibility of extension.

P 21 days in indicated cases P 14 days
Other.

------------------------------------------------------------------------------------------------------------------------------------
V / 7 - Sequelae of toxic effects of gas to 28 days to 21 days
fumes, corrosive and irritant vapors
dust on the respiratory and occupational diseases under other legislation within 12 months from the beginning of the base stay.
lower respiratory tract. regulation, which provides for a list of diseases
by profession.

The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
VI Diseases of the nervous
------------------------------------------------------------------------------------------------------------------------------------
VI / 1 - Facial nerve palsy. For 28 days to 28 days
- Postpoliomyelitický syndrome.
- Flaccid paralysis, including traumatic, paralysis of the facial nerve in the acute phase, Postpoliomyelitický syndrome.
including post-infectious if not systematic outpatient
polyradikuloneuritis or inpatient rehabilitation care 1x during the calendar year.
following completion acute effective.
phase. The possibility of extension.
Postpoliomyelitický syndrome.
Other diseases for the duration P meager 21 days in indicated cases P 14 days
peripheral paralysis with proven
Electromyography (EMG) and other for the duration of mild peripheral
gradual adjustment functions. Polio with proven electromyography
(EMG) and for gradual adjustment functions.

The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
VI / 2 - Polyneuropathy with paretic K 28 days to 28 days
manifestations.
Flaccid paralysis with disabilities 0th to 3rd flaccid paralysis with disabilities 0th to 3rd
the degree of muscle test and demonstrable degree of muscle test and verifiable
disability, electromyography (EMG). disability, electromyography (EMG).

The possibility of extension. 1 x 24 months.

P 21 days possibility of extension.
Other.
P 21 days in indicated cases P 14 days

Other.
------------------------------------------------------------------------------------------------------------------------------------
VI / 3 - Root syndromes K P 21 days 21 days in indicated cases P 14 days
irritative-zánikovým syndrome.

In direct relation to hospitalization
the neurology and rehabilitation
Department of inpatient care (up to 3 months after hospital discharge
), or in cases
not displaying signs of improvement after 6 weeks
continuous ambulatory rehabilitation
care, which was excluded indication
to neurochirurgickému or
spondylochirurgickému surgery.

The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
VI / 4 - Inflammatory diseases of the central K 28 days to 28 days
nervous system:
conditions after meningoencephalitis, a period of persistent paresis, within 36 months from the beginning of the base residence
encephalitis, documented electromyographic where there is heavy to moderate paresis
myelitis and encephalomyelitis, testing (EMG) examination and after a prerequisite for improving health
encefalomyelopolyradi- conditions after a period of gradual adjustment functions. state.
kuloneuritis, not later than 6 months after
if present hospitalization. The possibility of extension.
spastickoparetické mark.
The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
VI / 5 - hemiparesis and paraparesis K 28 days to 28 days
vascular origin stamps
restoring function. In direct relation to hospitalization within 36 months from the beginning of the base
later than 6 months after the end of the stay, if they persist heavy
hospitalization. to moderate paresis and the assumption
In the aftermath of the acute stage of the disease. to improve health.

The possibility of extension. The possibility of extension.

P 21 days in indicated cases P 14 days
Other.
------------------------------------------------------------------------------------------------------------------------------------
VI / 6 - Conditions after injuries and K 28 days to 28 days
brain, spinal cord paralysis persisting with gradual Within 36 months from the beginning of the base residence
and peripheral nerves with editing functions within 6 months if it persists heavy to moderate paresis
movement disorders after surgery or injury. and the assumption of health improvements.
signs of recovering function.

The possibility of extension. The possibility of extension.

P 21 days in indicated cases P 14 days
Other.
------------------------------------------------------------------------------------------------------------------------------------
VI / 7 - Multiple sclerosis and other K 28 days to 28 days
demyelinating disease
in remission. The possibility of extension. 1x in 24 months.

P 21 days in indicated cases P 14 days
------------------------------------------------------------------------------------------------------------------------------------
VI / 8 - K Neuromuscular disease 28 days to 28 days
primary, secondary and

Degenerative. The possibility of extension. 1x during the calendar year.

The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
VI / 9 - Syringomyelia with paretic K 21 days to 21 days
manifestations.
1x in 24 months.

P 21 days in indicated cases P 14 days
------------------------------------------------------------------------------------------------------------------------------------
VI / 10 - Cerebral palsy at K 28 days to 28 days
the possibility of independent mobility
and without significant psychological changes, to 21 years.
assuming maintain working
ability or full independence to 28 days
and self-sufficiency.
Over 21 years.
1x in 24 months.

P 21 days in indicated cases P 14 days
------------------------------------------------------------------------------------------------------------------------------------
VI / 11 - Parkinson's disease. The 21 days to 21 days
(Does not apply to parkinsonian syndrome and secondary
If the assumption
extrapyramidal syndrome improve health status and maintain self-sufficiency.
In the treatment of psychiatric drugs.)
1x in 24 months.
------------------------------------------------------------------------------------------------------------------------------------
VII musculoskeletal diseases
------------------------------------------------------------------------------------------------------------------------------------
VII / 1 - Rheumatoid arthritis I. to IV. For 28 days to 28 days
stages of assessing rheumatoid
including juvenile arthritis Treatment of II. stage disease with functional treatment of II. stage disease with functional
arthritis, treated consistently disability class b. disability class b.
in outpatient care.
The possibility of extension. 1x during the calendar year.

P 21 days possibility of extension.

Without previous disease exacerbation P 21 days in indicated cases P 14 days
and treatment in the case of lower stages
disease than II. stages with functional disease without previous exacerbation
handicap class b. a treatment for lower stages
disease than II. stages with functional
b disability class.
------------------------------------------------------------------------------------------------------------------------------------
VII / 2 - Ankylosing spondylitis K 28 days to 28 days
(Ankylosing spondylitis), consistently
treated in outpatient care. From II. stage disease with functional From II. stage disease with functional
handicap class b., handicap class b.

in the continuous care of a rheumatologist or continuous care of a rheumatologist or
rehabilitation doctor. rehabilitation doctor.

The possibility of extension. The possibility of extension.

P P 21 days 21 days in indicated cases P 14 days
Other. Other.
------------------------------------------------------------------------------------------------------------------------------------
VII / 3 - Other seronegative to 28 days to 28 days
spondartritis consistently treated
in outpatient care, Reiter spinal II. and higher stage of spinal II. and higher stage
syndrome, enteropathic arthritis, according to the classification for ankylosing according to the classification for ankylosing
Reactive - parainfectious), spondylitis. spondylitis.
- Secondary artitis, consistently
treated in outpatient care. Chronic arthritis of peripheral joints, chronic arthritis of peripheral joints
from functional disability class II.b. from functional disability class II.b.
stage classification for rheumatoid stage classification for rheumatoid
arthritis. arthritis.

The possibility of extension. First 12 months from the beginning of the base
residence and 1x during the calendar year.
P 21 days
Other. The possibility of extension.

P 21 days in indicated cases P 14 days
Other.

------------------------------------------------------------------------------------------------------------------------------------
VII / 4 - rheumatism, K 28 days to 28 days
continually treated within
outpatient care. The remission. The remission.
- Diffuse connective tissue disease
consistently treated within the possibility of extension. 1x in 24 months.
Outpatient care (systemic lupus
erythematodus, exacerbation of underlying disease
scleroderma, after the last comprehensive treatment
polymyositis, dermatomyositis, acute phase even before the expiry of 24 months.
Sjogren's syndrome and other overlays
syndromes). The possibility of extension.

P 21 days in indicated cases P 14 days
Other.
------------------------------------------------------------------------------------------------------------------------------------
VII / 5 - Osteoporosis with complications, 21 days to 21 days
if continuous ambulatory
rehabilitative care longer than the bone changes that are a result of bone changes that result
3 months is not effective or work in compressed air as work in compressed air as
following the hospitalization of an occupational disease under another legal occupational disease under another legal
the complication of osteoporosis. regulation, which provides for a list of diseases regulation, which provides for a list of diseases
- Bone changes that are professional. by profession.
result of work in compressed
air as an occupational disease pathological fractures of the spine Pathological fractures of the spine following
by another law, in the wake remover corset.
which provides a list of diseases completion of immobilization in bed
by profession. or removing the corset. Within 24 months from the beginning of the base stay.

P 21 days
Other.
------------------------------------------------------------------------------------------------------------------------------------
VII / 6 - Painful syndromes of tendon, K 21 days to 21 days
tendon sheaths, exchanges, insertions occupational diseases under a different legal system diseases under another legal
muscle, skeletal muscle or regulation which provides for a list of diseases regulation, which provides for a list of diseases
joints (including illnesses. Occupational within 12 months from the start
due to the effects of vibration basic stay.
and prolonged, excessive, P 21 days
unilateral hazing as P 21 days in indicated cases P 14
days of occupational diseases under another Other.
law that establishes other.
list of occupational diseases).
------------------------------------------------------------------------------------------------------------------------------------
VII / 7 - coxarthrosis, gonarthrosis to 21 days to 21 days
in continuous ambulatory care
From an orthopedic and rehabilitation III.stupně ratings From illnesses by III.stupně assessment of the disease by
doctor. Kellgren. Kellgren.

The second degree of functional disability b, second degree of functional impairment b
if it is a painful form with the case of painful form of
frequent exacerbations and frequent exacerbations quick and fast
progression or repeated inflammatory progression or recurrent inflammatory
irritation. irritation and is expected to improve
momentum and maintain self-sufficiency.
The possibility of extension.
1x in 24 months.
P 21 days
Others, states contraindicated for surgery
if not systematic outpatient
Effective rehabilitative care. 1x during the calendar year.

P 21 days in indicated cases P 14 days
I. to II. stage disease unless
continuous ambulatory care effective
assuming a reduction in long
pharmacotherapy or delaying surgical
treatment.
States contraindicated for surgery
if not systematic outpatient care
effective.
------------------------------------------------------------------------------------------------------------------------------------

VII / 8 - Arthroses other K 21 days to 21 days
localizations.
- Arthropathy. Painful form with frequent exacerbations. If it is a painful form with frequent
exacerbations and rapid progression or
in the case of repeated inflammatory irritation;
always assuming improve mobility and
maintain self-sufficiency.

1x in 24 months.

P 21 days in indicated cases P 14 days

Others, if not systematic outpatient
effective care, assuming a reduction
long-term pharmacotherapy.
------------------------------------------------------------------------------------------------------------------------------------
VII / 9 - chronic vertebral K P 21 days 21 days in indicated cases P 14 days
algic syndrome functional
Origin in continuous ambulatory vertebral algic
rehabilitative care. syndrome functional origin in direct
Following hospitalization (within 3
months after hospitalization)
or cases not displaying signs of improvement
After 6 weeks of continuous ambulatory
rehabilitative care.

The possibility of extension.

P 21 days

Other.
------------------------------------------------------------------------------------------------------------------------------------
VII / 10 - States after orthopedic K 28 days
operations using joint
compensation. Without delay, once the state allows
Load medical rehabilitation, the latest
3 months after injury or surgery;
in the case of postoperative komplikacído
6 months after surgery.

The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
VII / 11 - Conditions after injuries to the locomotive 28 days to 28 days
system and after orthopedic
operations including the state after immediately, as soon as circumstances permit loads later than 24 months after surgery
intervertebral medical rehabilitation operations, nejpozdějivšak intervertebral discs, spinal stenosis
discs and stenoses channel within 6 months after injury or surgery; channel or injury due to persistent
Spinal if not systematic in case of complications of serious defect dynamics and constraints
outpatient or inpatient up to 12 months after surgery. sufficiency and a prerequisite improve
Effective rehabilitative care. health.
The possibility of extension.
P 21 days in indicated cases P 14 days
Others in the surgical treatment failure syndrome
(FBS).
------------------------------------------------------------------------------------------------------------------------------------
VII / 12 - states after amputations lower to 21 days
limb activity grade 1
4, when the insured equipment to 12 months after surgery.
prosthesis.
------------------------------------------------------------------------------------------------------------------------------------
VIII Diseases of the urinary tract
------------------------------------------------------------------------------------------------------------------------------------
VIII / 1 - recurrent and chronic P K 21 days 21 days in indicated cases P 14 days
nontuberculous inflammation of the kidneys and
Urinary tract resistant to chronic pyelonephritis in solitary
treatment with antibiotics (ATB) and the other kidney.
pharmacological treatment, the systematic
Care urologist at least 12 months. Cystic kidney disease. level
- Cystic renal disease. serum creatinine consistently exceeds
150 umol / 1st

The possibility of extension.

P 21 days
Other.
------------------------------------------------------------------------------------------------------------------------------------
VIII / 2 - Renal calculi without congestion to 21 days P 21 days in indicated cases P 14 days
in the urinary tract.
- Nephrocalcinosis. Renal calculi in a solitary kidney in establishing the clinical effect of a previous

or bilateral nephrolithiasis, if a spa treatment rehabilitation care.
states are not indicated for surgical
or lithotripsy treatment.

Cystine nephrolithiasis.

Bilateral nephrocalcinosis.

The possibility of extension.

P 21 days
Other.


------------------------------------------------------------------------------------------------------------------------------------
VIII / 3 - Conditions after kidney surgery and to 21 days
urinary tract including operations
endovezikálních and conditions after the first 6 months after surgery and kidney
complicated prostatectomy and urinary tract, including operations
nefrolitotrypsii, after-care after endovezikálních and conditions after
extracorporeal lithotripsy prostatectomy and nefrolitotrypsii.
shockwaves (ESWL).
P 21 days

Other

up to 6 months.
------------------------------------------------------------------------------------------------------------------------------------
VIII / 4 - Chronic prostatitis or P P 21 days 21 days in indicated cases P 14 days
Chronic prostatovesikulitis
resistant to pharmacological
treatment and treatment with antibiotics (ATB)
the systematic care urologist
at least 12 months.
------------------------------------------------------------------------------------------------------------------------------------
VIII / 5 - Conditions after a kidney transplant to 21 days P 21 days in indicated cases P 14 days
on stable graft function
(Kidney transplant). Within 6 months after transplantation, in the state after kidney transplantation
- The donor graft (kidney). complications within 12 months (not donor graft).
after transplantation.

The possibility of extending the case
transplantation.
------------------------------------------------------------------------------------------------------------------------------------
IX MENTAL DISORDERS
------------------------------------------------------------------------------------------------------------------------------------
IX / 1 - Psychoses in remission stage. For 28 days to 28 days

In direct relation to hospitalization within 24 months from the beginning of the base staying
a psychiatric ward at a proven effect of prior residence.
or continuous ambulatory care
as an alternative to inpatient possibility of extension.
psychiatric care after each exacerbation.
P 21 days in indicated cases P 14 days
The possibility of extension.
Other.
P 21 days

Other.
------------------------------------------------------------------------------------------------------------------------------------
IX / 2 - Heavy neurotic to 21 days to 21 days
and other non-psychotic disorders.
In direct relation to hospitalization at the latest 12 months from the beginning of the base staying
psychiatric ward or at a proven effect of prior residence.
while continuing outpatient care as
alternative to inpatient possibility of extension.
psychiatric care after each exacerbation.
P 21 days in indicated cases P 14 days
The possibility of extension.
Other.
P 21 days
Other.
------------------------------------------------------------------------------------------------------------------------------------
X SKIN DISEASES
------------------------------------------------------------------------------------------------------------------------------------
X / 1 - Atopic eczema. The 21 days to 21 days

Within 25 years, aged in directly as an alternative to inpatient care in the field
Following the hospitalization in dermatology.
inpatient department dermatovenerologie
or as an alternative to this care. 1x in 24 months.


The possibility of extension. The possibility of extension.

P P 21 days 21 days in indicated cases P 14 days
Other. Other.
------------------------------------------------------------------------------------------------------------------------------------
X / 2 - Generalized and arthropathica K 28 days to 28 days
psoriasis vulgaris.
In direct relation to hospital as an alternative to inpatient care in the field
dermatovenerologie patient department of dermatology.
or as an alternative to this care.
1x during the calendar year.
The possibility of extension. The possibility of extension.

P P 21 days 21 days in indicated cases P 14 days
Other. Other.
------------------------------------------------------------------------------------------------------------------------------------
X / 3 - Toxic contact dermatitis, K 28 days to 21 days
- Eczema as an occupational disease
the systematic care occupational diseases under other occupational diseases under other legal
dermatologist. law, which provides a list of legislation that sets out a list of diseases
occupational diseases. by profession.

The possibility of extension. 1x during the calendar year.

P 21 days possibility of extension.
Other.
P 21 days in indicated cases P 14 days
Other.
------------------------------------------------------------------------------------------------------------------------------------
X / 4 - Chronic dermatitis unresponsive to P 28 days 21 days in indicated cases P 14 days
outpatient treatment.
Treatment is rarely provides a direct
Following the hospitalization at
inpatient department dermatovenerologie
or as an alternative to this care.

The possibility of extension.

P 21 days
Other.
------------------------------------------------------------------------------------------------------------------------------------
X / 5 - Conditions after burns and K after 28 days to 21 days
reconstructive surgery, where
there is a significant disruption. Within 3 months after completion of treatment to 24 months from the beginning of the base stay.
relevant specialists.

The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
XI Gynecological Diseases
------------------------------------------------------------------------------------------------------------------------------------
XI / 1 - Sterility and infertility to 21 days to 21 days
Primary (3 or more spontaneous abortions
) Women under 40 years. Women under 40 years of age.
- Secondary infertility at
inflammatory and functional basis. Sterility women older than 35 years after the sterility of women older than 35 years after
- Abortus habitualis. negative partner tests women. negative partner tests women.

Infertility (3 or more spontaneous infertility (3 or more spontaneous abortions
) after negative genetic abortions) after negative genetic
examination of both partners. examination of both partners.

The possibility of extension. Within 24 months from the beginning of the base stay.

P 21 days in indicated cases P 14 days
Women under 40 years.
------------------------------------------------------------------------------------------------------------------------------------
XI / 2 - Recurrent inflammatory K P 21 days 21 days in indicated cases P 14 days
diseases of internal genitals and
their consequences (adnexitis Within 3 months after the acute Women under 40 years.
Chronic metritis chronica, exacerbation of inflammatory disease
adhesiones pelvis minoris, in women under 40 years of age.
occlusio tubarum, COLPITIS
chronica ). The possibility of extension.

P 21 days
Other.

------------------------------------------------------------------------------------------------------------------------------------
XI / 3 - state after complicated to 28 days
gynecological operations.
- Conditions after complicated surgery
pelvic.

Within 3 months after surgery.

The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
SECTION B


Indication List for spa treatment rehabilitation care for children and adolescents


A. A list of therapeutic groups for children and adolescents


XXI Diseases for Oncology
XXII Diseases of the circulatory system

XXIII Diseases of the digestive tract

XXIV Diseases of metabolic disorders and endocrine and obesity

XXV Respiratory diseases

XXVI Diseases of the nervous

XXVII Musculoskeletal diseases

XXVIII Diseases of the urinary tract
Mental disorders XXIX

Skin diseases XXX


XXXI gynecological diseases

B. List of indications for spa treatment rehabilitation care for children and adolescents


Number indication
------------------------------------------------------------------------------------------------------------------------------------
Number Indication bases repeatedly
indication curative stay curative stay
------------------------------------------------------------------------------------------------------------------------------------
- Method of providing medical spa - way of delivering Spa Hospital
rehabilitation: rehabilitation:

K (complex) K (complex)
- Other professional criteria relating - further professional criteria relating
to individual indications to individual indications
- Duration of the treatment - duration of the treatment
- The deadline for the onset of treatment stay - the deadline for the onset of treatment stay
- The possibility of extension - the possibility of extension
------------------------------------------------------------------------------------------------------------------------------------
XXI oncological diseases
------------------------------------------------------------------------------------------------------------------------------------
XXI / 1 - malignant tumors. For 28 days

24 months after the completion of a complex
anticancer treatment.

The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
XXII circulatory system diseases
------------------------------------------------------------------------------------------------------------------------------------
XXII / 1 - Congenital malformations and acquired defects to 28 days to 28 days
heart and large vessels after surgery.
- States after heart transplantation. The possibility of extension. Hemodynamic residual defects.

The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
XXII / 2 - System rheumatic and other K 28 days to 28 days
collagen disease affecting
circulatory system and joint forms. The possibility of extension. 1x over 24 months

with a relapse following completion
acute phase sooner.

The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
XXII / 3 - Juvenile hypertension. For 28 days to 28 days

The possibility of extension. 1x during the calendar year.

The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
XXII / 4 - prognostic serious risk to 28 days
factors (dyslipidemia, or a combination of other risk
extension options.
factors: hypertension, obesity
, genetic load).
------------------------------------------------------------------------------------------------------------------------------------
XXIII neurological diseases

------------------------------------------------------------------------------------------------------------------------------------
XXIII / 1 - Chronic diseases of the stomach. For 28 days to 28 days
- Functional disorders of the stomach.
- Chronic gastritis and the possibility of extension. 1x during the calendar year.
duodenitis erosiva.
- Peptic ulcer disease and stomach within 48 months from the beginning of the base
duodenum. Stay at a proven effect
- Conditions after surgery of the esophagus, previous residence.
stomach and duodenum.
The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
XXIII / 2 - Chronic bowel disease. For 28 days to 28 days
- Functional disorders of the small and
colon. The possibility of extension. Chronic enterocolitis and Crohn's disease.
- Chronic enterocolitis, including
Crohn's disease and other primary 1x during the calendar year.
malabsorption syndromes.
- Dermatogenní malabsorption syndromes. The possibility of extension.
- Celiac disease.
- Polyposis intestine. Others:
- Congenital and acquired megacolon.
- Conditions after operations on thin and 1x during the calendar year.
colon. Within 48 months from the beginning of the base stay.
The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
XXIII / 3 - Diseases of the liver. For 28 days to 28 days
- States after infectious hepatitis.
- Chronic hepatitis. The possibility of extension. 1x during the calendar year.
- Cirrhosis of state compensation.
- Toxic liver damage. Organ transplantation within 12 months to 36 months from the beginning of the base stay.
- Conditions after infectious mononucleosis after surgery.
with hepatic impairment. The possibility of extension.
- Conditions after injuries, operations and
liver transplantation.
- Other hepatopathia.
------------------------------------------------------------------------------------------------------------------------------------
XXIII / 4 - Chronic gallbladder disease to 28 days to 28 days
and biliary tract.
- Congenital defects of bile and the possibility of extension. 1x during the calendar year.
biliary secretion.
- Chronic cholecystitis. Within 36 months from the beginning of the base
- Biliary dyspepsia. Stay at a proven effect prior
- Conditions after gallbladder surgery and residence.
biliary tract.
The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
XXIII / 5 - Chronic diseases of the pancreas. For 28 days to 28 days
- Conditions after acute pancreatitis.
- Chronic pancreatitis. The possibility of extension. Chronic diseases of the pancreas,
- Pancreatic achylie congenital cystic fibrosis.
also I obtained.
- Cystic fibrosis. 1x during the calendar year.
- Conditions after injuries, operations and
Pancreas transplantation. The possibility of extension.

For 28 days
Other.
1x during the calendar year.
Within 36 months from the beginning of the base stay.

The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
XXIV diseases and disorders by metabolic endocrine and obesity
------------------------------------------------------------------------------------------------------------------------------------
XXIV / 1 - Diabetes mellitus. For 28 days to 28 days

The possibility of extension. 1x during the calendar year.

The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
XXIV / 2 - Obesity related to other K 28 days to 28 days
risk factors.
The possibility of extension. 1x during the calendar year.

Within 36 months from the beginning of the base
Stay at a proven effect prior
stay.

The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
XXIV / 3 - Thyroid. For 28 days to 28 days
- Conditions after thyroid surgery.

- Conditions after surgery of benign possibility of extension. Thyreopathy.
tumors of the adrenal and pituitary glands.
1x during the calendar year.

Within 36 months from the beginning of the base stay.

The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
XXV nontuberculous respiratory diseases
------------------------------------------------------------------------------------------------------------------------------------
XXV / 1 - Recurrent complicated to 28 days to 28 days
Otitis after surgical treatment.
The possibility of extension. The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
XXV / 2 - Chronic bronchitis / K 28 days to 28 days
recurrent bronchitis.
The possibility of extension. 1x during the calendar year.

Within 48 months from the beginning of the base stay.

The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
XXV / 3 - Condition after repeated inflammation to 28 days
lung over the past 2 years.
The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
XXV / 4 - bronchiectasis. For 28 days to 28 days

The possibility of extension. The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
XXV / 5 - Bronchial asthma. For 28 days to 28 days

The possibility of extension. The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
XXV / 6 - Conditions after operations and 28 days to 28 days
trauma upper and lower
airways and lungs with the exception of the possibility of extension. The possibility of extension.
conditions after tonsillectomy and
adenoid surgery vegetation.
- Conditions after operations malformations
chest with impaired lung function.
------------------------------------------------------------------------------------------------------------------------------------
XXV / 7 - Cystic fibrosis. For 28 days to 28 days

- Interstitial lung fibrosis. The possibility of extension. The possibility of extension.

- Sarcoidosis of the lungs.
------------------------------------------------------------------------------------------------------------------------------------
XXVI Diseases of the nervous
------------------------------------------------------------------------------------------------------------------------------------
XXVI / 1 - syndrome peripheral to 28 days to 28 days
motor neurone any
etiology. The possibility of extension. The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
XXVI / 2 - Muscular dystrophy and K 28 days to 28 days
other muscle disorders.
The possibility of extension. The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
XXVI / 3 - Cerebral Palsy. For 28 days to 28 days

- Cerebellar syndromes. The possibility of extension. The possibility of extension.

- Locomotor disorders in small brain impairment.
------------------------------------------------------------------------------------------------------------------------------------
XXVI / 4 - Other locomotor disorders to 28 days to 28 days
central origin:
- Locomotor disorders and inflammation possibility of extension. The possibility of extension.
brain and spinal cord, autoimmune
degenerative and heredofamiliární
disease influenced
rehabilitative care.
- Locomotor disorders after vascular
incidents brain.
- Locomotor disorders after brain injury.
- Locomotor disorders after surgery
central nervous system tumors.
------------------------------------------------------------------------------------------------------------------------------------
XXVI / 5 - Root syndromes to 28 days to 28 days
vertebrogenic origin.

The possibility of extension. When recurrence.

The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
XXVII musculoskeletal diseases
------------------------------------------------------------------------------------------------------------------------------------
XXVII / 1 - juvenile chronic arthritis. For 28 days to 28 days

- Other chronic rheumatic possibility of extension. The possibility of extension.
diseases of the joints and spine.
------------------------------------------------------------------------------------------------------------------------------------
XXVII / 2 - Congenital or acquired K 28 days to 28 days
orthopedic defects.
The possibility of extension. The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
XXVII / 3 - Conditions after injuries and K 28 days to 28 days
orthopedic surgery
Fail motor function. The possibility of extension. Within 36 months after surgery or injury.
------------------------------------------------------------------------------------------------------------------------------------
XXVII / 4 - Scoliosis requiring corset to 28 days to 28 days
by Ib according to Cobb, the systematic
rehabilitative care. The possibility of extension. The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
XXVII / 5 - osteochondrosis in stages to 28 days
reparation.
Perthes' disease at the stage of extension options.
reparation.
- Primary and secondary
Osteoporosis Pediatrics and
Adolescent age.
------------------------------------------------------------------------------------------------------------------------------------
XXVII / 6 - Morbus Scheuermann. For 28 days

The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
XXVII / 7 - Vertebral algic to 28 days to 28 days
syndrome.
The possibility of extension. When recidivism.

The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
XXVIII Diseases of the urinary tract
------------------------------------------------------------------------------------------------------------------------------------
XXVIII / 1 - Recurrent or prolonged to 28 days to 28 days
inflammation of the kidneys and urinary
paths on the basis of anatomical possibility of extension. In case of known activity of the disease process.
or functional.
------------------------------------------------------------------------------------------------------------------------------------
XXVIII / 2 - Urolithiasis in situ to 28 days to 28 days
after a spontaneous departure
The stone, removing the possibility of extension. When recidivism.
surgical or endoscopic
way or lithotripsy possibility of extension.
extracorporeal shock
waves (ESWL).
------------------------------------------------------------------------------------------------------------------------------------
XXVIII / 3 - Conditions after operations to 28 days
Urinary tract
outside urolithiasis. Within 3 months after surgery; when postoperative
complications within 6 months after surgery.

The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
XXVIII / 4 - Chronic diffuse to 28 days to 28 days
glomerulonephritis.
- Lipoid nephrosis. The possibility of extension. Within 36 months from the beginning of the base stay.
- Hereditary nephropathy
at the remission stage. The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
XXVIII / 5 - Conditions after renal transplantation. For 28 days to 28 days

The possibility of extension. To 36 months after transplant.

The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------

XXVIII / 6 - Functional micturition disorders K 28 days to 28 days
(Without inflammatory causes)
in cases where there is no possibility of extension. Within 12 months from the beginning of the base stay.
continuous ambulatory care
effective. The possibility of extension.
- Children after the age of 9 years
Age unresponsive to
current regime and
drug measures.
------------------------------------------------------------------------------------------------------------------------------------
XXIX MENTAL DISORDERS
------------------------------------------------------------------------------------------------------------------------------------
XXIX / 1 - Psychoses in remission stage. For 28 days to 28 days

In direct relation to hospitalization within 24 months from the beginning of the base stay.
a psychiatric ward
or continuous ambulatory care possibility of extension.
as an alternative to inpatient
psychiatric care after each exacerbation.

The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
XXIX / 2 - Neurotic disorders and other K 28 days to 28 days
non-psychotic disorders.
In direct relation to hospitalization within 24 months from the beginning of the base stay.
a psychiatric ward
or continuous ambulatory care possibility of extension.
as an alternative to inpatient
psychiatric care after each exacerbation.

The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
XXX SKIN DISEASES
------------------------------------------------------------------------------------------------------------------------------------
XXX / 1 - Psoriasis vulgaris - chronic K 28 days to 28 days
and recurrent forms.
The possibility of extension. When the activity of the disease process.

The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
XXX / 2 - Chronic and recurrent K 28 days to 28 days
eczema, including atopic.
The possibility of extension. When the activity of the disease process.
- Chronic prurigo.
The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
XXX / 3 - Indurativní and konglobující K 28 days to 28 days
forms of acne.
The possibility of extension. When the activity of the disease process.

The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
XXX / 4 - Scleroderma. For 28 days to 28 days

The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
XXX / 5 - ichthyosis. For 28 days to 28 days

The possibility of extension. The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
XXX / 6 - chronic dermatoses. For 28 days to 28 days

The possibility of extension. When the activity of the disease process.

The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
XXX / 7 - Conditions after burns and K 28 days to 28 days
After reconstructive surgery,
where there is shrinkage scars. The possibility of extension. Within 36 months after burns or

The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
XXXI Gynecological Diseases
------------------------------------------------------------------------------------------------------------------------------------
XXXI / 1 - Recurrent inflammatory K 28 days to 28 days
external and internal diseases

genitals. The possibility of extension. Within 36 months from the beginning of the base stay.
- Post-inflammatory changes in small saucepan.
The possibility of extension.
------------------------------------------------------------------------------------------------------------------------------------
XXXI / 2 - Primary and secondary: For 28 days to 28 days
amenorrhoea,
oligomenorrhea and dysmenorrhea, possibility of extension. Within 36 months from the beginning of the base stay.
if no patient care
effective. The possibility of extension.
- Menstrual Irregularities
Cycle at contraindication
hormonal therapy.
------------------------------------------------------------------------------------------------------------------------------------
XXXI / 3 Stocks with postoperative K 28 days to 28 days
complications after surgery
(3 months postoperatively): The possibility of an extension. Within 12 months from the beginning of the base stay.
- In a small saucepan.
- After other abdominal surgeries possibility of extension.
the relationship to the landscape of the small pelvis.
- After appendectomy.
------------------------------------------------------------------------------------------------------------------------------------
XXXI / 4 - Hormonal Dysfunction K after 28 days to 28 days
termination pharmacological
ovarian protection during the oncological possibility of extension. Within 12 months from the beginning of the base stay.
Treatment for genital and
extragenital tumor extension options.
disease.
------------------------------------------------------------------------------------------------------------------------------------".

Art. II
Transitional provisions


First Spa treatment rehabilitation care, for which provision has been subjected
proposal before the effective date of this Act shall provide
under Decree no. 267/2012 Coll., On the list of indications for
spa treatment rehabilitation care for adults children and adolescents, as
effective until 31 December 2014.

Second Curative stay made pursuant to Decree no. 267/2012 Coll.
as basic is considered the treatment stay by Law no. 48/1997
Coll., as amended, effective from the date of entry into force of this Act.

Third Curative stay made pursuant to Decree no. 267/2012 Coll.
repeated as is deemed repeated treatment stay by Act no.
48/1997 Coll., as amended, effective from the date of entry into force of this Act.

Fourth If the policyholder took place last treatment stay in the period from October 1
2009 to September 30, 2012, is considered such a treatment stay for basic
spa stay according to Act no. 48/1997 Coll., As amended, effective from the date of
effective date of this Act.

Fifth Spa treatment rehabilitation care, for which provision has been subjected
proposal for the period from 1 January 2015 until the effective date of this Act
granted to a policyholder for the indication for the first time, the
deemed essential by therapeutic stay Law no. 48/1997 Coll., as amended
effective from the date of entry into force of this Act.

6th Spa treatment rehabilitation care, for which provision has been subjected
proposal for the period from 1 January 2015 until the effective date of this Act
a corresponding indication, based on which in the past
insured medical stay place, the considered a repetitive therapeutic
stay under Act no. 48/1997 Coll., as amended, effective from the date of entry into force of this Act
.

Art. III
Efficiency


This Act shall take effect on the date of its publication.


Hamáček vr Zeman


Sobotka