Appendix 1

Law on the amendment of the Health Act and the Act of Public Health and Health Services Act

(Amendment of the framework for general medical services and so on in the practice sector, including the strengthening of the regional planning and management capabilities of the regions, the same quality, systematic patient involvement, liability, etc.),

We, by God's grace, the Queen of the Danes, do our thing.

The parliament has adopted the following law, and we know that the following law has been approved by Parliament's consent :

§ 1

In the health code, cf. Law Order no. 913 of 13. July 2010, as amended in particular by Law No 1. 603 by 18. June 2012 and Section 5 of Law No 622 of 12. June 2013 and at the latest at Section 1 of Act 1. 653 of 12. June 2013, the following changes are made :

1. I § 57, paragraph. 1, the following shall be inserted after "provide" : "and ensure".

2. § 57, paragraph. 2, ITREAS :

" Stop. 2. The Committee of the Regions is responsible for ensuring that citizens receive payment-free medical visits to the home. '

3. The following section 57 is added before Chapter 14 :

" § 57 a. The Committee of the Regions shall lay down on the basis of the practice of the general practice, cf. section 206 (a) the location of the practice from which an unpaid treatment is granted for persons covered by security group 1, cf. § 60, paragraph. 1.

Paragraph 2. A holder of an additional number wishing to move practices must obtain the approval of the regional council. Approval must be reported if the move does not alter the preconditions for the practice or are in conflict with this subject, cf. § 206 a.

Chapter 13 a

Mandatory tasks and so on for general practitioners

§ 57 b. General practitioners are obliged to exercise their activities in accordance with national professional guidelines and so on.

Paragraph 2. General practitioners who treat group 1 secured persons, cf. § 60, paragraph. 1, the obligation to exercise their activities in accordance with the health agreements concluded between the regional and local authorities in the region, cf. § 205, including track flow programs and so on

§ 57 c. It is incumcused to general practitioners who provide treatment for group 1-proof persons, cf. § 60, paragraph. 1, to encode enquiries to general practices and to use data capture.

Paragraph 2. General practitioners providing treatment to group 1 secured persons, cf. § 60, paragraph. 1, shall publish the information relating to their practices relevant to the citizens ' choice of physician, cf. § 59, paragraph. 1.

Paragraph 3. The minister of health and prevention lays down detailed rules on encoding and data capture. The Minister for Health and Prevention shall also lay down detailed rules on the publication of information on practices pursuant to paragraph 1. TWO. "

4. § 59, paragraph. 5, ITREAS :

" Stop. 5. The Minister for Health and Prevention shall lay down detailed rules on group 1-proof persons ' choice of doctor, including in the case of medical shifts. `

5. I § 60 pasted as paragraph 3 :

" Stop. 3. The Minister for Health and Prevention shall lay down detailed rules on the right of group 1 to the right of unpaid treatment by general practitioner of general practitioners. ` ;

6. I § 195 pasted as paragraph 2 and 3 :

" Stop. 2. It is incumcused to general practitioners who provide treatment for group 1-proof persons, cf. § 60, paragraph. 1, provide information about the establishment of the regional advisaders for planning, quality assurance and checking of paid grants and fees, but not in the form of information that identifies or makes it possible to identify the patient.

Paragraph 3. The Minister for Health and Prevention shall lay down detailed rules on the information which general practitioners shall give to the regional advisers in accordance with paragraph 1. TWO. "

7. I § 204 inserted after paragraph 1. 1 as new slices :

" Stop. 2. In each region, a practice committee committee composed of five members nominated by members of the municipalities in the region, three members from the regional council and three members appointed by general practitioners, shall be set up by members of the local authorities of the region, three members from the regional counters and three members appointed by general practitioners. 1-proof people, cf. § 227, paragraph 1. 1, cf. § 60, paragraph. 1. The Committee of the Regions is responsible for the Presidency and the secretarial services committee. The committee has to reach a consensus on the final form of the practice. If it is not possible to reach agreement, the final decision on the drafting of the practice plan falls to the Council.

Paragraph 3. In each region, a patient inclusion committee, as referred to by the Health Coordination Committee, shall be set up. paragraph 1, and the practice planning committee, cf. paragraph 2, systematically incorporates in their discussions. The Committee of Patients shall be composed of members designated by patient and farm-door organizations. ` ;

Paragraph 2 is then referred to in paragraph 2. 4.

8. I § 204, paragraph 1. 2, there will be paragraph 1. The following shall be inserted after the words ' presidency etc. ` shall be inserted after the ' Presidency and the other. ` 2 mentioned the practice of the practice and the practice referred to in paragraph 1. 3 mentioned Patient Transitions Committee. `

9. Insert after section 206 Chapter 63 :

" § 206 a. The one in section 204 (4). The Committee shall, in each parliamentary term, draw up a practice plan for general practice, which forms part of the regional health plan, cf. 206. The practice plan must be reviewed during the parliamentary term, if substantial changes are made to its conditions. The practice plan shall be submitted to the Board of Health, before the final adoption, to the Board of Health, which shall provide advice on the design of the practice.

Paragraph 2. In addition to the preparation and revision of the practice plan for general practice, a consultation of the municipalities in the region must be consulted, and the practice must be submitted before the adoption of the health coordination committee in accordance with the approval of the practice. § 204, paragraph 1. 1.

Paragraph 3. Prior to the preparation of the practice of general practice or to be revised, a hearing of the practices of the region providing free treatment for persons covered by security group 1 shall be carried out in accordance with the practice of general practice. § 60, paragraph. 1. The plan shall be submitted before the adoption of the patient withdrawal committee, cf. § 204, paragraph 1. 3, for consultation. "

10. The heading for Chapter 70 ITREAS :

" Chapter 70

Agreements, organizational forms, etc. '

11. I § 227, paragraph 1. 1, pasted as Act 2. :

' Terms and conditions laid down and issued in accordance with section 57 (a, section 57 (b), section 57 (c) (c), Paragraph 1 or 2, section 195 (5), 2, section 204 (4). (2) or (3) or Article 206 (a) or rules issued in accordance with section 57 (c) (c), 3, section 59, paragraph. 5, or § 60 (2). However, 3, in this Act as binding conditions, may not be deviated from agreements concluded with the organisations of health professionals ' representative general practice. ` ;

12. I § 227 inserted after paragraph 1. 1 as new slices :

" Stop. 2. Extreme acts which have supplied general medical services to group 1 secured persons, cf. paragraph ONE, ONE. pkt., cf. § 60, paragraph. The region has been able to sell to doctors who are going to practice in accordance with paragraph 1. ONE, ONE. pkt., cf. § 60, paragraph. 1. The Committee of the Regions may also sell new additional numbers for which the region has been set up and, from existing practice, which the region has bought up as part of the practice of the practice, to doctors who will practise in accordance with paragraph 1. ONE, ONE. pkt., cf. § 60, paragraph. 1. Sales of the outer numbers, cf. 1. and 2. Pkti can happen to doctors who already have a number on the outside. A doctor can own up to six outnumbers acquired in accordance with 1. and 2. Act.

Paragraph 3. The region may decommission the operation of practices which have so far delivered general medical services to group 1 secured persons, cf. paragraph ONE, ONE. pkt., cf. § 60, paragraph. 1, and where the region has been transferred to the outer plate. In addition, the Committee of the Regions shall be able to provide the practice of new exterior numbers which the region has set up. In addition, the Committee of the Regions may, as part of the practice, buy up existing exterior numbers from doctors who have wanted to sell and to tender the operation of these practices.

Paragraph 4. The tender for paragraph shall be : 3 must be done on open, objective and non-discriminatory conditions and must be organised in such a way as to ensure that any bids can be compared to what a public driven entity will cost. The Committee of the Regions has the opportunity to reject an offer, the costs of which are significantly higher in comparison.

Paragraph 5. Where there are no private suppliers participating in the provision of the practice of practices carried out in accordance with paragraph 1, Paragraph 3, or the region of the region, has rejected tenders pursuant to paragraph 1. FOUR, TWO. pkt., even the region itself may establish practices for a period of up to four years. A regional councils wishing to continue operating in practice after the end of the four-year period may only do so if it is not possible to sell the outside number to a doctor in accordance with paragraph 1. 2 or dispose of the operations provided for in paragraph 1. 3 and 4.

Paragraph 6. A regional councils can, in the event of acute emeral medical shortages, establish a temporary general medical offer. '

Paragraph 2-8 is then being referred to in paragraph 2. 7-13.

13. § 229 ITREAS :

" § 229. There is no agreement on the terms and conditions of benefits under section 227 (3). 1, the Minister for Health and Prevention of the conditions governing the conditions of the regions and municipalities ' s allowances, including rules on the content and application of the benefits and of the payment of the fees to health professionals, on the fees on the fees ; the individual services and on the driving allowance of doctors referred to in the persons referred to in Section 59 may also lay down rules that the fees for each benefit may be reduced in the event of significant increased activity that is not ; justified in a corresponding increased need for health care. The Minister may lay down rules on the overall economic framework for the services and rules on any set-off in future fees in the event of the overrun of this framework. The Minister may also lay down rules that the commitments made so far by the previous agreement to the payment of fees should be applied, as the Minister may lay down rules on the reference to treatment. `

14. Insert after section 273 :

" § 273 a. The Ministry of Health and Prevention may be in accordance with Article 57 (c) (c). 3, and section 195 (5). ' (1) and (3), lay down rules for penalties for breaches of the provisions laid down in the rules. `

§ 2

In the case of the law on appeal and compensation access in the health care system, cf. Law Order no. 1113 of 7. November 2011, as amended by law no. 1257 of 18. December 2012 and section 2 of the Law No 1401 of 23. December 2012, the following changes are made :

1. I § 29, paragraph. 1, no. FIVE, ONE. pkt., is changed " cf. however, paragraph 1 2 "for :" cf. however, paragraph 1 3 ".

2. I § 29 inserted after paragraph 1. 1 as new paragraph :

" Stop. 2. Duty to compensate for this Chapter shall also have special medical practice specialised in general medicine which do not appear by agreement, cf. Article 227 (2) of the health officer. 1, cf. § 60, paragraph. 1, for damage after treatment, study el.equal. that have been paid directly outside the public health service. However, the region in which the special medical practice is situated is the duty to provide compensation for damage after treatment, study el.equal. which have been carried out in accordance with the other provisions of health law. `

paragraphs 2 and 3 shall then be set out in paragraph 1. 3 and 4.

3. I ~ 30 (5)) 5, is inserted after no 1 as new number :

" 2) the region in which the person liable to replace the person concerned, cf. Section 29, domicile or registered office, shall pay compensation in cases where the replacement does not have insurance under paragraph 1. 2, as the region may be subject to the rules on the replacement of the liable person '.

paragraphs 2 and 3 will be no. 3 and 4.

4. I ~ 30 (5)) 6, the ' no. One-three-to-one. 3 and 4. "

5. I Section 31 (1). 6, the ' no. One and two : 3 ".

6. I § 34, paragraph. 2, "Danske Handicaporganizations and Consumer Protection Council." To : "Danish Disabilities, Consumer Council and Danske Patients."

7. § 34, paragraph. 4, ITREAS :

" Stop. 4. For the decision of the individual case, the board shall be groused by :

1) Chairman or 1 Vice-President,

2) 2 expert members appointed by the Board of Health pursuant to paragraph 1. 3 depending on the professional nature of the case,

3) 1 member designated by the regional advisories in association,

4) 1 member designated by KL,

5) 1 member appointed by the Legal Affairs Council and

6) Two members appointed by the Consumer Council, Danish Disabilities, and Danske Patients in association. "

§ 3

Law no. 1257 of 18. December 2012 on the amendment of the law on appeal and compensation to health care services (private hospitals, clinics and specialist medical practices co-financing of patient damage compensation scheme, remuneration and mileage allowance for the Consumer Council and The representatives of Danske Patients in the dential names etc. are amended as follows :

1. § 1, no. 14, revoked.

2. I Section 2 (2). 1, in July 2013, ' 1 September 2013 ` shall be replaced by ' 1 July 2013 `.

§ 4

Paragraph 1. The law shall enter into force on 1. September, 2013, cf. however, paragraph 1 Two and three.

Paragraph 2. The Minister for Health and Prevention shall determine the date of entry into force of § 1. The Minister may, in particular, provide that sections of section 1 shall enter into force at different times.

Paragraph 3. § 2, nr. 6 and 7, and section 3 will enter into force on the 15th. July, 2013.

Paragraph 4. Pending the entry into force of section 1, the Agreement on general practice of 3 shall be applied. June 1991 last amended by agreement of 21. In December 2010, continued use.

Paragraph 5. Annex 1 to this law shall apply until paragraph 1 is entered into force. The economic framework shall be proportionate to the period during which the financial protocol latet, cf. Annex 1 is applicable.

Paragraph 6. The first practice plan, cf. § 206 (a) (a) 1, must be available on 1. May 2014.

§ 5

Paragraph 1. The law does not apply to the Faroe Islands and Greenland, cf. however, paragraph 1 2.

Paragraph 2. Section 2 may, in full or in part, be set in force for the Faeroe Islands, with the changes that the ferotable relationships may be made.

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Appendix 1

Financial protocol of 21. December 2010

The financial framework within the general medical profession is the total expenditure of the annual tax return. 2010. The framework includes all expenses today-and on-call time. basic booration and prophylactic services. Costs concerning. Section 2 agreements are not included in the framework.

To the frame :

-WHAT? the salary and price regulation of the fees in accordance with the provisions of the Convention (Regulation%) ;

-WHAT? 75 million. DKK per 1. April 2011 and another 50 million. DKK per 1. April 2012 concerning general obligations in the field of crankspace, etc., (The amount is made in 1. April 2011-Level)

-WHAT? 106 million. DKK per 1. April 2011 and another 108 million. DKK from 1. April 2012 (the amount has been set up in 1. April 2011-level).

The development of expenditure within the Agreement's territory shall be followed by the parties through quarterly statements.

If the annual cost of the general medical service exceeds the agreed framework, the Parties agree that, with effect from 1, the Parties agree. After the inventory is presented, a set-off shall be set at the level of the regulation. The receipt shall provide compensation corresponding to the difference established between the agreed financial framework and the actual costs incurred. However, there can be no question of a reduction in fees. In the event that the overshoot may not be fully offset by the regulation. 1. In October, the missing offset shall be transferred to subsequent adjustments.

In exceptional cases, a correcting of the framework between the central parties may be corrected. This may be due to exceptional morbidity and major structural changes, as well as changes as a result of legislation.

No financial framework has been set for the period after 31. March, 2013.