Key Benefits:
COUNTY GOVERNMENT KULON PROGO
COUNTY REGULATION KULON PROGO
NUMBER 4 YEAR 2012
ABOUT
THE HEALTH CARE LEVY ON THE TECHNICAL EXECUTOR UNIT
SERVICE THE COUNTY HEALTH OF KULON PROGO
WITH THE GRACE OF THE ALMIGHTY GOD
BUPATI KULON PROGO,
Draws: a. that the Local Government has a responsibility
in providing the basic services of one of them is
health care for the community;
b. that in order to improve and
optimize community health services,
needs to involve the role as well as the community in the form
payment of retribution;
c. that by having it established the Act
No. 28 Year 2009 on Regional Taxes and
Regional Retribution, Health Care Retribution
is one of the types of General Services Retribution that
can be levied by the Local Government for
contributing against the service charge
health;
d. that under consideration as
referred to in letters a, the letter b and the letter c, need
set the Regional Regulation on Retribution
Health Service On the Technical Managing Unit
The Kulon County Health Service Progo;
2
Given: 1. Article 18 of the paragraph (6) of the Basic Law
Republic of Indonesia in 1945;
2. Act No. 15 of 1950 on
The formation of a County Regional Area in
Special Regional Environment of Jogjakarta as
has been amended by Act No. 18
Year 1951 on Change Law Number
15 Year 1950 Indonesian Republic to
Regional Regional Cultivation Kulon Progo
and Adikarta in Special Area Environment
Jogjakarta became one County by name
Kulon Progo (Republic of the Republic of Indonesia
Year 1951 Number 101);
3. Law No. 29 Of 2004 On Practice
Medicine (sheet Of State Of The Republic Of Indonesia
In 2004 Number 116, Additional Sheet Of State
Republic Indonesia Number 4431);
4. Law No. 32 Year 2004 on
Local Government (Republican Gazette
Indonesia Year 2004 Number 125, Supplement
sheet of State of the Republic of Indonesia Number 4437)
as amended last by Invite-
Invite Number 12 Year 2008 on Changes
Second Over Law Number 32 Year 2004
about Local Government (State Sheet
The Republic Of Indonesia 2008 Number 59, Extra
The Country Sheet Republic of Indonesia No. 4844);
5. Law No. 28 Year 2009 on Tax
Regions and Retribution Of The Area (State Sheet
Republic Of Indonesia In 2009 Number 130),
Additional Sheet Country Indonesia Number
5049);
6. Law No. 36 Year 2009 on
Health (State Sheet of the Republic of Indonesia
Year 2009 Number 144, Additional Sheet Country
Republic of Indonesia No. 5063);
3
7. Government Regulation No. 32 of 1950 on
The enactment of the Act of 1950
Number 12, 13, 14 and 15 of Hal Formation of the Regions
District County in Djawa East/Central/West and
Special Region Jogjakarta (Republic of the Republic News
Indonesia Tahun 1950 Number 59);
8. Government Regulation No. 69 of 1991 on
Civilian Civil Servant, recipient
Retired, Veterans and Pioneers of Independence and
His Family (State Sheet of the Republic of Indonesia
Year 1991 Number 90, Additional State Sheets
Republic of Indonesia Number 3457);
9. The decision of the Minister of Health Number
128 /MENKE/SK/II/2004 on Basic Policy
The Public Health Center;
10. The decision of the Minister of Health Number
1267 /MENKE/SK/XII/2004 on Standards
Health Service Laboratory Services
District/Kota;
11. Health Minister's Decision Number
521 /MENKES/SK/IV/2007 on Drug Base Price;
With The Joint Agreement
THE PEOPLE ' S REPRESENTATIVE COUNCIL
KULON DISTRICT PROGO
and
BUPATI KULON PROGO
DECIDED:
STIPULATING: AREA REGULATIONS CONCERNING RETRIBUTION
HEALTH SERVICES ON THE EXECUTOR UNIT
TECHNICAL COUNTY HEALTH SERVICE KULON
PROGO.
4
BAB I
provisions of UMUM
Article 1
In this Region Regulation referred to:
1. The area is Kulon Progo County.
2. Local Government is the Regent and Device
Regions as the governing element of the Government
Regions.
3. " Bupati is the regent of Kulon Progo.
4. Health Services is the County Health Service
Kulon Progo.
5. Next
Health Service Technical Managing Unit
next called UPTD Health Service is
UPTD County Health Service Kulon Progo which
includes UPTD Puskesmas and UPTD Laboratories
Health.
6. Health care at UPTD Puskesmas is
all forms of service activities performed by
medical power, paramedic power and other power in
Puskesmas addressed to a person in
frame Prevention, observation, diagnosis, treatment,
care, health recovery and rehabilitation from
illness and the consequences.
7. Health care at UPTD Laboratory
Health is a form of vetting activity
against environmental and food samples including
chemical, toxicology, microbiology and other checks.
8. Diagnostic support services are all forms
allowance checking activities:
clinic laboratory, ultrasound, and EKG to support
diagnosis of the disease as one of the efforts
health improvement Community.
5
9. Consulting services are services in order
providing an explanation for health covering
nutrition, infectious disease, environmental health,
maternal and child health, among others.
10. The outpatient service is a service to
patients entering Puskesmas for the purposes of
observation, diagnosis, treatment, medik rehabilitation,
and other health services.
11. Hospitalization is a service of
patients entering Puskesmas for the purposes of
observation, diagnosis, treatment, medik rehabilitation,
and other health services that need to stay in
Puskesmas to Next observation treatment.
12. The medik service is an action with
or without dissection using the refraction
general or the local anesthesia or without anesthesia.
13. The medik support service is the service
health to support diagnosis and therapy.
14. Medik rehabilitation services are services that
provided by Puskesmas in the form of ministry
examination by the medik power that includes
medik rehabilitation, physiotherapy, -kupational therapy, therapy
wicara, orthotik/prosthetics, psychological services, social worker
medik and other rehabilitation.
15. Pharmacy services are services that include
provisioning activities, storage, distribution,
service services and study, preparation of formulations,
evaluation, dissemination of information and supervision
quality of the drug supply and the health care tool runs out on.
16. Nutrition services are services that include activities
food procurement for patients, officers in the space
hospitalization, counseling and consulting, as well as research
and applied nutrition development.
17. Visum et repertum is a report of the results of the examination
medicine includes a forensic medical examination
against the living person, body, or alleged object
results from the human body, which is required based
provisions of the laws.
6
18. The use of an ambulance or body car
is a patient or body delivery activity.
19. The non-medik support service is the service
health that is indirectly related to
medik service.
20. Service services are the rewards accepted by
the executor directly or indirectly
performing the service to the patient.
21. A guarantor is a person or legal entity that
is responsible for some or all of the Retribution
Health Services for patients in Puskesmas which
be its dependents.
22. A poor or incapable patient is a sick person
who is economically unable to finance
health care at Puskesmas is proven
with possession of a card or a caption letter
valid.
23. A direct charge is the cost that arises as a result of
the health care service is performed.
24. Indirect costs are costs that are not
directly arising as a result or absence of
health care activities.
25. A body is a set of people and/or capital that
is a force, whether or not performing an effort
nor does any effort include
limited liability, a commander-in-command company, a company
another, the Entity ID. State owned (BUMN), or Agency
Regional-owned Enterprises (BUMD) by name and in
any form, firm, kongsi, cooperative, pension fund,
fellowship, sorority, foundation, mass organization,
political social organization, or other organizations,
agencies and other body forms include contracts
collective investment and a fixed form of effort.
26. Section Levy is a section levy as
payment of services or grant of certain permissions that
specially provided and/or granted by the Government
Regions for the benefit of a person or person.
7
27. The next Health Care Levy
called Retribution is a portion of the cost
hosting basic health care activities,
development, hospitalization, diagnostic support,
food sample check and environment and
other health services in Puskesmas and
The Health Laboratory charged to
the public in return for the health care
received.
28. A vote is a series of activities starting
of the set of object data and the subject of retribution,
determining the magnitude of the debt owed up to
the process of invoking retribution to the Compulsory Retribution
as well as the supervision of the levy. It's the storage.
29. Common services are services that are provided or provided
by the Local Government for purposes of interest and
general benefit as well as being enjoyed by the person
personal or Agency.
30. Mandatory retribution is a person or body that
according to the Retribution laws
is required to make a payment of retribution,
including a specific collector or levy cutter.
31. Retribution is a particular term
which is the time limit for the Compulsory Retribution
to exploit the services of the Local Government.
32. The next section of the Regional Levy Act
abbreviated as SKRD is the Attribution Warrant which
determines the magnitude of the point of Retribution that
is owed.
33. The next section
(STRD) is a letter to conduct the bill
Retribution and/or administrative sanction of flowers
and/or fines.
34. Residents of the Regions are residents who reside
in the Regions as evidenced by the Population Card
(KTP) and/or Family Card (KK).
8
BAB II
SCOPE
Section 2
The Zone Scope of this Region is the service
health in the Technical Managing Unit of the Health Service
Kulon Progo County includes:
a. health services at UPTD Puskesmas; and
b. Health care at the UPTD Laboratory
Health.
BAB III
NAME, OBJECT AND SUBJECT LEVY
Article 3
Any health service at UPTD Puskesmas
and UPTD Health Laboratory levied retribution
under the name of the Health Service Retribution.
Article 4
(1) Health Service Retribution Object in the UPTD Service
Health is the health service at Puskesmas,
Associate Puskesmas, Traveling Puskesmas, and UPTD
Health Laboratory.
(2) Health services at UPTD Puskesmas are
service:
a. consultation;
b. Outpatient:
1. generic;
2. tooth;
3. Maternal and Child Health (KIA) and Family
Planted (KB);
4. immunization; and
5. be outpatient/Public Health Noursing (PHN)
9
c. diagnostics support;
d. medik action;
e. Outpatient;
f. visum et repertum; and
g. Other health services.
(3) Health services at UPTD Laboratory
Health care of service:
a. food sample check; and
b. environmental sample check.
Article 5
(1) Health Service Retribution Subject matter at UPTD
Puskesmas is a person or Agency
obtaining health care at UPTD
Puskesmas.
(2) Health Service Retribution Subject at UPTD
The Health Laboratory is a person or
Agency that obtained service on UPTD
Health Laboratory.
BAB IV
LEVY TYPE
Section 6
Health Service attribution at UPTD Service
Health is classed as a General Services Retribution.
BAB V
THE WAY MEASURES THE LEVEL OF USE OF MERIT
Article 7
(1) How to measure the service usage rate calculated
based on the number of users services for services that
granted.
10
(2) The level of service usage as referred to
in paragraph (1) is the amount of service usage that
serves as the basis for the cost load allocation
The Regional Government for the hosting of services
concerned.
BAB VI
Principles EMBRACED IN THE DESIGNATION OF STRUCTURE
AND THE MAGNITUDE OF THE LEVY RATE
Article 8
(1) The Principles and objectives in the structure designation and
the magnitude of the tariff The levy is set with
paying attention to the costs of providing services that
concerned, community ability, aspect
justice, and effectiveness of the supervision control of the
service.
(2) Charges as referred to in paragraph (1) against
the health ministry at UPTD Puskesmas includes:
a. Direct charge consists of:
1. patient card and medik record;
2. medical materials exhausted;
3. drugs; and
4. accommodation.
b. Indirect charges consist of:
1. office administration;
2. electric;
3. water;
4. phone;
5. fuel; and
6. the maintenance of infrastructure and health facilities.
c. service services for any type of service
health consists of:
1. action services; and
2. Consulting services.
11
(3) Standard pricing on charges as referred to
in paragraph (2) the letter a number 3 is based upon
the Minister of Health policy.
(4) Charges as referred to in paragraph (1) against
service health in the UPTD Laboratory
Health includes:
a. the cost of the disposable ingredient;
b. Indirect charges consist of:
1. office administration;
2. electric;
3. water;
4. phone;
5. fuel; and
6. the maintenance of infrastructure and health facilities.
c. service services.
BAB VII
STRUCTURE AND MAGNITUDE TARIFF LEVY
Part Kesatu
UPTD Puskesmas
Article 9
(1) The structure and magnitude of the Service Retribution Rate
Health at UPTD Puskesmas is measured by
the top calculation:
a. direct cost;
b. indirect costs; and
c. Service services.
(2) Service services are specified with regard to
community capabilities and service services that
apply to UPTD Health in the surrounding area.
(3) Charges directly, indirect costs and services
services as referred to in paragraph (1) letter
a, letter b and letter c as set forth in
Attachment I and are the not
section of the Regional Regulation Here.
12
(4) The structure and magnitude of the Service Retribution Rate
Health at UPTD Puskesmas as
is listed in Annex I and is the
section which is inseparable from the Regulation of this Area.
Second Section
UPTD Health Laboratory
Article 10 (1) Structure and magnitude of the Service Retribution Rate
Health at UPTD Health Laboratory measured
based on top calculations:
a. direct cost;
b. indirect costs; and
c. service services.
(2) The structure and magnitude of the Service Retribution tariff
Health at UPTD Health Laboratory
as set forth in Annex II and
is the part that does not Section of
This Regional Regulation.
BAB VIII
HEALTH CARE FINANCING PRINCIPLE
Article 11
(1) The Local Government and the public are responsible
over financing of the ministry health in UPTD Service
Health with regard to capabilities
finance Area and community capabilities.
(2) The state government is obliged to subsidie
health for the public through UPTD Service
Health allocated in the Budget
Regional Revenue and Shopping.
(3) Health care costs for the guarantee patient
health is charged to the guarantor.
13
(4) The price of health care for patients
health assurance participants as intended
in paragraph (3) adjusted to the cost calculation
health care services applicable to the institution
The guarantor is concerned.
(5) The cost of health care for poor patients/not
is capable of being recorded as a Regional citizen but
not included as a health assurance participant
as referred to in the paragraph (3) be the responsibility
answer the Local Government.
Article 12
The Retribution tariff charging policy imposed
to the patient is set to be the following:
a. the cost of the drug for basic health care in UPTD
Puskesmas for the residents of the Region is subsidied by
The Local Government.
b. for outpatient residents of the Regions who utilize
any type of health service, Retribution rates
is set based on the entire cost component; and
c. The magnitude of the health service services outside of work hours
at UPTD Puskesmas is given a nominal addition
service cost.
BAB IX
TARIFF REVIEW
SECTION 13
(1) THE LEVY FEE may be reviewed at least 3
(three) years.
(2) The review of Retribution fares as referred to
paragraph (1) is done with regard to the index pricing
and the development of the economy.
14
(3) Retribution tariff penetration as intended
in paragraph (2) is specified with the Regent Regulation.
Section 14
The attribution of the Retribution tariff can be performed with
pay attention to the development of the type of disease, the method
healing, the technology in the health field.
BAB X
REGION POLLING
Article 15
Retribution is levied in the Region region.
BAB XI
THE DETERMINATION PAYMENT, PLACE OF PAYMENT,
INSTALLMENT, AND DELAY OF PAYMENT
Part Parts
Determination of Payment
Article 16
(1) the debt Retribution Payment is determined at any
daily.
(2) The amount of the debt retribution is set with
issuing SKRD or any other document
at the same time.
(3) Further provisions on the form and content of SKRD
or other relevant documents as
referred to in paragraph (2) are governed by the Rules
Count.
15
Second Part
Payment Place
Article 17
(1) Retribution payments are performed at the polling place
the health care service levy or Regional Kas.
(2) Retribution Payment to the collector
retribution at a time defined with
using SKRD or any other document that
is subject to.
(3) Retribution acceptance results must be provided by the officer
A levy of retribution to the Regional Kas in accordance with
the provisions of the laws.
Article 18
(1) Retribution Payments as contemplated in
Section 17 is given a proof of payment.
(2) Any payment is recorded in the acceptance book.
(3) Further provisions about the form, the contents of the book and
the payment proof mark is set with the Regulation
Regent.
Third Quarter
Angcensorship and payment delay
Article 19
(1) Retribution is paid in cash at the time of Retribution Subjects
obtaining health services, so that
enforceable installment.
(2) The payment delay can be done in case
there is a kahar state.
16
Article 20
When the owed Retribution is at the time of the publication
SKRD or other relevant documents.
BAB XII
ADMINISTRATIVE SANCTION
Article 21
In Certain mandatory retribution does not pay exactly
times or less pay, sanctions
administrative of a flower of 2% (two per hundred)
every month of the owed Retribution.
BAB XIII
BILLING
Section 22
(1) Billed The debt levies use STRD and
preceded by a Letter of Teguran.
(2) Another Letter/Warning Letter/Letter that
the same type as the beginning of the billing action
Retribution is issued immediately after 7 (seven) days since
due to payment.
(3) Within a period of 7 (seven) days after the date of the Letter
The other kind, Wajib
Retribution must pay off its debt Retributary.
(4) Other similar messages/warnings/letters
as referred to in verse (2) is issued by
The designated officer.
(5) Further provisions on billing methods
and the issuance of other Teguran/Commemoration/Other Letters
of the same type are governed by the Rule of the Regent.
17
BAB XIV
ABOLISHMENT OF THE LEVY DEBT
EXPIRED
Article 23
(1) The right to perform Retribution billing is
remove and expire after surpassing time 3
(three) years from the time of its Retribution,
unless the Compulsory Retribution commits a criminal act in
the field of Retribution.
(2) The expiry of the Retribution billing as
is referred to in paragraph (1) Toughest if:
a. published the Letter of Uran; and
b. There is a recognition of the Mandatory Retribution from Mandatory Retribution,
both direct and indirect.
(3) In terms of the published Letter of Uran as
referred to in paragraph (2) the letter a, expiration of the billing
calculated since the date The letter is called
In question.
(4) Direct Retribution debt recognition
as referred to in paragraph (2) the letter b, is
Retribution is required to state
still have Retribution debt and yet
soften it to Local Government.
(5) Retribution debt recognition indirectly can
be known from the submission of an installment plea or
delay of payment and a request of objection
by Compulsory Retribution.
(6) Piforth A levy that is not likely to be billed again
due to the right to billing already
expires may be expunged.
(7) The Regents set a Decision on the Elimination of Debt
An expiring Retribution.
18
(8) Further provisions regarding deletion methods
expired Retribution Debt debt is set
with the Rule of Regent.
BAB XV
ACCEPTANCE AND USE
Section 24
(1) Retribution acceptance results are Original Revenue
Regions.
(2) Retribution acceptance results
as referred to in paragraph (1) are set up with
Rules of the Regents.
BAB XVI
provisions CLOSURE
Section 25
At the time the Regional Regulation is in effect, Regulation
District of Kulon Progo District Number 22 of 2007
on Health Care Retribution in Unit
Technical Managing of the Public Health Center Service
(Sheet Kulon Progo County District 2007
No. 4 Series C), revoked and declared to be unapplicable.
Article 26
The rules of this section begin to apply to the date
promulred.
19
For each person to know, ordered
the invitational of this Area Regulation with
its placement in the County of Kulon County Sheet
Progo.
Set in Wates
on April 9, 2012
4
BUPATI KULON PROGO,
Cap/ttd
HASTO WARDOYO
Was promulred on Wates
on April 9, 2012
SECRETARY OF THE AREA
COUNTY KULON PROGO,
Cap/ttd
BUDI WIBOWO
PARAF COORDINATION
20
EXPLANATION
UP
THE COUNTY REGULATION OF KULON PROGO COUNTY
NUMBER 4 YEAR 2012
ABOUT
THE HEALTH CARE LEVY ON THE TECHNICAL EXECUTOR UNIT
HEALTH SERVICE COUNTY KULON PROGO
I. UMUM.
Act No. 28 of the Year 2009 on Regional Taxes
and Regional Retribution mandates that Retribution is set
with Regional Regulations, including Health Service Retribution
on the Puskesmas and Laboratory Health. With regard to
that, then the Kulon Progo County Regulation
No. 22 of 2007 on Health Care Retribution in
Technical Managing Unit of the Public Health Center Department needs
done alignment.
Puskesmas and Health Lab as one
elements of health care for society, prosecuted for always
improving health care, among other through
quality Puskesmas quality and the Health Laboratory
and its facilities and source quality improvement human power
medical, nursing and other power.
In the efforts of the optimization of the Puskesmas and Laboratory
Health, it needs to increase the efficiency and effectiveness of the element
health service. Therefore, it must be calculated
at all costs issued either directly or
it is not directly affected by the health ministry.
The calculation of the cost of the service is beside the
Puskesmas and Health Laboratory optimization efforts, also
constitute the transparency of the Puskesmas and Laboratory transparency
Health to the community against the Retribution tariff
enacted, so that the public's right to be getting
health care according to the expend load can
21
is fulfilled and is known to the community of service recipient services
health.
Besides it in order to provide services
health to the public is not capable, Puskesmas nor
The Health Laboratory must remain on social functions
through programs set by Central Government,
Special Region Provincial Government of Yogyakarta and Government
Regions.
Based on those considerations above,
need to establish the Kulon Progo County Regulation
on Health Service Retribution In the Technical Managing Unit
The Kulon Progo County Health Service.
II. EXPLANATION OF SECTION FOR SECTION
Article 1
Quite clearly.
Article 2
Quite clearly.
Article 3
It is pretty clear.
Section 4
Verse (1)
It is quite clear.
Verse (2)
Letter a
consulting services can be served at the Clinic
Consulting by doctors, dentists, power
sanitation, nutritionists and/or middan.
Letter b
outpatient:
Figures 1
Clear enough.
Figure 2
Clearly.
The number 3
is pretty clear.
The number 4
Is pretty clear.
22
The number 5
referred to with
"rawat home/Public
Health Noursing (PHN)"
is a series
activities given
through practice
nursing to
family for
help resolve
health problems.
The letter c
Is quite clear.
The d
is pretty clear.
The letter e
Is quite clear.
The letter f
Is quite clear.
The letter g
referred to "health care
others" include operations cataracts, processing
waste, and ambulance/car service
bodies.
Verse (3)
Pretty clear.
Article 5
Pretty clear.
Article 6
Quite clear.
Article 7
Quite clear.
Article 8
Quite clear.
Article 9
Verse (1)
Tarif The Health Service levy is calculated with
the formula as follows:
23
a. direct charge = identification and cost-count
directly arising as a result of
service activities in each unit;
b. indirect charges =
amount of indirect charges in 1 (one) Budget Year amount of visits in 1 (one) Budget Year
c. Levy rate = The cost of the lansung + cost
not directly + Service Services.
Verse (2)
Clearly.
Verse (3)
Clearly.
Verse (4)
Quite clear.
Article 10
Verse (1)
The Health Service levy rate is calculated with
the formula as follows:
a. direct charge = identification and cost-count
directly arising as a result of
service activities.
b. indirect charges =
amount of indirect charges in 1 (one) Budget Year amount of visits in 1 (one) Budget Year
c. Service services are set based on a level
difficulty, time, risk and power professionalism
in the examination process with regard to
the services and services applicable in
UPTD Health in the area Surrounding it.
Verse (2)
Quite clear.
Article 11
Quite clear.
Article 12
The letter a
Is quite clear.
The letter b
Is quite clear.
24
The letter c
referred to as "health care outside
working hours" is the health care ministry
executed outside the specified business hours
under the terms of the perinvite rule-
invitation and/or on the holidays.
Article 13
Quite clearly.
Article 14
Quite clearly.
Article 15
Quite clearly.
Article 16
Verse (1)
Quite clear.
Verse (2)
referred to "other relevant documents"
e.g. karcis, coupons or subscription cards.
Verse (3)
Pretty clear.
Article 17
Pretty clear.
Article 18
Quite clear.
Article 19
Verse (1)
Is pretty clear.
Verse (2)
Which is meant by "state of the kahar" is
occurred outside of the will or power
human beings like landslides, floods,
mountains erupt, earthquakes, and hurrah.
Article 20
Pretty clear.
Article 21
Quite clear.
Article 22
Verse (1)
Is pretty clear.
25
Verse (2)
Quite clearly.
Verse (3)
It is pretty clear.
Verse (4)
Which is referred to as "designated officials" is
officials who have the task and answer in
fields Area Financial Management.
Verse (5)
Quite clear.
Article 23
Quite clear.
Article 24
Quite clear.
Article 25
Quite clear.
Article 26
Quite clear.
oo0000ooo
