Cabinet of Ministers Regulations No. 158 in Riga March 21, 2017 (pr. No. 14 19) action programme "growth and employment" 9.2.5. specific objectives of aid "to improve the availability of treatment and treatment support persons who provide services in priority health areas residents living outside of Riga" implementing provisions Issued under the European Union's structural funds and the cohesion fund the 2014 – 2020 programming period management law of 6 and article 20 paragraph 13 i. General questions 1. determines: 1.1. procedure a in which the activities of the "growth and employment" priority axis "social inclusion and combating poverty" 9.2.5. specific objectives of aid "to improve the availability of treatment and treatment support persons who provide services in priority health areas residents living outside of Riga" (hereinafter referred to as the specific support); 1.2. specific aid objectives; 1.3. specific support available funding; 1.4. the requirements of the European Social Fund project for the applicant (hereinafter referred to as project applicant); 1.5. the eligible cost of the operation and the conditions of the question; 1.6. the simplified conditions of application costs and order; 1.7. the receiving State aid related conditions; 1.8. the agreement for the implementation of a project of unilateral notice conditions. 2. Specific support for implementing the project application to the limited selection.
3. Specific support within the responsible authority for the Ministry of health (hereinafter referred to as the responsible authority). 4. The project site is the Republic of Latvia. 5. The specific objective is to improve the availability of treatment and treatment support persons who provide services in priority health areas-cardiovascular, Oncology, children (from perinatal and onatāl period) and mental health (hereinafter referred to as priority areas), residents who live outside Riga. 6. Specific aid target treatment and treatment support. 7. Specific aid until 2023 December 31 are achievable following specific monitoring indicators of support: 7.1.-the table of supported the results of treatment the number of persons working in territorial units outside Riga a year after the receipt of the aid-506; 7.2. outcome indicators-regions associated with treatment, the number of persons who have received support to facilitate the attraction of work geographical units outside Riga-1 420, including 2020 December 31-709; 7.3 until 2018 31 December is achievable financial performance-certified eligible expenditure of eur 2 656 027.
II. Specific aid 8. Specific support available within the total attributable funds is eur 9 960 103, including the European Social Fund funding – € 8 466 087 and the State budget financing of eur 1 494 016. 9. eligible European Social Fund funding does not exceed 85 percent of the rules referred to in paragraph 8, a specific support available in the related funding. 10. the project costs are eligible, provided that they fulfil these rules these positions and the costs were incurred after an agreement on the implementation of the project. The rules referred to in paragraph 15 of the cost for this rule 37, paragraph order and these terms referred to in paragraph 38 plan human resource attraction regions are eligible if incurred from the date of entry into force of the provisions.
III. Requirements to the project the applicant 11. Project applicant institutions for cooperation projects of decision on approval of the application becomes the beneficiary of the financing, specific support is leading a national regulatory authority in the health sector, the Ministry of health. 12. the project the applicant prepared and submitted within the time limit set in the invitation project submissions to the authority in accordance with the cooperation of the project application selection rules.
IV. eligible activities and costs 13. Specific aid is supported by the following: 13.1. project management and implementation; 13.2. actions to attract persons of treatment; 13.3. measures to ensure the availability of services; 13.4. information and publicity measures. 14. The rules referred to in paragraph 13 of the eligible activities: 14.1. to state the paid service availability improvement priority areas; 14.2. the implementation in areas outside Riga, which is found in the medical staff. 15. This provision as referred to in point 13.1. eligible activities funding will not exceed seven percent of these rules referred to in paragraph 8 of the total available funding, and they are: 15.1. project management and staff remuneration cost of implementation; 15.2. project management and implementation of the domestic staff mission expenses, travel expenses, consistent with the laws that determine the order in which the recoverable costs associated with business travel. 16. This rule 13.2. eligible activities referred to in the context of the following costs apply position: 16.1. single compensation treatment of persons on work areas; 16.2. the monthly maintenance cost compensation of medical treatment; 16.3. the aid measures of the family doctor's compensation practices for specific knowledge, information and expertise: 16.3.1. family doctor who served the family medical practice; 16.3.2. the family doctor, who takes over the family doctor practice. 17. This rule 16.1 and 16.2. the costs referred to in point position is supported in the framework of measures of treatment a person fundraising, if: 17.1. While the following conditions are met: 17.1.1. the compensation may claim the medical persons in accordance with arrangements for medical treatment of persons and support the establishment of the person in accordance with the medical profession of persons – doctor, physician assistant, nurse, nursing assistant, midwife, physiotherapist and work will ergotherapist-substantive field , apakšspecialitāt, and papildspecialitāt in the priority areas and related areas (hereinafter referred to as the total specialty); 17.1.2. the compensation may claim the medical people that claim to work in the medical institution outside of Riga (hereinafter referred to as the eligible institution); 17.1.3. the compensation may claim the medical persons who for compensation plans to enter into a contract for the State-funded health care services, including: 17.1.3.1. If medical treatment person claim to work in hospital medical institution, the contract provides for stationary treatment services; 17.1.3.2. If treatment a person claim to be the work of family physicians in practice, the contract provides primary health care services; If the medical treatment person 17.1.3.3. claim to work on psychiatric outpatient service provision contract provides outpatient services; 17.1.3.4. If the medical treatment person's claim to be the work of emergency medical care in the pirmsslimnīc stage, have a contract of employment with the emergency medical service; 17.1.4. This provision 17.1.3.1.,.,., and 17.1.3.4 17.1.3.3 17.1.3.2. the contracts referred to in the national health service or hospital have been closed for at least five years of full-time (at least 160 hours per month) the State paid for the provision of the services, except that rule 16.2. referred to compensation which may enter into contract without a fixed term; 17.1.5. the compensation at the time of receipt of treatment a person has reached retirement age; 17.2. the following additional conditions: 17.2.1. to qualify for a refund the doctor, who has a valid doctor's specialty certificate and who this provision enters into force has not worked in specialty within the eligible eligible institution; 17.2.2. to be eligible for compensation, medical assistant, nurse, nursing assistant, midwife, physiotherapist and ergotherapist, if this provision enters into force, it has not worked in the profession in assisted aided specialty medical institution in Latvia. 18. This provision 16.3 cost referred to under the heading eligible measures in the family doctor's practice, if the following conditions are met: 18.1 for the refund on family doctor practice to qualify for the family doctor's practice, which is out of Riga; 18.2. family doctor that takes practice, after the date of entry into force of the provisions have not worked as a family doctor general practitioner practice outside the Riga City; 18.3. the compensation at the time of receipt of the family doctor who served the family physician practices, has reached retirement age; 18.4. the compensation at the time of receipt of the family doctor who takes over the family doctor practices, not reached retirement age; 18.5 provides that family doctor who takes over the family doctor practices, signed a contract with the national health service on State-funded primary health services for five years. 19. This provision 16.1. referred to the cost of treatment for persons heading for the job include lump sum compensation regions five months wages according to the treatment a person posts to a category of qualifications prescribed the lowest salary in accordance with the legislation on minimum salary and a special benefit of treatment of persons (hereinafter persons treatment lower wages) and lump-sum compensation of additional medical treatment person's one lower salary per treatment person's family member that can be a spouse, child or other dependent person. 20. This provision cost referred to in paragraph 16.2. position includes the monthly maintenance cost of compensation in the amount of eur 200 per person for treatment once a month, subject to the following conditions: 20.1. compensation period is: 20.1.1 to 24 months if compensation receives an additional 16.1. these provisions or those in paragraph 16.3.2. refunds; 20.1.2. up to six months, if the individual receives compensation from that rule 16.1 or paragraph 16.3.2 in compensation and the time limit be extended to 24 months, if compliance with this provision 20.1.1.; 20.2. the amount of the refund the monthly maintenance cost is to compensate: 20.2.1. from the first to the twelfth month, 100 percent of the monthly maintenance cost of compensation; 20.2.2. of the thirteenth and the eighteenth month-70 percent of the monthly maintenance cost of compensation; 20.2.3. from the nineteenth to the twenty-fourth month – 30 per cent of the monthly maintenance cost of compensation. 21. The rules referred to in paragraph 16.3. line costs include the cost of support measures in the family doctor's practice and includes the following headings: 21.1. three months monthly compensation the family doctor who served the family doctor's practice, is 50 percent of the average in the previous 12-month period and paid by the national health service the family doctor practices in monthly amounts paid pursuant to the laws and regulations of the health care organization and financing arrangements; 21.2. the three months the monthly compensation to persons in certain treatment the lowest wages in the family doctor, who takes over the family doctor practice. It can receive in addition to this rule 16.1 and 16.2. referred to in subparagraph refunds or separately. 22. the treatment of persons on each of these provisions 16.1., 16.2 and 16.3. reimbursement referred eligible once during project implementation. 23. The rules referred to in paragraph 13.3. eligible actions include the cost of the medical treatment person remote consultation for other treatments. 24. The provisions referred to in paragraph 13.4. eligible activities include the provision of information and publicity measures according to regulations about the order in which the European Union's structural and cohesion funds in 2014 introduction – 2020 programming period provide a communications and visual identity requirements. 25. The provisions referred to in paragraph 13 for the implementation of the activities supported are attributable not to the estimated cost of up to two percent of the rules referred to in paragraph 8 of the total specific aid target available funding application by the project plan as one cost position. Do not put expenditure expenditure made before beneficiaries with liaison body. 26. This provision 15, 16, 23 and 24 the costs referred to in paragraph consists of direct eligible costs of the project, including: 26.1. these rules 15.1 these costs in the form of direct eligible project personnel remuneration costs; 26.2. the provision in paragraph 15.2 and 16, 23 and 24 above costs represents the rest of the project direct eligible costs of implementation. 27. in paragraph 13 of these rules that the activities supported in the implementation of the project eligible indirect eligible costs by the application of the draft plan as one cost position by applying indirect costs a flat rate of 15 percent from the 26.1. these provisions referred to the direct remuneration of personnel costs. 28. That rule 16.1, 16.2 and 16.3.. the compensation referred to in (a) are not taxed under the law "on personal income tax" 9. in the first paragraph of article 16. 29. Project management and implementation of the personnel that load working time within one institution performs the duties that are related not only to the project, but also through specific institutions operating or another financial instrument administration, part of the consideration of costs may be reimbursed from the project funding in proportion to the time during which the project is being conducted with responsibility. In this case, perform project management and implementation staff working time tracking functions performed by the Division, noting that the cost of a European Social Fund is applicable if an employee is employed on the project, at least 30 percent of the total capacity. 30. The value added tax payments that are directly related to the project, are eligible costs, if the beneficiary cannot recover in the laws on value added tax.
V. conditions for granting state aid to these rules of 31.16 and 23 referred to the eligible activities funding is awarded in the following order: 31.1. This provision 16.1 and 16.2. referred to compensation to be awarded in accordance with the European Commission 20 December 2011 decision No 21/2012/EU for the Treaty on the functioning of the European Union article 106 (2) the application of the State aid with regard to compensation for public services in some companies who are entrusted with the operation of a service of general economic interest (hereinafter referred to as Commission decision No 21/2012/EU). About the company or the economic operator to which the entrusted with the operation of a service of general economic interest, considered the medical establishment, which will be employed in the treatment of a person. Compensation is without prejudice to the rights of treatment outside of these rules 17.1.3. the contracts referred to in (a) to engage in a paid health services and other economic activities; 19.4. these provisions 16.3.1. the support referred to in subparagraph does not constitute State aid and provide compensation for the provision of specific training, providing individual expertise; 31.3.16.3.2. these provisions referred to in subparagraph refunds shall be granted in accordance with the Commission on 18 December 2013 Regulation (EU) No 1407/2013 for the Treaty on the functioning of the European Union and article 107.108. application of the de minimis aid (hereinafter referred to as Commission Regulation No 1407/2013); 19.5. the rules referred to in paragraph 23 of the financial service providers (consultants) can be allocated to any of the following types of aid: 31.4.1. appropriate open, transparent, non-discriminatory and competitive tendering procedures for the safe harbor; 31.4.2. as business support under Commission decision No 21/2012/EU conditions. 32. This rule 31.1. and 31.4.2. aid referred to the types of companies that are in the public service, according to the health care regulations is the regulatory authority for public services. The mandate includes: 32.1. certain that public services; 32.2. the requirements public service provider for the necessary investment in public service infrastructure to provide these services in accordance with each specific service requirements; 32.3. the mandate for the period not exceeding 10 years; 32.4. the public service; 32.5. the public service provider granted exclusive or special rights; 32.6. information about the possibility to receive compensation (compensation) payments and conditions of remuneration (compensation) payment calculation, control and review, as well as compensation (compensation) payment and repayment of the overpayment; 32.7. the reference to the Commission decision No 21/2012/EU. 33. the documentation in connection with the business of granting of the aid in accordance with Commission decision No 21/2012/EU must be kept for 10 years from the date of granting the aid, while the support for 10 years from the last date of granting of the aid. 34. This provision is 31.3. the aid referred to under the following conditions: 34.1. de minimis aid granted pursuant to Commission Regulation (EC) No 1407/2013 article 1 paragraph 1 of the above sectoral and operational constraints; 21.3. the beneficiary prior to the grant of de minimis aid checks whether beneficiaries that aid does not increase the fiscal year concerned, as well as during the previous two fiscal years of de minimis aid received total amount to a level in excess of Commission Regulation No 1407/2013 article 3 (2) the maximum amount of de minimis aid. In assessing the amount of the aid, assessed de minimis aid received by one single company level according to Commission Regulation No 1407/13 article 2, paragraph 2 these criteria; 21.3. pursuant to Commission Regulation No 1407/2013 article 5 (1) and (2), de minimis aid may not be cumulated with other de minimis aid to Commission Regulation No 1407/2013 article 3 (2) the limit values, as well as the question may be cumulated with other State aid in respect of the same eligible costs, if such cumulation results in is not exceeded in the maximum aid intensity or aid amount set out a national aid programme or Commission decision No 21/2012/EU; 21.4. the decision on the grant of de minimis aid can be accepted up to Commission Regulation No 1407/2013 expiry pursuant to Commission Regulation No 1407/13 article 7, paragraph 4, and article 8; 34.5. the beneficiary and the beneficiary pursuant to Commission Regulation No 1407/2013 article 6 paragraph 4 to store and collect information on de minimis aid granted; 21.5. the de minimis registration is carried out in accordance with the laws and regulations on de minimis aid tracking and allocation procedure and de minimis aid form.
Vi. Specific conditions for implementing the aid beneficiary is 35. create a consultative working group of human attraction regions (hereinafter referred to as the consultative working group). Advisory working group of the permanent members in the call status: 21.8. with voting rights – Ministry of health and the national health service representatives; 35.2. non-voting observer status, the Latvian local government unions, health care and employer associations, Nursing associations, Latvian Latvian Medical Association, Hospital Association of Latvia, Latvian Association of major cities, emergency medical services, family doctors in Latvia and the Latvian Association of rural family physicians Association representatives. 36. The beneficiary advisory working group meeting organized by necessity. Consultative Group: 36.1. make proposals and plan human resource attraction regions (hereinafter referred to as the human resources Association plan); 36.2. assess annually the implementation of the human resources and coordinate its assessment; 36.3. the procedures of the HR Association; 36.4. confirm the selected list of persons assisted treatment; 22.7. the list of approved services.
37. The beneficiary within two months from the submission of the draft selection to tender for days develops and submits for reconciliation working group of the consultative arrangements, the attraction regions of human resources, providing the conditions for receiving the aid, including: 37.1. conditions for the dissemination of information on the possibilities of obtaining compensation; 23.1. single application procedure; 37.3. single person supported the evaluation criteria; 37.4. ensuring the availability of services for the implementation of the measures and of the conditions of application. 38. The beneficiary within two months from the submission of the draft selection broke days prepare human resources Association plans, based on the World Bank's network development developed guidelines for human resource needs identified and recommendations, policy planning document for the health sector in the field of development and advisory working group proposals. The human resources of the plan shall be submitted to the consultative working group harmonisation.
39. The human resources of the plan shall include the following information: 24.3. planned medical persons assisted selection; 24.4. the required specialists in the Division by the medical institutions; 39.3. family doctor practices that meet the family doctors ' practice of compensation; 24.5. measures to ensure the availability of services. 40. The beneficiary for the year to 31 March of the previous year shall be prepared of the human resources plan performance results and evaluation of the effectiveness, including the proposals of the human resources plan, and provide coordination update advisory working group. 41. The beneficiary shall arrange for the treatment of persons supported the selection and the selected person to the list of eligible treatment submitted for the approval of the advisory working group. 42. The beneficiary shall ensure that the provisions referred to in paragraph 13.4. information and publicity measures, the European Parliament and of the Council of 17 December 2013 under Regulation (EC) No 1303/2013 laying down common provisions on the European regional development fund, the European Social Fund, the Cohesion Fund, the European agricultural fund for rural development and the European Fund for Maritime Affairs and fisheries and general provisions on the European regional development fund , The European Social Fund, the Cohesion Fund and the European Fund for Maritime Affairs and fisheries, and repealing Council Regulation (EC) No 1083/2006, point 2.2 of annex XII, and the regulations on the procedures for European Union structural funds and the Cohesion Fund in the implementation of the 2014-2020 programming period provide a communications and visual identity requirements. 43. The beneficiary recovers compensation in proportion to the time worked, if not the medical person conclude that rule 18.5. agreement or referred to in these rules and terminate 17.1.3.18.5. contracts referred to before the deadline, or failure to comply with treaty provisions. Recover the funds can be used for the purposes of the project. 44. The beneficiary shall ensure that the information on compensation would be publicly available on the internet, and provides the ability to anonymously express objections and suggestions for support measures, as well as not less frequently than once every three months puts the current information on the implementation of the project in its tīmekļvietn. 45. The beneficiary collects the following data: 45.1. data on the project compensation saņēmušaj persons according to the payment request forms that are specified in the laws of the European Union's structural funds and the cohesion fund projects testing procedure 2014 – 2020 programming period, the European Parliament and of the Council of 17 December 2013 Regulation (EU) no 1304/13 of the European Social Fund and repealing Council Regulation (EC) No 1081/2006 on the common for Annex 1 outcome and results compilation of indicators; 45.2. the data for the following horizontal principle of "equal opportunities" for horizontal metrics: 45.2.1. benefiting from assistance of social exclusion and poverty of the population at risk; 45.2.2. equal opportunities (gender equality, disability, age or ethnicity) the number of persons trained. 46. cooperation authority have the right to unilaterally withdraw from the agreement for the implementation of a project in any of the following cases: 46.1. the beneficiary does not comply with the conditions of the arrangement, including the project not be implemented according to the time or other circumstances has occurred which negatively affects or may affect the outcome indicators or monitoring indicators; 46.2. in other cases determined by the agreement. 47. The specific aid projects implemented in accordance with the agreement for the implementation of the project, but no longer than up to December 31, 2023. Prime Minister Māris kučinskis health ministers in place, traffic Minister Uldis Augul States