The Cabinet of Ministers of the Republic of Latvia of 23 December 1997, at rules no. 434 in Riga (No 72.24. ¤) healthcare financing rules Issued in accordance with article 4 of the law on the treatment of i. General questions 1. terms used in the rules: 1. the State compulsory health insurance funds, the annual State budget appropriations for health care, which guarantees to the members of the local healthcare costs within the country;
1.2. the health insurance fund — national central institution that administered by the State compulsory health insurance funding;
1.3. the national health care program, a special medical services (excluding health services minimum) extent to which participants are provided sickness funds from the State budget funds and contributions to the patient;
1.4. minimum health services: health care services minimum that sickness funds are provided to members of the country's special health care budget (hereinafter referred to as the special budget) and patient contributions;
1.5. the contributions — national single direct payment for the patient's treatment services treatment body treatment body charged to the patient's State of health care programs and the minimum health care services;
1.6. the sickness funds — one or more of the local municipal authority created, acting in accordance with the principles and the non-profit organization which has concluded a contract with the health insurance fund of the central State compulsory health insurance services the minimum and a national programme of health care provision of the sickness funds to members;
1.7. the sickness funds participant an individual that has been assigned a personal code that is registered in the population register or who has the right to register in the population register and who is eligible to register in the register of members of the Fund;
1.8. third party: a natural or legal person who carries out the patient's contribution or other payment for the medical treatment of a patient, the authority of a person.
2. These rules are determined by the health care financing arrangements, the State compulsory health insurance funds, as well as the procedure for receiving medical services that are paid from State budget funds, special funds and the recipient.
3. Medical services in accordance with the procedure laid down in these provisions receive Republic of Latvia citizens, aliens and stateless persons who have been granted a personal code and registered in the population register or who has the right to register in the population register.
4. Expenditure on health care and the medical examiner's services in the territory of the Republic of Latvia received the aliens and stateless persons who are not registered in the population register shall be borne by the same aliens and stateless persons or the insurance company, if international agreements provide otherwise, or the natural or legal person who, by signing the invitations, to the alien get guaranteed entry visas, that will cover the required an alien or a stateless person medical expenses.
5. Expenses for medical institutions and pharmacies for services provided by the health insurance fund or the Central Fund to be covered from the State compulsory health insurance funds in accordance with the agreements.
6. the sickness funds provides payment for health care services under contracts with the medical authorities or the pharmacies and health insurance in accordance with the central fund agreements. Sickness may not be the mediator, the voluntary health insurance.
7. The health service in compliance with the State compulsory health insurance services as well as the compliance of the patient of the person's contributions to the free population category in accordance with these rules in each case decide the treating doctor or service provider concerned. Compliance with that decision agreements, controls the sickness, the health insurance fund and the Central Ministry of welfare and medical care availability inspection quality control inspection or external expert.
II. the payment of health care services in the minimum health care services provided for the receipt of funds arrangements 8. Central Health Insurance Fund designed to pay for health care services in the minimum health care services: 8.1. individual income tax share of personal income tax revenue in the current year's State budget to the extent stipulated by law each week including the Treasury;
8.2. individual income tax by the current year's State budget to the extent stipulated by law, without the mediation of the Treasury every week including the local authorities, which have concluded agreements with the Ministry of Finance on individual income tax revenue collection in the special procedure;
8.3. the State budget grants part of general revenue that the State budget for the year to the extent prescribed by law shall be credited each month to the Treasury.
9. the health insurance fund includes a central reserve fund five percent of this provision in paragraph 8, which is used in the following cases: 9.1. planned changes in the number of patients;
9.2. International Treaty;
9.3. the public information and awareness activities;
9.4. measures relating to the State compulsory health insurance.
10. paragraph 9 of these regulations, the use referred to in the agenda approved by the Minister of welfare.
11. The resources remaining after the creation of the reserve fund, the health insurance fund sickness funds, the central clearing, on the basis of the prosperity factor system approved by the Minister pursuant to the sickness funds, the number of candidates, age, sex and other criteria.
12. Expenditure on consultations, clinical and diagnostic studies of the paraklīnisk, which prettiesisko the victim of the crime shall be persons after the forensic assignment, shall be borne by the applicant for inspection.
13. From the health insurance fund, the Center received sickness funds used: 13.1. paid for outpatient treatment services to those specified in the contract;
13.2. payment for stationary treatment services, to the extent specified in the contract;
13.3. the payments specified in the sickness funds and the pharmacy contracts sickness funds pay treatment value under the Cabinet of Ministers regulations on preferential treatment for patients in the outpatient treatment;
8.3. payment for emergency medical assistance;
13.5. the functioning of the sickness funds — up to two percent of the rules referred to in point 8 (it about the approval of the Central Health Insurance Fund).
14. to ensure uniform national health service pay arrangements that are mandatory and relevant local service providers, Health Minister confirms the Central Health Insurance Fund and the sickness funds a model contract, as well as health care providers, and sickness funds a model contract.
15. Dealings between the sickness funds with a special budget, taken only with sickness or health insurance Central Fund. Course of settlement shall be determined by the Central Health Insurance Fund.
16. If sickness funds participant wants to receive higher medical services or technology a higher comfort level than required by the agreement, expenditure of funds, the difference shall be borne by the sickness funds participant or a third party.
17. the health insurance fund has the right to the Central stop transfer of funds sickness funds which it does not comply with or has violated the Central Health Insurance Fund contracts. After written notice to the central health insurance fund to stop future funding of sickness funds and put the contract with the service provider for the execution of other sickness. The Central Health Insurance Fund for its decision, inform the Minister of health.
III. the national programme of health care for the resources and payment arrangements 18. national programme of health care is paid from the State budget funds in accordance with the current year's State budget law.
19. the national programme of health care, and the amount of payment from the State budget funds under Health Minister procedures provides health insurance fund or the Central sickness fund.
20. the national programme of health care provided in the framework of health care services, their provision, payments and accounting, as well as a quality control procedure is determined by the medical service provider contract with the health insurance fund or the Central sickness fund. A sample of the agreement approved by the Minister of health.
21. the order in which patients send health care services health care within the framework of the national programmes shall be determined by the Central Health Insurance Fund.
IV. contributions of the patient's health care

the minimum service and public programs within the medical establishment 22 collected patient contributions amounting to: 22.1. for outpatient visits and medical services medical institution within one working day: 22.1.1. adults: 0.50 LVL;
22.1.2. children: 0.20 lats;
22.2. the treatment person's home visit: 1 lats;
22.3. treatment in hospital health care services within the framework of the minimum adult: 22.3.1. entry fee: 5 lats;
22.3.2. for each day spent in hospital, starting from the second day of 1.50 LVL:;
22.3.3. for therapeutic manipulation, according to the Health Minister's specific price list;
22.4. treatment hospital for children — 0.45 per stationary lats days;
22.5. treatment in hospital health care within the framework of the national programme for adults — 0.45 LVL per day.
23. the total patient contributions for each hospital admissions, not including fees for curative manipulations must not exceed the following: 23.1. adults-15 lat;
23.2. the children-5 lats.
24. the total of contributions in any calendar year may not exceed 80 LVL.
25. From these provisions referred to in paragraph 22, the patient should contributions: 25.1. children under one year of age;
25.2. children with disabilities under the age of 16 years;
25.3. children under the age of 18 years, if health services are received in rehabilitation institutions;
25.4. children and students, if prophylactic examinations nursery and schools;
25.5. all citizens, if preventive health inspection in the country in the form prescribed by the Minister;
15.9. the children, children's shelters, family concerns, the children's orphanage care center, specialized institutions of children with disabilities and boarding school students;
25.7. pregnant women if you receive with pregnancy and postnatal observation and the progress of pregnancy related health care services;
25.8. all citizens, if you perform Active immunotherapy in the Cabinet established or passive immunotherapy Health Minister in the order;
25.9. repressed persons and the Chernobyl nuclear power plant accident in the liquidation of the effects of the victim;
25.10. needy persons recognized as such in the order of the Cabinet of Ministers;
25.11. persons receiving outpatient and inpatient psychiatric help;
25.12. tuberculosis patients;
25.13. the unlawful actions of third parties and the fault of the injured party;
25.14. persons receiving health care services, infection diseases and syphilis or AIDS cases;
25.15. persons receiving health care services emergency medical cases;
25.16. social care national specialized centres and local nursing home (Center) in the care of persons.
26. the contributions of the following third parties: 26.1. Ministry of defence or the Ministry of the Interior in monitoring existing institutions — for people who are on compulsory military service, as well as for the soldiers, who retired from the active service (with the right to wear a military uniform), and rating service for militia;
26.2. The Ministry of the Interior of the Prison site administration for incarcerated persons.
27. The procedures and the extent to which the receiving health care services, health services, determine the minimum sickness, on the basis of a contract with a health insurance fund Central.
V. health care service that costs not covered by the sickness fund health care services within the minimum 28. Sickness is covered by the following health care services: related to 28.1. expenditure not provided for sickness funds and service provider in the contract concluded;
28.2. of planned operations, if they exceed the amount provided for in the contract;
28.3. for planned medical treatment and investigation, as well as chronic diseases, if not the prescription (except for emergency medical assistance);
28.4. the dental assistance to persons who have reached 18 years of age (except in exigent): orthodontic treatment 28.4.1. on (except for the first consultation);
28.4.2. silant for use;
28.5. outpatient injection for the remaining skin, Hypodermic, intramuscular and intravenous, except when you provide emergency medical assistance, medical assistance, oncologic and diabetic, patients with psychiatric diseases, children under the age of 18 years, haemophilia sufferers and pernicioz anaemia sufferers;
for first-time medical in 28.6. preventive measures necessary for their work;
17.8. the periodic medical examinations required by the working conditions and the nature of the work;
17.9. treatment in sanatorium and resorts;
46.8. about abortion, if there is no medical or social indications;
28.10. for anonymous treatment and prevention measures, except for the investigation of AIDS and syphilis;
No 28.11. on seksoloģisk treatment;
No 28.12. the provision of medical assistance in different public events;
28.13. plastiskaj representative services and operations;
28.14. about homeopathic treatment;
28.15. about Visual acuity of corrective optics for the purchase of products;
28.16. psychotherapeutic help for excluding psychiatric inpatient profile;
28.17. about vaccination, if it is not carried out in accordance with the order of the Minister of State of health or cabinet order;
28.18. the preventive and the other for medical examination, except that rule 25.5. review referred to unless they are associated with medical indications;
28.19. the alcohol and drug treatment in the apreibum inspection bodies;
28.20. for the in-patient treatment for illness or injury which allows outpatient treatment, based on the opinion of the referring physician;
No 28.21. the second phase of rehabilitation.
Vi. Accounting and control 29. If the health insurance fund is the Central sickness fund of funds took in full the rules prescribed in paragraph 11, the sickness fund contributions at the beginning of each month in advance the medical authority funds up to 50% of projected health care costs during the month concerned, according to the contract concluded between. Sickness funds settlement with treatment of the citizens health care services are made within 10 days after the sickness fund has received the relevant documents, in order of their receipt. About December sickness contributions in advance medical authority not less than 75% of projected health care costs.
30. in accordance with the law "on budget and financial management" article 30 of the medical establishment, irrespective of the property and business of the sickness funds to submit a uniform model of the State compulsory health insurance funds. Reporting procedures are in sickness funds and the service provider's contract.
31. the authority shall submit to the sickness fund for treatment of statistical reports. Review samples confirms the Health Minister. Sickness fund collects these reports and in accordance with the health insurance fund to the central conclusion contract submitted to the health insurance fund in the central report a summary of the products and their use of health care services to ensure payment of the minimum.
32. the central health insurance fund Health Minister duly submitted reports on specific budget funds, as well as reports on the State of health care programs and health care services to a minimum.
33. the sickness funds provide citizens with information on the national programme of health care and health services, as well as the minimum for their pay.
34. the central health insurance fund controlled by the sickness funds and accounts between the medical treatment institutions.
35. the State compulsory health insurance issues related disputes examined health insurance fund established a central dispute Commission. The Commission's Charter, approved by the Minister of health.
36. the sickness funds and health insurance fund provides the Central Government statutory health insurance related to the availability of funds, the statement of expenditure.
37. the Central Health Insurance Fund in a special budget allocation of funds through the Central Administration of statistics data on the number and composition of the population of the districts and cities.
VII. Transition issues 38. Be declared unenforceable in a Cabinet of 24 December 1996, Regulation No 485 "health care financing" (Latvian journal, 1997, 3./4., nr. 280).
39. make a Cabinet of 21 October 1997 of Regulation No 360 "Sickness of the creation and operation of rules" (Latvian journal, 1997, nr. 280) amendment and deletion of paragraphs 16 and 17.
40. the regulations shall enter into force by 1 January 1998.
Prime Minister g. Coast Prosperity Minister v. Makarova in the