Cabinet of Ministers Regulations No. 171 (No. 26.21) health care funding arrangements in 1996 Issued in accordance with the constitutional procedure laid down by article 81 of Cabinet of Ministers issued on 30 august 1994 rule no. 177 "treatment" (4) i. General questions 1. These rules shall determine the population health care financing arrangements, the State and municipal health services guaranteed health care national program and database program, as well as public order in 1996.
2. the national programme of health care and public order are financed from the State budget.
3. a foreign citizen medical care and medical expertise the court costs shall be borne by the foreign national or his insurance company, if international agreements provide otherwise, or resident in the Republic of Latvia, the person who signed the invitation to obtain a visa, guaranteed to cover foreign nationals the necessary medical expenses.
4. Health care base program is financed from the municipal budget 4.1: in accordance with the law "on the State budget for 1996" (Latvia's journal, 1996, no. 41) The transitional provisions in paragraph 2 of point 5 of section "c";
4.2. the State budget in the form of grants in accordance with the law "on the State budget for 1996" transitional provisions 7.
5. Medical institutions (corporate) spending on health care in a medical database for the services shall be borne by the municipal and sector sickness funds.
6. Treatment Services (companies) of the health care program for the base of medical services from the patient, except for this provision, paragraph 7, patient groups, collect a fee, not exceeding 25 per cent of the cost of medical services provided (the size of municipal interest medical institutions (companies) in the municipality and the State medical institutions — the Ministry of welfare).
7. the provisions Of paragraph 6 of the said payments should: 7.1 children up to 18 years of age;
7.2. If you get pregnant to pregnancy and pregnancy-related medical assistance progress;
7.3. the Chernobyl nuclear power plant accident poor consequences liquidation members and disabled people;
7.4. the poor repressed persons;
7.5. any patient that rule 17.1. in the cases referred to.
8. the municipalities have the right to extend this provision to persons referred to in paragraph 7.
9. The costs of the consultations, as well as the star and functional diagnostics and endoscopic examination of the victim of the crime shall be prettiesisko persons for differential diagnosis by medical examiner's expertise covers the secondment, the applicant.
10. National programmes and public performance rights in national treatment institutions (companies) in accordance with the Welfare Ministry organized the contest results.
11. national medical institutions of the Latvian Medical Academy student exercises.
12. The Ministry of Welfare shall inform the authorities of the national programmes and public order State and local medical institutions (companies) in accordance with the provisions of the second chapter.
II. the national programme of health care and public health 13. national programme for 1996 are as follows: 13.1. sexually transmitted infection, and contagious skin disease diagnosis, treatment and control programme;
13.2. the AIDS control programme;
13.3. tuberculosis and chronic lung diseases and control programmes;
13.4. the psychiatric program;
Oncology and Hematology 13.5 program;
13.6. mother and child health care programme;
8.5. the diabetes program;
13.8. alcoholism, drug addiction and toksikomānij control program;
13.9. disaster medical program;
13.10. burn program;
13.11. the rehabilitation program.
14. Health care state order for 1996 is as follows: 14.1. medical assistance and non-significant measures in the following areas: 14.1.1. substitute for blood and blood preparations;
14.1.2. the environmental and public health;
14.1.3. judicial medical expertise;
14.1.4. pathological investigation;
14.1.5. sports medicine;
14.1.6. national measures related to reform, licensing, certification, accounting and control;
14.2. medical assistance under the Welfare Ministry approved the procurement of the following State and local medical institutions: 14.2.1 the Latvian Medical Academy Paul stradins Clinical Hospital;
14.2.2. Riga City Hospital; 7.
14.2.3. Dental Center;
14.2.4. public orthopaedics and orthopaedic hospital;
14.2.5. the Republican leprozorij.
III. Health care base in 15 health care database engine defines the population be provided medical aid to be provided by State and local authorities for treatment (companies) and must pay local sickness funds from State and local budget resources.
16. the health care provided for the base in the State guaranteed medical help magnitude municipality can increase its opportunities to allocate financial resources for health care.
17. basic health care programme provides the following types of medical assistance, which expenses shall be borne by the local sickness funds from the municipal budget: 17.1. emergency medical assistance to be provided for all that need it, regardless of his record. Emergency Medical Department after receiving the call immediately to ensure a trip to the following cases: 17.1.1. accidents, accidents, disasters, natural disasters, severe mechanical injury, electrocution, lightning damage, extensive burns and frostbite, Sun and heat stroke, drowning, choking, respiratory tract foreign bodies and other body sites where the endangered the life of the victim;
17.1.2. poisoning;
17.1.3. injury or sudden illness on a street, public place, business or institution;
17.1.4. sudden illness, and during the course of the chronic disease exacerbation, threatening the patient's life: 17.1.4.1. cardiovascular disease with pain, choking or suffocation of seizures, cold sweat, heart rhythm disturbances, fainting;
17.1.4.2. peripheral vascular disease with sudden pain in the hands or feet, hands or feet cold, pallor;
17.1.4.3. the Central and peripheral nervous system disease with sudden disturbance of consciousness, seizures, faint, head and back pain, paralysis and other disabilities;
17.1.4.4. the stomach, gastrointestinal illness, with sudden sharp pain in the abdomen, vomiting, cold sweat, continuous diarrhea;
17.1.4.5. urinary tract disease with sudden pain in the lumbar-sacral area or acute disorders of urination;
17.1.4.6. acute mental disorders accompanied by aggressive actions or attempted suicide;
17.1.4.7. origin of any bleeding or expressed expressed allergic reactions;
17.1.4.8. asthma attack;
17.1.5. the patient express transfer determined diagnosis and/or health severity: 17.1.5.1. to stationary or fixed if there are appropriate between the assignment and the doctor on call;
17.1.5.2. transfer of mothers medical institution (Organization);
17.2. the acute disease and exacerbation of chronic disease diagnosis, treatment and dynamic observation;
17.3. the attendance and treatment nursing home whose health condition does not allow you to visit the hospital's (companies) (travel expenses are covered according to the financial possibilities of the sickness funds);
17.4. pregnant women and dēļnieč observation, childbirth assistance, assistance in cases of pathological pregnancy;
17.5. the sexually transmitted infection, and contagious skin disease prevention, diagnosis and treatment;
10.9. the specific and non-specific and specific immunotherapy in vaccination according to the Health Ministry of welfare arrangements of the Department;
17.7. zobārstniecisk help children up to 18 years of age and jauniesaucam (in accordance with the minimum amount of assistance zobārstniecisk): 17.7.1. dental primary prevention except silant;
17.7.2. secondary prevention of teeth, except for dental fillings with light hardening materials and endodontij more than one tooth (except dental injury cases);
17.7.3. the nature of the first orthodontic consultations and work hard bite abnormality;
17.7.4. treatment facial-jaw area injuries and inflammation, which causes functional disturbances, as well as in cases of injuries without functional interference, if the patient is approached by first aid within 24 hours;
11.1. a health screening performance of the Ministry of Welfare Health Department established;
11.1. provision of free medications prescribed by Cabinet;
17.10. medical treatment of injuries and occupational disease;
17.11. health care funds allocated: 17.11.1. projected operations;
17.11.2. the rehabilitation therapy after the first illnesses or injuries;

17.11.3. outpatient and inpatient care for patients who are ill or have injuries of alcohol or narcotic substances;
17.11.4. rehabilitation of the second stage;
17.12. medical care to the Chernobyl nuclear power plant accident consequences liquidation victims, groups 1 and 2 disabled persons and repressed persons in accordance with the law.
18. State medical authorities that expenditure on health care base programme covers sickness funds from the State budget shall be determined by the Ministry of Welfare.
19. According to the local sickness funds financial capabilities and authorities approved health care base program in the area concerned in some cases from local government funds may cover also the medical services, for which the local sickness funds do not pay, the following population groups: 19.1. pregnant women, mothers and non-dēļniec;
19.2. children up to 18 years of age and secondary education day section students;
19.3. lawfully registered unemployed.
IV. Medical services that the expenses not covered by the sickness fund 20. Sickness not covers expenditure on the following medical services: 20.1. zobārstniecisk assistance;
20.2. hospital treatment outside the administrative area of the planned operation, or chronic disease cases by patient initiatives without a referring physician referrals;
20.3. consultations and examinations scheduled surgery or chronic disease cases by patient initiatives without a referring physician referrals;
20.4. the first medical preventive measures, when recruited;
20.5. the working conditions and the necessary owing to the nature of the periodic medical examination;
20.6. treatment in sanatoria and resorts;
20.7. abortion without medical or social indications;
12.9. anonymous medical preventive measures (with the exception of the AIDS investigation);
20.9. seksoloģisk treatment;
20.10. the provision of medical assistance in different public events;
20.11. representative services;
20.12. homeopathic treatment;
20.13. the vision correction;
20.14. psychotherapeutic assistance;
20.15. the medical services provided by the authorities;
20.16. vaccination, which is not fixed by order of the Ministry of welfare;
20.17. other preventive and medical examination, if they are not associated with medical indications (such as opinion on the health situation, the head of transport for medical examination);
20.18. alcohol and drug treatment in the apreibum inspection authorities (companies);
20.19. the in-patient treatment (temporary social care in case of sickness), which the illness or injury does allow outpatient treatment (after referring physician insight).
21. the sickness funds do not cover expenses related to medical institutions (companies) major repairs and construction.
22. the medical service provided health care compliance program database for the treating doctor or medical service provider. The correctness of the decision is controlled by the relevant sickness funds kontrolārst, medical care and integrity inspection quality control inspection or external expert.
V. settlements 23. Cross paying the costs of treating patients who were sent to hospital or outpatient treatment medical establishments (establishments) outside the administrative area of residence, use the cross billing system.
24. Cross checking from the municipal budget to the local sickness funds only.
25. The expenditure of the State budget funds for basic health care program provided medical assistance to citizens, local sickness funds first settled with the State medical authorities and then with another local hospital.
26. The cross of settling of the State budget funds the State Sickness Fund, which settled with the local Ministry of welfare funds for specific funding under the previous month spent funds after the local sickness funds for the people of the territory concerned treatment entirely is us national medical institutions.
27. Local sickness funds at the beginning of each month the State medical authorities paid from State budget funds in advance 50 percent of medical services provided in the previous period values.
28. If the expenses for the population rendered medical services is higher than prescribed in the State budget funding, overrun the amount of sickness shall be borne by the municipality from its own funds.
29. the national medical institutions with funds for local government contracts for basic health care programme carried out in pay or authorise the national sickness fund to close these contracts.
30. the national Office has the right to terminate a grant from the national budget to local authorities, which are not on the US population of national medical treatment institutions of basic health care program. In such a case, the State Sickness Fund pays for services rendered by the State medical authorities the Ministry of welfare. Emergency medical assistance is provided for these provisions 17.1. in the cases referred to.
31. by 1 May 1996, of the national sickness fund: 31.1. from the health care program for the base of the State budget funds for local specific quarterly funding made under settlements with State medical institutions for citizens medical assistance provided during the period from January 1996 to March;
19.4. specific funding within the unused funds transferred to the relevant authorities;
31.3. inform the authorities of the sickness funds for settlements and their conformity with the particular Ministry of welfare funding.
32. By 1 April 1996 at the beginning of each month a national sickness fund of the local Government paid 50 per cent of the relevant month in certain health care base funding amount of settlements with State medical institutions. The remaining 50 per cent of local authorities even after they are us national medical institutions.
Vi. Accounting and control 33. Municipal and industrial sickness funds for medical assistance provided to the population settles with State medical institutions (companies) within 10 days after receipt of the invoice under the national sickness funds and Welfare Minister developed agreed terms.
34. in accordance with the law "on budget and financial management" (Latvian journal, 1994, no. 41) 30. the first and second part of medical institutions (companies) regardless of the form of property and business sectors of the municipalities and submitted to the sickness funds in a single account, which provides information in accordance with the provisions of annexes 1 and 2.
35. Local sickness funds collect reports and submitted it to the summary (1. and 2.) submit to the municipal financial Department and the State sickness insurance fund, but the industry report a summary of the sickness funds submitted to the Ministry of industry and the public sickness funds.
36. The well-being of local sickness funds in the order of the Ministry of State in the report submitted to the general funds of the State budget funds for health care programs for the base pay.
37. Local authorities provide citizens with information about public health care, national programmes, the framework programmes and their payment arrangements.
38. the national sickness fund controls the accounts between the sickness funds of local and sectoral and national medical institutions (businesses).
VII. Closing questions 39. Be declared unenforceable: 24.3. The Cabinet of Ministers of 11 April 1995, Regulation No 93 of the "rules for health care funding arrangements in 1995" (Latvian journal, 1995, nr. 61, 129);
24.4. The Cabinet of Ministers of 25 July 1995, the provisions of no. 230 "rules on interim measures for the provision of health care in crisis situations" (Latvian journal, 1995, nr. 113);
39.3. The Cabinet of Ministers of 25 July 1995, the provisions of no. 231 "rules on interim arrangements for the patient is partly covered by medical costs" (Latvian journal, 1995, nr. 116);
24.5. The Cabinet of Ministers of 24 august 1995, the provisions of no. 260 "amendments to the Cabinet of Ministers of 11 April 1995, the Regulation No 93" rules for health care funding arrangements in 1995 "(Latvian journal, 1995, no. 129).
40. the Ministry of Welfare, together with the Interior Ministry and the Justice Ministry until July 1, 1996, to develop and submit to the Cabinet of Ministers a draft law on the procedure of making alcohol, narcotic and intoxicating substances impact due to the medical examination and related expenditure.
Prime Minister a. ŠķēleLabklājīb Minister v. Makarova in the Rīgā1996 on May 14, annex 1 of the Cabinet of Ministers of 14 May 1996, regulations no 171 medical institutions (companies) use summary in 1996 (the 1996 first half) (in dollars, after which the expenditure) total expenditure 4I00 some 1100 1200 1400 1500 types of movable īpašūm (value over $50) per district (urban) population no PO box

Revenue and total expenditure pay social tax on charges for services and equipment for material energy purchase (up to $50 value) heating, lighting and 1520 energetic materials, medicines, chemicals and 1541 laboratory tests of product inventory and 1561 soft rig 1563 catering 1 2 3 4 5 6 7 8 9 10 11 12 13 1. revenue (total) X X X X X X X X 1.1.
 
municipal and sector funds, the budget of the health care program for database X x X X X X X X X X X X investment of 1.2 X x X X X X 1.3. other revenue X x X x X X X X X 1.3.1. patient contributions x X X X X X X X X 1.3.2.
 
 
paid services, partial medicinsk fee of up to 25% of the value of medical services X X x X x X X x X 1.3.1 other revenue X X X x X X X X X 1.4. reserve fund balance at beginning of year X X X X X X X X X 1.5. revenue from other funds of population treatment X X X X X X X X X.

2 health expenditure (total) uprūp 2.1. reserve funds-not more than 10% Central expenditure 2.2 2.2.1. emergency medical assistance service of dīkament not 2.2.2 with discount X X X X X X X X 2.3 maintenance 2.3.1. autobāz support costs X X X 2.3.2. pārēji 2.4 in sickness maintenance expenses X X X 2.5. outpatient assistance 2.5.1. feldšer-midwives points 2.5.2. autobāz costs X X X 2.6. fixed aid t.sk. autobāz costs X X X 2.7. pārēji health care services at t.sk. disinfection station X X 2.8. expenditure on the treatment of the population outside of the standing dzivesviet administrative area or industry territory 3. Population on 01.01.1996 X X X X X X X X X X district (City) Department of Finance (signature and transcript) Director Kopsavlkum sickness funds must coincide with the accounting year (half-yearly).
Summary of the provisions 1. fill out the medical establishment (company) as to each January and July of l l prepare a report on the utilization of funds and submit it to the municipal office in district (municipal) Department of finance in the order and time and sickness in the industry — Ministry of industry in the order and time.
2. local sickness fund collects the reports received and the summary shall be submitted to the district (municipal) Department of finance and the State sickness insurance fund of the district (municipal) Department of finance in the order and time.
3. the sector sickness fund report summary shall be submitted to the Ministry of industry and the public sector Ministry of the sickness funds in the order and time.
4. the district (municipal) Department of finance and industry Ministry report summary for a specific order and submit the financial Ministry.
5. The aisle containing "x" must not be filled in.
Welfare Minister v. Makarova in annex 2 of the Cabinet of Ministers of 14 May 1996, the Regulation No 171 medical institutions (business) fundamentals of work summary in 1996 (the 1996 first half) the fundamentals of early BC at the end of the year annual average physical work (on a cash expenditure) 1 2 3 4 5 6 7 1. Treatment authorities (company) X X X X X X 1.1 hospital 1.2. outpatient institutions (companies) X X X 1.2.1. medical centres in and doctorate in the ambulance, X X X 1.2.2. family physicians, licensed practitioner to X X X 1.2.3. feldšer — midwives points X X X 1.3. quick and emergency station X X X 1.4 disinfection station X X X 1.5. Other treatment services (company) X X X 2. Number of employees 2.1. hospitals 2.1.1. doctors summary should coincide with the statistical authority annual report.
1 2 3 4 5 6 7 2.1.2. Nurses with higher education 2.1.3. the average clinician 2.1.4. Junior medical staff 2.1.5. other personnel, ambulance medical centres in 2.2 and 2.2.1. doctors doktorāto 2.2.2. nurses with higher education 2.2.3. the average clinician 2.2.4. Junior medical staff 2.2.5. other personnel 2.3. feldšer — midwives in points 2.3.1. average medical staff 2.3.2. Junior medical personnel 2.3.3. remaining staff 2.4. quick and emergency stations 2.4.1. doctors 2.4.2. nurses with higher education 2.4.3. average medical 2.4.4. the latest personnel medical personnel 2.4.5. other staff of disinfection stations 2.5 2.5.1 2.5.2. average doctors in medical staff 2.5.3. Junior medical staff 2.5.4. other personnel 2.6. other medical institutions (companies) 2.6.1. doctors 2.6.2. the average clinician 2.6.3. other personnel 3. hospital job fundamentals of X X 3.1 number of bed X X number of days X 3.2 X X X t see. social care bed X X X X 3.3 outpatient visitors *** 8skaitsskait * X X X X 3.4. number of patients treated X X X X t see. in the hospital outpatient setting 4 X X X X X X 4.1 the outpatient visitors ** X X X X 4.2. treat patients per day in hospital X X X 4.3 X number of days in the hospital the day X X X X X * indicators should match the Statistics Authority's annual report.
** Including doctors and paramedical personnel visits in outpatient (ambulatory medical centres or departments in the Advisory Forum) and home visits.
District (municipal) Department of finance ____ _____ __ (signature and transcript) sickness funds Director ____ ____ ____ ____ (signature and transcript) summary the fill rules 1. Medical establishment (company) as to each January and July of l l prepare a report on the hospital's (business) fundamentals of work and submit it to the municipal office in district (municipal) Department of finance in the order and time and sickness in the industry — Ministry of industry in the order and time.
2. local sickness fund collects the reports received and the summary shall be submitted to the district (municipal) Department of finance and the State sickness insurance fund of the district (municipal) Department of finance in the order and time.
3. the sector sickness fund report summary shall be submitted to the Ministry of industry and the public sector Ministry of the sickness funds in the order and time.
4. the district (municipal) Department of finance and industry Ministry report summary for a specific order and submit the financial Ministry.
5. The aisle containing "x" must not be filled in.
Welfare Minister v. Makarova in the