Cabinet of Ministers Regulations No. 93 (. 19, § 22) 1995 in Riga April 11 rules for health care funding arrangements in 1995 Issued in accordance with the constitutional procedure laid down in article 81 of Cabinet of Ministers issued on 30 august 1994 rule no. 177 "treatment" paragraph 4 1. these provisions define the population primary health care funding arrangements and the extent of medical assistance in 1995.
2. To approve: 2.1 public health care 1995 (annex 1);
2.2. basic health care programme for 1995 (annex 2);
2.3. Medical Services list, you do not pay the sickness funds (annex 3).
3. public order health care be financed from the State budget.
4. Health care funding from the framework programme budget for the local government in accordance with the law "on local government financial equalisation in 1995 of the" minimum standards for the health protection of the population.
5. Health care base in the payment of medical services medical institutions (companies) make territorial (district and city of the Republic), as well as the industry of sickness funds sickness funds.
6. If the patient is referral for treatment and he fixed the choice of treatment services (corporate) outside their permanent place of residence in the administrative area, then use the cross settlement system.
The settlement of the cross with the authorities of the country of treatment include the settlement to the public sickness funds from national specialty health budget. The cross on the settlement of the municipal budget to the regional sickness funds only.
7. Republic of the city and district authorities to provide national health care program and base text, charge medical services price list and the agreements with the territorial health insurance funds for the existing list of treatment availability.
8. Treatment Services (companies) in accordance with the procurement volume of the Latvian Medical Academy provides students practical training.
9. a foreign citizen medical care and medical expertise of the Court 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, if necessary, are guaranteed to cover the foreign nationals concerned health care expenses.
10. Treatment Services (companies) develop and submit the report on the budget of the local use of funds for health care provided in the base program medical services payment (annex 4).
11. Treatment services develop and submit national sickness fund and the Ministry of welfare in the Department of Health report on public order.
12. Be declared unenforceable: 12.1. The Cabinet of Ministers on 7 December 1993, the provisions of no. 31 "On the amount of medical assistance" (Latvian journal, 1993, nr. 131);
12.2. the Cabinet of Ministers of 4 October 1994, the provisions of no. 203 "for national health care mērķdotācij the use of the temporary order" (Latvian journal, 1994, no. 121).
Prime Minister m. cock Welfare Minister a. Smith annex 1 country order health care 1995 1. Medical assistance in specialized medical institutions of the country: 1.1. mental illness treatment and rehabilitation;
1.2. alcoholism, drug addiction and toksikomānij treatment;
1.3. tuberculosis and chronic lung diseases;
1.4. oncological diseases;
1.5. outpatient and hospital rehabilitation (phase I);
1.6. blood, blood substitutes and nutritious solution preparation;
1.7. the leprosy treatment;
1.8. perinatal care.
2. significant non-medical measures in the following areas: 2.1 the disasters and natural disasters;
2.2. the national medical statistics;
2.3. environmental and public health;
2.4. reform of the health system;
2.5. judicial medical expertise;
2.6. pathological investigation;
2.7. the immunization programme;
2.8. family planning;
2.9. national measures relating to the licensing and control.
3. Medical assistance under the Welfare Ministry confirmed diagnosis and the list of profiles in the following State and local medical institutions: 3.1 Gaiļezer hospital;
3.2. The Latvian Academy of Medicine Clinic "" Linezer "";
3.3. the orthopaedics and orthopaedic hospital;
3.4. P stradiņa State Clinical Hospital;
3.5. the diagnostic center of the Republic;
3.6. Sexually transmitted and skin disease the National Centre;
3.7. the National Medical Center "Riga" Jurmala ";
3.8. the national children's Clinical Hospital;
3.9. the national children's Clinical Hospital "" Gaiļezer "";
3.10. national clinical infections hospital;
3.11. Dental Center.
4. Drugs and medical products Ministry of welfare.
5. This annex 1, 2, 3, and 4. the measures referred to in points and forms of assistance, as well as the necessary funds are provided under the Welfare Ministry confirmed the General estimate, which is matched by the Finance Ministry.
Welfare Minister a. Smith annex 2 health care database engine 1995 base health care program the program area (city of the Republic) the residents medical treatment be provided the minimum amount to be provided by the State and local authorities and of treatment due to the sickness funds for territorial municipal budget.
Health care base in the intended State guaranteed medical assistance amount may increase, according to the local authorities the possibilities to allocate financial resources for health care.
 
Medical assistance that pays sickness 1. Emergency medical assistance.
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: 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;
1.2. poisoning;
1.3. trauma or sudden illness on a street, public place, business or institution;
1.4. the sudden illness and chronic disease exacerbation, of course threatening the patient's life: 1.4.1 cardiovascular disease with pain, choking or suffocation of seizures, cold sweat, heart rhythm disturbances, fainting;
1.4.2. peripheral vascular disease with sudden pain in the hands or feet, hands or feet cold, pallor;
1.4.3. the Central and peripheral nervous system disease with sudden disturbance of consciousness, seizures, faint, head and back pain, paralysis or other disabilities;
1.4.4. the stomach, gastrointestinal illness, with sudden sharp pain in the abdomen, vomiting, cold sweat, continuous diarrhea;
1.4.5. urinary tract disease with sudden pain in the lumbar area or cross-acute disorders of urination;
1.4.6. acute mental disorders accompanied by aggressive actions or attempted suicide;
1.4.7. the origins of any bleeding or expressed strong allergic reactions;
1.4.8. asthma attack;
1.5. the patient's express transportation, determined diagnosis and (or) severity patient status: 1.5.1 to stationary or between fixed, where there is appropriate for posting and the doctor on call;
1.5.2. the mothers transport of medical institution.
2. acute diseases and chronic disease flare diagnostic, treatment and observation.
3. The patient attendance and treatment home health status does not allow you to visit the treatment services (travel expenses are covered, according to the financial possibilities of the sickness funds).
4. observation of pregnant women, maternity assistance, assistance in cases of pathological pregnancy.
5. sexually transmitted infection, and contagious skin disease prevention, diagnosis and treatment.
6. Specific and non-specific and specific immunotherapy in vaccination according to the Welfare Ministry of Health Department of the procedures laid down.
7. Zobārstniecisk help children up to 18 years of age (according to the zobārstniecisk the minimum amount of assistance): 7.1. primary prevention of teeth (except professional hygiene and silant);
7.2. secondary prevention of teeth (except dental fillings with light hardening materials and endodontij more than one tooth, including dental trauma cases);
7.3. orthodontic work hard bite abnormality;
7.4. the treatment of the face, the jaw area injuries and inflammation, which causes functional disturbances.
8. Health screening performance of the Ministry of Welfare Health Department.
9. Security with free medication Cabinet.
10. Medical treatment injury and occupational disease.
11. Health care within the resources allocated: 11.1. elective surgery;

11.2. the rehabilitation therapy after the first illnesses or injuries;
11.3. outpatient and inpatient care for patients who have illnesses or injuries got alcohol or narcotic substances.
12. medical assistance for Chernobyl nuclear power plant accident consequences liquidation victims, groups 1 and 2 disabled persons and persons be repressed according to the legislation in force.
Note the. In some cases, can be paid also not chargeable territorial sickness medical (according to the financial possibilities of the sickness funds and the local government approved health care base program in the territory) the following population groups: 1. pregnant women, mothers and non-dēļniec;
2. children under 18 years of age and the average days training institutions Department students;
3. the Chernobyl nuclear power plant accident consequences liquidation victims, as well as Group 1 and 2 disabled persons, repressed persons and lawfully registered unemployed.
Welfare Minister a. Smith annex 3 medical services that are not paid for sickness 1. Zobārstniecisk assistance (excluding this provision 2. the minimum amount referred to in the annex).
2. fixed treatment scheduled operation, or chronic disease cases outside the boundaries of the administrative area at the initiative of the patient without a referring physician referrals.
3. consultation and studies elective surgery or chronic disease cases by patient initiatives without a referring physician referrals.
4. the first medical preventive measures, when recruited.
5. Working conditions and work owing to the nature of the required periodic medical examination.
6. Treatment in sanatoriums and resorts.
7. the Abortion without medical or social indications.
8. Anonymous medical preventive measures (with the exception of the AIDS investigation).
9. Seksoloģisk treatment.
10. Ensure medical treatment at various public events.
11. the Representative services.
12. Homeopathic treatment.
13. Vision correction.
14. Psychotherapeutic assistance.
15. The medical services provided by the authorities.
16. The vaccination, which is not fixed by order of the Ministry of welfare.
17. other preventive and medical examination, if they are not associated with medical indications (for example, by issuing an opinion on the State of health, making a driver medical examination, and other).
18. The alcohol and drug treatment in the apreibum inspection bodies.
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).
Note the. Sickness funds do not pay expenses connected with the treatment of the bodies of major repairs and construction.
Medical assistance provided by compliance with the health care program for the base of 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.
Welfare Minister a. Smith