Cabinet of Ministers Regulations No. 870 in 2016 (20 December. No 69 71) rules on operational programmes for the "growth and jobs" 9.3.2. specific aid target "to improve quality of health care services, especially social, territorial exclusion and poverty risk population, the development of a health care infrastructure" project application selection first and second round pick in accordance with European Union 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 the : 1.1.  the order in which the activities of the "growth and employment" priority axis "social inclusion and combating poverty" 9.3.2. specific aid target "to improve quality of health care services, especially social, territorial exclusion and poverty risk population, the development of a health care infrastructure" (hereinafter referred to as the specific contribution) project application selection first and second round; 1.2. specific aid objectives; 1.3. specific support available funding; 1.4. the requirements of the European regional development fund project applicants (project applicant); 1.5. the eligible cost of the operation conditions of incidence; 1.6. the simplified conditions of application costs and order; 1.7. the agreement and the agreement for the implementation of a project of cooling-off conditions unilaterally. 2. Specific aid project application selection first and second round of project submissions a limited exercise 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 implementation of the Republic of Latvia. II. Specific objective 5. Specific aid aims to improve the quality of health care services, in particular social and territorial exclusion and poverty risk population, the development of a health care infrastructure. 6. the Specific objectives of the aid group's medical authorities. 7. Specific aid until 2023 31 December is achievable the following monitoring indicators: 7.1.-the table of results achieved relative to the number of outpatient visits to the difference between the population of the territories and the large cities – number of visits 2.5-2.8; 7.2. the following outcome indicators: 7.2.1. up to 2023 December 31, improved medical treatment, the number of institutions that develop infrastructure for health services – 775 treatment services, including: project submission 7.2.1.1 selection first round-12 treatment services; 7.2.1.2. the project application selection in the second round-one medical establishment; 7.2.2. until 2023 December 31 population, which are available to improve health care services – 2 023 825 inhabitants; 7.3. financial monitoring indicator – until 2018. December 31, certified eligible expenditure eur 46 799 872, including: 7.3.1. project application selection in the first round-22 314 031 euro; 7.3.2. the project application selection in the second round – 24 485 841 euros. III. Specific aid 8. Specific aid planned total attributable funds is eur 194 364 718, including the European regional development fund – 152 136 253 euro and national funding – 42 228 465 euro (the maximum the State budget funding – 31 580 855 euro and a minimum private funds: eur 10 647 610). 9. The first and second application round of projects within the total available funding is attributable 174 059 880 euros, including the European regional development fund – 134 877 139 Euro and national funding – 39 182 741 euro (the maximum the State budget funding – 29 753 420 euro and a minimum private funds of eur 9 429 321): 9.1.  the first application round project within the total available funding is attributable 82 991 202 euro, including the European regional development fund – 70 542 521 euro and national funding: eur 12 448 681 (State budget funding – 7 469 208 euros and private funds: eur 4 979 473); 9.2. the second application round project within the total available funding is attributable 91 068 678 euro, including the European regional development fund, and the national funding of eur 64 334 618-26 734 060 € (the national budget funds-22 284 211 euros and private funds 4 449 849 euro). 10. the first application round project within the framework of the relevant European regional development fund shall not exceed 85 percent, but the State budget funding – nine percent of this rule 9.1. round referred to the total eligible funding. 11. The second application round project within the framework of the relevant European regional development fund does not exceed 70.64 percent, but State budget financing-24.47 percent from 9.2. these provisions referred to in the selection for the planned total eligible funding. IV. The conditions for grant of aid 12. Aid should be allocated 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 to some of the undertakings entrusted with the operation of a service of general economic interest. 13. The beneficiary is calculated for the use of infrastructure in proportion to the activities supported national pre-paid health care services and other activities, and the total project financing, identifying public and private funding, according to the following calculation: 13.1. project total public cost of the maximum amount determined by the following formula: Ipubl_kop = Ipubl_x, where x-1990s x-number of years for which the calculated cost of a project, the maximum level of public;
Ipubl-the annual public costs the maximum amount (in euro); 13.2. the annual public costs the maximum amount is determined using the following formula: = Ipubl preferential (Lv_y × Sy) (Lv_y + Lm_y) y, where the project supported activities to be carried out;
S-assisted activities concerned the total costs (in euro);
En-assisted activities concerned should use the infrastructure of the country paid health services (hours per year);
LMS-supported activities to the eligible infrastructure in time for other activities (hours per year); 13.3. for the activities related to the supported infrastructure for which it is not possible to determine the time allocation for the use of infrastructure State of paid health care services and other activities, time allocation is determined according to the average of the hospital's infrastructure ratio calculated, infrastructure that is possible to set the time for the use of infrastructure allocation state of paid health care services and other activities, dividing the total public cost of the maximum amount to the total cost of this infrastructure. 14. Beneficiary infrastructure ratio is calculated from the moment of submission of the project to pēcprojekt the end of the period of supervision, using data from last year or the last two years the average data for the use of infrastructure. If the previous year data for the use of infrastructure is not available, or more than five percent different from the development of the infrastructure, the beneficiary uses the planned infrastructure data until data are available on the developed infrastructure. Infrastructure ratio calculation updates no less than every two years. 15. The beneficiary of infrastructure ratio calculations by an order of the beneficiaries, the calculation results indicate that the form contained in annex 1 and add the arrangement or agreement in the annex for the implementation of a project. The approved beneficiary order submit beneficiary cooperation institution: 15.1. submitting the project application; 15.2. during project implementation until the April 30; 15.3. after completion of the project, together with the annual report of pēcprojekt. 16. If, after approval of the application, the project will increase the project's cost to the public the maximum amount calculated in accordance with the provisions of section 13.1. cooperation Authority public project total eligible costs do not increase. 17. If it is established that in accordance with the provisions of section 13.1 of the estimated total cost of the project, the maximum amount the public is less than the total public expenditure allocated to the maximum extent of (hereinafter called overcompensation): 17.1. If excessive compensation in an amount not exceeding five percent of the total project costs, financing public beneficiary can do not make changes to the project pēcprojekt the end of the period of supervision; 17.2. If excessive refund amount exceeds five percent of the total project costs for the public, the beneficiary during the month after excessive compensation submitted amendments to the draft determination in ensuring that excessive compensation in an amount not exceeding five percent; 17.3. the beneficiary with the last pēcprojekt monitoring report shall be submitted to the draft amendments, ensuring that compensation is not excessive. 18. The beneficiary documentation relating to the granting of aid for 10 years from the date of granting the aid, while the support provider-10 years from the last date of granting of the aid. 19. If the project is intended to develop the infrastructure which the beneficiary of the lease of another medical institution providing health services, the rules referred to in paragraph 25 of the aided activities are eligible for financing from public funds, subject to the determination of the proportion of use of the infrastructure, if all the following conditions are met: 19.1. the beneficiary is obliged to provide the infrastructure to another country for treatment of paid health care services, and on the conclusion of the contract pursuant to the legislation on payment of remuneration for the public service; 19.2. the infrastructure of a certain rent, subject to the following conditions: 19.2.1. infrastructure leasing fee does not exceed the reasonable profit and the hospital's costs, which are financed from public funds and which are directly or indirectly related to infrastructure leasing; 19.2.2. reasonable profit is calculated only on the hospital's costs, which are not funded from public funds; 19.2.3. reasonable earnings are used to calculate a reasonable profit margin, which is the body responsible for the current year shall be published on the first working day of the responsible authority (http://esfondi.vm.gov.lv) and tīmekļvietn which is determined using the following formula: a = Pnorm PN-PN-PN 4 + 3 +-2 x 100% where AN-4 + 3 + 2 AN-AN-Pnorm-reasonable profit margin as a percentage; PN-X – the average profit margin health according to the statistical classification of economic activities (NACE Rev. 2) during the period from N-4 to N-2 year (in euro); An-X – the average turnover of health according to the statistical classification of economic activities (NACE Rev. 2) during the period from N-4 to N-2 year (in euro); 19.3. the beneficiary with the relevant documents on a reasonable and transparent infrastructure may prove the rent calculation. 20. The beneficiary determines the time the State of paid health care services and other activities developed in the framework of the project infrastructure (if the working time can be determined) and lists this information. 21. The beneficiary country shall be clearly distinguished the paid health services from other activities (and related financial flows). Revenues generated in the project, giving the State paid health services or infrastructure to another medical institution funded by the health care services used to cover only the costs related to the project developed the infrastructure for State-funded health service. If the income is in the framework of the project, providing infrastructure for another medical institution, the income must meet this provision in point 19. The beneficiary shall ensure that documentation relating to compliance with the conditions referred to in this paragraph and apply to the project developed the infrastructure, is saved and is available for cooperation authority, which shall carry out the provisions mentioned in paragraph 13 of the infrastructure aspect ratio calculation. 22.23 and 24 of these rules referred to in paragraph beneficiaries, which is the public service providers, according to the Latvian legislation delegation has been concluded a contract with the national health service for the public service. The contract shall specify: 22.1. that certain public services; 22.2. the requirements public service provider for the necessary investment in public service infrastructure to provide these services in accordance with each specific service requirements; 22.3. contract period not exceeding 10 years; 22.4. the public service; 22.5. the public service provider granted exclusive or special rights; 22.6. 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; 14.1. reference to European Commission 20 December 2011 on 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 to some of the undertakings entrusted with the operation of a service of general economic interest. V. specific requirements, a first and second round of project submissions applicants Project selection 23. applicant institutions for cooperation projects of decision on approval of the application becomes the beneficiary of the financing, a first project specific application selection round is the medical establishment according to annex 2 of these provisions referred to in paragraph 1, the list of treatment. 24. the project applicant, which by the Authority's decision on the cooperation project approval submission becomes the beneficiary of the financing, in support of specific projects for the second selection round application under this provision of the annex referred to in paragraph 2 the medical establishment – national company with limited liability "Paul stradins clinical University Hospital". VI. the eligible activities and costs 25. Specific objectives of aid has supported the following: 25.1. project management; 25.2. the construction works; 25.3. the technology purchase, delivery and Assembly; 25.4. the infrastructure development of the quality assurance system; 25.5. information and publicity measures. 26.23 and 24 of these rules referred to in paragraph beneficiaries are eligible for this provision referred to in paragraph 25 of the total operational infrastructure that partially or fully associated with emergency medical assistance and health services in four priority areas – health, cardiovascular, Oncology, children (from the perinatal period and not onatāl) care and mental health care. 27. This rule 25.1. eligible activities referred to in this provision within the framework referred to in paragraph 23 beneficiaries is attributable to funding recipient project management personnel remuneration costs arising from the contract of employment or company (services) contract, including legislation in certain allowances and taxes amounting to: 27.1. where direct eligible costs are eur 5 000 000 or more – up to 56 580 euros per year; 16.9. If the direct eligible costs are less than the limit of 5 000 000 euro, calculated at minimum cost base 24 426 per year, plus a percentage of the project's direct 0.64 eligible costs, but not including the project management staff costs; 16.3. If the staff involved in the project provided in accordance with the principle of part-time imputability (applicable if the costs incurred on the basis of the employment contract), subject is not less than 30 percent of capacity. 28. This rule 25.2. eligible activities referred to in the framework of the following eligible costs of the works: 28.1. minimum construction form and construction development costs, project costs, the examiner's autoruzraudzīb and building costs and regulations in certain būvspeciālist of the compulsory insurance costs; 28.2. the costs of construction, including: installation and construction site 28.2.1. harvesting costs; 28.2.2. construction of new buildings; 28.2.3. renewal and rebuilding costs; 28.2.4. infrastructure improvement costs, including: the cost of greening 28.2.4.1. According to the construction plan for the solution; 28.2.4.2.-the cost of the equipment, including medical devices and technologies, including built-in installations and technology, furniture, business installations and equipment, IT and other equipment room functionality. 29. The provisions referred to in paragraph 28 of the eligible costs the following cost constraints: 29.1. this rule 28.1. costs referred to in subparagraph does not exceed 10 percent of the eligible construction costs; 28.2.2. these rules 29.2. in subparagraph, such costs are eligible only for those provisions specified in paragraph 24 the beneficiary; 29.3. This provision 28.2.4. referred to total cost does not exceed 15 per cent of the eligible construction costs and they do not include this rule 30 referred to treatment process directly in the purchase of the necessary technology, delivery and Assembly costs. 30. This rule 25.3. eligible activities referred to in the context of the relevant treatment process directly in the purchase of the necessary technology, delivery and Assembly costs for medical technology, which the unit delivery costs exceeding 20 000 euros and the purchase of which the Ministry of health received reconciliation. 31. This rule 25.4. eligible activities referred to in the funding does not exceed 10 percent of the total cost of the project, and within it are attributable hospital's information and communication technology development costs associated with the hospital's participation in the quality system. 32. The provisions referred to in paragraph 25.5. eligible activities include the provision of information and publicity costs according to 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. 33. The provisions referred to in paragraph 25 of the implementation of the activities supported are attributable not to the estimated cost of up to two percent of the total direct eligible costs of the project, by the application of the plan as one cost position, and uses that rule 21.3. General referred to the additional cost of implementation to cover unforeseen circumstances, have become necessary for the implementation of the project. 34. These rules 27, 28, 30 and 31 the costs referred to in paragraph consists of direct eligible costs of the project, including: 34.1. This provision in paragraph 27, the costs consist of direct eligible project personnel remuneration costs; 21.3. that rule 28, 30 and 31, paragraph costs make up the rest of the project direct eligible costs. 35. The provisions referred to in paragraph 25 of the implementation of the activities supported are attributable to project the 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 34.1. these provisions referred to in subparagraph direct staff remuneration costs incurred on a contract basis. 36. The value added tax payments that are directly related to the project, are eligible costs, if the beneficiary cannot recover under the laws on value added tax. 37. the project costs are eligible, provided that they fulfil these rules these positions and the costs are incurred from the date of entry into force of the provisions. VII. Specific support conditions for the implementation of the project 38. This provision referred to in paragraph 24 the beneficiary exercises the major project. 39. the implementation of the project, the funding recipient: 24.3. ensure that rule 25.5. referred to information and publicity measures, the European Parliament and of the Council of 17 December 2013 in 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, and the law on the procedures of the European Union's structural and cohesion funds in 2014 introduction – 2020 programming period provide a communications and visual identity requirements; 24.4. accumulate data on horizontal principle "equal opportunities" in the "number of objects, in which the ERDF is secured as a result of the investment environment and access to information"; 39.3. If the cost of the project, the project covers the incidence increased from its own resources; 24.5. ensure that the planned work on the project is not funded or co-financed, as well as it is not planned to finance or co-finance from other national and foreign financial aid instruments; 24.5. the accumulated data on the impact of the project on this rule 7.2.1 and 7.2.2. the indicators referred to in point; 24.6. ensure the sustainability of the results achieved at least five years after completion of the project; 24.7. ensure that during the implementation of the project real estate necessary for the implementation of the project, is the beneficiary of the State or municipal property, long-term lease (at least 10 years), or in the possession of the loan and the action is held firmly in the land. If the investment is made in buildings and constructions without increasing būvapjom, ownership or other rights in respect of land does not have to be fixed in the land; 24.7. ensure that procurements that are necessary for the implementation of the activities supported by the beneficiary in accordance with the laws and regulations in the area of public procurement. Support the integration of environmental requirements in the procurement of goods and services (green procurement). 40. Where the total eligible costs exceed eur 3 000 000, the beneficiary of the project planning and implementation control creates a command-and-Control Commission and quarterly review meeting organised on the project's progress, which invites the responsible authorities and cooperation agencies representatives. 41. During project implementation the beneficiaries can receive advance payment in accordance with the laws and regulations on the procedures of plan the State budget funds for European Union structural funds and the cohesion fund projects and payments to 2014 – 2020 programming period. Cooperation, on the basis of the beneficiary's request and according to the project financing plan, making the advance and interim payments shall comply with the condition that the total does not exceed 90 percent of the project to the European regional development fund. The advance payment can be received in multiple installments. 42. Specific aid projects implemented in accordance with the agreement for the implementation of the project, but no longer than up to December 31, 2023. 43. cooperation authority have the right to unilaterally withdraw from the agreement or contract concluded for the implementation of a project in any of the following cases: 43.1. the beneficiary does not comply with the agreement or the agreement on the implementation of the project, including non-compliance with the time limits set out in the project or have other circumstances occurred which negatively affects or may affect the outcome of the measures and monitoring indicators; 43.2. in other cases provided for in the agreement or the agreement on the implementation of the project. Prime Minister-Minister of agriculture John Dūklav, Minister of Health And the Čakš annex 1: Cabinet of Ministers of 20 December 2016. Regulations No 870 public cost and private cost maximum minimum volume calculation (EUR) total funding (euro) maximum public funding (EUR) minimum private funds (EUR) reference to the beneficiary's order approved information supporting calculation 1 2 3 1-2 4, Minister of Health And the Čakš annex 2 to the Cabinet of Ministers of 20 December 2016 for Regulation No 870 action programme "growth and employment" 9.3.2. the specific objective of "improving the quality of health care services, especially social, territorial exclusion and poverty risk population, the development of a health care infrastructure" project application selection the first and second rounds of the beneficiaries and the distribution of funding the project application 1 Select the 1st round and the beneficiaries of the funding distribution: 1.1. limited liability company "Riga Eastern clinical University Hospital" with the funding available to euro 17 888 467; 1.2. limited liability company "children clinical University Hospital" with the funding available to the euro 11 157 143; 1.3. public limited liability company "Orthopaedics and orthopaedic hospital" with the funding available to Euro 1 788 847; 1.4. limited liability company "Riga City maternity House" with the funding available up to eur 1 172 927; 1.5. public limited liability company "national rehabilitation center" "" by Vaivara attributable financing available up to eur 1 788 847; 1.6. limited liability company "liepājas regional hospital" with the funding available to 14 228 677 euro; 1.7. limited liability company "Daugavpils regional hospital" with the funding available up to 7 670 720 euro; 1.8. limited liability company "Ziemeļkurzem regional hospital" with the funding available to euro 9 838 034; 1.9. limited liability company "Jelgava City Hospital" with the funding available up to eur 2 146 616; 1.10. limited liability company "Vidzeme hospital" with the funding available up to 6 331 512 eur; 1.11. limited liability company "Jēkabpils regional hospital" with the funding available up to € 5 009 910; 1.12. the company with the limited liability "Rezekne hospital" with the funding available up to eur 3 969 502. 2. the project application selection 2. round of the aid recipient is a public limited liability company "Paul stradins clinical University Hospital" with the funding available to 91 068 678 euro. Minister of health of the Andean Čakš