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On Amendments To The Federal Law On Compulsory Health Care Insurance In The Russian Federation And Certain Legislative Acts Of The Russian Federation

Original Language Title: О внесении изменений в Федеральный закон "Об обязательном медицинском страховании в Российской Федерации" и отдельные законодательные акты Российской Федерации

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RUSSIAN FEDERATION FEDERAL LAW On Amendments to the Federal Law "On compulsory medical insurance in the Russian Federation" and separate Legislative acts of the Russian Federation Adopted by the State Duma on June 17, 2016 Approved by the Federation Council on June 29, 2016 Article 1 Article 1 Amend the federal law dated November 29, 2010 No. 326-FZ "On compulsory health insurance in the Russian Federation" (Russian Law Assembly of the Russian Federation, 2010, No. 49, art. 6422; 2011, No. 49, sect. 7047; 2012, No. 49, sect. 6758; 2013, No. 7, est. 606; No. 27, sect. 3477; No. 30, sect. 4084; No. 39, sect. 4883; No. 48, sect. 6165; 2014, No. 28, sect. 3851; No. 30, sect. 4269; No. 49, sect. 6927; 2015, No. 7245) the following changes: 1) of article 14, part 10, should be supplemented with the following sentence: " The insurance medical organization is excluded from the register of health insurance organizations on the basis of the notification sent to it A territorial fund, no later than the following working day after the day of avoidance of the compulsory health insurance contract. "; 2) in article 16: (a) of Part 3, amend to read: " 3. Mandatory health insurance for children from the day of birth and until thirty days from the date of the State registration of birth is carried out by an insurance medical organization in which their mother or other legal representatives are insured. After 30 days from the date of the State registration of the birth of a child and until they reach the age of majority or until they acquire full legal capacity, compulsory medical insurance is provided by the insurance medical service. An organization chosen by one of his parents or another legal representative. "; b) Part 4 should read: " 4. The choice or replacement of an insurance medical organization is exercised by the insured person who has attained the age of majority or has acquired full legal capacity (for the child up to the age of majority or prior to his or her legal capacity). Full volume by his parents or other legal representatives) by applying to an insurance medical organization from among the health insurance organizations included in the register, which is compulsory territorial The foundation on its official website on the Internet and may be additional to be published in other ways. "; 3) Part 8 of Article 33 to supplement paragraph 20 with the following: " 20) exercises other powers in accordance with this Federal Law. "; 4) to supplement Article 50-1 , to read: " Article 50-1. Financial provision of high-tech medical care not included in the base mandatory health insurance program 1. The budget of the Federal Fund for the next fiscal year and the plan period includes budget allocations: 1) for the financial provision of high-tech medical assistance not included in the basic program of compulsory health care OF THE PRESIDENT OF THE RUSSIAN FEDERATION of the Russian Federation High-technology medical assistance not included in the basic compulsory health insurance programme, Russian Federation citizens; 3) on the financial provision of high-tech medical assistance not included in the basic medical care OF THE PRESIDENT OF THE RUSSIAN FEDERATION 2. List of federal State institutions providing high-tech medical assistance not included in the basic programme of compulsory health insurance to citizens of the Russian Federation with the funds referred to in Part 1, paragraph 1 of this article shall be approved by the authorized federal executive. The procedure for the establishment of the list shall be established by the Government of the Russian Federation. 3. List of medical organizations providing high-level medical care not included in the basic programme of compulsory health insurance to citizens of the Russian Federation with the funds referred to in paragraph 2 of Part 1 of this Article, approved by the authorized body of the executive branch of the constituent entity of the Russian Federation. The procedure for forming the list shall be established by the supreme executive body of the constituent entity of the Russian Federation. 4. OF THE PRESIDENT OF THE RUSSIAN FEDERATION Paragraph 3 of Part 1 of this Article shall be approved by the authorized federal executive authority on the basis of its criteria for the selection of medical organizations of the private health system. 5. The financial provision of high-tech medical care, which is not included in the basic program of compulsory health insurance provided to citizens of the Russian Federation, is carried out in accordance with the volume of this assistance and the average standards The financial cost per unit of the provision of medical assistance. 6. The financial provision of high-tech medical care, which is not included in the basic program of compulsory health insurance provided to citizens of the Russian Federation by federal State institutions, is carried out in the order, by the Government of the Russian Federation, through the provision of subsidies from the Federal Fund to federal State institutions for the financial support of the State task approved by the federal authority the exercise of functions and powers The Convention on the Law of the These subsidies are provided on the basis of an agreement on the procedure and the terms and conditions of the grant between the Federal Fund, the federal executive authority exercising the functions and powers of the founder in relation to the grant. Federal State institutions and the federal state agency in the form and in the manner approved by the federal executive authority. 7. OF THE PRESIDENT OF THE RUSSIAN FEDERATION by the Government of the Russian Federation, through the allocation of grants from the budget of the Federal Fund to the budgets of territorial funds for these purposes, for subsequent allocation in the form of other inter-budgetary transfers to the budgets of the entities of the Russian Federation. These subsidies are granted on the basis of an agreement on the procedure and on the terms and conditions of subsidies to be concluded between the Federal Fund, the supreme executive body of the State authority of the constituent entity of the Russian Federation and the Commissioner The federal executive body is in the form and in the manner approved by the federal executive authority. 8. The financial provision of high-tech medical care, which is not included in the basic program of compulsory medical insurance provided to citizens of the Russian Federation by medical organizations of the private health system, is being implemented. In accordance with the procedure established by the Government of the Russian Federation in accordance with the provisions of the Convention on the Rights of the between the Federal Fund and the Federal The executive branch and the medical organization of the private health system in the form and in the manner approved by the authorized federal executive authority. 9. The federal executive body, which exercises the functions and powers of the founder in relation to the federal state institutions, approves the volumes of high-tech medical assistance not included in the basic program of compulsory health care Medical insurance, for the federal State agencies under its jurisdiction, in consultation with the authorized federal executive authority. 10. Balances of funds not used in the current fiscal year from the Federal Fund Budget to the financial provision of high-tech medical assistance not included in the basic program Compulsory health insurance is used by federal government agencies in the next fiscal year for the same purpose. 11. The organization of high-tech medical assistance, not included in the basic compulsory health insurance programme, is carried out with the use of a specialized information system in accordance with the procedure established by the Commissioner. by the federal executive branch. The quality and safety of medical activities in respect of hi-tech medical assistance, not included in the basic compulsory health insurance scheme, are carried out in accordance with articles 88 to 90 of the Federal Act. On 21 November 2011, No. 323-FZ "On the foundations of public health protection in the Russian Federation". 12. Control over the use of funds for purposes referred to in paragraph 1 of Part 1 of this Article shall be exercised by the Federal Fund and the federal executive bodies exercising the functions and powers of the founder with respect to the federal State institutions. The Federal Fund, the territorial funds and the executive bodies of the constituent entities of the Russian Federation shall be responsible for monitoring the use of funds for purposes specified in paragraph 2 of Part 1 of this Article. OF THE PRESIDENT OF THE RUSSIAN FEDERATION 13. The Federal Fund shall monitor the use of funds for the purposes provided for in paragraph 3 of part 1 of this article. 14. The procedure and form for reporting on the use of funds for purposes provided for in paragraph 1 of this article shall be established by the Federal Fund. ". Article 2 Article 9, paragraph 6, of the federal law dated 12 January 1996 No. 7-FZ "On Non-Profit Organizations" (Russian Federation Law Assembly, 1996, No. 3, p. 145; 2010, No. 19, sect. 2291) replace the words "from the relevant budget" with the words "from the budgets". Article 3 Article 4, paragraph 4 of the [ [ Federal Law]] November 2006, No. 174-FZ "On autonomous institutions" (Legislative Assembly of the Russian Federation, 2006, No. 45, art. 4626; 2007, No. 43, sect. 5084; 2010, No. 19, est. 2291; 2011, No. 30, sect. 4587) replace the words "from the relevant budget" with the words "from the budgets". Article 4 OF THE PRESIDENT OF THE RUSSIAN FEDERATION 724; 2013, No. 27, sect. 3477; No. 48, sect. 6165; 2014, No. 30, sect. 4257; No. 43, sect. 5798; No. 49, sect. 6927; 2015, No. 1403, 1425; No. 29, sect. 4397; 2016, No. 1, est. 9; No. 15, sect. 2055; No. 18, Text 2488) the following changes: 1) article 14, article 14, to supplement paragraphs 19 and 20 with the following: " 19) Organizing the provision of persons infected with human immunodeficiency virus, including in combination with hepatitis B viruses and C, antiviral drugs for medical use included in the list of essential and essential drugs in accordance with Federal Law No. 61-FZ of 12 April 2010 " On the circulation of medicines Means "; 20) for the provision of persons with tuberculosis with multiple drug resistance, antibacterial and anti-tuberculosis drugs for medical use included in the list of essential and essential drugs in accordance with Federal Act No. 61-FZ of 12 April 2010 "On the Treatment of Drugs"; 2), to supplement article 34 with Part 7-1 as follows: " 7-1. The procedure for forming a list of types of hi-tech medical assistance, established by the authorized federal executive authority, includes deadlines, after which the types of high-tech medical assistance expire. are included in the basic programme of compulsory health insurance. "; 3) Article 43 to be supplemented by Parts 2 to 1 and 2-2 as follows: " 2-1. For the purpose of providing medical assistance, including the provision of medicines for medical use, with certain diseases referred to in Part 1 of this article authorized by the federal executive authority in the The Federal Register of Persons Infecting by Human Immunodeficiency Virus and the Federal Register of Persons with Tuberculosis with the following information: 1) Insurance number of individual citizen's personal account in The compulsory pension insurance system (if any); 2) the surname, first name, patronymic and surname of the citizen at birth; 3) date of birth; 4) sex; 5) address of place of residence; 6) series and passport number (birth certificates) or other identification document, date of issuance of the documents; 7) date of inclusion in the appropriate Federal Register; 8) diagnosis of the disease (status); 9) other information to be determined The Government of the Russian Federation. 2-2. The State authorities of the constituent entities of the Russian Federation shall carry out the regional segments of the federal registers set out in Part 2-1 of this Article and the timely submission of the information contained therein to the Commissioner. A federal executive body, in the manner prescribed by the Government of the Russian Federation. "; 4) in article 46: (a) in Part 2: , in paragraph 1, the word" pathological "delete, the words" formation of groups "Replace the words" the definition of health groups "by"; Paragraphs 2 and 3 should read: " (2) Pre-medical examinations conducted upon arrival to determine whether the worker's health is in accordance with his or her health, and when he is admitted to work. Training in the case provided for in article 55, paragraph 7, of the Federal Act No. 273-FZ of 29 December 2012 on education in the Russian Federation; 3) periodical medical examination carried out at regular intervals Dynamic surveillance of workers ' health status, early detection Initial forms of occupational diseases, early warning signs of harmful and (or) hazardous work factors in the working environment, occupational health status of workers in order to form occupational risk groups disease, detection of medical contraindications in the implementation of certain types of work; "; (b) Part 3, recognizing no force; in Part 4, as follows: " 4. Dispanserization is a set of activities that includes a preventive medical examination and additional methods of health assessment surveys (including the definition of a health group and a group of dispensaries (a) "(d)" (a), (c), (c), (d), (e), (d), (d), (d), (d), (d), (d), (d), (d), (d), (d), (d), (d), (d), (d), (d) be replaced by "shall be carried out at a certain period of time necessary" survey ", delete" pathological "delete; d) in Part 7, replace" Procedure and frequency of conduct "with" Conduct and periodicity ", add the following sentence:" When performing medical examinations, The examination may take into account the results of earlier (no later than one year) medical examinations, medical examinations confirmed by the patient's medical records. "; 5) in paragraph 1 of article 54, paragraph 1, of the words" upon entry into educational organizations and during the period of their education, in physical education Culture and sport "shall be replaced by the words" of preventive medical examinations, in connection with physical culture and sports activities "; (6) Part 2-1 of Article 80 shall be amended to read: " 2-1. The manufacturer's limits for the selling prices and the limits of the wholesale allowances for the actual holiday prices for medical items included in the list of medical products implanted in the body, approved by the Government of the Russian Federation In the case of medical assistance under the State guarantees of free medical assistance to citizens, the person shall be subject to State regulation and shall be determined in accordance with the procedure established by the Government of the Russian Federation. State regulation is not subject to the limit price of producers and the limits of the wholesale allowances to the actual selling prices for medical products used in preparation for implantation, prevention of complications Surgical interventions, deliveries, fixation and recovery of medical products implanted in the human body and included in the listed list. "; 7) in article 83: (a) in Part 2: in paragraph 3 of the word " the source of which is inter-budgetary transfers from the budget of the Federal Mandatory health insurance fund, "delete; to supplement paragraph 3-1 as follows: " 3-1) budgetary allocation of the budget of the Federal Compulsory Health Insurance Fund of the basic programme of compulsory medical insurance provided to citizens of the Russian Federation by federal State institutions, whose functions and powers are exercised by the citizens of the Russian Federation Federal executive authorities; "; to supplement paragraph 3-2 with the following: " 3-2) the budget appropriations of the Federal Compulsory Medical Insurance Fund to co-finance the expenses incurred by the constituent entities of the Russian Federation in the provision of Russian Federation citizens of high-tech medical assistance not included in the basic programme of compulsory health insurance; "; b) to supplement parts 9-3 and 9-4 as follows: " 9-3. Protection of persons infected with the human immunodeficiency virus, including in combination with hepatitis B and C viruses, antiviral drugs for medical use included in the list of essential and essential Drugs are administered from the budgetary allocations provided for in the federal budget for these purposes. 9-4. Providing persons with tuberculosis with multiple drug resistance, antibacterial and anti-tuberculosis drugs for medical use included in the list of essential and essential drugs of medicines, is carried out at the expense of budgetary allocations in the federal budget for these purposes. ". Article 5 Article 41 of the Federal Law from 29 of the Russian Federation, the Russian Federation, the Republic of Turkey, the Russian Federation, the Republic of Turkey, the Russian Federation and the Republic of the Russian Federation. 77598; 2013, No. 48, sect. (6165) The following changes: 1) in paragraph 6 of Part 1, the words "periodic medical examinations and medical examinations" shall be replaced by the words " medical examinations, including preventive medical examinations, in connection with physical examinations culture and sports, and the dispensation "; 2) in Part 2, the word" periodic " should be deleted. Article 6 1. This Federal Act shall enter into force on 1 January 2017, with the exception of the provisions for which this article establishes a different time frame for their entry into force. 2. Article 1, paragraphs 1 to 3, article 4, paragraphs 4 and 5, of this Federal Law shall enter into force on the date of the official publication of this Federal Law. 3. Paragraphs 6, 9, 13, and 18, paragraph 4, of this Federal Law shall enter into force on 1 January 2019. 4. The provisions of paragraphs 1 and 2 of Part 1, Parts 2, 3, 5-7, 9-12 and 14 of Article 50-1 of the Federal Law of 29 November 2010, No. 326-FZ " On compulsory medical care of the Russian Federation " (in the wording of this Federal Law) and article 83, paragraph 2, of the Federal Law of 21 November 2011, No. 323-FZ. OF THE PRESIDENT OF THE RUSSIAN FEDERATION The wording of this Federal Law is applied to the legal relations that arise in the process of drawing up and implementing the budget of the Federal Compulsory Medical Insurance Fund and the budgets of the territorial funds of compulsory medical care. The budget for 2017 will amount to 40.8 per cent of the 2017 budget. President of the Russian Federation Vladimir Putin Moscow, Kremlin July 3, 2016 No. 286-FZ