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National System Integrated Care (Snic). Creation.

Original Language Title: Sistema Nacional Integrado Cuidados (Snic). Creacion.

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Legislative Power/ Eastern Republic of Uruguay
Published D.O. 08 dic/015-NAº 29351

Law No. 19,353.

INTEGRATED NATIONAL CARE SYSTEM (SNIC)

CREACIA " N

The Senate and the CA of Representatives of the Eastern Republic of Uruguay, meeting in General Assembly,

DECREE:


INTEGRATED NATIONAL CARE SYSTEM

CAPATULO I

GENERAL PROVISIONS

ArtAculoA 1Aº.A (Declaration of general interest).-Declare the universalization of care for people in dependency situation.

ArtAculoA 2Aº.A (Object of the law).-This law aims to promote the development of the autonomy of persons in situations of dependency, their attention and assistance, through the creation of Integrated National Care System (SNIC), as a set of actions and measures aimed at designing and implementing public policies that constitute a model of solidarity among families, state, community and market.

ArtAculoA 3Aº.A (Definitions).-For the purposes of this law, it is understood by:

A) Care: the actions that dependent persons should receive to ensure their right to activities and activities basic needs of everyday life, because they lack autonomy to carry out them for themselves. It is both a right and a social function that implies the promotion of the development of self-employment, attention and assistance to dependent people.

B) Care system: the set of public and private actions that provide direct attention to activities and needs -the physical life of people who are in a situation of dependency. It includes an articulated set of new capabilities, coordination, consolidation and expansion of existing services, as well as the regulation of people who serve as care services.

C) Autonoma: the ability to control, address, and take, on its own initiative, decisions about how to live and develop the activities and basic needs of everyday life, contemplating equitable cooperation with other people.

D) Dependency: the status of people who require the attention of another person or other people or aids important to perform basic activities and meet the needs of everyday life.

A The value of people's dependency level for performing basic activities and meeting life needs daily, will be determined by the application of the baremo that dictates the regulation to such effects.

The activities and basic needs of daily life will be defined in the corresponding regulation.

ArtAculoA 4Aº.A (Integrated National Care System Principles and Guidelines).-These are SNIC principles and guidelines:

A) The universality of rights to attention, services and benefits for all people in the situation dependency, on an equal basis, in accordance with applicable regulations.

B) Progressiveness in implementation and access to services and capabilities for all people in dependency, in terms set out in applicable regulations.

C) The articulation and coordination of care policies with the set of policies aimed at improving the quality of life of the population.

D) The equity, continuity, opportunity, quality, sustainability and accessibility of services and care services people in dependency situation, as well as considering their preferences about the type of care to receive.

E) The integral quality, which according to rules and protocols of action, respects the rights of the recipients and workers of care.

F) The permanence of people in a dependency situation in the environment where they develop their daily lives, whenever they are possible.

G) The inclusion of gender and generational perspectives, taking into account the different needs of women, men and women age groups, promoting the cultural superation of the sexual division of labor and the distribution of care tasks among all actors in society.

H) Solidarity in financing, ensuring sustainability in the allocation of resources for the provision of integral care.

A

A

CAPATULO II

RIGHTS AND OBLIGATIONS OF PERSONS IN A SITUATION OF DEPENDENCY AND OF THOSE WHO PROVIDE CARE

ArtAculoA 5Aº.A (Rights of persons in dependency situation).-Persons in dependency situation are recognized, without prejudice to the rights that set the applicable rules:

A) The exercise of human rights and fundamental freedoms, with full respect for their personality, human dignity and intimacy.

B) To receive, in understandable and accessible terms, full and updated information related to:

1) Your dependency situation.

2) The services and capabilities that they can eventually access.

3) The requirements and conditions for making use of them.

4) The policies and programs of attention and integral care that are implement in the SNIC's A Mbito.

C) The confidentiality and confidentiality of all information related to your process and, if applicable, your stay in the entities providing care services and compliance with the principle of prior informed consent for the treatment of the same, in accordance with applicable regulations.

D) Equal opportunities, not to suffer discrimination on the basis of race, ethnicity, sexual orientation or gender identity, age, language, religion, socio-economic situation, opinions of any Andole, national origin or birth or any other circumstance, whether personally or personally referring to them.

E) Universal accessibility to services and capabilities provided in applicable regulations.

The State, considering its budgetary resources, will lend to the people in the situation of dependence, the protection of their rights to the necessary and sufficient measure, seeking the greatest possible degree of development of their autonomy. personnel.

ArtAculoA 6Aº.A (Obligations of users of the Integrated National Care System).-People in dependency and, if any, who represent them, will be especially required to:

A) Provide all information and data required by the competent authorities for the value of your degree of dependency.

B) Communicating all types of aids, capabilities, or services that they receive.

C) Apply the economic capabilities to the purposes for which they were granted.

D) Report on your income and heritage status.

E) Any other obligations provided for in the applicable regulations.

ArtAculoA 7Aº.A (Obligations of those who provide care).-People who provide care services, whether or not they are private or private, should comply with all obligations that in respect of such activity, lays down the applicable rules.

ArtAculoA 8Aº.A (Application subjective scope).-They are holders of the rights set forth in this law:

A) Those who are in dependency situation, considering as such people who require supports Specific to the development of their activities and the satisfaction of the basic needs of daily life. Therefore, they are considered people in dependency situation:

1) NiAs and children up to twelve years old.

2) People with disabilities who lack autonomAa to develop activities and take care of their own basic needs of daily life.

3) People over sixty-five years old who lack autonoma for Develop activities and address their basic needs for everyday life.

B) Those who provide care services.

The Executive Branch will regulate the conditions of access to services and services that are part of the SNIC.

CAPATULO III

INTEGRATED NATIONAL CARE SYSTEM

ArtAculoA 9Aº.A (Integrated National Care System Objectives).-The SNIC will pursue the following objectives:

A) Drive a comprehensive care delivery model based on articulated polAtics, comprehensive programs, and promotion, protection, timely intervention and, whenever possible, the recovery of the autonomy of those people who are in dependency.

B) Promoting the coordinated and coordinated participation of service providers and care, public and private services.

C) Promote the optimization of public and private care resources, streamlining resource utilization human, material, financial and installed capacity and to be created.

D) Promote the regulation of all aspects relating to the provision of SNIC's public and private services.

E) Profession of care tasks through the promotion of training and training of people who provide care services, encouraging their continuous professional development, work in interdisciplinary teams, scientific research, encouraging the active participation of workers and people in dependency situations.

F) To encourage the change of the current sexual division of labor, integrating the concept of the responsibility of the generational as a guiding principle.

G) Driving territorial decentralization, seeking to contemplate the specific needs of each community and territory, establishing joint agreements and actions with departmental and municipal governments when appropriate.

ArtAculoA 10.A (Integrated National Care System).-Integran the SNIC: care services of people, public, state and non-state, the services of care provided by private entities, the National Care Board, the National Care Agency and the Care Advisory Committee.

ArtAculoA 11.A (Institutional Structure of the Integrated National Care System).-SNIC will be constituted by:

A) The National Care Board.

B) The National Care Aa.

C) The Care Advisory Committee.

ArtAculoA 12.A (National Care Board Integration).-The National Care Board will be integrated by the Minister of Social Development, who will chair it, and the Ministers of Education and Culture, Labor and Social Security, Public Health, Economic and Finance, the Director of the Planning and Budget Office, the President of the Central Board of Directors of the National Administration of Public Education, the President of the Board of the Bank of Social Care, the President of the Board of Directors Institute of the Nià ± o and Adolescent of Uruguay and a representative of the Congress of Intendant.

In order to promote and monitor the incorporation of the perspective of management throughout the SNIC, a representative of the National Institute of Women will participate in the sessions of the National Board of Care, with voice and without a vote.

The National Care Agency will participate in the sessions of the same, with voice and no vote.

ArtAculoA 13.A (National Care Board Competition).-Compete to the National Care Board:

A) Propose to the Executive Power the objectives, policies and strategies concerning the SNIC.

B) Define the strategic guidelines and priorities of the SNIC.

C) Advising and submitting to the Executive Branch the National Care Plan to formulate the National Secretariat of Care.

D) Advising the Executive Branch regarding the proposal on the National Care Plan budget to be formulated by the Aa National of Care, for the purposes of its consideration in the framework of the elaboration of the bill of the National Budget and the approval of the budgets of the Autónomos Autónomos, in their case.

E) Veloing by the transparency of the SNIC and the public access to quality information.

F) Advising and submitting to consideration of the Executive Branch for presentation to the General Assembly of the Legislative Branch, the Annual report of the National Care Plan to be formulated by the National Care Agency.

G) Develop the project of your internal operating rules that will elevate the Executive Power for approval.

ArtAculoA 14.A (Budget guidelines and favorable prior report of the National Care Board).-The National Care Board will refer to the Executive Branch a proposal on the allocations The budget will be affected to the SNIC by the bodies and public bodies, for their consideration in the framework of the drafting of the bill of national budget and approval of the budgets of the Entities Autónomos, if applicable.

The budget allocations to the SNIC will constitute allocations of more than one year, which should be identified in a specific program in the budget of each of the members or bodies. The budgetary appropriations allocated to the bodies or bodies which have as their destination actions or measures included in the SNIC shall be included in that programme in the budgets in force.

The budgetary allocations referred to in the above, cannot be transposed into other programmes, with the general rules on the subject or specific, where applicable.

For the implementation of transpositions within the program, as appropriate, it will require a favorable report from the National Board of Care, which may delegate this attribute to the National Care Agency.

ArtAculoA 15.A (The National Care Agency).-The National Care Agency will work in the Ministry of Social Development (MIDES).

Your holder shall be appointed by the Executive Branch in accordance with your personal, functional and technical conditions relating to the matter of your competence and your remuneration shall be equivalent to that established for the position of Director General of The Secretariat, in accordance with current regulations.

The General Count of the Nation, at the request of the MIDES, will enable the corresponding credits to be charged to General Rentas.

ArtAculoA 16.A (Structure of the National Care Agency).-The National Care Agency will be integrated with the following areas: Children's Area, Area of Older Persons, Area of Persons with Disability and Planning and Tracking Area.

The attention and actions towards people in charge of care will be cross-sectional to all areas of the National Care Agency.

Children's, Older People and Persons with Disabilities Areas will constitute and coordinate Inter-institutional Commissions integrated by SNIC's competent public bodies or bodies, who will design and promote the execution of actions corresponding to the implementation of the National Care Plan.

MIDES will provide human and material resources for the functioning of the National Care Agency and the performance of its tasks.

ArtAculoA 17.A (National Care Home Office Competition).-Compete to National Care Agency:

A) The articulation and coordination of the SNIC.

B) Formulate the National Care Plan, which will be submitted to the consideration of the National Care Board. In the formulation of the Plan, the Secretariat and the public bodies and bodies of the SNIC will convene the departmental and municipal governments, as well as the Care Advisory Committee.

C) Implement and monitor programs, instruments, and activities that are derived from the National Care Plan, ensuring the coordination and interagency articulation, optimizing the use of available resources.

D) Coordinate the design processes and formulation of the SNIC budget allocations with the Board members National of Care.

E) Formulating proposal on SNIC budget allocations, subject to consideration by the National Board of Care.

F) To monitor the activities of the SNIC in the framework of the National Care Plan and the implementation of the definitions adopted by the National Care Board.

G) To bring to the attention of SNIC members and bodies, about any violation of the obligations that the laws and regulations impose on care.

H) Ensuring transparency and public access to information in all relative to the SNIC, using the tools for this purpose existing in the field of information systems, developing the additional tools to ensure their compliance.

I) Formulate the annual report of what the SNIC has done and submit it to the National Care Board.

J) Advising the National Board of Care in all matters within the scope of its competence and providing the support that the itself requires for the performance of its tasks.

.A (Integration and Committed of the Care Advisory Committee).-The Care Advisory Committee is composed of delegates from the PIT-CNT, civil society organized through the representative organisations in the field of the content of the law, the specialised academic sector and private entities providing care services.

You will have an honorary cter and a role to advise the National Care Agency on the best practices conducive to the achievement of the objectives, policies and strategies corresponding to the SNIC.

The Executive Branch will regulate its integration and operation.

ArtAculoA 19.A (Competition from the Ministry of Social Development).-Suspend the literal C) from the article 9Aº of the Law No 17,866of 21 March 2005, for the following:

“C) Coordinate actions, plans and intersectoral programs, implemented by the Executive Branch to ensure the full exercise of rights social to food, to education, to health, to housing, to the enjoyment of a healthy environment, to work, to social security, to non-discrimination and to the care.

A

ArtAculoA 20.A (Reglamentation).-The Executive Branch will regulate this law according to the numeral 4) of the of the Constitution of the Republic.

A A A A A Sala de Sessions de la CA ¡ mara de Reps, en Montevideo, a 18 de november de 2015.

ALEJANDRO SANCHEZ,
President.
Virginia Ortiz,
Secretariat.

MINISTRY OF SOCIAL DEVELOPMENT
TO MINISTRY OF ECONOMICS AND FINANCE
TO MINISTRY OF EDUCATION " N AND CULTURE
A TO MINISTRY OF LABOUR AND SOCIAL SECURITY
A A A A MINISTRY OF HEALTH PAsBLICA

Montevideo, November 27, 2015.

Cúmplase, acorsese recibo, comunaquese, publáquese e insáltese en el Registro Nacional de Leitos y Decretos, la Ley por la que se crea el Sistema Nacional Integrated de Acicare (SNIC).

TABARA% VAZQUEZ.
MARINA ARISMENDI.
DANILO ASTORI.
MARIA JULIA MUA ' OZ.
ERNESTO MURRO.
JORGE BASSO.

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Montevideo, Uruguay. Legislative Power.