Federal Law “On compulsory health insurance in the Russian Federation. Main provisions of the law “On compulsory medical insurance in the Russian Federation Federal Law on compulsory medical insurance

1. The basic compulsory health insurance program is an integral part of the program of state guarantees of free medical care to citizens, approved by the Government of the Russian Federation.

2. The basic compulsory medical insurance program determines the types of medical care (including a list of types of high-tech medical care, which includes treatment methods), a list of insured events, the structure of the tariff for payment of medical care, methods of payment for medical care provided to insured persons under compulsory medical insurance insurance in the Russian Federation at the expense of compulsory health insurance, as well as criteria for the availability and quality of medical care.

3. The basic compulsory medical insurance program establishes requirements for the conditions for the provision of medical care, standards for the volume of medical care provided per one insured person, standards for financial costs per unit of volume of medical care, standards for financial support of the basic compulsory health insurance program per one the insured person, as well as calculation of the increase in cost of the basic compulsory health insurance program. The standards of financial costs per unit of volume of medical care specified in this part are also established according to the list of types of high-tech medical care, which also contains treatment methods.

4. Insurance coverage in accordance with the basic compulsory medical insurance program is established on the basis of the standards of medical care and procedures for the provision of medical care established by the authorized federal executive body.

5. The rights of insured persons to free medical care established by the basic compulsory health insurance program are uniform throughout the Russian Federation.

6. Within the framework of the basic compulsory health insurance program, primary health care is provided, including preventive care, emergency medical care (with the exception of air ambulance evacuation carried out by aircraft), specialized medical care, including high-tech medical care, in the following cases :

2) neoplasms;

3) diseases of the endocrine system;

4) eating disorders and metabolic disorders;

5) diseases of the nervous system;

6) diseases of the blood, hematopoietic organs;

7) certain disorders involving the immune mechanism;

8) diseases of the eye and its adnexa;

9) diseases of the ear and mastoid process;

10) diseases of the circulatory system;

11) respiratory diseases;

12) diseases of the digestive system;

13) diseases of the genitourinary system;

14) diseases of the skin and subcutaneous tissue;

15) diseases of the musculoskeletal system and connective tissue;

16) injuries, poisoning and some other consequences of external causes;

17) congenital anomalies (developmental defects);

18) deformations and chromosomal disorders;

19) pregnancy, childbirth, the postpartum period and abortions;

20) certain conditions that arise in children during the perinatal period.

7. The structure of the tariff for payment of medical care includes the cost of wages, wage accruals, other payments, the purchase of medicines, consumables, food, soft equipment, medical instruments, reagents and chemicals, other supplies, expenses for payment for the cost of laboratory and instrumental studies carried out in other institutions (in the absence of a laboratory and diagnostic equipment in the medical organization), catering (in the absence of organized catering in the medical organization), expenses for payment for communication services, transport services, utilities, works and services for the maintenance of property, expenses for rent for the use of property, payment for software and other services, social security for employees of medical organizations established by the legislation of the Russian Federation, other expenses, expenses for the acquisition of fixed assets (equipment, production and household inventory) worth up to one hundred thousand rubles per unit.

8. The Government of the Russian Federation has the right, when approving the basic compulsory medical insurance program, to establish an additional list of diseases and conditions included in the basic compulsory medical insurance program as cases of medical care, and additional elements of the tariff structure for payment of medical care to those established by this Federal Law.

9. The basic compulsory health insurance program establishes the requirements for territorial compulsory health insurance programs.

GARANT'S comment

See graphic copy of official publication

Federal Law of November 29, 2010 N 326-FZ “On Compulsory Health Insurance in the Russian Federation” (as amended on June 14, November 30, December 3, 2011)

GARANT'S comment

Cm. comments to this Federal Law

Chapter 1. General provisions

Article 1. Subject of regulation of this Federal Law

This Federal Law regulates relations arising in connection with the implementation of compulsory health insurance, including determining the legal status of subjects of compulsory health insurance and participants of compulsory health insurance, the grounds for the emergence of their rights and obligations, guarantees for their implementation, relations and responsibilities associated with the payment of insurance contributions for the non-working population.

GARANT'S comment

Cm. comments to Article 1 of this Federal Law

Article 2. Legal basis of compulsory health insurance

1. Legislation on compulsory health insurance is based on Constitution Russian Federation and consists of Fundamentals of legislation Russian Federation on protecting the health of citizens, Federal Law dated July 16, 1999 N 165-FZ “On the fundamentals of compulsory social insurance”, this Federal Law, other federal laws, laws of the constituent entities of the Russian Federation. Relations related to compulsory medical insurance are also regulated by other regulatory legal acts of the Russian Federation and other regulatory legal acts of the constituent entities of the Russian Federation.

GARANT'S comment

Cm. the federal law dated November 21, 2011 N 323-FZ "On the fundamentals of protecting the health of citizens in the Russian Federation"

2. If an international treaty of the Russian Federation establishes rules other than those provided for by this Federal Law, the rules of the international treaty of the Russian Federation apply.

3. For the purpose of uniform application of this Federal Law, if necessary, appropriate clarifications may be issued in ok established by the Government of the Russian Federation.

GARANT'S comment

Cm. comments to Article 2 of this Federal Law

Article 3. Basic concepts used in this Federal Law

For the purposes of this Federal Law, the following basic concepts are used:

1)compulsory health insurance- a type of compulsory social insurance, which is a system of legal, economic and organizational measures created by the state aimed at ensuring, upon the occurrence of an insured event, guarantees of free medical care to the insured person at the expense of compulsory health insurance funds within the territorial compulsory health insurance program and as established by this Federal by law in cases within the framework of the basic compulsory health insurance program;

2)object of compulsory health insurance-insurance risk associated with the emergence insured event;

3)insurance risk- an expected event, upon the occurrence of which there is a need to incur expenses to pay for the medical care provided to the insured person;

4)insurance case- an event that has occurred (illness, injury, other state of health of the insured person, preventive measures), upon the occurrence of which the insured person is provided with insurance coverage for compulsory medical insurance;

5)insurance coverage for compulsory medical insurance(hereinafter referred to as insurance coverage) - fulfillment of obligations to provide the insured person with the necessary medical care upon the occurrence of an insured event and to pay for it to the medical organization;

6)insurance premiums for compulsory health insurance- mandatory payments paid by policyholders are impersonal in nature and the purpose of which is to ensure the rights of the insured person to receive insurance coverage;

7)insured person- an individual who is subject to compulsory health insurance in accordance with this Federal Law;

8)basic compulsory health insurance program- an integral part of the program of state guarantees for the free provision of medical care to citizens, which determines the rights of insured persons to receive free medical care at the expense of compulsory health insurance throughout the Russian Federation and establishes uniform requirements for territorial compulsory health insurance programs;

9)territorial compulsory health insurance program- an integral part of the territorial program of state guarantees of free medical care to citizens, which determines the rights of insured persons to provide free medical care on the territory of a constituent entity of the Russian Federation and meets the uniform requirements of the basic compulsory health insurance program.

Article 1

Introduce into the Code of the Russian Federation on Administrative Offenses (Collection of Legislation of the Russian Federation, 2002, N 1, Art. 1; N 30, Art. 3029; N 44, Art. 4295, 4298; 2003, N 27, Art. 2700, 2708, 2717, art. 4434, art. 4855; 2005, art. 3229; 9, 13, 40, 45; N 13, art. 1077; N 27, 2721; 50, art. 5247; 2006, art. 4, 10; Art. 1234; Art. 1907; Art. 2380; Art. 3420; N 50, art. 5281; 2007, art. 21, 29; N 26, article 3085; article 4008; article 4845; article 5553; 1941, Art. 2251, Art. 3418, Art. 3604; Art. . 17; N 7, art. 771, 777; N 23, art. 2759, 2767; N 26, Art. 3120, 3122, 3131; N 29, art. 3597, 3642; N 30, art. 3739; N 48, art. 5711, 5724; N 52, art. 6412; 2010, N 1, art. 1; N 18, art. 2145; N 19, art. 2291; N 21, art. 2525; N 23, art. 2790; N 27, art. 3416; N 30, art. 4002, 4006, 4007; N 31, art. 4158, 4164, 4191, 4193, 4195, 4206, 4207, 4208; N 41, art. 5192; N 49, art. 6409; 2011, N 1, art. 10, 23, 29, 54; N 7, art. 901; N 15, art. 2039; N 17, Art. 2310; N 19, art. 2714, 2715; N 23, art. 3260, 3267; N 27, art. 3873; N 29, art. 4290, 4291, 4298; N 30, art. 4573, 4585, 4590, 4598, 4600, 4601, 4605; N 46, art. 6406; N 47, art. 6602; N 48, art. 6728, 6730; N 49, art. 7025, 7061; N 50, art. 7342, 7345, 7346, 7351, 7352, 7355, 7362, 7366; 2012, N 6, art. 621; N 10, art. 1166; N 19, art. 2278, 2281; N 24, art. 3068, 3069, 3082; N 29, art. 3996; N 31, art. 4320, 4322, 4330; N 41, art. 5523; N 47, art. 6402, 6403, 6404, 6405; N 49, art. 6752, 6757; N 53, art. 7577, 7602, 7640, 7641; 2013, N 8, art. 717, 720; N 14, art. 1651, 1657, 1658, 1666; N 19, art. 2307, 2323, 2325; N 26, Art. 3207, 3208, 3209; N 27, art. 3454, 3469, 3470, 3477, 3478; N 30, art. 4025, 4029, 4030, 4031, 4032, 4034, 4036, 4040, 4044, 4078, 4082; N 31, art. 4191; N 43, art. 5443, 5444, 5445, 5452; N 44, art. 5624, 5643; N 48, art. 6159, 6161, 6163, 6165; N 49, art. 6327, 6341, 6343; N 51, Art. 6683, 6685, 6695, 6696; N 52, art. 6961, 6980, 6986, 6994, 6995, 7002; 2014, N 6, art. 557, 559, 566; N 11, art. 1092, 1096; N 14, art. 1561, 1562; N 19, art. 2302, 2306, 2310, 2317, 2324, 2325, 2326, 2327, 2330, 2335; N 26, Art. 3366, 3379, 3395; N 30, art. 4211, 4214, 4218, 4228, 4233, 4244, 4248, 4256, 4259, 4264, 4278; N 42, art. 5615; N 43, art. 5799; N 48, art. 6636, 6638, 6642, 6643, 6651; N 52, art. 7541, 7545, 7547, 7548, 7550, 7557; 2015, N 1, art. 29, 35, 67, 74, 83, 85; N 6, art. 885; N 10, art. 1405, 1416; N 13, Art. 1811; N 18, art. 2614, 2620; N 21, art. 2981; N 24, art. 3370; N 27, art. 3945, 3950; N 29, art. 4354, 4356, 4359, 4374, 4376, 4391; N 41, art. 5629, 5637; N 44, art. 6046; N 45, art. 6205, 6208; N 48, art. 6706, 6710, 6711, 6716; N 51, Art. 7249, 7250; 2016, N 1, art. 11, 28, 59, 63, 84; N 10, art. 1323; N 11, art. 1481, 1490, 1491, 1493; N 14, art. 1907; N 15, art. 2051; N 18, art. 2514; N 23, art. 3284, 3285) the following changes:

1) paragraph one of part 1 of Article 3.5, after the words “fifteen thousand rubles, in cases provided for”, add the words “Article 5.35 1,”, after the words “twenty thousand rubles,” add the words “in cases provided for in Article 6.1 1 of this Code, - thirty thousand rubles,";

2) Part 1 of Article 4.5 after the words “for violation of the budget legislation of the Russian Federation and other regulatory legal acts governing budgetary legal relations,” add the words “as well as for administrative offenses provided for in Articles 5.35 1, 6.1 1 of this Code, for violation”;

3) add Article 5.35 1 with the following content:

"Article 5.35 1. Non-payment of funds for the maintenance of children or disabled parents

1. Failure by a parent to pay, without good reason, in violation of a court decision or a notarized agreement, funds for the maintenance of minor children or disabled children who have reached the age of eighteen, within two or more months from the date of initiation of enforcement proceedings, if such actions do not contain a criminal offense, -

entails compulsory labor for a period of up to one hundred and fifty hours or administrative arrest for a period of ten to fifteen days or the imposition of an administrative fine on persons against whom compulsory labor or administrative arrest cannot be applied in accordance with this Code in the amount of twenty thousand rubles.

2. Failure by adult able-bodied children to pay, without good reason, in violation of a court decision or a notarized agreement, funds for the maintenance of disabled parents for two or more months from the date of initiation of enforcement proceedings, if such actions do not contain a criminal offense, -

entails compulsory labor for a period of up to one hundred and fifty hours or administrative arrest for a period of ten to fifteen days or the imposition of an administrative fine on persons against whom compulsory labor or administrative arrest cannot be applied in accordance with this Code in the amount of twenty thousand rubles." ;

4) add Article 6.1 1 with the following content:

"Article 6.1 1. Beatings

Battering or committing other violent acts that caused physical pain, but did not entail the consequences specified in Article 115 of the Criminal Code of the Russian Federation, if these actions do not contain a criminal offense -

shall entail the imposition of an administrative fine in the amount of five thousand to thirty thousand rubles, or administrative arrest for a period of ten to fifteen days, or compulsory labor for a period of sixty to one hundred and twenty hours.";

5) Article 7.27 shall be stated as follows:

"Article 7.27. Petty theft

1. Petty theft of someone else’s property, the value of which does not exceed one thousand rubles, by theft, fraud, misappropriation or embezzlement in the absence of signs of crimes provided for in parts two, three and four of Article 158, Article 158 1, parts two, three and four of Article 159 , parts two, three and four of Article 159 1 , parts two, three and four of Article 159 2 , parts two, three and four of Article 159 3 , parts two, three and four of Article 159 5 , parts two, three and four of Article 159 6 and parts two and three of Article 160 of the Criminal Code of the Russian Federation, -

shall entail the imposition of an administrative fine in the amount of up to five times the value of the stolen property, but not less than one thousand rubles, or administrative arrest for a term of up to fifteen days, or compulsory labor for a term of up to fifty hours.

2. Petty theft of someone else’s property worth more than one thousand rubles, but not more than two thousand five hundred rubles by theft, fraud, misappropriation or embezzlement in the absence of signs of crimes provided for in parts two, three and four of Article 158, Article 158 1, parts two, three and fourth article 159, parts second, third and fourth of article 159 1, parts second, third and fourth of article 159 2, parts second, third and fourth of article 159 3, parts second, third and fourth of article 159 5, parts second, third and fourth article 159 6 and parts two and three of article 160 of the Criminal Code of the Russian Federation, -

shall entail the imposition of an administrative fine in the amount of up to five times the value of the stolen property, but not less than three thousand rubles, or administrative arrest for a period of ten to fifteen days, or compulsory labor for a period of up to one hundred and twenty hours.";

6) in Part 1 of Article 23.1, the numbers “5.37 - 5.43” are replaced with the numbers “5.35 1, 5.37 - 5.43”, the numbers “6.1, 6.2” are replaced with the numbers “6.1 - 6.2”;

7) in part 2 of article 28.3:

a) paragraph 1 after the numbers “5.69,” add the numbers “6.1 1,”;

b) in paragraph 77, replace the numbers “17.3 - 17.6” with the numbers “5.35 1, 17.3 - 17.6”;

8) Part 1 of Article 28.7, after the words “actions that require significant time,” add the words “as well as in cases of administrative offenses provided for in Articles 6.1 1, 7.27 of this Code.”

Article 2

Introduce into the Federal Law of October 2, 2007 N 229-FZ “On Enforcement Proceedings” (Collection of Legislation of the Russian Federation, 2007, N 41, Art. 4849; 2008, N 20, Art. 2251; 2009, N 1, Art. 14 ; N 23, art. 29, art. 4539, 4540; 17, Art. 2312; Art. 4287; Art. 4574; Art. 6728; 50, art. 7347, 7357; 2012, art. 4322, 2013, no. 1641, 1657; 9; N 52, art. 6948, 2014, art. 1099; art. 2331;

N 43, art. 5799; N 52, art. 7543; 2015, N 1, art. 29; N 10, art. 1393, 1410, 1411, 1427; N 14, art. 2022; N 27, art. 3945, 3977, 4001; N 48, art. 6706; 2016, N 1, art. 11, 13, 45, 64; N 11, art. 1493; N 14, art. 1910; N 18, art. 2511) the following changes:

1) the title of Chapter 12 should be stated as follows:

"Chapter 12. Collection of a fine imposed as punishment for committing a crime. The procedure for executing a writ of execution on confiscation of property and a writ of execution on payment of a court fine imposed as a measure of a criminal law nature";

2) add Article 103 1 with the following content:

"Article 103 1. Execution of a court fine imposed as a measure of a criminal law nature

1. A judicial fine imposed as a measure of a criminal legal nature in accordance with Article 104 4 of the Criminal Code of the Russian Federation (hereinafter referred to as a judicial fine) is executed according to the rules established by this Federal Law, with the features established by this article.

2. A court fine is executed by the person to whom this measure is assigned, within the period specified by the court in the resolution or determination on the appointment of a measure of a criminal law nature.

3. Control over the execution of a court fine by the person to whom this measure is assigned is assigned to the bailiff.

4. The decision to initiate enforcement proceedings or to refuse to initiate them is made by the bailiff no later than three days from the date of receipt of the writ of execution by the bailiff department. The resolution to refuse to initiate enforcement proceedings is approved by the senior bailiff or his deputy and sent to the court on the day of its issuance.

5. When initiating enforcement proceedings, the period for voluntary execution of a court fine by the bailiff is not established, and the enforcement fee is not collected.

6. If, after ten calendar days from the date of expiration of the term for payment of a court fine, the bailiff does not have information about the payment by the debtor of the relevant amounts of money, he sends to the court a proposal to cancel the specified measure of a criminal legal nature and to resolve the issue of bringing the person criminal liability.

7. Enforcement proceedings on a writ of execution for payment of a court fine shall end in the following cases:

1) payment of the court fine in full;

2) return of the writ of execution at the request of the court that issued the writ of execution;

3) referral to the court that issued the writ of execution, a proposal to cancel the court fine."

President of Russian Federation

The Constitution of the Russian Federation (Article 49) guarantees the protection of the health of citizens, the provision of medical care and the possibility of life and health insurance. Thus, the state took full responsibility for organizing and paying for social, medical, health and preventive measures at the central and local levels. In particular, medical care for all categories of citizens is provided free of charge in federal and municipal medical institutions, using funds from compulsory medical insurance (compulsory health insurance) funds. The procedure and conditions of their work are established by Law No. 326 FZ on compulsory health insurance of the Russian Federation.

Description of the law

The State Duma adopted the law on November 19, 2010, and six days later, by unanimous vote, it was approved by the Federation Council of Russia. Throughout its existence, the law was improved by changing some of its provisions. The last adjustment was adopted on December 28, 2016.

The law regulates the relationship between all participants in compulsory medical insurance, establishes the rights and obligations of the parties, the claims procedure for resolving controversial issues, and determines the sources of funding for the program. The main provisions of the law are presented as follows:

  • general provisions that explain what compulsory health insurance is, what terms are used in the text, and their interpretation;
  • the second chapter distributes the boundaries of powers of state and local structures, as well as the procedure for their humiliation;
  • further, the requirements for insurance companies, medical institutions, and other program participants are disclosed;
  • the fourth chapter clarifies the responsibilities of compulsory medical insurance subjects, as well as the rights that they can use;
  • the basis for providing funds for the implementation of the program is enshrined in Chapter Five of the law, including contributions, procedure, and deadlines for their payment; tariffing of medical care;
  • the division of powers, interaction between the federal and territorial MHIF, is discussed in the sixth chapter;
  • the provisions of basic assistance are fixed in Chapter Seven, where the programs of territorial funds are simultaneously defined;
  • Chapter seven provides for the mandatory conclusion of agreements between compulsory medical insurance entities;
  • consolidates control functions and the order of their use with the ninth head;
  • the tenth chapter defines a unified procedure for recording personal information and medical data of insured persons, and also reveals the principles of registration and issuance of documents confirming the fact of belonging to compulsory medical insurance;
  • the final provisions of the law reveal the essence and content of measures aimed at developing healthcare, present a list of norms (orders) that are no longer in force, and determine the procedure for the entry into force of this law.

The current content of Law No. 326-FZ in full, with the amendments that have entered into force, can be found by clicking on the link.

Changes in 2019

Funds allocated from the central and territorial budgets to state medical institutions within the framework of compulsory medical insurance do not cover the needs of the population to receive quality medical care. They do not provide the full range of medical services necessary for treatment. In this regard, citizens are forced to go to private clinics and pay for treatment from personal funds.

At the initiative of the All-Russian Union of Insurers (ARU), a draft reform of compulsory health insurance was prepared in 2017, which was sent for consideration by specialists from the Center for Strategic Research (CSR), and the result of finalizing the project allowed the Ministry of Finance to draw up a concept for reforming compulsory medical insurance.

The reform provides for the introduction of the following innovations into the legislation of the Russian Federation:

  1. Insured persons under compulsory medical insurance will have the opportunity to choose a medical institution for treatment, regardless of the form of ownership. That is, it is envisaged that cooperation agreements will cover the vast majority of hospitals, clinics, and medical centers.
  2. By exercising the right to contact private medical institutions, the MHIF policy will partially pay the cost of treatment, and the costs of compensating the financial difference will be borne by the potential patient. Thus, a citizen will determine the need, but not the possibility, of turning to a private owner, based on his capabilities, for state assistance.
  3. The possibility of using this method of payment not only for medical care within domestic medical institutions is being considered, but even when contacting foreign specialists outside the country.

The reform is scheduled to begin in 2019. Priority measures include:

  • completion of the implementation of a multi-level network of medical institutions (primary medical care, territorial medical institutions, special high-tech clinics);
  • continued optimization of the training system, improving the professional level of medical personnel;
  • begin implementation activities on scientific and technical innovations in the daily work of doctors;
  • complete the regulation of relations between private and public medicine.

The fact remains that cooperation with private clinics, foreign partners in the field of medicine, as well as expanding the basic list of services, requires significant investments in financing the program. The source of funds will likely be an increase in MHIF contributions. The measure will be justified only if the level of medical care, as well as treatment options, move to a conceptually new level.

What else to expect

The main provisions of the reform project, among other things, involve changes in approaches to established insurance issues and support of concluded contracts, including:

  • the powers and capabilities of private insurers will expand;
  • in addition to the classical insurance model, a corporate insurer can be added as a separate entity;
  • provides for the possibility of organizing private medical institutions to provide medical care to the population within the framework of insurance coverage.

According to the Center for Reform Research, the ongoing optimization of medical sectors has reduced the total number of medical institutions. From 2000 to 2015, their number decreased by half (from 10.7 thousand to 5.4 thousand medical institutions), and hospital beds during the same period decreased by 27.55%.

At the same time, the reform proposes a fundamental change in attitude towards the following:

  1. The financial situation of health workers (regardless of the level of staff training) should be increased by at least 200.0%.
  2. Adoption of legislative measures equalizing the rights of doctors practicing in big cities, as well as in the rest of the country.
  3. Development, technical support, online consultation systems for medical staff of territorial medical institutions with specialists from medical institutes, leading specialized clinics, for prompt and correct determination of the patient’s diagnosis.

In order to quickly identify the clinical picture of diseases, the possibility of prescribing preventive treatment, and providing equal assistance at any territorial location of a medical institution, the reform involves the creation of an integrated system for recording diseases (“passports” of patients).

Expected results of innovations

CSR calculations show that by 2024, healthcare and education will become the leading sectors of the state’s development. Financing of these areas will reach the level of the world's leading countries per capita, costs will increase by 3.2 times. The ways to achieve these goals are related to the following tasks:

  1. Distribution of funds between state medical and educational development programs. The result can be represented by an increase in funding for medicine from 3.3 to 4.3% of GDP.
  2. The ability of the population to equally use the services of public and private medical institutions.
  3. Expanding the list of medications free of charge under compulsory medical insurance.
  4. Clarification of the categories of benefit groups receiving free medicines.
  5. Introduction of preventive measures to preserve public health, including:
  • further work to prevent alcoholism (measures to limit the sale of alcohol, tightening enforcement measures);
  • creating conditions for mass participation in sports and physical education;
  • introduction of classes aimed at a healthy lifestyle into the school curriculum;
  • stimulating the working population for training in sports institutions, including up to 30.0 thousand rubles financially.
  1. Organization of work of medical institutions aimed at early detection and treatment of diseases in the initial stages.
  2. Active participation of citizens in preventive work to prevent diseases and their prevention

The Russian Ministry of Health assumes that the planned implementation of the reform provisions should be carried out with the simultaneous implementation of Law 326 Federal Law on Compulsory Health Insurance in the Russian Federation. The set of measures indicated above, by 2025, will provide an opportunity to increase the average life expectancy in the country to seventy-six years of age, compared with today’s sixty-six for men and seventy-seven for women. At the same time, there should be a decrease in the mortality rate of the working population, which should be no more than three hundred eighty per hundred thousand people (today five hundred and thirty), child deaths should decrease from 5.4 to 4.5 per thousand live births.

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GARANT'S comment

See graphic copy of official publication

Federal Law of November 29, 2010 N 326-FZ “On Compulsory Health Insurance in the Russian Federation” (as amended on June 14, November 30, December 3, 2011)

GARANT'S comment

Cm. comments to this Federal Law

Chapter 1. General provisions

Article 1. Subject of regulation of this Federal Law

This Federal Law regulates relations arising in connection with the implementation of compulsory health insurance, including determining the legal status of subjects of compulsory health insurance and participants of compulsory health insurance, the grounds for the emergence of their rights and obligations, guarantees for their implementation, relations and responsibilities associated with the payment of insurance contributions for the non-working population.

GARANT'S comment

Cm. comments to Article 1 of this Federal Law

Article 2. Legal basis of compulsory health insurance

1. Legislation on compulsory health insurance is based on Constitution Russian Federation and consists of Fundamentals of legislation Russian Federation on protecting the health of citizens, Federal Law dated July 16, 1999 N 165-FZ “On the fundamentals of compulsory social insurance”, this Federal Law, other federal laws, laws of the constituent entities of the Russian Federation. Relations related to compulsory medical insurance are also regulated by other regulatory legal acts of the Russian Federation and other regulatory legal acts of the constituent entities of the Russian Federation.

GARANT'S comment

Cm. the federal law dated November 21, 2011 N 323-FZ "On the fundamentals of protecting the health of citizens in the Russian Federation"

2. If an international treaty of the Russian Federation establishes rules other than those provided for by this Federal Law, the rules of the international treaty of the Russian Federation apply.

3. For the purpose of uniform application of this Federal Law, if necessary, appropriate clarifications may be issued in ok established by the Government of the Russian Federation.

GARANT'S comment

Cm. comments to Article 2 of this Federal Law

Article 3. Basic concepts used in this Federal Law

For the purposes of this Federal Law, the following basic concepts are used:

1)compulsory health insurance- a type of compulsory social insurance, which is a system of legal, economic and organizational measures created by the state aimed at ensuring, upon the occurrence of an insured event, guarantees of free medical care to the insured person at the expense of compulsory health insurance funds within the territorial compulsory health insurance program and as established by this Federal by law in cases within the framework of the basic compulsory health insurance program;

2)object of compulsory health insurance-insurance risk associated with the emergence insured event;

3)insurance risk- an expected event, upon the occurrence of which there is a need to incur expenses to pay for the medical care provided to the insured person;

4)insurance case- an event that has occurred (illness, injury, other state of health of the insured person, preventive measures), upon the occurrence of which the insured person is provided with insurance coverage for compulsory medical insurance;

5)insurance coverage for compulsory medical insurance(hereinafter referred to as insurance coverage) - fulfillment of obligations to provide the insured person with the necessary medical care upon the occurrence of an insured event and to pay for it to the medical organization;

6)insurance premiums for compulsory health insurance- mandatory payments paid by policyholders are impersonal in nature and the purpose of which is to ensure the rights of the insured person to receive insurance coverage;

7)insured person- an individual who is subject to compulsory health insurance in accordance with this Federal Law;

8)basic compulsory health insurance program- an integral part of the program of state guarantees for the free provision of medical care to citizens, which determines the rights of insured persons to receive free medical care at the expense of compulsory health insurance throughout the Russian Federation and establishes uniform requirements for territorial compulsory health insurance programs;

9)territorial compulsory health insurance program- an integral part of the territorial program of state guarantees of free medical care to citizens, which determines the rights of insured persons to provide free medical care on the territory of a constituent entity of the Russian Federation and meets the uniform requirements of the basic compulsory health insurance program.