Decree No. 02/2025/ND-CP amends and supplements Decree No. 146/2018/ND-CP detailing the Law on Health Insurance (LHI), as amended by Decree No. 75/2023/ND-CP. This marks a significant step forward in refining the legal framework related to health insurance, ensuring transparency, efficiency, and alignment with practical requirements. Key provisions include:
- Scope of Amendments
The amendments address regulations on groups participating in health insurance (HI), including:
- Expanding coverage to include specific groups with distinctive characteristics.
- Adding detailed provisions to further clarify the rights and obligations of these groups.
- Strengthening regulations on the management of the HI fund to ensure efficient and sustainable use.
- Benefits for HI Participants
The new provisions emphasize:
- Expanding the list of medical services covered by health insurance.
- Increasing reimbursement levels for certain essential medical services.
- Simplifying payment procedures to enhance convenience for citizens.
- Mechanisms for Management and Administration
Clarifies the responsibilities of social insurance agencies and healthcare facilities in implementing health insurance policies.
Updates enforcement measures for violations to enhance compliance with the law.
- Anticipated Impacts
- For citizens: Improves access to medical services, particularly for vulnerable groups.
- For the healthcare system: Provides a legal basis for improving the quality of medical services and enhancing fund management efficiency.
- For regulatory agencies: Simplifies and improves processes, contributing to reduced administrative burdens.
- Effective Date
Decree No. 02/2025/ND-CP shall take effect from 1/1/2025:
Conclusion
Decree No. 02/2025/ND-CP reflects the Government's efforts in reforming the health insurance system to better meet the needs of citizens and society. The amendments and supplements are expected to have a positive impact on the practical implementation of health insurance policies.
