Act No. 256 / 2014 Coll.
Act amending Act No. 48 / 1997 Coll., on Public Health Insurance and amending and supplementing certain related laws, as amended, and other related laws
Valid
Law
Effective from 01.01.2015
Text versions:
01.01.2015
19.11.2014
256
THE LAW
of 22 October 2014
amending Act No 48 / 1997 Coll., on Public Health Insurance and amending and supplementing certain related laws, as amended, and other related laws
Parliament has decided on this law of the Czech Republic:
Amendment to the Public Health Insurance Act
Act No. 1 / 2006, Act No. 1 / 2006, Act No. 5 / 2006, Act No. 5 / 2006, Act No. 5 / 2006, Act No. 5 / 2006, Act No. 5 / 2006, Act No. 5 / 2006, Act No. 5 / 2006, Act No. 5 / 2006, Act No. 5 / 2006, Act No. 5 / 2006, Act No. 5 / 2006, Act No. 5 / 2006, Act No. 5 / 2006, Act No. 5 / 2006, Act No. 5 / 2006, Act No. 5 / 2006, Act No. 5 / 2006, Act No. 5 / 2006, Act No. 5 / 2006, Act No. 5 / 2006, Act No. 5 / 2006, Act No. 5 / 2006, Act No. 5 / 2006, Act No. 5 / 2006, Act No. 5 / 2006, Act No. 5 / 2006, Act No. 5 / 2006, Act No. 5 / 2006, Act No. 5 / 2006, Act No. 5, Act No. 5 / 2006, Act No. 2006, Act No. 2006, Act No. 2006, No 2006, No 2006, No 2006, No 2006, No 2006, No 2006, No 2006, No 2006, No 2006, No 2006, No 2006, No 2006, No 2006, No 2006, No 2006, No 2006,
1. in Article 11 (1) (i), the part of the sentence after the semicolon, including the semicolon, is deleted;
2. In Article 11 (1) (j), the words "on the payment of the regulatory fee under Article 16a (1) (d) and" and part of the sentence after the semicolon, including the semicolon, are deleted.
3. in Article 11 (1) (k), the words "regulatory fees and" shall be deleted;
4. in Article 13 (2) (a), the words "pharmaceuticals, clinical pharmaceuticals," shall be inserted after the words "medicinal products,"
5. Paragraph 16a, including the title and footnotes Nos 53 to 59, reads:
Regulatory fees
(1) The insured person or his legal representative is obliged to pay a regulatory fee of CZK 90 to the provider for the use of medical emergency or emergency services in the field of dental medicine (hereinafter referred to as the "emergency service").
(2) The regulatory fee referred to in paragraph 1 shall not apply,
(a) if there is an insurer located in children's homes under the age of 3 (53), in educational establishments for the exercise of constitutional education or protective education54), or placed in the home of persons with disabilities 55), or if there is an insurer located under a judgment of a court in institutions for children requiring immediate assistance 56), or an insurer entrusted with a judgment of a court in foster care, custody or other person under another legislation57),
(b) if the insured person is established by a decision, notification or certificate issued by the institution to assist in a material emergency of a benefit granted to him under another legislation (10), not for more than 30 days;
(c) if there is an insured person to whom, under another legislature58) resident social services are provided in homes for disabled persons, homes for elderly persons, homes with special regime or health care facilities, provided that, after payment for accommodation and board, the insured person has a fixed balance of at least 15% of his income 59) less than 800 CZK or if he has no income; This fact is demonstrated by the insured person by a certificate of no more than 30 days old, which, at his request, is required to be issued by the social services provider; or
(d) if, as part of the emergency care, the attending physician finds that the condition of the insured person requires hospitalisation.
(3) The regulatory fee is the income of the provider who collected the regulatory fee. The provider shall apply the selected regulatory fees to cover the costs associated with the operation and modernisation of the medical facility in which the emergency service referred to in paragraph 1 has been provided.
(4) The provider shall, at his request, issue proof of payment of the regulatory fee to the insured person or his legal representative, indicating the number of the insured person, the stamp of the provider and the signature of the person who received the regulatory fee. The provider shall communicate information on the regulatory fees levied in accordance with paragraph 1 to health insurance undertakings as part of the accounting of the services provided for the relevant calendar month or for the relevant calendar quarter, indicating the number of the insured person to whom the regulatory fee relates and the date on which the regulatory fee relates.
(5) The provider shall collect the regulatory fee referred to in paragraph 1 from the insured person or his legal representative unless it is an exemption from the regulatory fee referred to in paragraph 2.
53) Act No. 372 / 2011 Coll., on health services and the conditions for their provision (Health Services Act), as amended.
54) Act No. 109 / 2002 Coll., on the performance of constitutional education or protective education in educational establishments and on preventive educational care in educational establishments and amending other laws, as amended.
55) § 48 of Act No. 108 / 2006 Coll.
56) Article 42 of Act No 359 / 1999 Coll., on Social Protection for Children, as amended.
57) Act No. 89 / 2012 Coll., Civil Code.
58) Sections 48 to 50 and 52 of Act No. 108 / 2006 Coll.
59) Articles 71 (4) and 73 (3) of Act No. 108 / 2006 Coll. '
6. In Section 16b, the words "regulatory fees and 'are deleted.
7. in Article 16b (1), the words "for regulatory fees under Article 16a (1) (a) to (d) and" shall be deleted;
8. In Article 16b (2), the words "regulatory fees and 'are deleted, the words" Article 16a (6) and (7)' are replaced by the words "paragraph 4 'and the words" medical care' are inserted after the word "provider '.
9. In Article 16b, paragraphs 4 and 5 are added:
"(4) The medical care provider shall communicate to the health insurance undertaking, at the same time as the statement for the relevant period, information on arrears to be included in the limit referred to in paragraph 1, indicating the number of the insured person to whom the supplement is linked, the amount of the supplement paid and the date of issue of the partially paid medicinal product or food for special medical purposes.
(5) The medical care provider shall, at his request, issue proof to the insured person or his legal representative of payment of the supplement for a partially paid medicinal product or food for special medical purposes, which shall be included in the limit referred to in paragraph 1. The document shall indicate the name of the partially paid medicinal product or food for special medical purposes to which the supplement relates, the amount of the supplement, the number of the insured person and shall bear the document by means of the stamp and signature of the person who accepted the supplement. ';
10. In Article 18 (1), the words "and pharmacists' shall be inserted after the words" psychologists'.
11. In Paragraph 32, the following is added at the end of the text in paragraph 4: '; this shall be without prejudice to the possibility of granting a discount or a reduction in the final price by not applying the maximum trade premium on the issue of such a medicinal product'.
12. in Paragraph 32 (5):
"(5) A provider authorised to issue medicinal products shall commit an administrative offence if it infringes the prohibition laid down in paragraph 4. A fine of up to CZK 1000 000 will be imposed for an administrative offence. The administrative offence shall be dealt with and the fine shall be imposed by the Institute. The fines shall be enforced by the customs office. The income from fines is the income of the state budget. The fine may be imposed within 1 year from the date on which the Institute found the infringement, but not more than 3 years from the date on which the infringement occurred. '
13. Paragraph 32 (6) is deleted.
14. in Paragraph 40 (10) (b), the word "pharmacist" shall be inserted after the word "dental practitioner."
15. in Article 53 (1), the words "documents relating to the payment of regulatory fees which are included in the limit referred to in Article 16b and" shall be deleted;
Transitional provisions
1. The health insurance company is obliged to pay the insured persons for the period prior to the date of entry into force of this Act amounts exceeding the limit for regulatory fees and supplements for prescribed partially paid medicinal products or food for special medical purposes pursuant to Section 16b (2) of Act No. 48 / 1997 Coll., as effective before the date of entry into force of this Act.
2. The administrative procedure for the payment of the amounts pursuant to Article 16b of Act No. 48 / 1997 Coll., as effective before the date of entry into force of the Act, initiated on a proposal from the insured person before the date of entry into force of the Act, shall be completed in accordance with Article 53 (1) of the Act No. 48 / 1997 Coll., as effective before the date of entry into force of the Act.
3. In the proceedings for payment of amounts exceeding the limit for regulatory fees and supplements for prescribed partially paid medicinal products or food for special medical purposes under Section 16b of Act No. 48 / 1997 Coll., as effective before the date of entry into force of this Act, for the period before the date of entry into force of this Act initiated in the cases in question on a proposal from the insured person after the date of entry into force of this Act, the procedure laid down in Section 53 (1) of Act No. 48 / 1997 Coll., as effective before the date of entry into force of this Act.
Amendment of the Act on the General Health Insurance Company of the Czech Republic
In § 5 (e) and § 7 (1) (a) of Act No. 551 / 1991 Coll., on the General Health Insurance Company of the Czech Republic, as amended by Act No. 60 / 1995 Coll., Act No. 149 / 1996 Coll., Act No. 48 / 1997 Coll., Act No. 127 / 1998 Coll., Act No. 69 / 2000 Coll., Act No. 438 / 2004 Coll., Act No. 261 / 2007 Coll., Act No. 188 / 2011 Coll., Act No. 369 / 2011 Coll., Act No. 458 / 2011 Coll., Act No. 60 / 2014 Coll., and Act No. 109 / 2014 Coll., the words "regulatory fees and 'are deleted.
Transitional provision
In fulfilling the obligation to pay insured persons amounts exceeding the limit for regulatory fees and supplements for prescribed partially paid medicinal products or food for special medical purposes pursuant to Section 16b (2) of Act No. 48 / 1997 Coll., on Public Health Insurance and on the amendment and addition of certain related laws, as effective before the date of entry into force of this Act, the insurance company shall comply with Sections 5 (e) and 7 (1) (a) of Act No. 551 / 1991 Coll., as effective before the date of entry into force of this Act.
Amendment of the Act on departmental, branch, corporate and other health insurance companies
In § 13 (e) and § 17 (1) of Act No. 280 / 1992 Coll., on departmental, branch, corporate and other health insurance companies, as amended by Act No. 60 / 1995 Coll., Act No. 149 / 1996 Coll., Act No. 48 / 1997 Coll., Act No. 127 / 1998 Coll., Act No. 438 / 2004 Coll., Act No. 261 / 2007 Coll., Act No. 369 / 2011 Coll., Act No. 458 / 2011 Coll., Act No. 60 / 2014 Coll., and Act No. 109 / 2014 Coll., the words "regulatory fees and 'are deleted.
Transitional provision
In fulfilling the obligation to pay the insured persons amounts exceeding the limit for regulatory fees and supplements for prescribed partially paid medicinal products or food for special medical purposes under Section 16b (2) of Act No. 48 / 1997 Coll., on Public Health Insurance and on amending and supplementing certain related laws, as effective before the date of entry into force of this Act, they shall proceed pursuant to Sections 13 (e) and 17 (1) of Act No. 280 / 1992 Coll., as effective before the date of entry into force of this Act.
EFFECTIVE
This Act shall take effect on 1 January 2015.
Hamlet v. r.
Zeman v. r.
Sobotka v. r.
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Regulation Information
| Citation | Act No. 256 / 2014 Coll., amending Act No. 48 / 1997 Coll., on Public Health Insurance and amending and supplementing certain related laws, as amended, and other related laws |
|---|---|
| Regulation Type | Law |
| Author | - |
| Collection | Code of Laws |
| Date of Promulgation | 19.11.2014 |
|---|---|
| Effective from | 01.01.2015 |
| Effective until | - |
| Status | Valid |
The regulation text is for informational purposes only.
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