What is Act No. 290 / 2025 Coll.?

Act No. 290 / 2025 Coll., amending Act No. 372 / 2011 Coll., on Health Services and Conditions of Provision (Health Services Act), as amended, and certain related laws — Act amending Act No. 372 / 2011 Coll., on Health Services and Conditions of Provision (Health Services Act), as amended, and certain related laws.

When it became Act No. 290 / 2025 Coll. effectiveness?

Act No. 290 / 2025 Coll. became effective 01.01.2026.

Is Act No. 290 / 2025 Coll. still valid?

Yes, Act No. 290 / 2025 Coll. is still valid and effective.

How many times was it Act No. 290 / 2025 Coll. amended?

Act No. 290 / 2025 Coll. has 3 time versions of the text.

Act No. 290 / 2025 Coll. - Act amending Act No. 372 / 2011 Coll., o...

290

THE LAW

of 2 July 2025

amending Act No. 372 / 2011 Coll., on health services and the conditions for providing them (Health Services Act), as amended, and certain related laws

Parliament has decided on this law of the Czech Republic:

ČÁST PRVNÍ

Amendment to the Health Services Act

Čl. I

Act No. 20 / 20, Act No. 20 / 20, Act No. 20 / 20, Act No. 20 / 20, Act No. 20 / 20, Act No. 20 / 20, Act No. 20 / 2016 Coll., Act No. 20 / 2016 Coll., Act No. 20 / 2016 Coll.

1. In Article 2, at the end of paragraph 2, the dot is replaced by a comma and the following point (j) is added:

"(j) an emergency service designed to provide outpatient care to patients outside their regular period of surgery in cases of sudden change in their state of health or worsening of disease progression; the emergency service is:

1. medical emergency services,

2. dental emergency services,

3. medical emergency services. ';

2. in Article 2 (4) (b), the words "(hereinafter referred to as" health performance ")" shall be deleted and the words "(hereinafter referred to as" health performance ") shall be inserted after the words" referred to in point (a) ";

3. In Article 2, at the end of paragraph 4, the dot is replaced by a comma and the following point (d) is added:

"(d) performance which, at the request of the patient, is intended to achieve a change in the appearance of the patient without requiring the performance of the patient's medical condition and which only health workers are competent to perform."

4. In Article 2, the following paragraph 5 is added:

"(5) Consillium means the consultation and assessment of, in particular, the individual treatment process in which, at the request of the provider, another provider or health care professional is involved. The provider or health professional involved in the Consilion shall be entitled to carry out medical performance of diagnostic care at the place of provision of the health services of the Provider requesting the Consilion. ';

5. Paragraph 3 (5) reads as follows:

"(5) Registering provider means an outpatient care provider who has taken care of the patient to provide primary outpatient care in the field

(a) general medical practice;

(b) practical medicine for children and youth or pediatrics;

(c) dental medicine; or

(d) gyno and obstetrics.

The registered provider shall, when the patient is taken into care, complete the registration form to be signed by the patient; the registration sheet is part of the patient's medical file. ';

6. in Article 4 (4) (a), the words', subdivisions' shall be inserted after the word 'education';

7. in Article 5 (2) (f):

"(f) rehabilitation treatment, the purpose of which is:

1. the restoration or improvement of the physical, cognitive, speech, sensory and psychological functions of the patient or the reduction of the permanent consequences of damage;

2. slowing down or stopping symptoms of illness and stabilising the patient's health to achieve the necessary level of independence and quality of life of the patient in its own social environment; or

3. improving the consciousness of the patient, establishing communication and cooperation in the patient with limited consciousness or neuropsychiatric or cognitive deficits resulting from brain damage;

in the case where natural medical resources or climatic conditions favourable to treatment under the Spa Act (12) are used in the provision of rehabilitation care, this is the spa rehabilitation care, '.

8. in Article 5 (2) (i):

"(i) pharmaceutical care, which means, in particular, the care of pharmaceuticals and clinical pharmaceuticals (hereinafter referred to as" pharmaceutical care "), intended to maximise the effect and minimise the risks of pharmacotherapy to improve the quality of life of the patient; pharmaceutical care shall consist in particular of the provision, preparation, modification, preservation, quality control, dispensing of medicinal products, except blood derivatives and raw materials for the production of blood derivatives, the provision, storage, disposal and sale of food for special medical purposes and medical devices and in vitro diagnostic medical devices; the pharmaceutical care of optimising patient pharmacotherapy, including evaluation of the impact of pharmacotherapy on diagnostic methods, assessment and control of the effective, safe and economical use of medicinal products and the use of medical devices, consulting and consultative activities and advice; where pharmaceutical care is provided in a pharmacy, it is a pharmacy. ';

9. In Article 7 (3), the words "and practical medicine for children and adolescents' are replaced by the words", practical medicine for children and youth or pediatric medicine ';

10. The following Section 7a is inserted after Section 7:

„§ 7a

Emergency services

(1) Emergency care is the provision of outpatient care to patients outside the regular operating period in cases of sudden change in their condition or worsening of disease progression.

(2) Emergency services are provided as:

(a) adult medical emergency services; the adult medical emergency service is provided by a provider with an urgent reception in accordance with § 44g,

(b) emergency medical services for children; emergency medical services for children are provided by an emergency care provider in the field of paediatric or paediatric medicine,

(c) dental emergency services.

(3) The requirements for minimum material and technical equipment and minimum personnel security of emergency services, including the minimum time range for their provision, shall be laid down in implementing legislation. "

11. in Article 9 (2) (c):

"(c) follow-up bed care provided to a patient for whom a main diagnosis has been established; and

1. the provision of emergency bed care has stabilised his or her health, management of sudden illness or sudden deterioration of chronic illness, and further planned bed care, in particular medical rehabilitation care, is required to improve him or her;

2. the patient's medical condition is stable, with functional potential for improvement, and the provision of planned bed care, in particular therapeutic rehabilitation care, is required to improve or maintain the patient; or

3. it is a patient partly or completely dependent on the promotion of vital functions; This patient is given intensive care, '.

12. in Article 11 (4), the words "and (i)" shall be replaced by the words "(i) and (j)" and the words "or" specialised "shall be inserted after the words" specialised ";

13. In Article 11 (5) of the final part of the provision, the words "or at another point of its actual occurrence 'shall be deleted.

14. In Article 11 (7), the sentence "If the transport of patients is urgent care, the provider may also provide urgent care to the patient other than the provider of patient transport, authorised to provide health services in the relevant healthcare sector, even without the authorisation to provide urgent care."

15. in Paragraph 11b (2) (b), the word 'or' is replaced by a comma.

16. In Article 11b, at the end of paragraph 2, the dot is replaced by "or 'and the following point (d) is added:

"(d) has requested the withdrawal of the authorisation."

17. in Paragraph 11b, the following paragraph 3 is inserted after paragraph 2:

"(3) The Regional Authority may withdraw the authorisation if the healthcare provider does not provide the medical performance outside the medical establishment to the extent specified in the authorisation and, at the same time, the provision of such performance for more than 3 consecutive calendar months cannot be expected. ';

Paragraphs 3 and 4 shall be renumbered paragraphs 4 and 5.

18. In Article 11b, at the end of the text of paragraph 5, the words "; this shall not apply if the decision referred to in paragraph 3 is taken 'are added.

19. Paragraph 12 (3) shall be supplemented by the following: "This shall not apply to the provision of health services where another legal provision (1) allows the provision of health services in the field by a doctor with specialised competence or specific professional or specialised competence in another field."

20. in Article 12 (3) (b), the words "dental practitioner or in the fields of specialised dental training" shall be replaced by the words "dental medicine," the words "at least in one of these fields" shall be deleted and the words "dental practitioner" shall be added at the end of the text of point (b), "if the provision of health services in the fields of specialisation of dental practitioners (1) shall be required to be qualified for the independent exercise of the profession of dental practitioner in at least one of those disciplines."

21. in Paragraph 12 (3) (c), "pharmacist" is replaced by "pharmacy."

22. in Article 13 (2) and (3), the words "register register" are replaced by the words "register."

23. In Article 13 (2), the words "made before a notary or competent authority of that State 'are deleted.

24. in Paragraph 14 (1):

"(1) The expert representative shall be responsible for the provision of health services. Expert representative

(a) a natural person may be designated:

1. eligible for the independent exercise of the medical profession referred to in § 12 and is a member of the Czech Medical Chamber, the Czech Dental Chamber or the Czech Chamber of Pharmacy (hereinafter referred to as the Chamber) if membership of the Chamber is a condition for the pursuit of the profession;

2. fully competent,

3. clean,

4. the holder of a residence permit on the territory of the Czech Republic, if he is obliged to have such a permit; and

(b) a natural person may not be established who maintains one of the obstacles to the authorisation referred to in:

1.

2. Paragraph 17 (b), where the authorisation has been withdrawn pursuant to § 24 (2) (b), § 24 (3) (a), (b) or (c) or § 24 (4) (a), (b), (c), (d) or (e). ';

25. in Article 15 (1) (b):

"(b) the Ministry of Defence, if the applicant is a legal person established by that Ministry or if it relates to health services provided in medical establishments established by that Ministry, with the exception of the authorisation provided for in Article 16 (2),";

26. in Article 15 (1), the following point (c) is inserted after point (b):

"(c) the Ministry of Justice, if the applicant is a legal person established by that Ministry or the Prison Service of the Czech Republic or if it is a medical service provided in medical establishments established by that Ministry, with the exception of an authorisation under Paragraph 16 (2), or"

Point (c) shall be renumbered (d).

27. in Article 15 (1) (d), the words "or the Security Information Service" shall be replaced by "the Security Information Service or the Fire Department of the Czech Republic."

28. In Article 15 (2), the words "and only to the extent defined in the binding opinion 'shall be inserted after the words" provided'.

29. In Article 15, the following paragraph 3 is added:

"(3) Authorisations for the provision of spa rehabilitation care may be granted only on the basis of a decision of the Ministry of Health (hereinafter referred to as" the Ministry ') to grant authorisation for the use of a resource or to authorise the use of climate conditions favourable to the treatment, issued under the Spa Act (12), only to the extent specified in this Decision.'

30. in Article 16 (1) (j):

"(j) the Ministry has issued a decision granting an authorisation pursuant to Article 15 (3), if it is to provide spa rehabilitation care,"

31. the words "points (a) to (f)" shall be added at the end of Paragraph 16 (1).

32. In Article 16, at the end of paragraph 1, the dot is replaced by a comma and the following points (m) and (n) are added:

"(m) the condition laid down in Paragraph 44d is met, if it is a mental health centre,

(n) the conditions laid down in Article 44g (2) and (3) are met, if they are for urgent income. ';

33.In Article 16 (2) (a), "(k)" is deleted.

34. In Article 16 (2) of the final part of the provision, the words "or of pediatrics' shall be inserted after the word" or of the provider 'and the words "and for the provision of pharmaceutical care' shall be inserted.

35. in Article 16 (3), the text "(m) and (n)" shall be added at the end of the text of point (c);

36. in Article 16 (3) (d), "(b) to (e)" is replaced by "(a) to (e) and (g)";

37. in Article 17 (a), the words "or legal" shall be inserted after the word "physical."

38. in Article 17 (b), "§ 24 (2) (b), (3) (a), (b), (c) or (d) or (4) (a), (b), (c), (d) or (e)" shall be replaced by "§ 24 (2) (b), (b), (c) or (d) or § 24 (4) (a), (b), (c), (d) or (e)";

39. in Paragraph 17 (d), the word "or" shall be replaced by a comma;

40. In Article 17, at the end of point (e), the dot is replaced by a comma and the following points (f) and (g) are added:

"(f) to a natural person who:

1. has been a single or majority member, a statutory body or a member of a statutory body or a member of a supervisory body of a legal person who maintains one of the obstacles referred to in points (a) to (c), or who would have been prevented from being destroyed by that legal person;

2. has been a single or majority member, a statutory body or a member of a statutory body or a member of a supervisory body of a legal person who maintains one of the obstacles referred to in (d) or (e); or

3. perform as an expert with a person who maintains one of the obstacles referred to in (a) or (b), if the authorisation has been withdrawn pursuant to § 24 (2) (b), § 24 (3) (a), (b) or (c) or § 24 (4) (a), (b), (c), (d) or (e), or for whom the obstacle would have taken place in the absence of the death or death of that person;

at the time of the occurrence of the circumstances which led to the creation of this obstacle,

(g) a legal person whose sole or majority shareholder, statutory body or member of a statutory body or a member of a supervisory authority is a person who maintains one of the obstacles referred to in points (a) to (e), or who:

1. has been a single or majority member, a statutory body or a member of a statutory body or a member of a supervisory body of a legal person who maintains one of the obstacles referred to in points (a) to (c), or who would have been prevented from being destroyed by that legal person;

2. has been a single or majority member, a statutory body or a member of a statutory body or a member of a supervisory body of a legal person who maintains one of the obstacles referred to in (d) or (e); or

3. has been the professional representative of a person who maintains one of the obstacles referred to in points (a) or (b), if the authorisation has been withdrawn pursuant to Article 24 (2) (b), Article 24 (3) (a), (b) or (c) or Article 24 (4) (a), (b), (c), (d) or (e), or for whom the obstacle would have taken place in the absence of the death or death of that person;

at the time of the occurrence of the circumstances which led to this obstacle. '

41. in Paragraph 18 (1) (a) (4), the word "hospice" shall be replaced by the words "the provision of health services in medical establishments listed in Part Four, Titles III to VI."

42. In Articles 18 (1) (a) (5), 18 (1) (b) (4), 19 (1) (c) and 20a (1) (b), the words "registered office and" shall be deleted.

43. Paragraph 18 (2) (a) (7) reads as follows:

'7. authorisation of the Ministry for the use of resources or authorisation for the use of climate conditions favourable to the treatment (12), if applicable, for the provision of spa rehabilitation care, '.

44. in Article 18 (2) (a), the following points 12 and 13 are inserted after point 11:

'12. proof of compliance under § 44d, if it is a mental health centre,

13. proof of compliance with the conditions laid down in § 44g, if urgent income, '.

Point 12 is renumbered point 14.

45. in Article 18 (2) (a) (14), the words "or (f)" shall be inserted after the words "(c)."

46. in Paragraph 18 (2) (b) (1), "12" is replaced by "14."

47. in Paragraph 18 (2) (c) (4), "11" is replaced by "14."

48. in Paragraph 18 (2) (c) (6), "(b) and (c)" shall be replaced by "(a) to (c) or (g)";

49. In Article 18 (4), the words "or pedigree 'shall be inserted after the words" young'.

50. in Paragraph 19 (1) (b), the words "hospice, also to be indicated" shall be replaced by the words "the provision of health services in medical establishments listed in Parts Four, Titles III to VI, to be indicated."

51. in Article 19 (2), point (b) shall be deleted;

Points (c) and (d) shall be renumbered (b) and (c).

52. in Article 19 (3), point (c) is deleted;

Points (d) and (e) shall be renumbered (c) and (d).

53. In Article 19 (5), the words "proof of this' are replaced by the words" notify the competent administrative authority '.

54. in Article 20a (1) (a), the words "concerning the form, sector, type or name of health care or health service, including only the inspection of bodies dead outside the health establishment, referred to above," shall be replaced by the words "listed."

55. in Paragraph 20a (2):

"(2) The application referred to in paragraph 1 shall also be submitted by the provider to the competent administrative authority where there is a change in the person of the expert referred to in the authorisation for the provision of health services under Articles 19 (1) (a), 19 (2) (b) or 19 (3) (c). ';

56. in § 20b, the last sentence is deleted;

57. in Article 21 (3), the words "or suspension" shall be inserted after the words "Decision of amendment."

58. in Paragraph 23 (1) (b), the words "or (c)" are replaced by the words "(c), (f) or (g)."

59. Paragraph 23 (3) reads as follows:

"(3) The provider who requests a change in the authorisation or withdrawal of the authorisation to provide health services and intends to transfer property rights relating to the provision of health services to another person shall notify the competent administrative authority of this fact at the same time as the application for withdrawal or amendment of the authorisation is submitted. Where the acquirer of property rights relating to the provision of health services intends to commence the provision of health services on the day immediately following the date of withdrawal or modification of the authorisation to the provider, he shall state that fact in the application for authorisation to provide health services or the modification thereof. Where an application for authorisation to provide health services or to amend it is submitted at the latest on the date of the application for withdrawal or modification by an existing provider and the conditions for granting or amending it are fulfilled, the competent administrative authority shall decide to withdraw or amend the authorisation of the existing provider and to grant the transferee of the property rights relating to the provision of health services or to amend it on the date immediately following the date of withdrawal of the authorisation or amendment of that authorisation. An appeal against a decision shall not have suspensory effect. ';

60. in Article 24 (1) (a), the words "or (g)" shall be replaced by the words "(g) and (k) to (n)";

61. in Paragraph 24 (2) (b), the word "damage" shall be replaced by the word "injury."

62.Paragraph 26 (1) reads as follows:

"(1) The suspension of the provision of health services shall mean the non-provision of health services continuously for more than 1 month. ';

63. In Paragraph 26 (2), the words "not later than 60 days before the date on which the provision of health services is intended to be interrupted 'are replaced by the words" not later than 15 days from the date on which it became aware of the fact which is the reason for the interruption'.

64. Paragraph 26 (5) is deleted.

Paragraph 6 shall become paragraph 5.

65. Paragraph 28 (3) (e) (2), including footnote 70, reads as follows:

"2. the continuous presence of a guardian or, where appropriate, a person designated by a guardian or other person who is entitled to represent the patient by decision of the court (70) in a legal act relating to the provision of health services, where the patient is represented to that extent (hereinafter referred to as" a patient with an appointed representative "),

70) For example, Article 49 of Act No. 89 / 2012 Coll., Civil Code, as amended. '

(66) In Article 28 (3) (e) (3), the word "support71" shall be inserted after the word "presence."

Footnote 71 reads as follows:

"71) § 45 of Act No. 89 / 2012 Coll., as amended. '

67. In Articles 28 (3) (f) and 45 (2) (b), the words "and services related to the health services provided" shall be inserted after the words "services."

68. In Paragraph 28 (3) (j), the words "(spiritual care) 'shall be inserted after the word" aid'.

69. In Paragraph 28, the following paragraph 4 is inserted after paragraph 3:

"(4) The patient exhibiting signs of a person who has been subjected to domestic or sexual violence shall also have the right to:

(a) to apply for a change to the medical practitioner provided that:

1. the current personnel capabilities of the provider allow this change;

2. this change will not jeopardise the patient's health or life; and

3. This change shall not interfere with the provision of health services,

(b) to provide information on available social, psychological and legal assistance.

An entry in the patient's medical file shall be made on the exercise of the right under point (a). ';

Paragraphs 4 and 5 shall become paragraphs 5 and 6.

70. In Paragraph 28 (5), the words "limited incapacity 'are replaced by the words" appointed representative' and the words "abuse or otherwise abuse or neglect 'are replaced by the words" committed domestic or sexual violence or otherwise abuse, abuse or neglect'.

71. In Paragraph 28, paragraphs 7 and 8 are added:

"(7) In the case of the provision of health services to persons in custody, a custodial sentence or security detention and persons restricted to freedom under the Police Act of the Czech Republic, the right of the patient to confidentiality and respect for privacy referred to in paragraph 3 (a) and the right to refuse the presence of third parties referred to in paragraph 3 (a) may be the right of the patient to the confidentiality and respect of privacy referred to in paragraph 3 (a). (h) restricted by the supervision of a Member of the Prison Service or the Police of the Czech Republic (hereinafter referred to as" the Member "), where necessary because of reasonable concerns about escape or the safety of persons involved in the provision of health services or of a patient, and the threat cannot be averted otherwise. The application of supervision and its intensity shall be proportionate to the risk and conditions of service. Any supervision and its form shall be determined by the member in cooperation with the healthcare professional. An entry in the patient's medical file shall be made on the application of supervision and its form.

(8) The provider may not require payment for the presence of one of the persons referred to in paragraph 3 (e). Furthermore, the provider shall not make the presence of such persons conditional on payment for other transactions. This shall be without prejudice to the possibility for the provider to request reimbursement of the costs effectively incurred in connection with the presence of one of the persons referred to in paragraph 3 (e). ';

72. In Article 30 (1), the words "appoint an interpreter 'are replaced by the words" ensure interpretation'.

73.In Paragraph 30 (2), the words "the second sentence" are deleted.

74. In Paragraph 31, at the end of paragraph 4, the sentence "Information shall be given to the patient as soon as his medical condition permits."

75. in Paragraph 31 (5), the words "restricted incapacity" shall be replaced by the words "appointed representative" and the words "legal representative or guardian of the patient" shall be replaced by "persons referred to in Paragraph 28 (3) (e) (1) and (2)."

76. In Paragraph 32 (3), the words "committed domestic or sexual violence on him 'shall be inserted after the words" person' and the words "restricted capacity 'shall be replaced by the words" designated representative'.

77. In Paragraph 33 (1), after the second sentence, the sentence "The patient may also designate persons who, in cases under Paragraph 34 (7), are unable to agree or disagree with the provision of health services."

78. In Article 33 (3), the words "persons referred to in Article 28 (3) (e) (1) and (2) shall be inserted after the word" patient. "If there are no such persons, they shall have the right to such information '.

79.In Article 33 (4), the words "referred to in Article 28 (3) (e) (1) and (2) and persons" shall be inserted after the words "Persons."

Citation	Act No. 290 / 2025 Coll., amending Act No. 372 / 2011 Coll., on Health Services and Conditions of Provision (Health Services Act), as amended, and certain related laws
Regulation Type	Law
Author	-
Collection	Code of Laws

Date of Promulgation	12.08.2025
Effective from	01.01.2026
Effective until	-
Status	Valid

Act No. 290 / 2025 Coll.

Act amending Act No. 372 / 2011 Coll., on Health Services and Conditions of Provision (Health Services Act), as amended, and certain related laws

Contents

ČÁST PRVNÍ

Čl. I

„§ 7a

Contents

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