Decree No. 302 / 2012 Coll.
Decree amending Decree No. 418 / 2003 Coll., establishing a more detailed definition of the heading and amount of the public health insurance funds of health insurance companies, the conditions for their creation, use, admissibility of transfers of funds between them and their management, the limit of the cost of the activities of health insurance companies covered by the resources of the basic fund, including the procedure for calculating this limit, as amended
Valid
Order
Effective from 14.09.2012
Text versions:
14.09.2012
302
DECLARATION
of 6 September 2012
amending Decree No 418 / 2003 Coll., establishing a more detailed definition of the heading and amount of the public health insurance funds of health insurance companies, the conditions for their creation, use, admissibility of transfers of funds and their management, the limit of the cost of the activities of health insurance companies covered by the resources of the basic fund, including the calculation procedure for this limit, as amended
The Ministry of Finance, after consulting the Ministry of Health, provides for Act No. 551 / 1991 Coll., on the General Health Insurance Company of the Czech Republic, as amended by Act No. 127 / 1998 Coll. and Act No. 458 / 2011 Coll., and pursuant to Article 16 (6) of the Act No. 280 / 1992 Coll., on the Department, Company, and other health insurance companies, as amended by Act No. 225 / 1999 Coll. and Act No. 458 / 2011 Coll.:
Decree No. 418 / 2003 Coll., establishing a more detailed definition of the heading and amount of the public health insurance funds of health insurance companies, the conditions for their creation, use, admissibility of transfers of funds and their management, the limit of the cost of the activities of health insurance companies covered by the resources of the basic fund, including the procedure for calculating this limit, as amended by Decree No. 656 / 2004 Coll., Decree No. 519 / 2005 Coll., Decree No. 356 / 2007 Coll. and Decree No. 127 / 2010 Coll., is amended as follows:
1. in Article 1 (1) (f), the words "the health care paid" shall be replaced by the words "the health services provided" and the words "the health care paid" shall be replaced by "the health services paid."
2. in Article 1 (1) (m), "(m)" is replaced by "(n)";
3. in Article 1 (4) (a), the words "healthcare provided" shall be replaced by the words "health services provided"; the words "with medical facilities" shall be replaced by the words "with health service providers (hereinafter referred to as" provider ")," the words "invoiced health care" shall be replaced by "invoiced health services" and the words "healthcare provided" shall be replaced by "health services provided."
4. In Article 1 (4) (b), "provided treatment of insured persons' is replaced by" provided health services to insured persons'.
5. In Article 1 (4) (c), the words "provided health care accounted for 'are replaced by the words" provided health services accounted for'; the words "medical facilities' are replaced by the words" providers'; and the words "provided health care 'are replaced by the words" provided health services'.
6. in Article 1 (4) (g) and (m), "health care" is replaced by "health services."
7. in Article 1 (4), the following point (h) is inserted after point (g):
"(h) costs associated with the management of the insured person's personal account, ensuring remote access to that personal account and providing information to the insured person from the personal account to the extent provided for in Section 43 (2) of the Public Health Insurance Act,"
Points (h) to (p) shall be renumbered as points (i) to (q).
8. in Article 1 (4) (o), the words "(m)" shall be replaced by the words "(n)."
9. in Paragraph 1 (4) (q), "(o)" is replaced by "(p)."
10. in Article 1 (5), the words "healthcare provided" shall be replaced by the words "health services provided" and the words "health establishments" shall be replaced by the words "providers."
11. in Articles 2 (2) (e), 3 (4) (j), 5 and 11 and in Article 6 (2) (e) and (3) (f), the words "healthcare" are replaced by the words "health services."
12. in Article 2 (5), the words "medical establishments" shall be replaced by the words "providers."
13. in Article 3 (2) (i), the words "medical establishments" are replaced by "providers."
14. in Paragraph 3 (3), the words "health care establishments" shall be replaced by the words "providers," the words "health care services," the words "medical supplies" shall be replaced by the words "medical devices" and the words "and the Health Insurance Information Centre under the Public Health Insurance Act" shall be deleted;
15. In Article 3 (4) (a), the words "with the Health Insurance Information Centre under the Public Health Insurance Act" shall be deleted and the words "shall be added at the end of the text (a); the costs of other types of communication of health insurance companies with insured persons not included in Section 1 (4) shall also be included."
16. in Article 3 (5), the words "medical devices" shall be replaced by the words "medical devices" and the words "and Health Insurance Information Center under the Public Health Insurance Act" shall be deleted;
17. in Article 7 (2), "koef." = - 0,58 / P x p + 3,71 + 0,58 / P x 100, "is replaced by" koef. "= - 0,3 / P x p + 3,41 + 0,3 / P x 100," and "10 310" is replaced by "10 410."
18. in Article 7 (5), "(l)" is replaced by "(m)";
Transitional provisions
1. The provisions of § 1 (4) (h) and § 3 (4) (a) of Decree No 418 / 2003 Coll., as effective from the date of entry into force of this Order, shall apply to accounting cases falling within the financial year 2012.
2. For accounting cases falling within the financial year 2012, the calculation of the limit of the cost of the health insurance company's activities under Section 7 (2) of Decree No 418 / 2003 Coll., as effective until the date of entry into force of that decree, shall apply.
3. The calculation of the cost limit for the activities of the health insurance company pursuant to § 7 (2) of Decree No. 418 / 2003 Coll., as effective from the date of entry into force of the Order, shall apply for the first time for accounting cases falling within the financial year 2013.
Efficacy
This decree shall take effect on the day of its publication.
Minister:
Ing. Kalousek v. r.
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Regulation Information
| Citation | Decree No. 302 / 2012 Coll., amending Decree No. 418 / 2003 Coll., providing for a more detailed definition of the heading and amount of the income and expenditure of public health insurance funds of health insurance companies, the conditions for their creation, use, admissibility of transfers of funds and their management, the limit of the cost of the activities of health insurance companies covered by the resources of the basic fund, including the calculation procedure, as amended |
|---|---|
| Regulation Type | Order |
| Author | - |
| Collection | Code of Laws |
| Date of Promulgation | 14.09.2012 |
|---|---|
| Effective from | 14.09.2012 |
| Effective until | - |
| Status | Valid |
The regulation text is for informational purposes only.
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