Act No. 459 / 2000 Coll.
Act amending Act No. 48 / 1997 Coll., on Public Health Insurance and amending and supplementing certain related laws, as amended
Valid
Law
Effective from 31.12.2000
Text versions:
31.12.2000
29.12.2000
459
THE LAW
of 28 November 2000
amending Act No. 48 / 1997 Coll., on Public Health Insurance and amending and supplementing certain related laws, as amended
Parliament has decided on this law of the Czech Republic:
Act No. 48 / 1997 Coll., on Public Health Insurance and on the amendment and addition of certain related laws, as amended by Act No. 242 / 1997 Coll., Act No. 2 / 1998 Coll., Act No. 127 / 1998 Coll., Act No. 225 / 1999 Coll., Act No. 363 / 1999 Coll., Act No. 18 / 2000 Coll., Act No. 132 / 2000 Coll., Act No. 155 / 2000 Coll., the Constitutional Court Act No. 167 / 2000 Coll., Act No. 220 / 2000 Coll. is amended as follows:
1. Paragraph 17 (5) reads as follows:
"(5) The values of the point and the amount of the health care payments paid from health insurance will be agreed in the conciliation procedure between representatives of the General Health Insurance Company of the Czech Republic and other health insurance companies and the relevant professional associations of providers as representatives of contractual health establishments. The detailed conditions for the convening and conduct of the negotiations shall be laid down by the parties to the conciliation procedure in the Rules of Procedure. '.
2. In Article 17, the following paragraphs 6 to 11 are inserted after paragraph 5:
"(6) The conciliator shall transmit the outcome of the conciliation procedure to the Ministry of Health within 60 days prior to the expiry of the cost of the item and the amount of the payments, including the regulatory mechanisms for the medical care covered by the previous period.
(7) If the conciliation procedure does not result in a result within 60 days of the end of the period for which the price of the point has been agreed and the level of reimbursement of the health care paid, including the regulatory restrictions, remains valid
(a) the price of the item agreed under the applicable price regulation even after the end of the period for which it was agreed;
(b) the amount of the payments, including the regulatory restrictions, even after the end of the period for which they have been agreed or determined, until the conciliation procedure has negotiated a new amount of the payments, including the regulatory restrictions, including the regulatory limits for the calendar half-year by decree.
(8) If the conciliation procedure referred to in paragraph 5 results in an agreement on price points within the framework of the applicable price regulation and the level of remuneration, including regulatory restrictions for the relevant period, the Ministry of Health shall assess this result in terms of compliance with legislation and public interest.
(9) If, in assessing the outcome of the conciliation procedure referred to in paragraph 5, the Ministry of Health does not find any non-compliance with legislation and public interest, it shall declare it in the Ministry of Health Bulletin; This result is binding on health care establishments and health insurance companies.
(10) If the agreement concluded under the conciliation procedure is contrary to legislation or public interest, the Ministry of Health shall refer the agreement back to the conciliation procedure. Participants to the conciliation procedure shall submit the revised result to the Ministry of Health for assessment within 10 calendar days of the date of return.
(11) If the agreement concluded in the context of the conciliation procedure is not submitted within the time limit set in paragraph 10 or if it is contrary to legislation or public interest,
(a) the price of the item agreed under the applicable price regulation remains valid even after the end of the period for which it was agreed;
(b) By decree, the Ministry of Health shall determine the amount of reimbursement of the care paid, including the regulatory restrictions for the calendar half-year. "
Paragraphs 6 to 8 shall be renumbered paragraphs 12 to 14.
3. In the first sentence of Paragraph 40 (2), "(§ 17 (7)) 'is replaced by" (§ 17 (13)'.
4. After Paragraph 55, the following Section 55a is inserted:
Relationship with international treaties
The provisions of this Act shall not apply unless the international treaty with which Parliament, to which the Czech Republic is bound, has provided otherwise. '
5. In Paragraph 61, the words "and shall cease to apply on 31 December 2000 'are deleted.
Transitional provision
The value of the point and the amount of the reimbursement of the health care paid, including the regulatory restrictions laid down in the existing legislation, shall apply for the first half of 2001; If, after the entry into force of this Act, there is no agreement on prices pursuant to Article 17 (5) of Act No. 48 / 1997 Coll., on public health insurance and amending and supplementing certain related laws, as amended by this Act, the prices set for the first half of 2001 remain in force.
Efficacy
This Law shall take effect on 31 December 2000.
Klaus v. r.
Havel v. r.
Zeman v. r.
Sign in for notes, favorites and notifications
Regulation Information
| Citation | Act No. 459 / 2000 Coll., on Public Health Insurance and amending and supplementing certain related laws, as amended |
|---|---|
| Regulation Type | Law |
| Author | - |
| Collection | Code of Laws |
| Date of Promulgation | 29.12.2000 |
|---|---|
| Effective from | 31.12.2000 |
| Effective until | - |
| Status | Valid |
The regulation text is for informational purposes only.
Comments 0