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Health Insurance Act Promulgated, State Gazette No

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Health Insurance Act Promulgated, State Gazette No Health Insurance Act Promulgated, State Gazette No. 70/19.06.1998, amended, SG No. 93/11.08.1998, SG No. 153/23.12.1998, effective 1.01.1999, SG No. 62/9.07.1999, SG No. 65/20.07.1999, amended and supplemented, SG No. 67/27.07.1999, effective 28.08.1999, amended, SG No. 69/3.08.1999, effective 3.08.1999, amended and supplemented, SG No. 110/17.12.1999, effective 1.01.2000, SG No. 113/28.12.1999, SG No. 64/4.08.2000, effective 1.10.2001, supplemented, SG No. 41/24.04.2001, effective 24.04.2001, amended and supplemented, SG No. 1/4.01.2002, effective 1.01.2002, SG No. 54/31.05.2002, effective 1.12.2002, supplemented, SG No. 74/30.07.2002, effective 1.01.2003, amended and supplemented, SG No. 107/15.11.2002, supplemented, SG No. 112/29.11.2002, amended and supplemented, SG No. 119/27.12.2002, effective 1.01.2003, amended, SG No. 120/29.12.2002, effective 1.01.2003, amended and supplemented, SG No. 8/28.01.2003, effective 1.03.2003, supplemented, SG No. 50/30.05.2003, amended, SG No. 107/9.12.2003, effective 9.12.2003, supplemented, SG No. 114/30.12.2003, effective 1.01.2004, amended and supplemented, SG No. 28/6.04.2004, effective 6.04.2004, supplemented, SG No. 38/11.05.2004, amended and supplemented, SG No. 49/8.06.2004, amended, SG No. 70/10.08.2004, effective 1.01.2005, amended and supplemented, SG No. 85/28.09.2004, SG No. 111/21.12.2004, effective 21.12.2004, amended, SG No. 39/10.05.2005, effective 11.02.2006, amended and supplemented, SG No. 45/31.05.2005, effective 1.06.2005, amended, SG No. 76/20.09.2005, effective 1.01.2007, SG No. 99/9.12.2005, effective 1.11.2005, amended and supplemented, SG No. 102/20.12.2005, effective 1.01.2006, SG No. 103/23.12.2005, effective 1.01.2006, SG No. 105/29.12.2005, effective 1.01.2006, supplemented, SG No. 17/24.02.2006, effective 1.05.2006, amended and supplemented, SG No. 18/28.02.2006, effective 1.01.2007, SG No. 30/11.04.2006, amended, SG No. 33/21.04.2006, amended and supplemented, SG No. 34/25.04.2006, effective 1.01.2008 (*)(**), SG No. 59/21.07.2006, effective 1.01.2007, amended and supplemented, SG No. 95/24.11.2006, effective 24.11.2006, SG No. 105/22.12.2006, effective 1.01.2007, supplemented, SG No. 11/2.02.2007; Judgment No. 3/13.03.2007 of the Constitutional Court of the Republic of Bulgaria - SG No. 26/27.03.2007; amended, SG No. 31/13.04.2007, effective 14.04.2008, SG No. 46/12.06.2007, effective 1.01.2008, SG No. 59/20.07.2007, effective 1.03.2008, supplemented, SG No. 97/23.11.2007, SG No. 100/30.11.2007, effective 20.12.2007, amended and supplemented, SG No. 113/28.12.2007, effective 1.01.2008, SG No. 37/8.04.2008, SG No. 71/12.08.2008, effective 12.08.2008, amended, SG No. 110/30.12.2008, effective 1.01.2009, SG No. 35/12.05.2009, effective 12.05.2009, amended and supplemented, SG No. 41/2.06.2009, effective 2.06.2009, SG No. 42/5.06.2009, supplemented, SG No. 93/24.11.2009, amended and supplemented, SG No. SG No. 99/15.12.2009, effective 1.01.2010, SG No. 101/18.12.2009, effective 18.12.2009, amended, SG No. 19/9.03.2010, SG No. 26/6.04.2010, supplemented, SG No. 43/8.06.2010, SG No. 49/29.06.2010, effective 29.06.2010, SG No. 58/30.07.2010, effective 30.07.2010, amended and supplemented, SG No. 59/31.07.2010, effective 31.07.2010, SG No. 62/10.08.2010, effective 10.08.2010, supplemented, SG No. 96/7.12.2010, amended, SG No. 97/10.12.2010, effective 10.12.2010, amended and supplemented, SG No. 98/14.12.2010, effective 1.01.2011, amended, SG No. 100/21.12.2010, effective 1.01.2011, supplemented, SG No. 9/28.01.2011, amended, SG No. 60/5.08.2011, effective 5.08.2011, amended and supplemented, SG No. 99/16.12.2011, effective 1.01.2012, amended, SG No. 100/20.12.2011, effective 1.01.2012, amended and supplemented, SG No. 38/18.05.2012, effective 1.07.2012, SG No. 60/7.08.2012, effective 7.08.2012, SG No. 94/30.11.2012, effective 1.01.2013, SG No. 101/18.12.2012, effective 1.01.2013, SG No. 102/21.12.2012, effective 21.12.2012, supplemented, SG No. 4/15.01.2013, effective 15.01.2013, amended, SG No. 15/15.02.2013, effective 1.01.2014, amended and supplemented, SG No. 20/28.02.2013, SG No. 23/8.03.2013, effective 8.03.2013, SG No. 106/10.12.2013, effective 1.01.2014, SG No. 1/3.01.2014, effective 1.01.2014, SG No. 18/4.03.2014, effective 4.03.2014, amended, SG No. 35/22.04.2014, SG No. 53/27.06.2014, amended and supplemented, SG No. 54/1.07.2014, effective 1.07.2014, SG No. 107/24.12.2014, effective 1.01.2015, amended, SG No. 12/13.02.2015, amended and supplemented, SG No. 48/27.06.2015, supplemented, SG No. 54/17.07.2015, effective 17.07.2015, amended, SG No. 61/11.08.2015, effective 1.01.2016, amended and supplemented, SG No. 72/18.09.2015, supplemented, SG No. 79/13.10.2015, effective 1.11.2015, amended and supplemented, SG No. 98/15.12.2015, effective 1.01.2016, amended, SG No. 102/29.12.2015, effective 1.01.2016; Judgment No. 3/8.03.2016 of the Constitutional Court of the Republic of Bulgaria - SG No. 20/15.03.2016; amended, SG No. 98/9.12.2016, effective 1.01.2017, amended and supplemented, SG No. 85/24.10.2017, SG No. 101/19.12.2017, effective 1.01.2018, supplemented, SG No. 103/28.12.2017, effective 1.01.2018, amended, SG No. 7/19.01.2018, SG No. 17/23.02.2018, SG No. 30/3.04.2018, effective 1.07.2018, supplemented, SG No. 40/15.05.2018, effective 15.05.2018, amended and supplemented, SG No. 77/18.09.2018, effective 1.01.2019, supplemented, SG No. 92/6.11.2018, amended and supplemented, SG No. 102/11.12.2018, effective 1.01.2019, amended, SG No. 105/18.12.2018, effective 1.01.2020, SG No. 24/22.03.2019, effective 1.01.2020, amended and supplemented, SG No. 99/17.12.2019, effective 1.01.2020 __________ *Note: An update of the English text of this Act is being prepared following the amendments in SG No. 101/27.12.2019, effective 31.12.2019 ______________ (*) effective 1.07.2007 - amended, SG No. 80/3.10.2006, effective 3.10.2006 (**) effective 1.01.2008 - amended, SG No. 53/30.06.2007, effective 30.06.2007 Text in Bulgarian: Закон за здравното осигуряване Chapter One GENERAL PROVISIONS Article 1. (1) (Previous text of Article 1, SG No. 101/2009, effective 18.12.2009) This Act regulates health insurance in the Republic of Bulgaria and the social relationships therein involved. (2) (New, SG No. 101/2009, effective 18.12.2009, amended, SG No. 60/2012, effective 7.08.2012, amended and supplemented, SG No. 48/2015) Health insurance shall be an activity consisting of raising health insurance contributions and premiums, managing the resources raised, and spending the said resources on purchasing healthcare activities and services and paying for goods as provided for in this Act, in the National Framework Agreements (NFA) and in the insurance contracts. (3) (New, SG No. 101/2009, effective 18.12.2009) There shall be compulsory and voluntary health insurance. Article 2. (Supplemented, SG No. 107/2002, amended, SG No. 101/2009, effective 18.12.2009) (1) (Amended, SG No. 48/2015) Compulsory health insurance shall be an activity of managing and spending of funds from compulsory health insurance contributions on the purchase of health care activities, which is performed by the National Health Insurance Fund (NHIF) and its territorial units – Regional Health Insurance Funds (RHIF). Compulsory health insurance shall provide a package of health activities, guaranteed by the NHIF budget. (2) Fund raising from the compulsory health insurance contributions, fixed by statute, shall be performed by the National Revenue Agency. (3) (New, SG No. 98/2015, effective 1.01.2016) The National Health Insurance Fund shall purchase from medical care providers health care activities referred to in Paragraph 1, identified by type, volume and price and corresponding to criteria for quality and accessibility in accordance with this Act. Article 3. (Amended, SG No. 107/2002, SG No. 105/2005, SG No. 101/2009, effective 18.12.2009, SG No. 60/2012, effective 7.08.2012) Voluntary health insurance shall be an activity of taking risks, related to the financial provision of certain health-care services and goods, against the charging of premiums on the basis of insurance contracts. Chapter Two COMPULSORY HEALTH INSURANCE Section I General Provisions Article 4. (1) (Redesignated from Article 4 and amended, SG No. 107/2002) Compulsory health insurance shall guarantee the insured persons free access to medical care by means of a package of health-care activities of a specific type, scope and amount, as well as a free choice of a provider of such care, who or which has concluded a contract with a Regional Health Insurance Fund.
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