site.btaCourt: Part of Health Insurance Act on Hospitals' Over-Limit Activity Is Unconstitutional

The part of the Health Insurance Act, which refers to the over-limit activity of hospitals, is unconstitutional, the Constitutional Court reported on its website. The ten constitutional judges who attended the session adopted the decision unanimously.

The contested text states that the National Health Insurance Fund (NHIF) does not pay for medical and dental care provided by hospitals in violation of the volumes and values specified in their contracts. The term "violation" in the case at hand means exceeding the volumes and values of contracted medical activities specified in the National Framework Contract.

The Supreme Administrative Court (SAC) approached the Constitutional Court with this case in September 2023 after a case brought before the SAC on applications by the National Association of Private Hospitals.