Задължителното здравно осигуряване в България - от договорното начало до публичното право
The compulsory health insurance in Bulgaria - from the contract to public law

Author(s): Maria Radeva
Subject(s): Law, Constitution, Jurisprudence, EU-Legislation, Labour and Social Security Law
Published by: Пловдивски университет »Паисий Хилендарски«
Keywords: compulsory health insurance; contract; legality
Summary/Abstract: The health Insurance Act (HIA) (effective 01.01.1999) introduced the compulsory (obligatory) health insurance and regulated the supplementary health insurance in Bulgaria. One of the major principles of compulsory health insurance is the negotiating between the NHIF and the medical care providers. According to the health Insurance Act, the financial relations between NHIF and the medical care providers are negotiated at two levels - national (by signing a National framework contract with the professional organisations of physicians and dentists) and individual (by signing individual contracts). The amendments in the HIA and the jurisprudence manifested the development of obligatory health insurance – from contractual to administrative character. The SAC defined (2003) the National framework contract as a part of insurance legislation. The HIA (amended 2010) determined the National framework contract as a normative administrative act. The contracts according to the HIA are typical administrative contracts despite the lack of legal definition in Bulgarian legislation.

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