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スペインの医療費削減で、不法移民は、健康保険札が2012年08月31日に無効になる
los ajustes en sanidad
Los inmigrantes irregulares tendrán tarjeta sanitaria hasta el 31 de agosto
El Gobierno no esperará a que caduquen las ya emitidas, que duran un máximo de dos años
Habrá copago en ambulancias no urgentes
Sanidad se reserva la potestad de bajar los precios de los medicamentos cuando quiera
Los miembros de la UE que quieran residir en España deberán tener un seguro
in healthcare settings
Illegal immigrants have health insurance card to the August 31
The Government will not wait for already issued expire, lasting up to two years
There will be non-emergency ambulance copayment
Health reserves the power to lower drug prices whenever
EU members who wish to reside in Spain must have insurance
Emilio de Benito Madrid 24 ABR 2012 - 13:05 CET
Illegal immigrants have health insurance card to the August 31
The Government will not wait for already issued expire, lasting up to two years
There will be non-emergency ambulance copayment
Health reserves the power to lower drug prices whenever
EU members who wish to reside in Spain must have insurance
Emilio de Benito Madrid 24 ABR 2012 - 13:05 CET
The Spanish health system situation is so serious that it justifies the decision taken by an executive order. It is the premise of Royal Decree Law 16/2012 April urgent measures to ensure the sustainability of national health system and improve the quality and safety of its benefits, with four days late, the BOE published today. The government accelerates the timing of the reforms. Not even wait for the health cards expire on foreigners to strengthen the requirements that are valid for two years. By 31 August this year should prove that fall into the category of "secured", ie they are discharged from the Social Security (or, more generally, they have all their papers in order and not registration only). For all other foreigners also require more paperwork (an assurance), including the EU.
Source: Angel Alberquilla (Madrid) / COUNTRY
In addition, set common criteria for the copayment for certain services that are not in the core portfolio (ambulances, orthoprosthetics, dietary). And it enables a system of pricing by the Ministry of Health to force down prices.
The main regulations are:
Right to health care for the Spanish. The decree specifically the Annex to public health law last year that established the universal assurance of the Spanish. This set the framework, but these are tied to Social Security, as attendance "will ensure those who have the status of insured." That is, being a worker or pensioner, to be gaining some subsidy, have exhausted unemployment benefits and be targeted at the unemployed (this is new because until now the provision ended), the spouse or child up to age 26 or reach maximum income level. Would be individuals who have income without ever having contributed, but pay taxes in Spain (annuitants). And it is not clear what will happen to a young person over 26 who continue to study, for example, although you always have the opportunity to be recognized as a person without the right resources while living in his parents' house and they are millionaires . Also limit benefits to a spouse, former spouse and children.
Attention to Foreigners "unregistered or approved as residents in Spain." Receive emergency care "to discharge" and "assistance to pregnancy, childbirth and postpartum." Children under 18 years will be treated as the Spanish. The government hopes thereby saving 500 million.
Foreign Member States of the European Union and other States party to the Agreement on the European Economic Area. For the residence (more than three months) will be required to be studying, working or "having a sickness insurance covering all risks in Spain" if "has, for himself and members of his family, not enough resources to become a burden on social assistance in Spain during their period of residence. "Before this was not true and are not putting any conditions.
more informationHealth card will leave immigrants to 150,000 in two years"How will we heal?"The move threatens disease control and emergency saturateThe government restricts access to health care to illegal immigrantsHealth raises the co-lowering drug consumption
Copay service portfolio. There copayment pharmacy benefit orthoprosthetic, dietary products and medical transportation non-emergency. "The percentage of user input is governed by the same rules governing pharmaceutical services, based on this calculation for the final product price and without any limit of amount applied to this contribution." That is, the communities that are free (no range) may charge for these services according to income. This will save another $ 500 million.
Changing the free portfolio. This amendment "shall be determined by agreement of the Inter-Territorial Council of the National Health System, a proposal from the Commission of Benefits, Insurance and Finance." "It will take into account the effectiveness, efficiency, effectiveness, safety and therapeutic utility, and the advantages and alternative care, group care less protected or risk and social needs and economic and organizational impact." So ultimately responsible, even if you write the law, not the Ministry, but the communities.
Regional service portfolio. Communities may extend the offer if they can guarantee fund. This was already the case, but then was not met (all communities are in deficit, and many have their own service portfolio).
Back to prescribe by brand. The decree makes an assignment to large laboratories, since it states that may be prescribed "as long as it respects the principle of efficiency for the system" (which the drug is the cheapest).
Exclusion of drugs funding. In cases that match the list of medicines that need a prescription and no, it will no longer fund these. This happens with some drugs for minor symptoms. The proposal is a long-standing demand of the employers of ANEFP counter products. Sources indicate that the organization will be eligible to be excluded from public funding mucolytics, anti-diarrhea and artificial tears. Other groups, such as laxatives, antiviral and antifungal topical dermatological are also candidates. The problem arises when the same group of drugs is used both for mild symptoms and other serious or chronic, such as analgesics. That yes, they are generally cheap products.
Double the price of medicines. "As a general rule," the prices at which they sold to laboratories administration will be lower than sales to other customers (private prescriptions). That is, they require a discount on authorized.
Reference prices. Be reviewed quarterly. Until now it was every year, but left open the possibility that the government will vary, but in exceptional circumstances. This, if you enter a generic in the cheapest market, the others will come down to their level before.
Rates selected. Whether or not a cheaper generic, the Government may determine sales of some drugs, the "selected price" -. There will be some conditions, such as at least three products in the therapeutic group selected. In exchange, the price, which will contact the manufacturers, will remain two years. This is one of the great innovations of the decree and the key to saving more than 3,000 million under this heading, along with the other applicable to pharmacy.
Pharmaceutical co. The decree describes the co-payment system based on income (exempt, 40%, 50% and 60% for assets as income, and free, 10% with a maximum of 8 euros, 10% with a maximum of 18 euros and 10 % with a maximum of 60 euros for pensioners). To do this, handle the financial data of the holder of the card. This will not have to give permission. Social Security to health authorities indicate the level of contribution (free full, below the state minimum, up to 100,000 euros) without specifying the exact amount.
Contribution from suppliers. Establishing a simple scale of contributions (refunds) vendor National Health System (laboratories and manufacturers of other products). If they sell up to three million, will return 1.5% of its turnover. From there, its contribution is 2%. Companies may reduce this amount by participating in the plan Profarma, dedicated to research on a scale ranging from 0% to 25%.
Returns of pharmacies. Pharmacies also will have to deduct the Administration for sale. This already happens, but it tightens up contributions. For example, a high pass from 15% to 23.67%. In contrast, the level of sale by the exempted, reduced from the 32,000 to 37,500 euros a month.
Personal. A register of professionals. It is an old aspiration. Will be held by the Ministry. This will establish the correspondence between the professional categories of the different communities. Mode are deleted provision of quota and area (an extra).
Source: Angel Alberquilla (Madrid) / COUNTRY
In addition, set common criteria for the copayment for certain services that are not in the core portfolio (ambulances, orthoprosthetics, dietary). And it enables a system of pricing by the Ministry of Health to force down prices.
The main regulations are:
Right to health care for the Spanish. The decree specifically the Annex to public health law last year that established the universal assurance of the Spanish. This set the framework, but these are tied to Social Security, as attendance "will ensure those who have the status of insured." That is, being a worker or pensioner, to be gaining some subsidy, have exhausted unemployment benefits and be targeted at the unemployed (this is new because until now the provision ended), the spouse or child up to age 26 or reach maximum income level. Would be individuals who have income without ever having contributed, but pay taxes in Spain (annuitants). And it is not clear what will happen to a young person over 26 who continue to study, for example, although you always have the opportunity to be recognized as a person without the right resources while living in his parents' house and they are millionaires . Also limit benefits to a spouse, former spouse and children.
Attention to Foreigners "unregistered or approved as residents in Spain." Receive emergency care "to discharge" and "assistance to pregnancy, childbirth and postpartum." Children under 18 years will be treated as the Spanish. The government hopes thereby saving 500 million.
Foreign Member States of the European Union and other States party to the Agreement on the European Economic Area. For the residence (more than three months) will be required to be studying, working or "having a sickness insurance covering all risks in Spain" if "has, for himself and members of his family, not enough resources to become a burden on social assistance in Spain during their period of residence. "Before this was not true and are not putting any conditions.
more informationHealth card will leave immigrants to 150,000 in two years"How will we heal?"The move threatens disease control and emergency saturateThe government restricts access to health care to illegal immigrantsHealth raises the co-lowering drug consumption
Copay service portfolio. There copayment pharmacy benefit orthoprosthetic, dietary products and medical transportation non-emergency. "The percentage of user input is governed by the same rules governing pharmaceutical services, based on this calculation for the final product price and without any limit of amount applied to this contribution." That is, the communities that are free (no range) may charge for these services according to income. This will save another $ 500 million.
Changing the free portfolio. This amendment "shall be determined by agreement of the Inter-Territorial Council of the National Health System, a proposal from the Commission of Benefits, Insurance and Finance." "It will take into account the effectiveness, efficiency, effectiveness, safety and therapeutic utility, and the advantages and alternative care, group care less protected or risk and social needs and economic and organizational impact." So ultimately responsible, even if you write the law, not the Ministry, but the communities.
Regional service portfolio. Communities may extend the offer if they can guarantee fund. This was already the case, but then was not met (all communities are in deficit, and many have their own service portfolio).
Back to prescribe by brand. The decree makes an assignment to large laboratories, since it states that may be prescribed "as long as it respects the principle of efficiency for the system" (which the drug is the cheapest).
Exclusion of drugs funding. In cases that match the list of medicines that need a prescription and no, it will no longer fund these. This happens with some drugs for minor symptoms. The proposal is a long-standing demand of the employers of ANEFP counter products. Sources indicate that the organization will be eligible to be excluded from public funding mucolytics, anti-diarrhea and artificial tears. Other groups, such as laxatives, antiviral and antifungal topical dermatological are also candidates. The problem arises when the same group of drugs is used both for mild symptoms and other serious or chronic, such as analgesics. That yes, they are generally cheap products.
Double the price of medicines. "As a general rule," the prices at which they sold to laboratories administration will be lower than sales to other customers (private prescriptions). That is, they require a discount on authorized.
Reference prices. Be reviewed quarterly. Until now it was every year, but left open the possibility that the government will vary, but in exceptional circumstances. This, if you enter a generic in the cheapest market, the others will come down to their level before.
Rates selected. Whether or not a cheaper generic, the Government may determine sales of some drugs, the "selected price" -. There will be some conditions, such as at least three products in the therapeutic group selected. In exchange, the price, which will contact the manufacturers, will remain two years. This is one of the great innovations of the decree and the key to saving more than 3,000 million under this heading, along with the other applicable to pharmacy.
Pharmaceutical co. The decree describes the co-payment system based on income (exempt, 40%, 50% and 60% for assets as income, and free, 10% with a maximum of 8 euros, 10% with a maximum of 18 euros and 10 % with a maximum of 60 euros for pensioners). To do this, handle the financial data of the holder of the card. This will not have to give permission. Social Security to health authorities indicate the level of contribution (free full, below the state minimum, up to 100,000 euros) without specifying the exact amount.
Contribution from suppliers. Establishing a simple scale of contributions (refunds) vendor National Health System (laboratories and manufacturers of other products). If they sell up to three million, will return 1.5% of its turnover. From there, its contribution is 2%. Companies may reduce this amount by participating in the plan Profarma, dedicated to research on a scale ranging from 0% to 25%.
Returns of pharmacies. Pharmacies also will have to deduct the Administration for sale. This already happens, but it tightens up contributions. For example, a high pass from 15% to 23.67%. In contrast, the level of sale by the exempted, reduced from the 32,000 to 37,500 euros a month.
Personal. A register of professionals. It is an old aspiration. Will be held by the Ministry. This will establish the correspondence between the professional categories of the different communities. Mode are deleted provision of quota and area (an extra).
スペインの医療費削減で、不法移民は、健康保険札が2012年08月31日に無効になる
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