This regulation is issued to implement Proclamation No. 1273/2022 Community-Based Health Insurance Proclamation. It establishes the framework for managing health insurance pools and reserve funds (Sections 3-6), outlines membership and contribution procedures (Sections 7-9), and details provider payment mechanisms (Section 10). It also addresses fund management, financial deficit coverage (Sections 11-13), and miscellaneous provisions such as co-payment and data management (Sections 14-20).
This Proclamation provides the legal framework for the Community Based Health Insurance System.
Proclamation No. 1263/2021, Definition of Powers and Duties of the Executive Organs Proclamation
The Proclamation 1263/2021 was enacted to provide for the definition of the powers and duties of the executive organs of the federal democratic republic of Ethiopia. It includes provisions regarding the mandate of the Ministry of Health (cf. section 35).
The Proclamation establishes a mandatory health insurance scheme for pensioners, employees and members of their families in Ethiopia.
The Law establishes a mandatory health insurance scheme for pensioners, employees and members of their families in Ethiopia.