Health Legislation

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.

The Decree specifies the application of certain provisions of the law establishing the Universal Health Insurance Scheme, such as affiliation and registration, the insured person's card, care benefits covered, the assumption of responsibility for benefits, health care providers, among other aspects.

The law creates a compulsory health insurance scheme known as the "Régime d'Assurance Maladie Universelle" (Universal Health Insurance Scheme) designed to cover the health care costs attached to sickness and maternity for insured persons and their dependent family members.

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.

The law institutes the Compulsory Health Insurance scheme in Mali. Its purpose is to cover the health care costs inherent in sickness and maternity for insured persons and their dependent family members. The law defines the beneficiaries, the guaranteed benefits, the conditions of coverage, affiliation and registration, and financial organization, among other aspects.

The law regulates the compulsory health insurance scheme, the terms and conditions of membership, the benefits covered, the assumption of responsibility for benefits and care providers among other areas.