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 Act establishes the framework for the management of social health insurance; provides for the establishment of the Social Health Authority; gives effect to Article 43(1)(a) of the Constitution; and for connected purposes.
This Proclamation provides the legal framework for the Community Based Health Insurance System.