This law, published in the Official Journal on 25 Mai 2023, modifies articles 1,17,27,51 and 79 of the law n°37-2014 establishing the universal health insurance scheme.
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.
This law establishes the universal health insurance scheme which covers for the insured and their dependents the access to health services in the public and private sector (except for accidents at work and occupational illnesses). It was later amended by Law n°12-2023.