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.
Loi No 2018-074 du 31 décembre 2018 portant institution du régime d'assurance maladie universelle
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 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.