This Act provides for sound financing for the national health system; provides for universal access to quality insured health care services; establishes the National Health Insurance Management Authority and provides for its functions and powers; establishes the National Health Insurance Scheme and provides for its systems, procedures and operation; establishes the National Health Insurance Fund and provides for contributions to and payments from the Fund; provides for accreditation criteria and conditions in respect of insured health care services; provides for complaints and appeals processes; provides for the progressive establishment of provincial and district health offices of the Authority; and provides for matters connected with, or incidental to the foregoing.
This decree, taken in application of the provisions of Articles 28 et seq. of Ordinance No. 0022/PR/2007, 6 et seq. of Ordinance No. 0023/PR/2007 and 3 et seq. of Law No. 11/82 of 24 January 1983, establishes the statutes of the National Health Insurance and Social Guarantee Fund, abbreviated to CNAMGS, hereinafter referred to as "the Fund".