Article 1. The basic concepts used in this Law of the Law on Compulsory Social Health Insurance

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The following basic concepts are used in this Law:

1) The State Corporation "Government for Citizens" (hereinafter referred to as the State Corporation) is a legal entity established by decision of the Government of the Republic of Kazakhstan to provide public services in accordance with the legislation of the Republic of Kazakhstan, organize work on accepting applications for public services and issuing their results to the service recipient on the "one–stop shop" basis, and ensure the provision of public services. services in electronic form;

1-1) deductions – money paid by employers from their own funds to the social health insurance fund, which entitles consumers of medical services for which deductions were paid to receive medical care in the compulsory social health insurance system.;

2) payers of deductions and (or) contributions (hereinafter referred to as payers) – persons who calculate, withhold, transfer, and pay deductions and (or) contributions to the social health insurance fund in accordance with the procedure established by this Law;

3) the social health insurance fund (hereinafter referred to as the fund) is a non–profit organization that accumulates deductions and contributions, as well as purchases and pays for services of healthcare entities providing medical care in the amounts and on the terms stipulated in the contract for the purchase of medical services, and other functions defined by the laws of the Republic of Kazakhstan;

4) the authorized body in the field of healthcare (hereinafter referred to as the authorized body) is the central executive body responsible for the management and intersectoral coordination in the field of health protection of citizens of the Republic of Kazakhstan, medical and pharmaceutical science, medical and pharmaceutical education, sanitary and epidemiological welfare of the population, circulation of medicines and medical devices, quality of medical services (assistance);

5) healthcare entities – healthcare organizations, as well as individuals engaged in private medical practice and pharmaceutical activities;

6) purchase of services from healthcare entities – planning, selection, conclusion and execution of a contract for the purchase of medical services;

7) contributions – money paid to the fund by the payers of contributions specified in paragraph 2 of Article 14 of this Law, and entitling consumers of medical services to receive medical care in the system of compulsory social health insurance;

7-1) a person engaged in private practice is a private notary, a private bailiff, a lawyer, a professional mediator;

7-2) investment income is the increase in monetary value of the fund's assets resulting from their investment;

8) assets of the fund – deductions and contributions, penalties received for late payment of deductions and (or) contributions, investment income, minus commission fees to ensure the fund's activities, as well as other income to the fund that is not prohibited by the legislation of the Republic of Kazakhstan;

9) the Joint Commission on the Quality of medical services (hereinafter referred to as the Joint Commission) is an advisory body under the authorized body established to develop recommendations for improving clinical protocols, standards of medical education, drug provision, standards of quality control and accessibility of healthcare services;

10) the contract for the purchase of medical services (hereinafter referred to as the contract for the purchase of services) is a written agreement between the fund and the healthcare entity providing for the provision of medical care within the guaranteed volume of free medical care and (or) in the system of compulsory social health insurance;

11) consumer of medical services – an individual who, in accordance with this Law, has the right to receive medical care in the compulsory social health insurance system.;

12) compulsory social health insurance – a set of legal, economic and organizational measures to provide medical care to consumers of medical services at the expense of assets of the social health insurance fund;

13) the system of compulsory social health insurance is a set of norms and rules established by the state governing relations between participants in the system of compulsory social health insurance;

14) medical care in the system of compulsory social health insurance – the amount of medical care provided to consumers of medical services at the expense of assets of the social health insurance fund;

15) excluded by the Law of the Republic of Kazakhstan dated 30.06.2017 No. 80-VI (effective after ten calendar days after the date of its first official publication); 16) excluded by the Law of the Republic of Kazakhstan dated 30.06.2017 No. 80-VI (effective after ten calendar days after the date of its first official publication); 17) excluded by the Law RK No. 50-VIII dated December 23, 2023 (effective sixty calendar days after the date of its first official publication).

The Law of the Republic of Kazakhstan dated November 16, 2015 No. 405-V SAM.

This Law regulates public relations arising in the system of compulsory social health insurance in order to implement the constitutional right of citizens to health protection.

President

Republic of Kazakhstan

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