Unofficial translation
Footnote. Headline as amended by the Resolution of the Government of the Republic of Kazakhstan dated September 25, 2019 No. 704 (shall be enforced dated 01.01.2020).In accordance with the Law of the Republic of Kazakhstan "On Law Enforcement Service", the Government of the Republic of Kazakhstan HEREBY RESOLVES:
Footnote. Preamble - as amended by Resolution of the Government of the Republic of Kazakhstan dated October 26, 2022 No. 850 (shall be enforced ten calendar days after the day of its first official publication).1. To approve the attached Rules of medical and sanatorium care of employees and members of their families living with them, pensioners of law enforcement bodies, and also children before reaching the age of majority, of the employees killed in the line of duty, in the relevant state healthcare organizations
2. To invalidate certain resolutions of the Government of the Republic of Kazakhstan in accordance with the appendix to this resolution.
3. This order shall be enforced upon expiry of ten calendar days after the date of its first official publication.
| Prime Minister | |
| of the Republic of Kazakhstan | K. MASSIMOV |
| Approved by Order No. 78 of the Government of the Republic of Kazakhstan dated February 18, 2016 |
Rules
medical and sanatorium-resort provision of employees and their families living with them,
pensioners of law enforcement agencies, as well as children of employees who died in the line
of duty, before they reach the age of majority, in the relevant state health organizations
Footnote. The rules as amended by the Resolution of the Government of the Republic of Kazakhstan dated September 25, 2019 No. 704 (shall be enforced from January 1, 2020).
Chapter 1. General provisions
1. These Rules of medical and sanatorium-resort provision of employees and members of their families living with them, pensioners of law enforcement agencies, as well as children of employees who died in the line of duty, before they reach the age of majority, in the relevant state health organizations (hereinafter - the Rules ) developed in accordance with the Law of the Republic of Kazakhstan dated January 6, 2011 "On Law Enforcement Service" and determine the procedure for medical and sanatorium-resort provision of law enforcement officers and the state courier service, members of their families living with them, pensioners and children of employees of these bodies who died in the line of duty, before they reach the age of majority (hereinafter - the contingent).
2. Medical assistance to certain categories of employees, the list of which is approved by the Administration of the President of the Republic of Kazakhstan in agreement with the Administration of the President of the Republic of Kazakhstan, shall be provided in medical organizations of the Administration of the President of the Republic of Kazakhstan:
1) within the guaranteed volume of free medical care in accordance with the Code of the Republic of Kazakhstan "On Public Health and Healthcare System" (hereinafter referred to as the Code);
2) in the system of compulsory social health insurance in accordance with the Law of the Republic of Kazakhstan "On Compulsory Social Medical Insurance" (hereinafter referred to as the Law);
3) at the expense of budgetary funds by types and volumes determined by the Administration of the President of the Republic of Kazakhstan.
Footnote. Paragraph 2 - as amended by Resolution of the Government of the Republic of Kazakhstan dated October 26, 2022 No. 850 (shall be enforced ten calendar days after the day of its first official publication).3. In the Rules, family members of employees shall be understood as a spouse, joint or one of the spouse's minor children (adopted, dependent or under guardianship); children (adopted, dependent or under guardianship) and children of a spouse studying in educational institutions in full-time education, under the age of twenty-three years; children with disabilities (adopted, dependent or under guardianship) and children with disabilities of a spouse who have been diagnosed with a disability under the age of eighteen; parents and parents of a spouse who are dependent on the employee.
The children of an employee who died in the line of duty, until they reach the age of majority, shall retain the right to medical and sanatorium-resort provisions in medical organizations of the internal affairs bodies.
Footnote. Paragraph 3 - as amended by Resolution of the Government of the Republic of Kazakhstan dated October 26, 2022 No. 850 (shall be enforced ten calendar days after the day of its first official publication).4. Medical support for law enforcement officers is carried out in medical organizations of the internal affairs bodies at the expense of budgetary funds.
In the absence of specialists or special equipment for medical reasons at the place of law enforcement or the place of residence of employees of medical organizations of the internal affairs bodies or the corresponding departments in them, medical assistance is provided to employees by health subjects:
1) within the guaranteed volume of free medical care in accordance with the Code;
2) in the system of compulsory social health insurance in accordance with the Law.
5. Payment for the services of healthcare entities for the provision of medical care to law enforcement officers within the guaranteed volume of free medical care and in the system of compulsory social health insurance is carried out by the social health insurance fund.
Reimbursement of the costs of the social health insurance fund for paying for the services of healthcare entities to provide medical care to employees within the guaranteed volume of free medical care and in the compulsory social health insurance system is carried out at the expense of budget funds provided for by the authorized body in the field of healthcare.
6. Family members of law enforcement officers living with them, as well as pensioners of law enforcement agencies, receive medical assistance in medical organizations of the internal affairs bodies.
Payment for the services of medical organizations of the internal affairs bodies for the provision of medical assistance to family members of law enforcement officers and retirees of law enforcement agencies is carried out by the social health insurance fund:
1) within the guaranteed volume of free medical care in accordance with the Code;
2) in the system of compulsory social health insurance in accordance with the Law.
7. In accordance with article 135-1 of the Code and article 6 of the Law, in order to receive medical care within the guaranteed volume of free medical care and in the system of compulsory social health insurance not provided by medical organizations of the internal affairs bodies, the contingent is assigned to health care subjects at the place of permanent or temporary residence, taking into account the right to freely choose the organization of primary health care.
Chapter 2. Organization of medical support
8. Medical organizations of internal affairs bodies provide the following types of medical care:
1) outpatient and polyclinic care: primary health care and consultative and diagnostic assistance;
2) inpatient care;
3) inpatient care.
9. Pharmaceutical provision in hospitals of medical organizations of internal affairs bodies is provided free of charge in accordance with the Kazakh national drug formulary approved by the authorized body in the field of health.
10. Medical assistance to the contingent is provided in the medical organizations of the internal affairs bodies in accordance with health standards.
11. Transfer of a patient from the contingent to inpatient care in medical organizations under the jurisdiction of the authorized body in the field of health is carried out in accordance with the legislation of the Republic of Kazakhstan in the field of health.
12. Sending the contingent for treatment abroad is carried out in accordance with the legislation of the Republic of Kazakhstan in the field of healthcare.
13. Hospitalization of the contingent living outside the cities of Nur-Sultan, Almaty, for inpatient treatment in medical organizations of the internal affairs bodies, stationed in the cities of Nur-Sultan and Almaty, is carried out by the direction of specialists from medical organizations of the internal affairs bodies.
The procedure for sending the contingent to the medical organizations of the internal affairs bodies stationed in the cities of Nur-Sultan and Almaty is established by the Ministry of Internal Affairs of the Republic of Kazakhstan.
14. Registration of the contingent for receiving medical care is carried out by medical organizations of the internal affairs bodies on the basis of the lists of the contingent provided by the personnel services of law enforcement agencies.
For medical support, registration is carried out on the basis of an identity document (for a law enforcement officer - an identity card and an employee's ID; for family members of an employee - an identity card; for children of an employee who died in the line of duty - a birth certificate or identity card; for pensioners of law enforcement agencies - identity card and pension certificate), at any calendar time in accordance with the work schedule of the medical organization.
For each person from the contingent, a medical record of an outpatient patient is drawn up in accordance with the form approved by the authorized body in the field of health, which is stored in the registry of the polyclinic of the medical organization of the internal affairs bodies.
Chapter 3. Sanatorium-resort provision
15. Sanatorium-resort treatment of the contingent is carried out in sanatorium-resort organizations in the manner established by the legislation of the Republic of Kazakhstan in the field of healthcare and labor legislation of the Republic of Kazakhstan.
16. Employees who have received injuries (wounds, injuries, contusions) in the line of duty, during the recovery period are sent for sanatorium-resort treatment at the expense of budget funds by decision of the sanatorium selection commissions of the internal affairs bodies.
17. When referring to a spa treatment, medical documentation is drawn up in the form approved by the authorized body in the field of health.
| Appendix to Order No. 78 of the Government of the Republic of Kazakhstan dated February 18, 2016 |
List of certain expired orders of the Government of the Republic of Kazakhstan
1. Order No. 53 of the Government of the Republic of Kazakhstan dated January 16, 2002 “On approval of Rules of medical and health resort services for employees of law enforcement bodies and their family members living with them, as well as pensioners of law enforcement bodies”.
2. Order No. 724 of the Government of the Republic of Kazakhstan dated July 13, 2005 “On amendments to order No. 53 of the Government of the Republic of Kazakhstan dated January 16, 2002” (Collected Acts of the President and the Government of the Republic of Kazakhstan, 2005, No. 29, art. 370).
3. Order No. 85 of the Government of the Republic of Kazakhstan dated January 30, 2009 “On Amendments and Additions to Order No. 53of the Government of the Republic of Kazakhstan dated January 16, 2002” (Collected Acts of the President and the Government of the Republic of Kazakhstan, 2009, No. 8, art. 32).