PAID MEDICAL SERVICES IN MUNICIPAL HEALTHCARE FACILITIES: LEGISLATIVE REQUIREMENTS AND PRACTICAL SOLUTIONS

Almost all healthcare services delivered by public and municipal healthcare institutions are, in practice, paid services, as the state functions as the primary purchaser and reimburses providers in accordance with the Program of State Guarantees for Medical Care of the Population. The provision of services under this program constitutes the core function of these institutions. Nevertheless, the Program of Medical Guarantees (PMG) does not fully cover the operational costs of healthcare facilities, including expenditures necessary to provide healthcare workers with at least the minimum wage stipulated by labor legislation. The purpose of this work is to convey to doctors and managers of state and communal non-commercial health care institutions that in modern conditions it is quite possible and appropriate to establish such a tool for additional financing of a medical institution as the provision of paid medical services to the population, as well as to offer some practical recommendations for the introduction of paid medical services. In fact, all services for medical care of the population in state and communal health care institutions are paid. The customer of these services is the state, which pays the executor for the provision of these services under the Program of State Guarantees of Medical Services to the Population (the provision of medical services under the Program of Medical Guarantees is the main activity of state and communal health care institutions). Unfortunately, the medical guarantee program does not cover all the costs of a medical institution to provide medical workers with even the minimum wage, which is determined by law. New Resolution of the CMU No. 781 of July 5, 2024 "Some issues of providing medical services to the population for a fee from legal entities and individuals" significantly expands the opportunities of state and communal health care institutions to obtain sources of additional funding, without in any way limiting the medical institution in determining the list of paid services that will be provided in it, giving the medical institution the right to independently set prices for these services. Conclusions. Absolutely all services for medical care of the population in state and communal health care institutions may be paid under certain circumstances (unless otherwise specified by law). The health care institution independently determines the list of paid services, sets their prices and can use these additional funds to meet its own needs. The introduction of the provision of paid services in state and communal non-commercial health care institutions is a very real and expedient process.