STATE AND LEGAL REGULATION OF NEUROREHABILITATION IN UKRAINE

Introduction. Neurorehabilitation is a priority domain of healthcare in Ukraine, especially in the context of a growing number of patients with traumatic brain injuries, spinal cord damage, strokes, and post-traumatic neuropsychiatric disorders due to the war. Ensuring an effective legal framework is crucial for the functioning of the neurorehabilitation system. Aim. To conduct a comprehensive analysis of the normative-legal framework regulating neurorehabilitation in Ukraine as of early 2025, and to identify key strengths and gaps that require further development. Materials and methods. The study applied content analysis of current laws, government resolutions, Ministry of Health orders, analytical publications, and official reports issued between 2020 and 2024. A comparative legal and structural-functional analysis of the regulatory acts was performed. Results. The foundation of the neurorehabilitation legal field includes Law No. 1053-IX "On Rehabilitation in Healthcare", Law No. 2961-IV "On Rehabilitation of Persons with Disabilities", and the newly adopted Law No. 4223-IX "On the Mental Health System". Several subordinate legal acts were reviewed, including CMU Resolutions No. 1268, 1462, 321, and MoH Order No. 995. Gaps were identified in terms of regulatory fragmentation, the lack of unified clinical protocols, insufficient legal support for telerehabilitation, intersectoral coordination, and workforce shortages. Conclusions. Despite meaningful progress in legislative development, the neurorehabilitation system in Ukraine requires alignment within a dedicated national strategy, regulatory updates for digital tools, and improved clinical, educational, and human resources policies.