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Parlament schválil novelu zákona o zdravotnom poistení


 | 27.6.2013 | komentárov: 292

Národná rada Slovenskej republiky včera schválila novelu zákona o zdravotnom poistení predloženú parlamentu v apríli tohto roka. V rámci nej odhlasovala aj zvýšenie miezd lekárov.

V Národnej rade SR včera 80 poslancov z prítomných 144 poslancov zahlasovalo za novelu zákona o zdravotnom poistení. Cieľom novely zákona  je predovšetkým transpozícia smernice Európskeho parlamentu a Rady 2011/24/EÚ o uplatňovaní práv pacientov pri cezhraničnej zdravotnej starostlivosti (ďalej len „smernica") a riešenie úhrad nákladov cezhraničnej zdravotnej starostlivosti.

Návrh novelizuje aj ďalšie zákony, okrem iného aj zákon o poskytovateľoch zdravotnej starostlivosti, zdravotníckych pracovníkoch, stavovských organizáciách v zdravotníctve však sústredí predovšetkým na novelu zákona o poskytovateľoch zdravotnej starostlivosti o poskytovateľoch zdravotnej starostlivosti, zdravotníckych pracovníkoch, stavovských organizáciách v zdravotníctve (zákon č. 578/2044 Z.z.) , na ktorý sa sústredí mediálna pozornosť. Parlament totiž v rámci novely schválil  tzv. 3. etapu zvýšenia miezd lekárov, ktoré bolo prisľúbené memorandom vlády ešte v roku 2011. Zvýšenie by malo mať podľa schváleného návrhu dve „vlny“. V prvej budú od januára 2014 zvýšené mzdy  neatestovaným lekárom tj. lekárom  a zubným lekárom s odbornou spôsobilosťou na výkon odborných prac. činností z 1,2 násobku priemernej mesačnej mzdy zamestnanca SR na 1,25 násobok. V druhej vlne od januára 2015 sa mzdy budú zvyšovať atestovaným lekárom z 1,9 na 2, 3 násobok priemernej mesačnej mzdy zamestnanca SR.  Predpokladá sa, že zvýšenie zaťaží poskytovateľov zdravotnej starostlivosti (nemocnice, ústavné zariadenia) a zdroje verejného zdravotného poistenia.

Druhým „sporným bodom“  v súvislosti s novelou je  prechodné ustanovenie §38c ods. 1 zákona o zdravotnom poistení v znení, podľa ktorého má poistenec, ktorý má príjem z dividend zo zisku dosiahnutého za roky 2011 a 2012, povinnosť platiť poistné aj z tohto príjmu, pričom  vymeriavacím základom z tohto príjmu je príjem, ktorý presiahne 50 % z priemernej mesačnej mzdy v rozhodujúcom období a je najviac 60 – násobok priemernej mesačnej mzdy v rozhodujúcom období.  Niektorí poslanci označili v rozprave ustanovenie za retroaktívne s tvrdením, že na dividendy zo zisku dosiahnutého pred rokom 2013 sa vzťahuje právna úprava platná do 31.12. 2013. Poslanec Jozef Mihál upozornil, že v prípade prijatia návrhu zákona iniciuje konanie pred Ústavným súdom SR.




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