Adoption of the document would create a fundamental law in health care, protect citizens' right to free medical care, to determine the mechanism for choosing a doctor and patient medical organization, to fix uniform standards and procedures of medical care throughout Russia. According to the document, all medical institutions regardless of ownership, and the criterion of availability of medical services required to fulfill the standards of medical service in Russia, told reporters earlier the head of the Committee on Health Olga Borzov. The draft also cautioned against refusal to provide medical care. Document for the first time at the legislative level, given the definition of the order of care "and" standard of care. " Enshrines the principle of priority of preventive measures and the transition from the health care system, aimed primarily at the treatment of diseases, to a system of health protection, based on the priority of a healthy lifestyle and disease prevention, she said. The bill clarified the powers of federal bodies of state power and bodies of state power of RF subjects. Terms of reference for federal agencies completed the implementation of measures to save lives in emergencies, the organization of medical evacuation, coordination and implementation of advanced medical technologies. In addition, only the federal level are fixed authority to organize and monitor its quality and safety provided by medical care, medical devices, specialized health products, blood and its components established procedures, standards and technical regulations. Authority to organize the delivery of primary health care and emergency medical service, previously assigned to local governments (LSG), are assigned to bodies of state power regions. At the same time, the bodies of local self-government shall be empowered to ensure that organizations providing medical care only in the case of delegation of powers by the state power of RF subjects. Innovations included the legislative regulation of palliative (supportive) care that is provided free under the program of state guarantees. The project secured guarantee drug supply patients with rare diseases, is funded from the budgets of the Russian Federation, as well as by grants from income individuals and legal entities, including the donations listed on the account of regional budgets. The state assumes the responsibility for providing for the federal budget medicines ennymi preparations citizens suffering from a certain group of diseases. In order to ensure the rights of citizens to receive free medical care in the bill a concrete procedure of rendering of paid medical services, the conditions for their support in order to distinguish from free medical care, reported Borzov. According to her, can not be paid for emergency medical services. Not payable for the appointment of medical drugs are not included in the list of vital and essential drugs (outpatient), accommodation in small capacity houses (boxes) of the patients on medical or epidemiological indications, hospital stays parent with the child, if it due to medical conditions of the child. For the first time given the term "medical products" is established by order of their application in Russia. Information about state registration of medical products and their manufacturers will be made in the State Register. The draft law also establishes the obligation of health care organizations to insure the civil liability to patients. For the first time provided for approval of a program of state guarantees the provision of Russian citizens free health care for three years. In addition to Tor, establishes the legal basis for regulating relations in organ transplantation and (or) tissues. "Removal of organs and (or) tissues for transplantation (transplant) is allowed with the informed consent of a living donor who has reached eighteen years of age (except for bone marrow transplant)," – to be confirmed in the bill. Provides that "citizens can orally in the presence of witnesses or in writing, notarized, to express their will about the agreement or opposition to the removal of organs and (or) tissue from his body after death, in the absence of the will of the deceased, as well as in case of death of a minor or person deemed incompetent in the prescribed manner, the right to permit the removal of organs and (or) tissues of the body of the deceased have a husband, in his absence one of the close relatives (children, parents, adoptees, adoptive parents, brothers and sisters , grandchildren, grandparents). " The bill maintains a ban on euthanasia. Earlier, Deputy Health Minister of Russia Veronika Skvortsova refuted in the media voiced concerns that the adoption of the law "About bases of health protection in Russia will increase the number of paid services. According to her, virtually all major types of medical care will be provided free of charge, except for certain conditions of comfort,which may be included in the paid services and some types of cosmetic medicine, which include cosmetology and in pure form, and some types of plastic surgery, some types of dentistry. In general, all primary health care, all ambulance patient special care to include a high-tech medical care would be guaranteed by the state, said the official.
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