{"id":2513,"date":"2019-12-02T08:31:24","date_gmt":"2019-12-02T07:31:24","guid":{"rendered":"http:\/\/www.cechova.sk\/?p=2513"},"modified":"2019-12-02T08:37:36","modified_gmt":"2019-12-02T07:37:36","slug":"novela-zakona-o-rozsahu-a-podmienkach-uhrady-liekov","status":"publish","type":"post","link":"https:\/\/www.cechova.sk\/sk\/novela-zakona-o-rozsahu-a-podmienkach-uhrady-liekov\/","title":{"rendered":"Novela Z\u00e1kona o rozsahu a podmienkach \u00fahrady liekov"},"content":{"rendered":"

16. okt\u00f3bra 2019 N\u00e1rodn\u00e1 rada Slovenskej republiky schv\u00e1lila z\u00e1kon \u010d. 343\/2019 Z.z., ktor\u00fdm sa men\u00ed a dop\u013a\u0148a z\u00e1kon \u010d. 363\/2011 Z.z. o rozsahu a podmienkach \u00fahrady liekov, zdravotn\u00edckych pom\u00f4cok a dietetick\u00fdch potrav\u00edn na z\u00e1klade verejn\u00e9ho zdravotn\u00e9ho poistenia. Hlavn\u00fdm cie\u013eom novely je zmena defin\u00edcie eur\u00f3pskej referen\u010dnej ceny lieku a \u00faprava podmienok elimin\u00e1cie doplatku.<\/p>\n

Eur\u00f3pska referen\u010dn\u00e1 cena<\/strong><\/span><\/p>\n

Maxim\u00e1lna cena lieku v Slovenskej republike sa pod\u013ea doteraj\u0161ej \u00fapravy ur\u010duje pod\u013ea cien rovnak\u00e9ho lieku v in\u00fdch \u010dlensk\u00fdch \u0161t\u00e1toch E\u00da. Za t\u00fdmto \u00fa\u010delom pravidelne doch\u00e1dza k porovn\u00e1vaniu cien lieku v in\u00fdch \u010dlensk\u00fdch \u0161t\u00e1toch a k v\u00fdpo\u010dtu eur\u00f3pskej referen\u010dnej ceny, ktor\u00e1 je definovan\u00e1 ako priemer troch najni\u017e\u0161\u00edch cien spomedzi \u00faradne ur\u010den\u00fdch cien lieku v in\u00fdch \u010dlensk\u00fdch \u0161t\u00e1toch E\u00da, pri\u010dom ak m\u00e1 liek \u00faradne ur\u010den\u00fa cenu:<\/p>\n

    \n
  1. len v jednom z in\u00fdch \u010dlensk\u00fdch \u0161t\u00e1tov, \u00faradne ur\u010den\u00e1 cena lieku v tomto \u0161t\u00e1te, a<\/li>\n
  2. v dvoch z in\u00fdch \u010dlensk\u00fdch \u0161t\u00e1tov, priemer cien v t\u00fdchto \u010dlensk\u00fdch \u0161t\u00e1toch.<\/li>\n<\/ol>\n

    Pod\u013ea doteraj\u0161ej pr\u00e1vnej \u00fapravy sa porovn\u00e1vaj\u00fa iba identick\u00e9 ve\u013ekosti balenia, t.j. napr. cena 20 ks balenia sa neporovn\u00e1va s cenou 10 ks balenia. Ak je ve\u013ekos\u0165 balenia lieku registrovan\u00e1 v Slovenskej republike odli\u0161n\u00e1 ako ve\u013ekosti balenia v in\u00fdch \u010dlensk\u00fdch \u0161t\u00e1toch, ceny t\u00fdchto odli\u0161n\u00fdch balen\u00ed sa moment\u00e1lne neporovn\u00e1vaj\u00fa. Zmena z\u00e1kona zav\u00e1dza pravidlo, pod\u013ea ktor\u00e9ho, ak je v konkr\u00e9tnom \u010dlenskom \u0161t\u00e1te E\u00da k dispoz\u00edcii identick\u00e1 ve\u013ekos\u0165 balenia lieku, do porovnania sa zapo\u010d\u00edta t\u00e1to cena, av\u0161ak ak nie, do porovnania sa zapo\u010d\u00edta cena najv\u00fdhodnej\u0161ieho balenia prepo\u010d\u00edtan\u00e1 na slovensk\u00fa ve\u013ekos\u0165.<\/p>\n

    S \u00fa\u010dinnos\u0165ou od 1. janu\u00e1ra 2020 bude eur\u00f3pska referen\u010dn\u00e1 cena lieku definovan\u00e1 ako aritmetick\u00fd priemer troch najni\u017e\u0161\u00edch cien spomedzi \u00faradne ur\u010den\u00fdch cien lieku v in\u00fdch \u010dlensk\u00fdch \u0161t\u00e1toch E\u00da, pri\u010dom ak:<\/p>\n

      \n
    1. m\u00e1 liek \u00faradne ur\u010den\u00fa cenu len v jednom z in\u00fdch \u010dlensk\u00fdch \u0161t\u00e1tov, aritmetick\u00fd priemer s\u00fa\u010dtu \u00faradne ur\u010denej ceny lieku v tomto \u010dlenskom \u0161t\u00e1te a dvoch najni\u017e\u0161\u00edch jednotkov\u00fdch cien tohto lieku v in\u00fdch \u010dlensk\u00fdch \u0161t\u00e1toch s najni\u017e\u0161ou jednotkovou cenou lieku prepo\u010d\u00edtan\u00fdch na ve\u013ekos\u0165 balenia lieku, ktor\u00e9ho eur\u00f3pska referen\u010dn\u00e1 cena sa ur\u010duje,<\/li>\n
    2. m\u00e1 liek \u00faradne ur\u010den\u00fa cenu len v dvoch in\u00fdch \u010dlensk\u00fdch \u0161t\u00e1toch, aritmetick\u00fd priemer s\u00fa\u010dtu \u00faradne ur\u010denej ceny lieku v t\u00fdchto \u010dlensk\u00fdch \u0161t\u00e1toch a najni\u017e\u0161ej jednotkovej ceny tohto lieku v inom \u010dlenskom \u0161t\u00e1te s najni\u017e\u0161ou jednotkovou cenou lieku prepo\u010d\u00edtanej na ve\u013ekos\u0165 balenia lieku, ktor\u00e9ho eur\u00f3pska referen\u010dn\u00e1 cena sa ur\u010duje,<\/li>\n
    3. nem\u00e1 liek \u00faradne ur\u010den\u00fa cenu v in\u00fdch \u010dlensk\u00fdch \u0161t\u00e1toch, aritmetick\u00fd priemer troch najni\u017e\u0161\u00edch jednotkov\u00fdch cien tohto lieku v in\u00fdch \u010dlensk\u00fdch \u0161t\u00e1toch s najni\u017e\u0161ou jednotkovou cenou lieku prepo\u010d\u00edtan\u00fdch na ve\u013ekos\u0165 balenia lieku, ktor\u00e9ho eur\u00f3pska referen\u010dn\u00e1 cena sa ur\u010duje.<\/li>\n<\/ol>\n

      \u0160t\u00e1t si od zmeny s\u013eubuje \u00fasporu finan\u010dn\u00fdch prostriedkov vo v\u00fd\u0161ke aspo\u0148 tri mili\u00f3ny eur.<\/p>\n

      Elimin\u00e1cia doplatku<\/strong><\/span><\/p>\n

      Podmienky, za ktor\u00fdch sa neuplat\u0148uje princ\u00edp zachovania pomeru \u00fahrady zdravotnej pois\u0165ovne a doplatku poistenca pri zmene predajnej ceny lieku vo verejnej lek\u00e1rni alebo v pobo\u010dke verejnej lek\u00e1rne, sa menia nasledovne:<\/p>\n

        \n
      1. mo\u017enos\u0165 elimin\u00e1cie doplatku pre liek, ktor\u00e9ho doplatok poistenca je vy\u0161\u0161\u00ed ako 5 % z priemernej mesa\u010dnej mzdy zamestnanca v hospod\u00e1rstve Slovenskej republiky zistenej \u0160tatistick\u00fdm \u00faradom Slovenskej republiky za kalend\u00e1rny rok, ktor\u00fd dva roky predch\u00e1dza kalend\u00e1rnemu roku, v ktorom sa ur\u010duje \u00fahrada, sa obmedzuje tak, \u017ee bude dostupn\u00e1 iba za podmienky, \u017ee v rovnakej referen\u010dnej skupine nie je zaraden\u00fd liek s doplatkom poistenca ni\u017e\u0161\u00edm ako 5 % z priemernej mesa\u010dnej mzdy;<\/li>\n
      2. ru\u0161\u00ed sa mo\u017enos\u0165 elimin\u00e1cie doplatku pre liek, ktor\u00fd je zaraden\u00fd v zozname kategorizovan\u00fdch liekov v referen\u010dnej skupine, v ktorej je zaraden\u00fd liek ktor\u00e9ho doplatok poistenca je vy\u0161\u0161\u00ed ako 5% z priemernej mesa\u010dnej mzdy.<\/li>\n<\/ol>\n

        T\u00e1to zmena nadob\u00fada \u00fa\u010dinnos\u0165 od 1. j\u00fala 2020.<\/p>\n

        ***<\/p>\n

        Tento pr\u00e1vny preh\u013ead bol pripraven\u00fd v novembri 2019 v\u00fdlu\u010dne pre \u00fa\u010dely poskytnutia v\u0161eobecnej inform\u00e1cie a nepredstavuje pr\u00e1vne poradenstvo. Vy\u0161\u0161ie uveden\u00fd preh\u013ead nie je komplexn\u00fd a iba stru\u010dne sumarizuje pr\u00edslu\u0161n\u00e9 zmeny pr\u00e1vnej \u00fapravy. V pr\u00edpade ak m\u00e1te z\u00e1ujem o podrobnej\u0161ie inform\u00e1cie o vy\u0161\u0161ie uvedenej legislat\u00edvnej zmene, nev\u00e1hajte, pros\u00edm, kontaktova\u0165 ktor\u00fako\u013evek Va\u0161u kontaktn\u00fa osobu v \u010cechov\u00e1 & Partners.<\/p>\n","protected":false},"excerpt":{"rendered":"

        16. okt\u00f3bra 2019 N\u00e1rodn\u00e1 rada Slovenskej republiky schv\u00e1lila z\u00e1kon \u010d. 343\/2019 Z.z., ktor\u00fdm sa men\u00ed a dop\u013a\u0148a z\u00e1kon \u010d. 363\/2011…<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"episode_type":"","audio_file":"","cover_image":"","cover_image_id":"","duration":"","filesize":"","date_recorded":"","explicit":"","block":"","itunes_episode_number":"","itunes_title":"","itunes_season_number":"","itunes_episode_type":"","filesize_raw":"","footnotes":""},"categories":["1","2","11","12","20","21","32","33"],"class_list":{"0":"post-2513","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"hentry","6":"category-dalsie-publikacie","8":"category-financial-law-news","9":"category-european-community-law-news","10":"category-aktuality","11":"category-pravne-novinky"},"yoast_head":"\nNovela Z\u00e1kona o rozsahu a podmienkach \u00fahrady liekov - 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