|1988||Creation of the Social Insurance Fund.|
|1989||Private medical practice is authorized.|
|1990||Switch from tax-based funding to funding through compulsory insurance.|
Ownership of health facilities transferred to local governments.
Ministry of Social Affairs and Health renamed Ministry of Social Welfare.
Introduction of consensus management (a three–member management team composed of a medical director, an economic director, and a nursing director) in hospitals.
|1991||Establishment of National Public Health Service (responsibility for local hygiene offices) transferred from LGs to central government as part of this service.|
Approval of Act on the Self-Government of Social Insurance.
|1992||Social Insurance Fund separated into a Pension Fund and a Health Insurance Fund (23.5 percent health contributions—19.5 percent for employer and 4 percent for employee).|
Parliament defines eligibility conditions for health insurance.
Family Physician Service is created and capitation-based payment introduced.
|1993||Authorization of Voluntary Mutual Health Insurance.|
Self-Governments of Social Insurance are set up with employer and employee representation.
Outpatient care remuneration based partly on a fee-for-service scheme, and hospital care remuneration on DRG-type scheme (July 1993).
Share of Family Physician remuneration based on capitation increased to about 80 percent of total.
|1994||The Act on the Hungarian Medical Chamber establishes ethical norms and procedures for doctors; general rules of contracts between health insurance and physicians; and the right for the chambers to participate in the definition of health policy and legislation.|
Government adopts the National Health Promotion Strategy.
|1995||New pharmaceutical regulations introduce a Basic List of essential drugs available at high HIF reimbursement rate. Reimbursement rates and the number of drugs on the Basic List are reduced twice in 1995.|
Some closure of hospital beds is undertaken.
|1996||Employer contribution rate is reduced by 1.5 percent.|
Employer responsibility in sick pay is increased from 10 days to 15 days, and employers are to contribute one-third of sick pay expenditures of their employees.
Reductions in reimbursement rates and changes in the drugs available in the Basic List (May).
Adoption of Act on Hospital Capacity Reduction (July). One of its objectives is to reduce hospital beds by 10,000.
Hospital specific weights in the DRG financing scheme are eliminated.
Eligibility for drug card is extended.
|1997||Social security base is expanded to coincide with the Personal Income Tax base. Several nonwage remunerations and incomes are included.|
Reduction of employer contribution by 3 percent; adoption of a monthly payment of Ft 1,800 for every citizen—to be paid by the employer for the employees; increase of the monthly contribution ceiling from Ft 75,000 (as set in 1992) to Ft 99,000.
Elimination of cross-financing between the HIF and the Pension Fund.
All public funding for Investments in the Public Health Care Sector to be allocated through the Ministry of Welfare (no investment funds will be budgeted through the LGs and the HIF).
Reductions in reimbursement rates and changes in the drugs available in the Basic List (January).
Adoption of Institutional Law (June) and Health Insurance Law (July) by Parliament.