Health Insurance Law
健康保险法
ກົດໝາຍ ວ່າດ້ວຍການປະກັນສຸຂະພາບ
Summary
This Law establishes the fundamental framework of the health insurance system, aiming to ensure that insured persons have access to necessary medical services and to share the costs of medical care. It applies to individuals and relevant institutions participating in health insurance in accordance with the law, and clarifies the operational principles, scope of coverage, and entitlements of health insurance. It also defines the meanings of key terms to regulate health insurance activities and promote universal health protection.
Articles
Article 1
Article 1 Purpose
This Law stipulates principles, regulations, and measures for the management, monitoring, and inspection of health insurance work, so that the organization and implementation of such work is systematic, quality, efficient, and effective, aiming to ensure that Lao citizens have access to health insurance, and receive medical services equally, fairly, and universally, in alignment with regional and international standards, contributing to the defense and development of the nation.
Article 2
Article 2: Health Insurance
Health insurance refers to ensuring that Lao citizens and all insured persons have access to medical services, particularly diagnostic and disease identification services, medical treatment, physical rehabilitation, health promotion, and disease prevention services, and is realized through contributions to the National Health Insurance Fund.
Article 3
Article 3: Definition of Terms
The terms used in this Law shall have the following meanings:
1. Health insurance insured person means a person who has completed health insurance registration and holds a health insurance certificate;
2. Self-employed person means a person who works for themselves in various fields, particularly in agriculture, industry, commerce and services;
3. Risk sharing means the responsibility to share the costs of medical services to ensure that all Lao citizens can access medical services;
4. Contribution means payments made to the National Health Insurance Fund by the government, members of the National Social Security Institution, and Lao citizens who are not members of the National Social Security Institution;
5. Medical service institution means a health station, district hospital, provincial hospital, regional hospital, central hospital, specialized treatment center, and other medical service institutions as specified by the Ministry of Health;
6. Member of the National Social Security Institution means a person entitled to health treatment rights under the Social Security Law;
7. Vertical program means a program under the relevant departments of the Ministry of Health, particularly programs for leprosy, HIV/AIDS, tuberculosis, malaria, etc.;
8. Poor person means a Lao citizen listed in the poor person registry and determined according to poverty alleviation and development standards in each period;
9. Specialized medication means drugs used for the treatment of complex, chronic diseases such as cancer, gout, and vascular sclerosis, the use of which requires guidance from a specialist physician;
10. Physical rehabilitation means providing guidance, training or treatment to restore the function of organs, limbs, and mental state, enabling independent living, activity and self-care;
11. Essential medicines list means the list of primary essential medicines used for disease prevention, treatment and health maintenance of all persons, and provided at health service institutions at all levels at all times;
12. Leprosy means Hansen's disease;
13. Insurance premium rate means the amount paid into the National Health Insurance Fund in accordance with regulations;
14. Person entitled to health treatment rights means the insured person, the spouse (husband or wife) and children of the insured person, and persons receiving social insurance pensions.
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