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Legislation Monitoring Centre
In Poland there is neither an internet portal nor an institution for employers responsible for monitoring the legislation process of regulations that determine the rules for business activity. At present employers  learn about changes in the law mainly from mass media or simply through the grapevine, usually with delay.



Mr Minister, who establishes the prices of healthcare services in Poland?


As it transpires, the Chairman of the National Healthcare Fund (NFZ) and the Agency for Health Technology Assessment and Tariff System (AOTMiT) are both simultaneously engaged in establishing the prices of medical services. Employers of Poland want to know who is responsible for the pricing of medical services in Poland, whether the introduction of tariffs through the back door and with no vacatio legis by the Chairman of the NFZ is in the interest of patients and whether covering the costs of two teams working on the same task is economically reasonable.


– We are surprised by the actions of the Minister of Health. He assures that the AOTMiT is reliable, argues that cost figures from service providers are being collected and thoroughly analyzed and presents plans for new tariffs.  Meanwhile, the Chairman of NFZ proposes completely different tariffs in his draft regulation – says Andrzej Mądrala, Vicepresident of Employers of Poland.


Of course, the Chairman can theoretically change the pricing whenever he wants, but only until the AOTMiT prepares the tariff. Moreover, if the decision is made even a day late, the tariff will have to come into force a year later. – This is a good solution, because at least medical entities have time to adapt to changes – adds Andrzej Mądrala.


– According to Employers of Poland, the Chairman of the NFZ should refrain from announcing new tariffs when the Chairman of AOTMiT is already working on them – says Vicepresident of Employers of Poland. – Who is calculating properly? Or maybe both calculations are wrong? – asks Mądrala. – The Minister of Health should unconditionally stop the works on tariffs both at NFZ and at AOTMiT until a methodology is agreed – Mądrala assesses.