Monism template is on the home straight
Published: Thursday, Dec 14th 2023, 09:40
العودة إلى البث المباشر
The so-called monism bill, which brings uniform funding for all healthcare services, is on the home straight. On Thursday, the National Council agreed with the Council of States on almost all controversial points.
This brings the goal of clearing up the bill, which has been pending for 14 years, within reach during the current session. It has now been clarified that insured persons must continue to pay a specific contribution for care services, whether these are provided on an outpatient basis or in a home. The cantons can assume this contribution.
The National Council had wanted to abolish this contribution, but has now followed the lead of the Council of States. The Council of States had decided that the abolition of the care contribution would primarily relieve the burden on the wealthy. A red-green minority in the National Council had wanted to maintain the abolition, but was defeated.
Agreement on contract hospitals
In order to prevent an increase in premiums, the share of compulsory health insurance (OKP) in the financing of contract hospitals - hospitals that are not on cantonal hospital lists - should remain at the current 45%. Here too, the National Council agreed with the Council of States.
It has been clear for some time that long-term care should be included in the "uniform financing of outpatient and inpatient care" (Efas). However, the conditions under which this should take place are controversial.
The Council of States wants a deadline of seven years from the revision coming into effect for the integration of care. The National Council, on the other hand, previously wanted to impose the additional condition that the popular initiative "For strong care" should be fully implemented, but has now dropped this.
However, it maintains its second condition: tariffs must be available for care services that are based on a uniform, transparent cost and data basis and that cover costs. The Council of States now has to deal with this demand once again.
Referendum in play
The bill brings about a fundamental reform in the financing of healthcare services, namely their financing from a single source. Today, outpatient treatment is paid for by the health insurance companies alone, from premium money. At least 55 percent of inpatient services are covered by the cantons. The rest is paid by the health insurance funds. Nursing staff associations have called for a referendum.
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