According to the Minister of Health, Guillermo Alfonso Jaramillo, he hopes that in February there will be a quick debate on the articles that are needed.
The Minister of Health, Guillermo Alfonso Jaramillo, He described it as a fundamental and important step that the Plenary of the House of Representatives, in the extraordinary sessions, approved 23 articles, out of more than 62, that the Government’s presentation has.
The official pointed out that it was necessary to start with the discussion of the articles, for which he assured that “it is satisfactory what could be advanced.”
“I believe that a fundamental step was taken by being able to start the debate on the different articles. In the first instance, there were eight that were approved and later 15, so we are talking about 23 articles of the 62 that was the consensus between the speakers and the Seventh Commission of the Chamber, so it was an important advance,” said Jaramillo. .
Read more: Health reform: Chamber approved 24 articles and scheduled for 2025
The minister said that he hopes that in February 2025 We will begin quickly with the discussion of the articles that are needed and the new ones that will be proposed.
“We hope to start very early in February and ensure that the reform passes quickly and This way the debate begins in the Senate of the Republic”he explained.
The approved articles, although not controversial, refer to social health insurance, primary health care, governance, stewardship and direction of the health system and the creation of the National Health Council.
Although the controversial or most sensitive articles were not touched upon during the discussion, some sectors insist that the autonomy of the territorial entities and the value of the Unit Per Capitation (UPC) by 2025.
Among the approved articles are 1,2,3,4,5,6,7,8 which are added to the block of 40, 41, 43, 45, 46, 47, 49, 50, 51, 52, 53, 54 , 55, 58 and 59.
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Article 1. Object. The purpose of this Law is transform the General Social Security Systeml in Health in a Health System based on Social Health Insurance, to guarantee the fundamental right to health.
Article 2. Social health insurance. Social health insurance is understood as public protection, unique, universal, efficient and supportive to guarantee the fundamental right to health of the entire population.
Article 3. Primary Health Care (PHC). According to the provisions of Law 1438 of 2011, articles 12 to 16, Primary Health Care (PHC) was adopted as a strategy within the Health System and is made up of three integrated and interdependent components: health services, intersectoral action /transectoral and social, community and citizen participation and the Comprehensive and Integrated Territorial Health Networks (RIITS).
Article 4. Predictive, Preventive and Resolving Health Model based on Primary Health Care (PHC). The Predictive, Preventive and Resolutive Health model is defined as the State’s health policy for the population residing in Colombian territory.
Article 5. Governance, stewardship and direction of the Health System. The governance, stewardship and direction of the Health System will be exercised by the Ministry of Health and Social Protection as the governing body of the sector.
Article 6. National Health Council. The National Health Council is created as a management body of the Health System, attached to the Ministry of Health and Social Protection.
Article 7. Unified and Interoperable Public Health Information System (SPUIIS). In order to achieve truthful, timely, relevant and transparent management of the different types of data generated by all participating actors in the Health System, the Ministry of Health and Social Protection will design, develop and implement the Unified and Interoperable Public System Health Information System (SPUIIS) to guarantee transparent, online and real-time access to health and administrative transactions by each actor in the Health System.
Article 8. Mandatory contributions. Contributors to the Health System are legal entities as employers and natural persons in accordance with current regulations.
Article 40. Object, Nature and Legal Regime of State Health Institutions (ISE). The purpose of the State Health Institutions (ISE) will be the provision of health services, with a social nature, as an essential public service provided by the State.
Article 41. Preparation and approval of the budget of the State Health Institutions (ISE). The State Health Institutions (ISE) will be governed by budgets, according to the standards defined by the Ministry of Health and Social Protection.
Article 43. Itinerant State Health Entities. For dispersed areas, far from urban centers, rural areas, or areas with difficult geographical access, National Itinerant State Health Entities will operate, which will provide basic, preventive and specialized care; which must have the latest technology equipment, medical supplies, medications, diagnostic equipment and health personnel with experience in caring for people in mobile settings.
Article 45. Strengthening the institutional offer for pregraduate and postgraduate training in health. In order to increase the supply of health professionals, as well as specialists in medical-surgical areas and public health, the national Government.
Article 49. Workers of Private and Joint Institutions in the Health Sector. Workers in Private and Mixed Institutions, with a public participation percentage of less than 90%, in the health sector are generally bound by an employment contract in accordance with the precepts of the Substantive Labor Code and corresponding regulations.
