1. The Foundation of Autonomy and Strategic Purchasing
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Law of Ukraine No. 2168-VIII “On State Financial Guarantees of Medical Care for the Population” (2017): This is the core legislative act that initiated the “money follows the patient” principle. It required healthcare facilities to undergo “autonomization,” changing their legal status from budget institutions to CNPEs so they could sign contracts with the National Health Service of Ukraine (NHSU).
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Law of Ukraine No. 2009-VIII (The “Autonomization Law”): This specifically amended the “Fundamentals of the Legislation of Ukraine on Healthcare” to allow for the reorganization of state and communal healthcare facilities into non-profit enterprises.
2. Network Structure and Classification
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Cabinet of Ministers Resolution No. 174 “On Certain Issues of the Organization of the Capable Network of Healthcare Facilities” (2023): This document formalizes the “Capable Network” (Spromozhna Merezha). It establishes the functional hierarchy of General, Cluster, and Super-Cluster hospitals and sets the mandatory clinical and diagnostic requirements for each tier.
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Resolution No. 754 (June 2025 Amendments): Recent updates to various resolutions focused on refining the structure and functioning of medical advisory commissions and improving care for rare diseases within the capable network.
3. Financial and Operational Regulation
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Cabinet of Ministers Resolution No. 1503 (December 2024): Entitled “Some issues of implementing the program of state guarantees of medical care for the population in 2025,” this resolution defines the mechanism, tariffs, and Program of Medical Guarantees (PMG) for the 2025 fiscal year.
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Tax Code of Ukraine (Article 133.4): Regulates the criteria for a CNPE to maintain its non-profit status, ensuring that any surplus funds are reinvested into the facility’s development or social services rather than distributed as profit.
4. Governance and Management
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Decree of the Cabinet of Ministers No. 1077: Regulates the formation of Supervisory Boards in communal healthcare facilities. It mandates these boards for larger hospitals to ensure community accountability and transparent oversight of the General Director.
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MoH Order No. 1977: Introduced the separation of administrative and clinical leadership, legally bifurcating the traditional “Chief Physician” role into a General Director (CEO) and a Medical Director.
5. Humanitarian Framework (UHF Context)
- CBPF Global Guidelines (Updated Dec 2022): While not a Ukrainian law, this is the “constitution” for the Ukraine Humanitarian Fund (UHF). It outlines the minimum global standards for partner eligibility, risk management, and the Partner Capacity Assessment (PCA) required for any entity, including local ones, to receive direct funding.