Regulatory Alerts2026-07-28
Added · Updated
Health Insurance Act
This Act establishes the framework for mandatory and voluntary health insurance in Bulgaria, creating the National Health Insurance Fund (NHIF) as a legal entity to manage mandatory health insurance. It guarantees insured persons free access to medical care and free choice of providers, with contributions collected by the National Revenue Agency and managed by the NHIF and its regional units. The NHIF's Supervisory Board, comprising 9 members from patient, worker, employer, and state representatives, is elected for a 5-year term and is responsible for approving the NHIF's annual budget, financial reports, and mechanisms for budget predictability and sustainability. The Supervisory Board's decisions and meeting minutes must be published on the NHIF website within one and seven days, respectively, ensuring transparency.
HEALTH INSURANCE ACT Promulgated - State Gazette, issue 70 of 19.06.1998; amended, issue 93 of 11.08.1998; issue 153 of 23.12.1998; effective from 01.01.1999; issue 62 of 09.07.1999; issue 65 of 20.07.1999; amended and supplemented, issue 67 of 27.07.1999; effective from 28.08.1999; amended, issue 69 of 03.08.1999; effective from 03.08.1999; amended and supplemented, issue 110 of 17.12.1999, effective from 01.01.2000; issue 113 of 28.12.1999; issue 64 of 04.08.2000; effective from 01.01.2001; supplemented, issue 41 of 24.04.2001; effective from 24.04.2001; amended and supplemented, issue 1 of 04.01.2002, effective from 01.01.2002; issue 54 of 31.05.2002, effective from 01.12.2002; supplemented, issue 74 of 30.07.2002; effective from 01.01.2003; amended and supplemented, issue 107 of 15.11.2002; supplemented, issue 112 of 29.11.2002; amended and supplemented, issue 119 of 27.12.2002; effective from 01.01.2003; amended, issue 120 of 29.12.2002; effective from 01.01.2003; amended and supplemented, issue 8 of 28.01.2003, effective from 01.03.2003; supplemented, issue 50 of 30.05.2003; amended, issue 107 of 09.12.2003; effective from 09.12.2003; supplemented, issue 114 of 30.12.2003; effective from 01.01.2004; amended and supplemented, issue 28 of 06.04.2004; effective from 06.04.2004; supplemented, issue 38 of 11.05.2004; amended and supplemented, issue 49 of 08.06.2004; amended, issue 70 of 10.08.2004; effective from 01.01.2005; amended and supplemented, issue 85 of 28.09.2004; issue 111 of 21.12.2004, effective from 21.12.2004; amended, issue 39 of 10.05.2005; effective from 11.02.2006; amended and supplemented, issue 45 of 31.05.2005; effective from 01.06.2005; amended, issue 76 of 20.09.2005; effective from 01.01.2007; issue 99 of 09.12.2005; effective from 01.11.2005; amended and supplemented, issue 102 of 20.12.2005; effective from 01.01.2006; issue 103 of 23.12.2005; effective from 01.01.2006; amended, issue 105 of 29.12.2005, effective from 01.01.2006; supplemented, issue 17 of 24.02.2006; effective from 01.05.2006; amended and supplemented, issue 18 of 28.02.2006, effective from 01.01.2007; issue 30 of 11.04.2006; amended, issue 33 of 21.04.2006; amended and supplemented, issue 34 of 25.04.2006; effective from 01.01.2008; issue 59 of 21.07.2006; effective from 01.01.2007; issue 95 of 24.11.2006, effective from 24.11.2006; amended and supplemented, issue 105 of 22.12.2006, effective from 01.01.2007; supplemented, issue 11 of 02.02.2007, effective from 02.02.2007, amended, issue 26 of 27.03.2007; amended, issue 31 of 13.04.2007, effective from 14.04.2008; issue 46 of 12.06.2007, effective from 01.01.2008; amended, issue 59 of 20.07.2007, effective from 01.03.2008; supplemented, issue 97 of 23.11.2007; supplemented, issue 100 of 30.11.2007, effective from 20.12.2007; amended and supplemented, issue 113 of 28.12.2007, effective from 01.01.2008; amended and supplemented, issue 37 of 08.04.2008; amended and supplemented, issue 71 of 12.08.2008, effective from 12.08.2008; amended, issue 110 of 30.12.2008, effective from 01.01.2009; amended, issue 35 of 12.05.2009, effective from 12.05.2009; amended and supplemented, issue 41 of 02.06.2009, effective from 02.06.2009; amended and supplemented, issue 42 of 05.06.2009; supplemented, issue 93 of 24.11.2009; amended and supplemented, issue 99 of 15.12.2009, effective from 01.01.2010; amended and supplemented, issue 101 of 18.12.2009, effective from 18.12.2009; amended, issue 19 of 09.03.2010; amended, issue 26 of 06.04.2010; amended and supplemented, issue 43 of 08.06.2010; supplemented, issue 49 of 29.06.2010, effective from 01.07.2010; supplemented, issue 58 of 30.07.2010, effective from 30.07.2010; amended and supplemented, issue 59 of 31.07.2010, effective from 31.07.2010; amended and supplemented, issue 62 of 10.08.2010, effective from 10.08.2010; supplemented, issue 96 of 07.12.2010; amended, issue 97 of 10.12.2010, effective from 10.12.2010; amended and supplemented, issue 98 of 14.12.2010, effective from 01.01.2011; amended and supplemented, issue 100 of 21.12.2010, effective from 01.01.2011; supplemented, issue 9 of 28.01.2011; amended, issue 60 of 05.08.2011, effective from 05.08.2011; amended and supplemented, issue 99 of 16.12.2011, effective from 01.01.2012; amended, issue 100 of 20.12.2011, effective from 01.01.2012; amended and supplemented, issue 38 of 18.05.2012, effective from 01.07.2012; amended and supplemented, issue 60 of 07.08.2012, effective from 07.08.2012; amended and supplemented, issue 94 of 30.11.2012, effective from 01.01.2013; amended and supplemented, issue 101 of 18.12.2012, effective from 01.01.2013; amended and supplemented, issue 102 of 21.12.2012, effective from 21.12.2012; supplemented, issue 4 of 15.01.2013, effective from 15.01.2013; amended, issue 15 of 15.02.2013, effective from 01.01.2014; amended and supplemented, issue 23 of 08.03.2013, effective from 08.03.2013; amended and supplemented, issue 106 of 10.12.2013, effective from 01.01.2014; amended and supplemented, issue 1 of 03.01.2014, effective from 03.01.2014 for amendments introduced by the Law on Amendments and Supplements to the Health