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Document 235 - Amendment to the Act on Public Health Insurance Premiums - RJ

Published date: 23.06.2026 |Processed date: 23.06.2026 |Session 10
Submitters: Vláda

Summary

Scope: Section 3c; pages 1–16.

The proposal increases the assessment base for state-funded public health insurance premiums for state-insured persons from 14,074 CZK to 18,362 CZK, thereby increasing the state’s monthly payment starting in 2027. At the same time, it postpones the automatic indexation of this amount, which will now apply for the first time in 2029 instead of 2024. It also repeals the government regulation on the assessment base for 2026 and is intended to stabilize the financing of public health insurance and health insurance companies. According to the explanatory memorandum, the impact on the state budget is an additional approximately 21 billion CZK per year.

Topics

financehealthcaresocial

Parliamentary status history

Lead committee 3rd reading
2nd reading Lead committee

Additional documents

Additional document 1

Resolution of the Health Committee on Print No. 235/0

Processed date: 04.09.2026

Scope: pages 1–2.

The Health Committee’s resolution recommends that the Chamber of Deputies approve the government’s proposal to amend public health insurance premiums. The committee authorizes the rapporteur to make the necessary technical legislative amendments and entrusts him with presenting the committee’s opinion to the Chamber. The proposal thus supports an increase in government contributions to the public health insurance system and a postponement of automatic indexation in accordance with the main proposal.

Additional document 2

Amendments and other proposals relating to Parliamentary Print No. 235/0

Processed date: 24.09.2026

Scope: Part One–Part Four; § 7a–§ 18; pages 1–4.

The document contains proposed amendments to increase the state payment for individuals whose health insurance is paid by the state. One proposal reduces the proposed assessment base from 18,362 CZK to 17,540 CZK. The second amendment expands the law to change the rules governing health insurance companies: it removes the 5 percent cap on their contributions to patient organizations and explicitly regulates their funding from public benefit activity funds.

Additional document 3

Resolution of the Health Committee on Parliamentary Print No. 235/0

Processed date: 15.10.2026

Scope: Section 95; pages 1–4.

The resolution of the Health Care Guarantee Committee sets forth the procedure for the Chamber of Deputies’ vote on the third reading of the bill to amend public health insurance premiums. The Committee recommends approving Amendment A, while it does not recommend Amendment B; no motion to reject the bill was filed. Rapporteur Jiří Mašek is authorized to present the Committee’s opinions and, if necessary, make the required technical legislative adjustments.

Proposals

We do not know whether the listed proposals were approved or declined.

Proposal 1796

235 - 1796 - Boris Šťastný

Discovered date: 23.09.2026 | Processed date: 23.09.2026

Scope: Section 3c; pages 1–3.

The amendment reduces the proposed monthly assessment base for state-funded health insurance for state-insured persons from 18,362 CZK to 17,540 CZK. It maintains the deferral of automatic indexation until 2029. It is intended to reduce additional state budget expenditures in 2027 from approximately 21 to 13 billion CZK, while the system is expected to generate higher premium revenues and have more state-insured individuals.

Proposal 1813

235 - 1813 - Michaela Šebelová

Discovered date: 23.09.2026 | Processed date: 23.09.2026

Scope: Part One–Part Four; § 7a–§ 18; pages 1–8.

The amendment expands the government’s proposed amendment to include changes to the rules governing the funding of patient organizations from the public benefit activity funds of all health insurance companies. It removes the existing 5% cap on the use of fund resources for these contributions, allowing insurance companies to determine the level of support based on needs and their own capabilities. The Ministry of Health is to be granted the authority to establish, by decree, uniform conditions, amounts, and purposes for these contributions. The goal is to ensure more stable funding for patient organizations and more uniform rules among health insurers.

Laws affected by this document

592/1992- Zákon České národní rady o pojistném na všeobecné zdravotní pojištění
357/2025- Nařízení vlády o výši vyměřovacího základu pro pojistné na veřejné zdravotní pojištění hrazené státem pro rok 2026