The Generalitat has authorized the Ministry of Health to request from the Spanish Government the 1,022.9 million euros this is due to the lack of compensation from the Care Guarantee Fund and the Health Cohesion Fund, mechanisms with which the central administration should remunerate the health care provided in the Valencian Community to patients from other autonomy and foreigners.
Concretely, the State Executive owes the Valencian Community, through the Care Guarantee Fund, 23.1 million euros for primary care assistance to visitors from other communities between July 2012 and December 2013 , as well as an additional 798.9 million euros for assistance to people displaced in Specialized Care between July 2012 and until today.
In addition, the government chaired by Pedro Sánchez also has the payment pending, through the Health cohesion fundmore than 99.6 million euros for settlements for the years 2013 to 2023; as well as an additional 101.3 million euros for the settlement of billing generated in the Valencian Community for health care provided to foreigners.
The Consell thus demands payment of funds not received by the “inoperability» of the implementation of the Care Guarantee Fund as provided for in Royal Decree-Law 16/2012, of April 20, on urgent measures to guarantee the sustainability of the national health system.
In accordance with the aforementioned decree and within the framework of the Care Guarantee Fund, the Generalitat affirms that it would have been necessary to implement financial compensation for the health care of people displaced between autonomous communities, but currently this mechanism “has experienced a very limited scope and this generates significant economic damage.
Thus, it remained in abeyance to retroactively compensate for the assistance provided since July 2012 (date of entry into force of Royal Decree-Law 16/2012) until December 2013 in primary care to visitors from other communities.
Nearly 200,000 visits per year
In the area of specialized assistance, the confusing wording of section 5 of article 3 of Royal Decree-Law 16/2012 makes its regulatory development necessary for the effective implementation of compensation. Thus, in the information systems of the Ministry of Health, more than 199,000 specialized care assistances provided each year to people displaced from other autonomous communities are identified and recorded, which represents a an expenditure of 77.6 million euros per year who has not been paid.
On the other hand, since the entry into force of Law 17/2012 of December 27 on general state budgets, the Health Cohesion Fund has acquired an extra-budgetary character, so that the autonomous communities which, like the Valencian Community, present positive balances as part of the joint liquidation of the Assistance Guarantee Fund and the Health Cohesion Fund must be compensated by the Ministry of Finance.
Likewise, all healthcare provided to foreign citizens holding a European health card or coming from countries which have concluded a reciprocity agreement on healthcare is billable, but the methodology for calculating the payment of this billing used by the National Social Security Institute (INSS) and the Ministry of Health do so. does not respect the collection rights legitimately acquired by communities and generates significant losses for tourist autonomy like the Community, with perverse effects and unjust enrichment of some to the detriment of others.
