The redrafting of the Republic of Macedonia's Health Care Law launches a fundamental policy change in the principles, intent, scope, and delivery of state-funded health services. Proposed policy priorities need to be made explicit in a legislative, regulatory, and administrative framework, and legislation will be required to establish a new policy framework for the national health insurance program. During research into the legislative framework necessary to implement proposed reforms to the Republic of Macedonia's state-funded health services, RAND looked specifically at the legislative framework necessary to implement reforms. The authors of this summary of preliminary findings propose specific interim solutions for amending the 1991 Health Care Law and offer recommendations for accomplishing more fundamental legislative reform. They conclude that the Health Care Law should be separated into two laws — the Health Insurance Law and the Health Care Law — and present an outline of the organization and elements of these two draft laws.
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