Hospitals May Lose Funding from the National Health Service of Ukraine Due to New Requirements for Tuberculosis Treatment
Primary care facilities in Ukraine must comply with new requirements for the care of patients with tuberculosis by September 1, 2026. If they fail to meet these requirements, hospitals may lose their funding from the National Health Service of Ukraine.
By September 1, 2026, primary care facilities must comply with new mandatory requirements for the care and treatment of patients with tuberculosis. If they fail to comply, the National Health Service of Ukraine will suspend payments under the Medical Guarantees Program until the violations are rectified.
By September 1, 2026, primary care facilities must comply with additional requirements regarding the care and treatment of patients with tuberculosis.
These requirements are set forth in the procurement terms and specifications for medical services under the “Primary Health Care” package, as well as the Procedure for Implementing the Program of State Guarantees for Medical Care for the Population in 2026, approved by Resolution No. 1808 of the Cabinet of Ministers of Ukraine dated December 31, 2025 (as amended). These requirements are a mandatory condition of the contract for medical care under the Medical Guarantees Program.
The National Health Service of Ukraine noted that it had informed primary care providers well in advance about the introduction of new requirements for the care and treatment of adults and children with tuberculosis.
The first official notification was sent to facilities seven months before the requirements took effect. Beginning in January 2026, the National Health Service of Ukraine (NSZU) sent official letters informing providers of the new requirements, the procedure for their implementation, and the process for amending contracts. As early as February 2026, the technical capability to submit proposals for making the relevant changes to contracts was made available through the NSZU’s information system (SAP).
The head of the facility must designate a primary care physician who will be responsible for the care and treatment of adults and children with tuberculosis.
The selected physician must complete specialized training in counseling, managing, and treating patients with tuberculosis or hold a valid certificate as a tuberculosis specialist.
One way to meet this requirement is to complete the free online course offered by the Public Health Center of the Ministry of Health of Ukraine, titled “Management of Tuberculosis Patients During the Outpatient Phase of Treatment for Primary Care Physicians.”
After designating the responsible physician and confirming their qualifications, the facility director or an authorized representative must submit a proposal through the National Health Service of Ukraine (NSZU) information system (SAP) to amend the contract for the provision of medical services to the population under the Medical Guarantees Program.
After reviewing the documents, the National Health Service of Ukraine (NSZU) will, if they meet the established requirements, conclude a supplementary agreement to the contract with the provider.
The technical capability to submit proposals via SAP will be available until 6:00 p.m. Kyiv time on October 15, 2026.
However, in order for the changes to take effect as early as September 1, 2026, a proposal to amend the contract must be submitted no later than August 31, 2026, since the changes take effect on the first day of the month following the month of submission.
If you have any questions, you can get advice by calling the NSZU contact center at 16-77 or by contacting the relevant interregional department of the service.
The National Health Service of Ukraine (NSZU) emphasized that failure to comply with the new requirements will result in the application of the remedial measures provided for in the contract. Specifically, payments under the contract for the provision of medical services to the population under the Medical Guarantees Program will be suspended until the non-compliance issues are resolved and the necessary amendments are made to the contract. Once compliance with all requirements is confirmed and a supplementary agreement is signed, funding will resume.
Source: Judicial and Legal Gazette
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