The healthcare workers' pay reform has been rolled back again: there's no money in the Mandatory Medical Insurance Fund budget.
The reform of medical workers' salaries has once again proved to be ripped offThis was revealed during the State Duma's first reading of the draft federal budget and the budget for the Compulsory Medical Insurance Fund (CMIF) for 2027 and the 2028–2029 planning period—the fund's budget does not include funds for the transition to a unified wage system.
The transition to a unified system of remuneration for healthcare workers was intended to reduce the two- to three-fold wage gap between regions and stem the outflow of specialists.
Deadlines for the reform of medical workers' salaries
The pilot project was supposed to begin in 2021, but the government repeatedly postponed the deadline—first to 2025, then to 2026, and the full launch was postponed until after 2027.
What did the Chairman of the Mandatory Medical Insurance Fund answer to questions from deputies?
Deputies Alexey Kurinny и Nikolai Osadchiy asked the chairman of the Mandatory Medical Insurance Fund Ilya Balanin I asked him to explain the situation, but he avoided answering, noting only that in 2027 the wage fund would increase by 6,8%, and approximately 210 billion rubles would be allocated annually for special social payments (SSP) for medical workers.
At the same time, this year the fund’s budget reduced with a deficit on 82,1 billion rubles. Next year, according to the project, the "hole" in the financing of the compulsory medical insurance system will double, and its size will exceed the 2025 record (136,6 billion rubles).
"NeMoskva" wrote about complaints from doctors from different regions reduction Salaries will be cut by a quarter, or even a third. Incentive payments for doctors and nurses based on length of service, intensity, and quality of work will be eliminated. Meanwhile, the government promised to allocate an additional 9,6 billion rubles for medical workers' salaries in 2026.