State medical institutions will be able to outsource services to private companies starting in 2027

The rules for engaging private contractors have been established by a presidential decree dated November 4, 2026. Contracts will be concluded for a maximum of five years. If investments take longer to pay off and the Ministry of Health issues an opinion, the agreement term may be extended to ten years.

At least five major medical organizations intend to involve foreign professional managers. A competition will determine the candidates, and their work will be annually evaluated based on key performance indicators.

Medical institutions requiring significant investments will primarily be established through public-private partnerships. Facilities for providing state-guaranteed medical care will remain state property.

By April 1, 2027, the electronic system "Medical Outsourcing" should become operational. It will consolidate data on projects, suppliers, and agreements, as well as allow monitoring of service quality, payments, and fulfillment of obligations.

The Prosecutor General's Office, the Ministry of Health, and the Agency for Management of State Assets will conduct an inventory of existing lease agreements for buildings, structures, and land plots of medical institutions. Starting in 2027, the Ministry of Health will publish a list of projects for private investment and public-private partnership development by November 1 each year.