State clinics to outsource services to private sector starting in 2027

Starting January 1, 2027, state medical institutions will switch to a new procedure for procuring medical and auxiliary services from the private sector. Under the resolution, contracts with contractors will be concluded for a maximum of five years, with the term depending on the nature of the service and the investment size. A contract lasting up to ten years is permitted with a conclusion from the Ministry of Health based on the investment payback period. Current projects that expire before the new rules take effect may be extended until the end of 2027.

By 2030, the share of services procured by state clinics through outsourcing is planned to gradually increase to 30%. Another goal of the document is to attract foreign companies and professional managers to at least five large medical organizations. Managers will, as a rule, be selected through an open tender and assessed annually based on KPIs, with the evaluation results determining whether a contract is extended, revised, or terminated.

From 2027, interaction between the state and business in the sector will rely on long-term and short-term master plans. Facilities providing state-guaranteed medical care will remain under state management. By April 1, 2027, the Tibbiyot Outsourcingi electronic system with a unified registry of projects, contractors, and agreements must be launched. By the same deadline, the Prosecutor General's Office, together with the Ministry of Health and the State Assets Management Agency, will conduct an inventory of lease agreements for medical facility buildings, premises, and land.