On October 28, 2025, the Central Propaganda and Education Commission issued Instruction 33-HD/BTGDVTW on the implementation of Directive 52-CT/TW, dated October 3, 2025 of the Secretariat on the implementation of universal health insurance in the new period.
Accordingly, Instruction 33-HD/BTGDVTW requires Party committees and organizations at all levels to lead and direct the development of programs and plans to implement the Directive in accordance with the practical situation of each level, sector, locality, and unit, and focus on a number of key contents.
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In which, the Central Propaganda and Mass Mobilization Committee proposed:
- The Government Party Committee shall direct ministries, branches and localities to develop programs and plans to implement Directive 52-CT/TW; direct the development, completion and implementation of policies and laws on health insurance; amend the Law on Health Insurance; promulgate mechanisms to increase contribution rates, pilot supplementary health insurance packages, mechanisms to use part of the budget from tobacco harm prevention and control funds, alcohol and beer taxes, sugary drinks, etc. to pay for some disease prevention and treatment services;
Direct the effective implementation of health insurance policies and laws, include the health insurance coverage rate target in the socio-economic development plan; decide to increase the level of health insurance contribution support, ensuring the completion of the goal of universal health insurance coverage; speed up the implementation of correct and adequate calculation of prices for medical services, prevention, medical examination and treatment under health insurance...; lead and direct the timely handling and resolution of difficulties and problems arising in practice related to the implementation of health insurance policies.
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- At the same time, the Party Committee of the Ministry of Health directs the synchronous implementation of solutions to ensure the objectives set out in Directive 52-CT/TW; preside over and advise on amending and supplementing the Law on Health Insurance; preside over and coordinate with the Ministry of Finance to study the mechanism and roadmap for appropriately increasing the level of health insurance contribution, increasing the rate, payment level, and expenditure for disease prevention, diagnosis, and early treatment from the Health Insurance Fund from 2026;
Diversify health insurance packages, pilot supplementary health insurance... expand the scope of health insurance payment for a number of disease prevention services, nutrition, chronic disease management, periodic health check-ups...; effectively implement projects, innovate service style, improve medical ethics, invest in facilities, especially primary health care.
- The Party Committee of the Ministry of Finance directs the synchronous implementation of solutions to ensure the objectives set out in Directive 52-CT/TW; direct, amend, supplement, promulgate under authority or submit to competent authorities to promulgate mechanisms and policies on health insurance contribution levels, balance the State budget to increase the support level and health insurance contribution level for beneficiaries according to regulations; coordinate research on financial mechanisms, management mechanisms of the Health Insurance Fund, types of insurance; mobilize, diversify, and expand revenue sources for the health insurance fund, ensuring sustainability and development of the health insurance fund;
Implement health insurance payment methods, determine methods of direct support for health insurance participants when using health services; develop a financial mechanism for using a portion of the Tobacco Harm Prevention Fund, tax on alcohol, beer, and sugary drinks to pay for a number of disease prevention services, chronic disease management, periodic health check-ups, screening, diagnosis, and early detection of a number of diseases, especially non-communicable diseases. Develop a level of health insurance support for policy beneficiaries; strengthen inspection, examination, financial supervision, and prevention of health insurance fraud.
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