National Legislation on Labour and Social Rights
Global database on occupational safety and health legislation
Employment protection legislation database
Display in: French - Spanish
Part III (Sickness benefit), Article 18, in relation to Articles 7(b) and 26 of the Convention. In its previous comments, the Committee asked the Government to supply information on the application in practice of the amendment of 21 December 1990 of the National Insurance Act, according to which cash benefit in the event of sickness can be provided for a period of up to 12 weeks if the insured person is totally incapable of work in the job that he or she held at the time of falling ill, but is capable of performing other types of remunerated work (section 3-2, subparagraph 1). In reply, the Government indicates that this scheme is a voluntary agreement which has only been used in 2.4 per cent of cases. The number of cases is too low to see any effect in practice and it is too early to draw any conclusions in this respect. Both the Ministry of Health and Social Affairs and the National Insurance Administration want the scheme to be used more often and the latter is now drawing up new instructions to the social security offices. The Committee would like to be kept informed of any substantial changes in the situation.
The Committee notes the information supplied by the Government in its report, particularly as regards Part II (Medical Care), Articles 13(c) and 17, of the Convention.
Part III (Sickness Benefit), Article 18, in relation to Articles 7(b) and 26. The Committee notes from the information supplied by the Government in its report that, following an amendment dated 21 December 1990, the cash benefit in the event of sickness can be provided for a period of up to 12 weeks if the insured person is totally incapable of work in the job that he or she held at the time of falling ill, but is capable of performing other types of remunerated work (section 3-2 No. 1, subparagraph 1 of the National Insurance Act). The Committee would be grateful if the Government would supply information on the effect given in practice to this provision, with an indication of the cases in which it can be applied.
Part II (Medical Care) Articles 13(c) and 17 of the Convention. The Committee takes note of the information supplied by the Government in its report concerning sharing by beneficiaries in the cost of medical care. It also notes the information communicated by the Government to the Council of Europe on the application of the European Code of Social Security as amended by the Protocol. In the context of this report, the Government provided the list of vital drugs that are refundable pursuant to section 2.5 of the National Insurance Act, pointing out that the provisions of section 2.5 are on no account exhaustive. It mentions a number of drugs, products, articles and accessories which may be refunded pursuant to section 2, subsection 13, of the Act. The Government also refers to the provisions of section 5.8 of the Act which enable numerous medical appliances to be provided free of charge, and to the responsibility of municipalities in this area.
The Committee recalls that the above-mentioned provisions of the Convention prescribe that medical care must also include the provision, on medical prescription, of the necessary pharmaceutical supplies, and that where beneficiaries are required to share in the cost of such supplies, they shall not bear the entire cost. The Committee therefore asks the Government to indicate whether, and by virtue of which provisions of the National Insurance Act or any other legislation, the drugs mentioned in the second column of item No. 19 of the list provided by the Government (antibiotics, sulphamides, etc.) are also reimbursable in the event of acute sickness. Furthermore, it requests the Government to indicate whether and in what manner anti-parasite drugs are reimbursable. Lastly, the Government is asked to indicate whether the provisions mentioned in its report which exempt beneficiaries whose share exceeds a prescribed amount from all participation in the cost of medical care also apply to drugs which do not appear in the list when they are considered to be essential.