The former president of CNAS Horatiu Moldovan, accused by the Minister of Health, Alexandru Rogobetre, of having left a disaster in the system and unpaid invoices of 30 billion lei, says on Thursday that such accusations are supported by evidence that can be verified.
In addition, Moldovan compares the situation he left at CNAS with the one he found in 2024.
“30 billion lei “health debts”? A huge accusation needs evidence, not just a microphone. When a statesman talks about “the biggest health crisis in the last 10 years”, about unpaid bills, about the “heavy inheritance” and about the incompetence of others, about the disaster left by others, he has the obligation to clearly explain the numbers. And he has the obligation to compare the “incompetence” of others with his competence, the “disaster” left by others with his own achievements, the “ignorance” of others with his own knowledge”, Hotațiu Moldovan, former president of CNAS, wrote on Facebook on Thursday.
He believes that people need to understand exactly what amounts are due, what payments are late and how much money is still needed for the coming months.
“The difference is simple: the money you need for the expenses of the following months is not the same as the invoices you already had to pay. And an invoice for which the payment term has not expired is not an arrears”, Moldovan added.
“The Backlog”
According to the data provided by him, at the end of 2024, there were 1.4 billion lei in outstanding payments for medical services and medicines and over 4 billion lei in medical leave arrears (many with payment deadlines exceeded by 2-3 years).
“At the end of 2025, these arrears were ZERO! At the end of September 2026, the arrears were also ZERO! In 2025, CNAS made payments of 84.4 billion lei, 14.83% more than in 2024. And the upward trend continued throughout 2026. Incompetence? Disaster? Cuts?
For 2026, CNAS initially proposed a budget of 97.08 billion lei. However, the expenditure budget approved by the Parliament was 82.79 billion lei. After taking into account the savings made by streamlining expenses, NOT through cuts, CNAS requested an additional 11.22 billion lei: 6.45 billion for health and 4.77 billion for medical leaves”, the former president of CNAS also conveyed.
Horaţiu Moldovan specifies that this is the additional amount requested to cover the expenses necessary for the payments to be up-to-date at the end of 2026, both in the field of health and for medical leaves.
“It does not mean that it represents delayed payments. And 11 billion lei is not 30! The report also presents separately the situation of medical leaves, including payment delays. Even if the payments of medical leaves have reached a uniform term of 11 months, in almost all counties, it does not mean that the problem has been solved, but we cannot call it a “disaster”, especially if we compare it with the situation at the end of 2024″, the former wrote on Facebook president of CNAS.
Solutions
He states that solutions must be found to this problem: “Statesmen find solutions, patients don’t complain, they don’t panic!”.
“It must be said equally clearly that the National Health Service and the Ministry of Health have different responsibilities and budgets. If different budgets, attributions and institutional responsibilities are confused, intentionally or not, this is noticed by those who really know the health system and we display, once again, our expertise, competence and skills as statesmen”, Moldovan said.
He states that, for the alleged sum of 30 billion lei, the questions are simple: “Who has to pay? To whom? For what? How much had to be paid already and how much money is needed for the following months? How, concretely, was this total reached? And if it is stated that invoices were hidden in order to make the budget deficit appear smaller, it must be shown which invoices are in question (possibly also their publication, as they are public expenses), who hid them and what documents prove this. Such an accusation is supported by evidence that can be verified. Slogans have no place in the truth, even if they are repeated ad infinitum…”.
The Minister of Health, Alexandru Rogobete, declared on Wednesday that the ineptitude, the administrative incompetence of the former president of the National Health Insurance House generated the biggest crisis within the national programs.
Also on Wednesday, Rogobete stated that there has not been such a financial crisis in the Romanian health system for over 10 years.