The government approved, in the last meeting of 2025, an emergency ordinance that significantly changes the way funds are distributed for primary healthcare. The normative act, proposed by the Ministry of Health, provides that, starting from January 1, 2026, only 25% of the funds allocated to family doctors will be directed to the payment per capita, while 75% will go to the payment for the actual medical service provided.
Currently, the payment system is mixed: the per capita payment ensures revenues determined according to the number of registered patients, regardless of whether they show up for consultations, and the payment per service rewards the doctor for the services actually provided – consultations, checks, simple procedures.
Compared to 2025, when the distribution was 35% per capita and 65% per medical service, the new formula marks a clear change in philosophy: the funds must follow the medical act, not just the number of patients.
“The new distribution of 25% – 75% of the budget approved in 2026 for primary medical care is transposed by decreasing the value of the point per capita and increasing the value of the point per medical service, which represents the efficient use of funds to pay for medical services that are necessary and actually provided to the insured”, it is shown in the substantiating note of the ordinance.
Points value per capita and per medical service
- In 2025: 12 lei per capita and 8 lei per medical service
- From January 1, 2026: 8.2 lei per capita (-32%) and 10.3 lei per medical service (+29%)
The new values were confirmed by the National Health Insurance House (CNAS) and are provided for in a joint order of the Minister of Health and the president of the CNAS (no. 2,339/2,015/2025), published on December 31, 2025 in the Official Gazette.
The ordinance also provides for an adjustment of the distribution for 2027: 20% of the budget will be allocated to the payment per capita, and 80% to the payment per medical service.
