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Chamber of Deputies dispatches short isapres law

Last week the Health Commission of the Chamber of Deputies approved in general and in particular the short isapres law, which mainly seeks to implement the ruling issued by the Supreme Court on the table of factors, giving viability to the industry and allowing refund excess charges to members. And this Wednesday the deputies of the Finance Commission sent the project to the Chamber of the Lower House, where the vote is expected to take place next week, preliminarily between Tuesday and Wednesday.

Specifically, the deputies of the Finance Commission made few adjustments to the project before sending it to the room. The main change is that the second transitional article was rejected. The government’s short isapres law currently being processed in Parliament, in addition to seeking to implement the Supreme Court’s ruling on the table of factors, contemplates the creation of the Complementary Coverage Modality (MCC) in Fonasa, and it is precisely with respect to this issue that the rejected transitional was about.

House Finance Commission dispatches short Isapres law and next week it will be voted on in the Chamber

The rejected norm established that “the first contract for the provision of the service of granting complementary financial coverage to people who enroll in the Complementary Coverage Modality, may be concluded through direct contracting after consulting the market, in which case its duration may not exceed the twenty-four months.”

In short, as the government hopes to be able to quickly implement the MCC once the project is approved, it had proposed that Fonasa could deliver MCC coverage directly to an insurer for the first time, instead of going out to tender. However, That proposal fell through.

The rule stated that “if the Fund celebrates this first contract through direct treatment, it must issue the resolution indicated in article 144 exies of decree with force of law No. 1, of 2005, of the Ministry of Health, which must be signed, in addition, by the Budget Directorate, and must make the call for bids with due advance notice in order to guarantee the continuity of the operation of the modality.”

House Finance Commission dispatches short Isapres law and next week it will be voted on in the Chamber

Last week the Health Commission had already introduced several changes with respect to what was approved by the Senate, so once the project is voted on in the Chamber of Deputies, The government and parliamentarians anticipate that the initiative will have to be finalized in a mixed commission. Here, the main issues to be resolved will be the amount of debt that the Isapres must pay to their members, the deadlines, and the way in which these amounts will be disbursed, as well as the magnitude of the increase in health plans that people will see. .

The project has changed not only by decision of the deputies. Last month the Constitutional Court left the law short without mutualization, which reduced the calculation of the debt of the Isapres with their affiliates to US$451 million, less than half of the government’s proposal. Thus, the possible incorporation of this concept was left in the hands of the government, but the Executive has insisted that this formula cannot be used, because it would not be complying with the ruling.

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