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3.4.1 The national level
Actors at the national level are the Ministry of Health, the National Health Insurance House

and the professional organisations.

Ministry of Health
The Ministry of Health 2 (MS) is primarily responsible for healthcare in Romania. It is both

responsible for the regulatory framework and policies as well as the management of the

healthcare system at large. At the time of writing this report Sorina Pintea is Minister of

Health, further there are five State Secretaries and two Undersecretaries of State.

The Ministry of Health is the central administrative authority in the health sector. In recent

years their main responsibilities have not changed much. It is responsible for the stewardship

of the system and for its regulatory framework, including regulation of the pharmaceutical

sector as well as public health policies and services, sanitary inspection and the Framework

Contract, which regulates the purchasing of health services. It is also in charge of monitoring

and evaluation of population health, provision of public health education and health

promotion, human resources policy and certain infrastructure investments.

National Health Insurance House

The National Health Insurance House 3 (CNAS) is an autonomous public institution that

administrates and regulates the social health insurance system. Established in 1999, it decides

on resource allocation from the National Health Insurance Fund (NHIF) to the District Health

Insurance Houses (CAS); sets out annual objectives for its own activities and for the activities

of the CAS; supervises and coordinates the activity of the CAS’s it has the power to issue

implementing regulations mandatory to all CAS’s; and decides on the resource allocation

between different types of care. It also elaborates the Framework Contract, which together

with the accompanying norms, defines the benefits package to which the insured are entitled
as well as the provider payment mechanisms.

National Authority for Quality Management in Health Care

The National Authority for Quality Management in Health Care 4 (ANMCS) was created in

2015. Its tasks include: elaborating, in collaboration with the Ministry of Health, the National

Strategy for Quality Assurance in Health; drafting legislative proposals to ensure

harmonization with international regulations; elaborating accreditation standards, methods

and procedures for health care providers; accrediting training and technical consultancy

providers in the field of health quality management; evaluating, re-evaluating and accrediting

health providers; monitoring that appropriate quality standards are in place in health care

facilities

at all levels of care; and performing research activities in the area of health services

2 Ministerul Sănătăţii, www.ms.ro

3 Casa Naţională de Asigurări de Sănătate, www.cnas.ro

4 Autoritatea Națională de Management al Calității în Sănătate, www.anmcs.gov.ro

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