The National Health Insurance Fund (NHIF) Supervisory Board approved a draft budget of nearly EUR 5.68 billion that keeps the health insurance contribution rate at 8%, Governor Vladimir Daskalov told journalists on Tuesday.
One board member abstained. Daskalov said the 2027 draft would put general practitioners, early diagnosis and children’s healthcare at the centre of the system.
The budget would rise by more than 8.1%, or nearly EUR 427 million, compared with 2026, he said.
Funding for health insurance payments would increase by more than EUR 478 million. The draft also includes the statutory 3% reserve for unforeseen and urgent spending.
Daskalov said the draft earmarks nearly EUR 363 million for primary outpatient care, nearly EUR 369 million for specialist outpatient care and EUR 177 million for diagnostic services.
More than EUR 37.3 million is earmarked for primary care for children from birth to age 18, including preventive care, vaccinations and specialist paediatric examinations. Daskalov said the funding also covers close monitoring during the first 24 hours after birth and at home through day 28, monthly check-ups until age one and home visits until age six months.
The draft also expands preventive check-ups for children aged seven to 18 to include obesity screening, he said. It funds lipid profile and cholesterol tests at age 16 and provides free antibiotics and other anti-infective medicines for children under seven to use at home.
The draft would replace transfers through the Health Ministry with direct funding from NHIF for treatment of children and adults in Bulgaria and abroad, a change Daskalov called a “major structural reform”. The EUR 44,764,000 allocation also covers genetic testing, dietetic foods and assistive devices for people with disabilities. The draft maintains earmarked funding for medical staff in hard-to-reach areas and 24-hour pharmacies in remote municipalities.
Nearly EUR 82 million of the hospital care budget is earmarked for outpatient procedures, diagnostics and patient follow-up. The draft also funds biomarker testing. Daskalov said NHIF would discuss how to conduct the testing with the Bulgarian Medical Association.
Daskalov said the draft would improve oversight and transparency of the fund’s finances and tighten financial controls. Checks against data from Information Services found discrepancies in more than six million rows of Excel data for 2025, involving between EUR 8 million and EUR 10 million, he said. The review of 2026 data was still under way.
NHIF Deputy Governor Zdravko Shushkov said the fund’s general budget would cover treatment for children, as well as assistive and medical devices abroad, from 2027.

Health Fund Board Approves 2027 Draft Budget with 8% Contribution Rate 2026 THE NEWS FROM BULGARIA – NEWS AGENCY 2009-2025 2026-11-10 03:23:59

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BULGARIA NEWS – NEWS AGENCY 2009–2026 2026-11-10 03:23:59