Tripartite Council Discusses NHIF Budget 2026

The National Council for Tripartite Cooperation (NCTC) discussed the draft budget of the National Health Insurance Fund (NHIF) for 2027 at a meeting opened by Deputy Prime Minister and Finance Minister Galab Donev on Thursday.
After the discussion, Bulgarian Industrial Association head Dobri Mitrev said that that the NHIF budget received support from the Bulgarian Industrial Association, the Bulgarian Chamber of Commerce and Industry, and the Confederation of Employers and Industrialists in Bulgaria, while the Bulgarian Industrial Capital Association abstained. Both of trade unions in the tripartite council – the Confederation of Independent Trade Unions and the Podkrepa Labour Confederation – expressed appreciation for the Cabinet’s proposal.
The draft budget provides for total revenues and expenditures of EUR 5.683 billion, an increase of 8.1%, or nearly EUR 427 million, compared with 2026, NHIF Governor Dr. Vladimir Daskalov said. Health insurance contributions are expected to reach EUR 3.46 billion, while funding for health insurance payments is set to increase by EUR 478 million, or 9.7%.
Daskalov identified early prevention, child health and outpatient care as key priorities. The draft allocates EUR 8 million for preventive activities and provides for more medical examinations for schoolchildren aged 7 to 18, screening for childhood obesity and cholesterol and lipid profile tests for 16-year-olds.
Health Minister Katya Ivkova said the draft envisaged a 12.48% increase in spending on outpatient care compared with 2026. Nearly EUR 33 million in transfers from the Health Ministry would cover activities outside mandatory health insurance that fall under the State’s responsibility.
Podkrepa Confederation of Labour initially opposed the draft, arguing that it lacked the reforms needed to address challenges in the healthcare system. Its representatives also called for a 14% increase in NHIF staff salaries and pointed to patient co-payments, which they said account for 34% of healthcare costs in Bulgaria, compared with an EU average of 15%. It expressed appreciation for the planned policies in the budget, aiming at prioritizing prevention and a broader scope of child health care.
The Confederation of Independent Trade Unions in Bulgaria (CITUB) said it would support the budget, welcoming the increased funding for outpatient care and prevention but criticizing the lack of measures to improve access to healthcare and working conditions for medical staff.
BICA abstained, citing the large share of spending allocated to hospital care. It welcomed the preservation of the 8% health insurance contribution and the increase in the maximum contributory income threshold to EUR 2,400, while calling for greater emphasis on prevention and better-quality medical services.
The Bulgarian Industrial Association (BIA) supported the budget in principle but called for substantial healthcare reforms, concrete prevention measures and a sustainable solution for municipal hospitals.
The Bulgarian Chamber of Commerce and Industry and the Confederation of Employers and Industrialists in Bulgaria supported the draft but expressed reservations about transferring additional activities to health insurance payments, arguing that this would put further pressure on the NHIF.

Tripartite Council Discusses NHIF Budget 2026 THE NEWS FROM BULGARIA – NEWS AGENCY 2009-2025 2026-11-12 04:58:00

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