Preliminary assessment of the second payment request of Romania

No. 95/2006 was published in the Official Journal and entered into force three days later, on 18 July 2022, in accordance with Article 12(1) of Law 24/2000 on the rules of legislative technique for the drafting of legislative acts. On 31 August 2022, Government Ordinance No. 37 of 31 August 2022 bringing further amendments to Law No. 95/2006 was published in the Official Journal and entered into force three days after its publication, on 3 September 2022. These Government Ordinances complemented Law No. 95/2006 with provisions regarding competence criteria for enrolment in competitions for health management positions as for certain management positions, a degree in a subject of study and/or a minimum number of years of experience with related tasks must be reached to fulfil the eligibility criteria for the respective position. Also, Article IV of Government Emergency Ordinance No. 129 of 29 September 2022 amended the provisions in Law No. 95/2006 concerning the requirements for upskilling courses for management positions. The new provisions refer to the obligation of managers to provide proof of graduating upskilling courses in two years

after the entry into force of the Government Emergency Ordinance and every two years afterwards under the sanction of dismissal. It was published in the Official Journal on 30 September 2022, entering into force on the same date, in accordance with Article 12(3) of Law 24/2000 on the rules of legislative technique for the drafting of legislative acts, for the purpose of increasing the capacity for health management and human resources in health.

Additionally, a number of Government Decisions shall enter into force in order to operationalize the changes in this law. Two Government Decisions concerning the establishment, organising and functioning of the National Institute for Health Services Management (INMSS) entered into force and operationalized the changes in Law No. 95 of 2006. On 3 October 2022, Government Decision No. 1183 of 29 September 2022 on the organisation and functioning of the INMSS and Government Decision No. 1184 of 29 September 2022 introducing the INMSS as a unit with financing from own sources or from subsidies raised by the State budget were published in the Official Journal and entered into force on the same date. Since INMSS is the public institution responsible for training, upskilling, medical education and professional development programmes in the field of health services management, these Government Decisions address the requirements in the description of the milestone concerning the continuous professional development of health professionals, the

development and reinforcement of the body of health service management experts and the evaluation of health service management training programmes. Moreover, the Ministerial Order No. 3143 of 7 October 2022 approving the establishment of quality evaluation criteria for the endorsement of upskilling courses in health management or health services management was published in the Official Journal No. 983 from 10 October 2022 and entered into force on the same date. The Ministerial Order operationalized the changes in Law No. 95 of 2006 concerning the obligation of managers of health institutions to undertake regular upskilling courses in health management and health services management, in line with the quality criteria established through the Order of the minister of health.

The main provisions of the newly introduced pieces of legislation shall:

• - adjust the competence criteria for enrolment in competitions for health management

positions Government Ordinance No. 14 of 13 July 2022 adjusts in Article I(1), (3), (5), (7), (11) and (12) the competence criteria necessary for the enrolment in competitions of persons applying for the management positions of the County and Bucharest Public Health Directorates, the County Ambulance Services and the Bucharest-llfov Ambulance Service, the Public Hospitals and the National Health Insurance House. Therefore, graduation of certain studies and a minimum number of years of experience with defined related tasks has to be reached to fulfil the eligibility criteria for a position. Article I(7), (14), (20) and (23) of Government Ordinance No. 37 of 31 August 2022 also

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