Introduction of state health insurance in Uzbekistan: Reforms and opportunities for investors

published on 6 February 2025 | reading time approx. 2 minutes

Uzbekistan is taking significant steps toward improving its healthcare system with the adoption of Presidential Resolution No. PP-311 dated 5 September, 2024. Starting from 1 July, 2025^[1] citizens will be able to access free scheduled inpatient medical care through an electronic queue system in regional and municipal healthcare facilities where state health insurance mechanisms are implemented.

The new resolution broadens access to medical assistance, ensuring that the following groups are entitled to free healthcare services:

Taxpayers of income tax and social contributions.
Individuals who have paid the necessary taxes to calculate their employment duration.

Minors, students, pregnant women, and individuals caring for children under two years of age.
Officially registered unemployed individuals, pensioners, and families recognized as low-income through the Unified Social Protection Register.

From 1 January, 2027, it is expected that individuals who have paid taxes for at least six months in the previous year will be entitled to free high-tech medical services under the new state health insurance system^[2]. These developments not only enhance healthcare delivery but also create new business opportunities.

The reforms in the healthcare sector open up diverse opportunities for investors and companies wishing to engage in healthcare and health technology. The establishment of a transparent and accessible medical infrastructure fosters a growing market for innovative solutions and services. Uzbekistan presents itself as a dynamic investment environment, especially in the healthcare sector. Companies specializing in medical technologies, health services, or related fields can significantly benefit from these developments. The market requires innovative products and services to meet the rising demand for medical care. Uzbekistan presents itself as a dynamic investment environment, especially in the healthcare sector. Companies specializing in medical technologies, health services, or related fields can significantly benefit from these developments. The market requires innovative products and services to meet the rising demand for medical care.

To encourage investment, from 1 April, 2022, to 1 January, 2025, the import of spare parts for medical equipment, medical products, and consumables for medical purposes will be exempt from value-added tax (VAT)^[3]

The President has approved a phased introduction of public health insurance by 1 October, 2026, typically funded through taxes, ensuring that citizens incur no additional costs for covered medical services. The Ministry of Health will approve a guaranteed package of free medical services by the end of 2024, which will include medications and laboratory tests for common illnesses. To this end, the Fund for Public Health Insurance has been established under the resolution, which will be formed through citizens' taxes and cover expenses for medications. Both public and private healthcare institutions will be involved in delivering these services. Financing will be based on agreements with the state health insurance fund. Medications included in the guaranteed package will be provided to patients at no cost, based on electronic prescriptions issued by doctors.

As a specialized company, Rödl & Partner offers comprehensive legal and advisory support for investors looking to operate in Uzbekistan. Our expertise includes:

Legal advice in the healthcare sector: We help you understand the specific requirements and opportunities in the Uzbek market.
Support for establishing and operating healthcare services: We advise you on the legal establishment and operation of your healthcare projects.
Strategic planning and advisory for investments in Uzbek projects: Our experienced consultants support you in planning and implementing your investment strategies.

The introduction of state health insurance in Uzbekistan promises significant improvements in the healthcare sector and offers numerous opportunities for investors. The establishment of a transparent and accessible healthcare system will open new markets for innovative companies. If you would like to learn more about the opportunities in Uzbekistan or need support with your investment plans, we are here to assist you. Together, we can shape the future of healthcare in Uzbekistan.

[1] Resolution of the President of the Republic of Uzbekistan, from 05.09.2024 г. № RP-311

[2] Chapter 3. Rights and obligations of the Fund Resolution of the President of the Republic of Uzbekistan, from 05.09.2024 г. № RP-311

[3] Article 483. Temporary tax exemptions (part 35) Tax Code Republic of Uzbekistan