Moreover, every physician or medical structure is subject to a control system to verify the real professional status. The Reform provides the introduction of a new form of financing, notably NHS integrative funds . The NHS shall refund the health care costs not covered by the essential and uniform assistance levels and supplied by specialists and accredited structures. The exclusive relation is both an essential condition for the medical structure management and also a preferential condition for didactic and research assignments. The Reform introduces the principle of a unique career and level for the medical profession and states that general directors of hospitals will no longer have a 'tenure', but will be periodically examined by a medical commission which will evaluate both the financial results and the service quality hospitals supply to citizens.
Districts become the key levels of medical assistance, integrated by sub-contracted physicians.
Districts, within the limits of their budget resources, will have financial and managing autonomy. ASLs will operate through private law acts. In order to maintain their assignments, they must produce, withinin 18 months from appointment, the Certificate of Attendance of ad hoc regional courses. Creation of a quality certification system for health care operators. Introduction of NHS integrative funds.