natgillin/translations-raw huggingface dataset:
(2) The Tax Administration shall submit to the Fund, by the twentieth day of the month for the preceding month, all records relating to payments of contributions and other revenue of mandatory health insurance and mandatory health insurance against accidents at work and occupational diseases which fall within its remit and on which it keeps records.
(2) Porezna uprava obvezna je do 20. dana u mjesecu za prethodni mjesec dostaviti Zavodu sve evidencije koje se odnose na uplatu doprinosa i ostalih prihoda obveznoga zdravstvenog osiguranja i obveznoga zdravstvenog osiguranja za slučaj ozljede na radu i profesionalne bolesti za koje je nadležna i za koje vodi evidenciju.
(3) The contribution rates for mandatory health insurance and mandatory health insurance against accidents at work and occupational diseases shall be determined in such a manner that, according to the Fund's data, the expected expenditures are covered by the expected proceeds from contributions and other revenue.
(3) Stope doprinosa za obvezno zdravstveno osiguranje i obvezno zdravstveno osiguranje za slučaj ozljede na radu i profesionalne bolesti, a prema podacima Zavoda, utvrđuju se na način da se očekivanim prihodima od doprinosa i drugim prihodima pokriju očekivani izdaci.
Unless otherwise provided for in this Act or in a special law, contribution bases, the method of calculation and payment of contributions, contribution levels and persons liable to calculate and pay contributions for mandatory health insurance and mandatory health insurance against accidents at work and occupational diseases shall be determined by a general by-law to be issued by the Fund.
Ako ovim ili posebnim zakonom nije drukčije propisano, osnovice, način obračuna i plaćanja, visinu, te obveznike obračunavanja i plaćanja doprinosa za obvezno zdravstveno osiguranje i obvezno zdravstveno osiguranje za slučaj ozljede na radu i profesionalne bolesti utvrdit će općim aktom Zavod.
The funds for mandatory health insurance of the insured's family members referred to in Article 10 of this Act shall be derived from the same sources of funds as the funds for mandatory health insurance of the insured, unless otherwise provided for in this Act or in a special law.
Sredstva za obvezno zdravstveno osiguranje članova obitelji osiguranika iz članka 10. ovoga Zakona, osiguravaju se iz istih izvora sredstava iz kojih se osiguravaju sredstva za obvezno zdravstveno osiguranje osiguranika, osim ako ovim Zakonom ili posebnim zakonom nije drukčije propisano.
Farmers referred to in Article 7, paragraph 1, item 7 of this Act who have reached the age of 65 years shall be exempt from paying mandatory health insurance contributions if they meet the requirements prescribed in an ordinance issued by the minister responsible for health with the agreement of the minister responsible for social welfare.
Poljoprivrednik iz članka 7. stavka 1. točke 7. ovoga Zakona koji je navršio 65 godina života oslobađa se plaćanja doprinosa za obvezno zdravstveno osiguranje ako ispunjava uvjete koje pravilnikom utvrđuje ministar nadležan za zdravlje, uz suglasnost ministra nadležnog za poslove socijalne skrbi.
(1) Persons specified in a special law as being liable to pay special contributions for the use of health care abroad may be exempt from paying such contribution for an insured who is not insured with a health insurance provider in the country of work, if they pursue their activity in a third country with which the Republic of Croatia has not concluded an international agreement or an international agreement provides otherwise, provided that they ensure health care abroad at their own expense.
(1) Obveznici plaćanja posebnog doprinosa za korištenje zdravstvene zaštite u inozemstvu utvrđeni prema posebnom zakonu mogu biti oslobođeni plaćanja tog doprinosa za osiguranika koji nije osiguran kod nositelja zdravstvenog osiguranja u zemlji rada pod uvjetom da djelatnost obavljaju u trećoj državi s kojom Republika Hrvatska nema zaključen međunarodni ugovor ili je međunarodnim ugovorom drukčije određeno, ako su zdravstvenu zaštitu u zemlji rada osigurali o svojem trošku.
(2) The Fund shall, on application by a person liable to pay contributions as referred to in paragraph 1 of this Article, issue a decision on exemption from the payment of contributions.
(2) Na zahtjev obveznika uplate doprinosa iz stavka 1. ovoga članka oslobađanje plaćanja doprinosa utvrđuje Zavod rješenjem.
(3) An insured person travelling for private purposes to a third country with which the Republic of Croatia has not concluded an international agreement, or an international agreement has been concluded but does not regulate the health insurance issue, may report to the Fund his/her stay in the third country and pay a special contribution for the use of health care in third countries at the expense of the Fund.
(3) Osigurana osoba koja po privatnom poslu putuje u treće države s kojima Republika Hrvatska nema sklopljen međunarodni ugovor ili sklopljenim međunarodnim ugovorom nije uređeno pitanje zdravstvene zaštite, može podnijeti Zavodu prijavu boravka u trećoj državi te uplatiti poseban doprinos za korištenje zdravstvene zaštite u trećim državama na teret sredstava Zavoda.
(4) The insured person referred to in paragraph 3 of this Article who did not report to the Fund his/her stay in a third country, and had not previously paid a special contribution for using health care in the third country during the planned stay in the third country, shall not be entitled to receive compensation for the costs of this health care at the expense of the mandatory health insurance funds, unless otherwise provided for in a general by-law of the Fund.
(4) Osigurana osoba iz stavka 3. ovoga članka koja ne podnese Zavodu prijavu boravka u trećoj državi i prethodno ne uplati poseban doprinos za korištenje zdravstvene zaštite u trećoj državi za sve vrijeme planiranog boravka u trećoj državi, ako općim aktom Zavoda nije drukčije propisano, nema pravo na teret sredstava obveznoga zdravstvenog osiguranja ostvariti naknadu troškova te zdravstvene zaštite.
(5) The contribution base and rate and the method of calculation and payment of a special contribution for the use of health care in a third country, which are applicable to insured persons staying in a third country for private purposes, shall be determined by the Fund by way of a general by-law, unless otherwise provided for in a special law.
(5) Osnovicu i stopu te način obračuna i uplate posebnog doprinosa za korištenje zdravstvene zaštite u trećoj državi za osigurane osobe koje po privatnom poslu borave u trećoj državi utvrđuje Zavod općim aktom, ako posebnim zakonom nije drugačije utvrđeno.
(1) For the purpose of verifying the accuracy of the data and facts on which the exercise of the rights under mandatory health insurance depends, the Fund shall be entitled to examine business books, financial documents and other records kept by persons liable to pay contributions.
(1) Radi utvrđivanja točnosti podataka i činjenica o kojima ovisi ostvarivanje prava iz obveznoga zdravstvenog osiguranja Zavod ima pravo kontrole poslovnih knjiga, financijske dokumentacije i drugih evidencija obveznika uplate doprinosa.
(2) The Tax Administration, the Central Register of Insured Persons, state authorities and other competent authorities shall submit to the Fund the information that they have in their possession and of which they keep official records required for the exercise of rights under mandatory health insurance.
(2) Porezna uprava, Središnji registar osiguranika, tijela državne vlasti i druga nadležna tijela obvezni su Zavodu dostavljati podatke kojima raspolažu i o kojima vode službene evidencije potrebne za ostvarivanje prava iz obveznoga zdravstvenog osiguranja.
(3) If during the verification referred to in paragraph 1 of this Article the Fund discovers irregularities, it shall draw up a report thereon and shall submit that report to the Tax Administration, which shall take action falling within its competence in accordance with the procedure laid down in a regulation issued by the minister responsible for finance.
(3) Ako Zavod u postupku provjere iz stavka 1. ovoga članka utvrdi nepravilnosti, o tome sastavlja zapisnik koji dostavlja Poreznoj upravi na nadležno postupanje utvrđeno propisom ministra nadležnog za financije.
(4) The Fund shall issue a general by-law specifying the manner in which the examination referred to in paragraph 1 of this Article is to be conducted.
(4) Način kontrole iz stavka 1. ovoga članka utvrđuje Zavod općim aktom.
(1) For the insured referred to in Article 7, paragraph 1, items 3, 4, 6, 7, 8 and 9 of this Act, pension beneficiaries and disability benefit beneficiaries who exercise this right exclusively with respect to a foreign pension or disability insurance provider as referred to in Article 7, paragraph 1, item 12 of this Act, the insured referred to in Article 13 of this Act and other persons insured under mandatory health insurance in accordance with a special law, who are liable to calculate and pay contributions for mandatory health insurance, but who have not paid contributions for a period of at least 30 days, rights under mandatory health insurance shall be limited to the right to urgent medical assistance.
(1) Osiguranicima iz članka 7. stavka 1. točaka 3., 4., 6., 7., 8. i 9. ovoga Zakona, korisnicima mirovine i invalidnine koji to pravo ostvaruju isključivo od stranog nositelja mirovinskog i invalidskog osiguranja iz članka 7. stavka 1. točke 12. ovoga Zakona, osiguranicima iz članka 13. ovoga Zakona te drugim osiguranicima osiguranim na obvezno zdravstveno osiguranje sukladno posebnom zakonu - obveznicima obračunavanja i plaćanja doprinosa za obvezno zdravstveno osiguranje, a koji nisu uplatili doprinos za najmanje 30 dana prava iz obveznoga zdravstvenog osiguranja ograničavaju se na pravo na hitnu medicinsku pomoć.
(2) Urgent medical assistance shall mean the provision of diagnostic and therapeutic procedures that are necessary to eliminate imminent danger to life and health.
(2) Pod hitnom medicinskom pomoći podrazumijeva se pružanje dijagnostičkih i terapijskih postupaka koji su nužni u otklanjanju neposredne opasnosti za život i zdravlje.
(3) The rights referred to in paragraph 1 of this Article shall be fully recovered for a future period starting from the day when the overdue contributions and the relevant interest have been paid.
(3) Puni opseg prava iz stavka 1. ovoga članka uspostavlja se unaprijed, od dana podmirenja dužnog iznosa doprinosa s pripadajućim kamatama.
3. Allocation of funds in the State Budget
3. Osiguranje sredstava u državnom proračunu
(1) The Republic of Croatia shall allocate special funds in the State Budget for rights under mandatory health insurance, for the following:
(1) Republika Hrvatska osigurava u državnom proračunu posebna sredstva za prava iz obveznoga zdravstvenog osiguranja, i to za:
1. funds for salary compensations during temporary incapacity referred to in Article 39, item 9 and Article 52, paragraph 2 of this Act,
1. sredstva za naknadu plaće za vrijeme privremene nesposobnosti iz članka 39. točke 9. i članka 52. stavka 2. ovoga Zakona,
2. health care costs for:
2. troškove zdravstvene zaštite za:
a. the insured referred to in Article 7, paragraph 1, items 13, 16, 17 and 19 and Article 11, paragraph 1, item 3 of this Act for whom contributions are not paid in accordance with Article 72, paragraph 1, item 3 of this Act, and the insured referred to in Article 7, paragraph 1, items 14, 15, 18, 20, 21, 25, 26 and 27 of this Act,
a. osiguranike iz članka 7. stavka 1. točaka 13., 16., 17. i 19. te članka 11. stavka 1. točke 3. ovoga Zakona, za koje se doprinos ne uplaćuje u skladu s člankom 72. stavkom 1. točkom 3. ovoga Zakona, te za osiguranike iz članka 7. stavka 1. točaka 14., 15., 18., 20., 21., 25., 26. i 27. ovoga Zakona,
b. insured persons referred to in Article 15 of this Act,
b. osigurane osobe iz članka 15. ovoga Zakona,
c. insured persons referred to in Article 78 of this Act,
c. osigurane osobe iz članka 78. ovoga Zakona,
d. preventive and specific health care of school children and university students,
d. preventivnu i specifičnu zdravstvenu zaštitu školske djece i studenata,
e. preventive health care of insured persons over the age of 65,
e. preventivnu zdravstvena zaštita osiguranih osoba starijih od 65 godina života,
f. preventive health care of insured persons with disabilities entered in the register established by a special regulation,
f. preventivnu zdravstvena zaštita osiguranih osoba s invaliditetom iz registra utvrđenog posebnim propisom,
g. funds to cover the difference in the costs of organising primary health care that goes beyond the established standards due to demographic features (islands, population density),
g. razliku u troškovima organizacije primarne zdravstvene zaštite iznad propisanih normativa izazvane demografskim karakteristikama (otoci, gustoća naseljenosti),
h. funds to cover the difference in the costs of health care contracted and paid according to the population size, and not according to the number of insured persons (emergency medical services, health visiting service, hygiene-epidemiology services),
h. razliku u troškovima zdravstvene zaštite koja se ugovara i plaća prema broju stanovnika, a ne prema broju osiguranih osoba (hitna medicina, patronažna zdravstvena zaštita, higijensko-epidemiološka zdravstvena zaštita),
i. the provision of health care services on the basis of international social security agreements.
i. provođenje zdravstvene zaštite osnovom međunarodnih ugovora o socijalnom osiguranju.
(2) The funds referred to in paragraph 1 of this Article shall be paid into the Fund's account by the tenth day of the month for the previous month, and shall be the revenue of the Fund.
(2) Sredstva iz stavka 1. ovoga članka uplaćuju se na račun Zavoda do 10. dana u mjesecu za prethodni mjesec i prihod su Zavoda.
The Fund shall have business funds for:
Zavod ima poslovne fondove za:
1. rights arising from mandatory health insurance,
1. prava iz obveznoga zdravstvenog osiguranja,
2. rights arising from mandatory health insurance against accidents at work and occupational diseases,
2. prava iz obveznoga zdravstvenog osiguranja za slučaj ozljede na radu i profesionalne bolesti,
3. supplementary health insurance pursuant to a special law,
3. dopunsko zdravstveno osiguranje sukladno posebnom zakonu,
4. additional health insurance pursuant to a special law.
4. dodatno zdravstveno osiguranje sukladno posebnom zakonu.
(1) The Fund shall have a reserve for the implementation of rights arising from mandatory health insurance.
(1) Zavod ima pričuvu za provedbu prava iz obveznoga zdravstvenog osiguranja.
(2) If the final accounts reveal a surplus of revenue, at least 50 % of this surplus shall be placed in the reserve.
(2) Ako se po završnom računu utvrdi višak prihoda, taj se višak unosi u pričuvu izdvajanjem najmanje 50% viška prihoda.
(3) The Governing Council of the Fund shall supervise the use of the reserve.
(3) Nadzor nad korištenjem pričuve obavlja Upravno vijeće Zavoda.
(1) The reserve referred to in Article 84 of this Act may not exceed one twelfth of the expenditures planned in the current year for the implementation of the set scope of rights arising from mandatory health insurance.
(1) Pričuva iz članka 84. ovoga Zakona može iznositi najviše jednu dvanaestinu planiranih rashoda u tekućoj godini za provedbu utvrđenog opsega prava iz obveznoga zdravstvenog osiguranja.
(2) During the year the reserve may be used as working capital for settling current liabilities of the Fund, and as a loan, provided that the funds plus interest be repaid by the end of the following year at the latest.
(2) Tijekom godine pričuva se može koristiti kao obrtno sredstvo za podmirivanje tekućih obveza Zavoda te kao pozajmica uz obvezu vraćanja najkasnije do kraja iduće godine uz kamatu.
(3) The reserve shall be used to cover an excess of expenditures over revenues and to cover losses of the Fund.
(3) Pričuva služi za pokrivanje viška rashoda nad prihodima i sanaciju gubitaka Zavoda.
(1) The Fund shall keep records in order to have available the information necessary for the implementation of mandatory health insurance and for the supervision of the exercise of rights arising from mandatory health insurance.
(1) U svrhu osiguravanja podataka potrebnih za provođenje obveznoga zdravstvenog osiguranja te nadzor nad ostvarivanjem prava iz obveznoga zdravstvenog osiguranja u Zavodu se vode evidencije.
(2) The Governing Council of the Fund shall issue general by-laws specifying the manner and place of keeping records, their form, content and related time limits, as well as persons required to keep records.
(2) Opće akte o načinu i mjestu vođenja, obliku, sadržaju i rokovima evidencije te obveznicima vođenja evidencija donijet će Upravno vijeće Zavoda.
VII RELATIONSHIP BETWEEN THE FUND AND HEALTH CARE INSTITUTIONS, HEALTH CARE PROFESSIONALS IN PRIVATE PRACTICE AND MEDICAL DEVICE SUPPLIERS
VII. ODNOS ZAVODA I ZDRAVSTVENIH USTANOVA, ZDRAVSTVENIH RADNIKA U PRIVATNOJ PRAKSI I ISPORUČITELJA POMAGALA
1. Contracting of health care services
1. Ugovaranje zdravstvene zaštite
(1) With the consent of the minister responsible for health and after obtaining an opinion from the competent chambers, and in accordance with the established scope of rights to health care referred to in Articles 19, 20 and 23 of this Act and the established standards and norms of health care under mandatory health insurance as provided for in Article 33 of this Act, the Fund shall issue a general by-law specifying the manner in which health care is to be provided, the elements and criteria for launching calls for tenders and the bases for concluding contracts with health care institutions and private health care professionals that participate in the public health service network, the emergency medicine network and the network of contracted occupational medicine providers, the full price of individual health care services under mandatory health insurance, the maximum annual amount of funds for the provision of contracted hospital services, and the method and time limits for paying bills for health care services provided under mandatory health insurance.
(1) Zavod općim aktom uz suglasnost ministra nadležnog za zdravlje, po prethodno pribavljenom mišljenju nadležnih komora, u skladu s utvrđenim opsegom prava na zdravstvenu zaštitu iz članaka 19., 20. i 23. ovoga Zakona te s utvrđenim standardima i normativima zdravstvene zaštite iz obveznoga zdravstvenog osiguranja sukladno članku 33. ovoga Zakona, utvrđuje način provođenja zdravstvene zaštite, elemente i kriterije za raspisivanje natječaja i osnove za sklapanje ugovora sa zdravstvenim ustanovama i privatnim zdravstvenim radnicima koji su uključeni u mrežu javne zdravstvene službe, mrežu hitne medicine i mrežu ugovornih subjekata medicine rada, punu cijenu pojedine zdravstvene usluge iz obveznoga zdravstvenog osiguranja, maksimalni godišnji iznos sredstava za provođenje ugovorene bolničke zdravstvene zaštite te način i rokove plaćanja računa za pruženu zdravstvenu zaštitu iz obveznoga zdravstvenog osiguranja.
(2) With the consent of the minister responsible for health, and in accordance with the established scope of rights to health care referred to in Articles 19, 20 and 22 of this Act and the established standard of the right to orthopaedic aids and other devices pursuant to a general by-law of the Fund, the Fund shall issue a general by-law specifying the bases for concluding contracts with suppliers of orthopaedic aids and other devices who meet the conditions for the manufacture or supply of medical devices as provided for in a special law, as well as the prices for medical devices and the method and time limits for paying bills for devices supplied.
(2) Zavod općim aktom uz suglasnost ministra nadležnog za zdravlje, u skladu s utvrđenim opsegom prava na zdravstvenu zaštitu iz članaka 19., 20. i 22. ovoga Zakona, te utvrđenim standardom prava na ortopedska i druga pomagala sukladno općem aktu Zavoda, utvrđuje osnove za sklapanje ugovora s isporučiteljima ortopedskih i drugih pomagala koji ispunjavaju uvjete za proizvodnju, odnosno isporuku pomagala sukladno posebnom zakonu te cijene pomagala, način i rokove plaćanja računa za isporučena pomagala.
(3) General by-laws referred to in paragraphs 1 and 2 of this Article shall specify the beginning and end of the contractual period for which a call for tenders for the conclusion of contracts on the provision of health care under mandatory health insurance is launched.
(3) Općim aktom iz stavaka 1. i 2. ovoga članka obvezno se utvrđuje početak i kraj ugovornog razdoblja za koje se raspisuje natječaj za prikupljanje ponuda za sklapanje ugovora o provođenju zdravstvene zaštite iz obveznoga zdravstvenog osiguranja.
(1) In accordance with the by-law referred to in Article 87, paragraph 1 of this Act, and in accordance with the identified needs for supplementing the public health service network, the emergency medicine network and the network of contracted occupational medicine providers, the Fund shall, as a rule, call for tenders every three years, unless otherwise provided for in the general by-law referred to in Article 87, paragraph 1 of this Act, for the purpose of concluding contracts with health care institutions and private health care professionals for the provision of health care under mandatory health insurance at the primary, secondary and tertiary levels of care, and at the level of health institutes, unless otherwise provided for in a special law.
(1) Sukladno aktu iz članka 87. stavka 1. ovoga Zakona, Zavod u skladu s utvrđenim potrebama za popunu mreže javne zdravstvene službe, mreže hitne medicine i mreže ugovornih subjekata medicine rada, u pravilu, svake treće godine, ako općim aktom iz članka 87. stavka 1. ovoga Zakona nije drukčije određeno, objavljuje natječaj za sklapanje ugovora sa zdravstvenim ustanovama i privatnim zdravstvenim radnicima za provođenje zdravstvene zaštite iz obveznoga zdravstvenog osiguranja u zdravstvenim djelatnostima na primarnoj, sekundarnoj i tercijarnoj razini zdravstvene djelatnosti te na razini zdravstvenih zavoda, ako posebnim zakonom nije drukčije utvrđeno.
(2) In accordance with the by-law referred to in Article 87, paragraph 2 of this Act, the Fund shall, as a rule, call for tenders every three years, unless otherwise provided for in the general by-law referred to in Article 87, paragraph 2 of this Act, for the purpose of concluding contracts with suppliers of orthopaedic aids and other devices.
(2) Sukladno aktu iz članka 87. stavka 2. ovoga Zakona, Zavod u pravilu svake treće godine, ako općim aktom iz članka 87. stavka 2. ovoga Zakona nije drukčije određeno, objavljuje natječaj za sklapanje ugovora s isporučiteljima ortopedskih i drugih pomagala.
(3) On the basis of the tenders for the provision of health care, which have been received under a call for tenders referred to in paragraphs 1 and 2 of this Article, the Fund shall, with the consent of the minister responsible for health, issue a decision on the selection of the most favourable tenderers.
(3) Na temelju ponuda za provođenje zdravstvene zaštite prema objavljenom natječaju iz stavaka 1. i 2. ovoga članka Zavod, uz suglasnost ministra nadležnog za zdravlje, donosi odluku o izboru najpovoljnijih ponuditelja.
(4) A tenderer whose tender submitted under a call for tenders referred to in paragraphs 1 and 2 of this Article has not been accepted may lodge an appeal with the minister responsible for health within 15 days from the day of being notified that the tender has not been accepted.
(4) Ponuditelj čija ponuda na natječaj iz stavaka 1. i 2. ovoga članka nije prihvaćena ima pravo uložiti žalbu ministru nadležnom za zdravlje u roku od 15 dana od dana zaprimanja obavijesti o neprihvaćanju ponude.
(5) The appeal referred to in paragraph 4 of this Article shall be determined by way of a decision against which an administrative dispute may be initiated.
(5) O žalbi iz stavka 4. ovoga članka odlučuje se rješenjem protiv kojega se može pokrenuti upravni spor.