LAW N° 03/2015 OF 02/03/2015 GOVERNING THE ORGANISATION OF THE COMMUNITY-BASED HEALTH INSURANCE SCHEME

Ingingo ya mbere: Icyo iri itegeko rigamije Article One: Purpose of this Law In2in2o ya 2: Ibisobanuro by'amagambo Article premier: Objet de la presente loi Ingingo ya mbere: Icyo iri Itegeko rigamije Iri tegeko rishyiraho kandi rigena imitunganyirize y'ubwisungane mu kwivuza. Article One: Purpose of this Law Article premier: Objet de la presente loi This Law establishes and determines the organisation of the community-based health insurance scheme. La presente loi porte creation et organisation du regime des mutuelles de sante.

Article 2: Definitions Article 2: Definitions UMUTWE WA II: IMITUNGANYIRIZE Y'UBWISUNGANE MU KWIVUZA Icyiciro cya mbere: Ishyirwaho n'icungwa ry'ubwisungane mu kwivuza Ingingo ya 2: Ibisobanuro by'amagambo Article 2: Definitions Article 2: Definitions Muri iri tegeko, amagambo akurikira asobanurwa ku buryo bukurikira: In this Law, the following terms shall have the following meaning: Au sens de la presente loi, les termes suivants ont les significations suivantes: 1° agashami: Urwego rw'ubwisungane mu kwivuza ku rwego rw'ikigo nderabuzima; 1° section: a facility of the Community- Based Health Insurance Scheme based at the health centre level; 1° section : Service des mutuelles de sante au niveau du centre de sante ; 2° ibitaro: urwego rw'ubuvuzi bwisumbuye cyangwa buhanitse rukorera ku rwego rw'Akarere, cyangwa urw'Igihugu; urw'Intara 2° hospital: a medical facility which advanced at District, provides mid-range or medical care Provincial or National levels; either 2° hopital : etablissement pourvoyant des soins medicaux intermediaires ou avances au niveau du District, Province ou au niveau National ; 3° ikigo nderabuzima:urwego rw'ubuvuzi ku Murenge bw'ibanze rukorera 3° health centre: a primary health facility based at Sector level which 3° centre de sante : formation sanitaire basee au niveau du Secteur pourvoyant des soins 11 P D F c o m p r e s s o n , i O C R , w e b o p t i i m z a t i o n i u s n g a w a t e r m a r k e d l e v a u a t i o n c o p y o f I I C V S O N P D F C o m p r e s s o r Official Gazette n° 15 of 13/0412015 by'ubuvuzi ibikorwa ahatangirwa byiganjemo kurinda no kuvura indwara zorohej e; provide essential medical including disease prevention primary healthcare services; services and curatifs et preventifs essentiels; 4° inyunganirabwishyu: rw'umunyamuryango yishingiye mu by'ubuvuzi yakorewe; cyangwa kwishyura uruhare uwo ibikorwa 4° co-payment: amount of money paid for by a member of a community- insurance scheme or based health receiving his /her beneficiary after medical care; 4° ticket moderateur: somme d'argent versee par une personne affiliee a la mutuelle de sante ou par son beneficiaire apres avoir beneficie des soins medicaux ; 50 ivuriro ry'ibanze: urwego rw'ubuvuzi bw'ibanze rukorera ku Kagari ahatangirwa ibikorwa by'ubuvuzi byiganjemo kurinda no kuvura indwara zoroheje; 5° health post: a primary health facility based at Cell level providing medical care including disease prevention and basic treatments; 5° poste de sante : formation sanitaire basee au niveau de la Cellule qui pourvoit des soins preventifs et curatifs essentiels; 6° ubuvuzi buhanitse: ibikorwa by'ubuvuzi bikorerwa mu bitaro by'Intara, ibya Kaminuza, iby'icyitegererezo bya Leta, ibifatanya na Leta ku bw'amasezerano bifitanye iby' abigenga cyangwa amasezerano n'ikigo cya Leta gifite ubwisungane mu kwivuza mu nshingano zacyo; 6° tertiary care: medical services provided by Provincial hospital, university hospital, public referral hospital, Government aided hospital or which private-owned concluded a contract with the public covers institution whose insurance community-based health scheme; hospital remit 6° soins medicaux tertiaires : l'hopital services medicaux pourvus par de Province, hopital universitaire, hopital public de reference, hopital conventionne ou l'hopital prive ayant signe un contrat avec les mutuelles de sante dans ses attributions ; l'institution publique ayant y'ibanze 7° ubuvuzi bw'ibanze: ibikorwa byerekeye kuvura no gukingira bikorerwa ku rwego n'ibigo rw' amavuriro nderabuzima bya Leta, ibifatanya na Leta ku bw'amasezerano no ku mavuriro yigenga yo kuri urwo rwego yagiranye amasezerano n'Ikigo gifite ubwisungane mu kwivuza mu nshingano zacyo; 7° primary healthcare: acts relating to treatment and immunisation carried out at the level of health posts, public centres, Government aided health health centres and at private health facilities which concluded a contract the community-based health with 7° soins essentiels: soins curatifs et preventifs dispenses au niveau des postes de sante, des centres de sante publics, des centres de sante conventionnes et des etablissements de sante prives ayant signe un contrat avec la mutuelle de sante ; 12 P D F c o m p r e s s o n , i O C R , w e b o p t i i m z a t i o n i u s n g a w a t e r m a r k e d l e v a u a t i o n c o p y o f 8° ubuvuzi bwisumbuye: bikorerwa by'Akarere ibikorwa by'ubuvuzi rwego ku rw'ibitaro bya Leta, Leta iby' abafatanya ku iby'abigenga bw'amasezerano cyangwa bifitanye amasezerano n'ikigo cya Leta gifite ubwisungane mu kwivuza mu nshingano zacyo; na 9° ubuvuzi bwo mu bitaro: ibikorwa byerekeye kuvura no gukingira bikorerwa ku rwego rw' ibitaro; abantu 10° ubwisungane mu kwivuza: bishyira uburyo magirirane hamwe batanga imisanzu biteganyiriza hamwe n'imiryango yabo kugira ngo bashobore kwirinda igihe barwaye; indwara no kwivuza 11° umusanzu: amafaranga atangwa n'umunyamuryango mu bwisungane mu kwivuza cyangwa atangirwa n'abandi kugira ngo ahabwe ubuvuzi bwagenwe. I I C V S O N P D F C o m p r e s s o r Official Gazette n° 15 of 13/0412015 insurance; 8° healthcare secondary services: medical care services provided by public District hospital, Government or private-owned aided hospital which concluded a contract with the public institution whose remit covers health community based insurance scheme; hospital 9° hospital care: to treatment and immunization carried out at the level of the hospital. relating acts 10° community-based health insurance Scheme: solidarity system in which persons come their families and pay contributions for the purpose of protection and receiving medical care in case of sickness; together with in 11° contribution: amount paid by a member community-based the health insurance scheme or paid for him/her by a third party for him/her to receive prescribed medical care. 13 8° soins medicaux intermediaires : services medicaux au niveau de l'hopital public du district, l'hopital conventionne ou l'hopital prive signe un avec l'institution publique ayant les mutuelles de sante dans ses attributions ; contrat ayant 9° soins hospitaliers: preventifs dispenses hopitaux ; soins curatifs et au niveau des 10° regime des mutuelles de sante: systeme d'entraide mutuelle entre des personnes qui, au moyen des cotisations versees pour elles-memes et leurs familles s'organisent en vue d'une prevention des maladies et d'obtention de soins medicaux en cas des maladies; 11° cotisation: somme versee par une personne affiliee a la mutuelle de sante ou payee pour elle par un tiers pour qu'elle obtienne les soins de sante prevus. P D F c o m p r e s s o n , i O C R , w e b o p t i i m z a t i o n i u s n g a w a t e r m a r k e d l e v a u a t i o n c o p y o f I I C V S O N P D F C o m p r e s s o r Official Gazette n° 15 of 13/0412015 UMUTWE WA II: IMITUNGANYIRIZE Y'UBWISUNGANE MU KWIVUZA CHAPTER II: ORGANISATION OF THE HEALTH COMMUNITY-BASED INSURANCE SCHEME CHAPITRE REGIME DES MUTUELLES DE SANTE II: ORGANISATION DU Icyiciro cya mbere: Ishyirwaho n'icungwa ry'ubwisungane mu kwivuza One: Section management of health insurance scheme Establishment and the community-based Section premiere: Creation et gestion du regime des mutuelles de sante Ingingo ya ry'ubwisungane mu kwivuza Ishyirwaho 3: n'icungwa Article 3: Establishment and management Article 3: Creation et gestion du regime des of the community-based health insurance scheme mutuelles de sante Hashyizweho ubwisungane mu kwivuza. is hereby established a community- There based health insurance scheme. Il est cree le regime des mutuelles de sante. Ubwisungane mu kwivuza bucungwa n'Ikigo cya Leta gifite ubwisungane mu kwivuza mu nshingano zacyo. community-based health insurance The scheme shall be under the management of the public institution in charge of community- based health insurance scheme. Le regime des mutuelles de sante est gere par l' etablissement public ayant le regime des mutuelles de sante dans ses attributions. cya Abanyamuryango Icyiciro b'ubwishingizi mu kwivuza, ibyo basabwa n' ibyishingirwa 2: Section 2: Members of the community- scheme, based requirements that apply to members and medical services covered insurance health

Ingingo ya 3: ry'ubwisungane mu kwivuza Ishyirwaho n'icungwa CHAPTER II: ORGANISATION OF THE HEALTH COMMUNITY-BASED INSURANCE SCHEME Section One: management of health insurance scheme Establishment and the community-based Article 3: Establishment and management of the community-based health insurance scheme CHAPITRE REGIME DES MUTUELLES DE SANTE II: ORGANISATION DU Section premiere: Creation et gestion du regime des mutuelles de sante Article 3: Creation et gestion du regime des mutuelles de sante I I C V S O N P D F C o m p r e s s o r cya Abanyamuryango Icyiciro b'ubwishingizi mu kwivuza, ibyo basabwa n'ibyishingirwa 2: Section 2: Members of the community- based scheme, requirements that apply to members and medical services covered insurance health Section 2: Membres du regime des mutuelles de sante, conditions applicables aux membres et prestations medicales couvertes 5 P D F c o m p r e s s o n , i O C R , w e b o p t i i m z a t i o n i u s n g a w a t e r m a r k e d l e v a u a t i o n c o p y o f I I C V S O N P D F C o m p r e s s o r Official Gazette n° 15 of 13/0412015

Ingingo ya 4: Ibyiciro by'abanyamuryango b'ubwisungane mu kwivuza Article 4: Categories of membership in the community-based health insurance scheme Article 4: Categories des membres du regime des mutuelles de sante Ingingo ya 4: Ibyiciro by'abanyamuryango b'ubwisungane mu kwivuza Article 4: Categories of membership in the community-based health insurance scheme Section 2: Membres du regime des mutuelles de sante, conditions applicables aux membres et prestations medicales couvertes Article 4: Categories des membres du regime des mutuelles de sante Abanyamuryango kwivuza bari mu byiciro bibiri (2) bikurikira: b'ubwisungane mu Members of the community-based health insurance scheme the shall following categories: fall under Les membres du regime des mutuelles de sante rentrent dans les categories suivantes : 14 P D F c o m p r e s s o n , i O C R , w e b o p t i i m z a t i o n i u s n g a w a t e r m a r k e d l e v a u a t i o n c o p y o f I I C V S O N P D F C o m p r e s s o r Official Gazette n° 15 of 13/0412015 1° abanyamuryango basanzwe; 1° ordinary members ; 2° abanyamuryango b'icyubahiro. 2° honorary members. 1° membres ordinaires ; 2° membres d'honneur. usanzwe Umunyamuryango umuntu wiyandikishije mu bwisungane mu kwivuza, umusanzu w'ubwisungane mu utanga kwivuza cyangwa uwutangirwa n'abandi buri mwaka. ni An ordinary member is any person enrolled into the community-based health insurance scheme who, either personally or through a third party, pays an annual contribution. Est membre ordinaire toute personne inscrite au regime qui, personnellement ou par le truchement d'un tiers, paie une cotisation annuelle. des mutuelles sante de Abanyamuryango b 'icyubahiro ni abantu batanga inkunga cyangwa impano badatezeho kuvurwa cyangwa izindi nyungu. Honorary members are persons who provide support or donation without expecting any medical services or other benefits in return. Les membres d'honneur sont des personnes accordant un soutien ou un don sans s'attendre aux prestations medicales ou a d'autres avantages.

Ingingo ya 5: Igihe kuba umunyamuryango bitangirira Article 5: Commencement of membership Article 5: Debut d'affiliation Ingingo ya utangwa n' abanyamuryango, ingano yawo n'uburyo utangwamo 6: Umusanzu Ingingo ya 5: Igihe kuba umunyamuryango bitangirira Kuba umunyamuryango bitangira igihe buri muntu mu bagize urugo amaze gutanga cyangwa gutangirwa umusanzu usabwa. ya Ingingo utangwa n'abanyamuryango, ingano yawo n'uburyo utangwamo 6: Umusanzu Bun munyamuryango atanga umusanzu buri Ingano yawo n'uburyo utangwa mwaka. bigenwa ufite ubwisungane mu kwivuza mu nshingano ze. rya Minisitiri n'Iteka Article 5: Commencement of membership Article 5: Debut d'affiliation Membership shall be effective as of the time when each household member has, personally or through a third party, paid the required contribution. La quanta d'affilie commence aussitot que chaque membre du ménage verse, personnellement ou par le truchement d'un tiers, la cotisation requise.

Article 6: Contribution by members, and modalities of contribution payment rate Article 6: Cotisation des affilies, cotisation et modalites de paiement taux de Article 6: Contribution contribution and payment rate by members, modalities of Article 6: Cotisation des affilies, cotisation et modalites de paiement taux de Each member shall pay his/her annual contribution. The amount of the contribution and the modalities of its payment shall be determined by an Order of the Minister in charge of community-based health insurance scheme. Tout affilie paie sa cotisation chaque armee. Le montant de la cotisation et les modalites de son paiement sont determinees par Arrete du Ministre ayant le regime des mutuelles de sante dans ses attributions. 15 P D F c o m p r e s s o n , i O C R , w e b o p t i i m z a t i o n i u s n g a w a t e r m a r k e d l e v a u a t i o n c o p y o f I I C V S O N P D F C o m p r e s s o r Official Gazette n° 15 of 13/0412015

Ingingo ya 7: Abishingirwa mu bwisungane mu kwivuza Article 7: Beneficiaries of the community- based health insurance scheme Article 7: Beneficiaires du regime de mutuelle de sante Itangira n'irangira ryo Ingingo ya 7: Abishingirwa mu bwisungane mu kwivuza Article 7: Beneficiaries of the community- based health insurance scheme Article 7: Beneficiaires du regime de mutuelle de sante kwivuza Ubwisungane mu bwishingira abagize urugo iyo bose batanze umusanzu mu bwisungane mu kwivuza keretse ufite ubundi bwishingizi bw'indwara. community-based health insurance The scheme shall offer healthcare coverage to household members if all of them have paid their the respective contributions, with exception of any member insured under any other medical insurance scheme. Le regime des mutuelles de sante assure les soins de sante a tous les membres du ménage s'ils ont tous verse leurs cotisations respectives, excepte la personne couverte par une autre assurance maladie. Itangira n'irangira ryo

Ingingo ya 8: kwivuriza ku musanzu w'ubwisungane mu kwivuza Article 8: Validity of contribution to the community-based health insurance scheme Article 8: Validity de la cotisation au regime des mutuelles de sante Ingingo ya 8: kwivuriza ku musanzu w'ubwisungane mu kwivuza Article 8: Validity of contribution to the community-based health insurance scheme Article 8: Validity de la cotisation au regime des mutuelles de sante Umunyamuryango winjiye bwa mbere mu bwisungane mu kwivuza atangira kwivuriza ku musanzu we hashize iminsi mirongo itatu (30) atanze umusanzu. Icyakora, umwana w'uruhinj a, mu gihe atararenza amezi atatu bwishingizi (3) bw'umubyeyi we. Iyo arengeje amezi atatu (3), atangirwa uwe musanzu. yivuriza avutse, ku A member who joins for the first time the community-based health insurance scheme shall starts benefiting from medical care services thirty (30) days after the payment of his /her subscription fees. However, medical services for a child aged three (3) months and the child's younger shall be covered by parents' contribution. Payment of contribution shall be required for a child aged more than three (3) months. L'affilie qui souscrit au regime des mutuelles de sante pour la premiere fois beneficie des soins medicaux apres trente (30) jours du payement de la cotisation. Toutefois, les prestations medicales pour un enfant age de trois (3) mois et moins sont couvertes par la cotisation de son parent. Le paiement de la cotisation est requis pour un enfant age de plus de trois (3) mois. agomba Umunyamuryango kuvugurura ubwishingizi bwe mbere y'uko umwaka urangira, ariko akomeza kuvurwa iminsi (30) uhereyeigihe itarenze mirongo itatu ubwishingizi burangiye. The member shall renew his/her insurance before the benefiting year ends. However, he/she shall continue to receive medical care services for thirty days (30) upon expiry of the insurance. 16 fin de l'annee. Toutefois, L'affilie est tenu de renouveler son assurance avant la it continue de beneficier des soins medicaux dans un delai ne jours a dater de depassant pas l'expiration de l'assurance. trente (30) P D F c o m p r e s s o n , i O C R , w e b o p t i i m z a t i o n i u s n g a w a t e r m a r k e d l e v a u a t i o n c o p y o f I I C V S O N P D F C o m p r e s s o r Umwaka w'ubwisungane mu utangira ku ukarangira y'umwaka ukurikira. kwivuza itariki ya mbere Nyakanga 30 Kamena italiki ya ku Official Gazette n° 15 of 13/0412015 community-based health insurance L'Annee du regime de Mutuelle de sante a The scheme year shall commence on first July and base communautaire commence le premier end on 30 June of the following year. juillet et expire le 30 juin de l' annee suivante.

Ingingo ya 9: Ibyishingirwa mu kwivuza Article 9: Medical services covered Article 9: Prestations medicales couvertes Ingingo ya 9: Ibyishingirwa mu kwivuza Article 9: Medical services covered Article 9: Prestations medicales couvertes Ubwisungane mu kwivuza bwishingira imiti n'ibikorwa by'ubuvuzi bikurikira: 1° ibikorwa by'ubuvuzi bitangirwa ivuriro ku cyangwa ku kigo nderabuzima; n'imiti ry'ibanze 2° ibikorwa by'ubuvuzi rwego ku n'imiti rw'ibitaro bitangirwa by'Akarere cyangwa ibitaro by'Intara; 3° ibikorwa n'imiti by'ubuvuzi bitangirwa ku rwego rw'ibitaro bikuru bikuru cyangwa by'icyitegererezo. ibitaro Iteka rya Minisitiri ufite ubuzima mu nshingano ze rigena urutonde rw'ibikorwa by'ubuvuzi rwego rw'amavuriro avugwa mu gika cya mbere cy'iyi ngingo. bitangwa buri kuri Community-based health insurance scheme shall cover the following drugs and medical services: 1° drugs and medical services provided at the health post or health centre; 2° drugs and medical services provided at the hospital of District or Province; Le regime des mutuelles de sante assure les prestations en medicaments et services medicaux suivantes: 1° les prestations medicales et medicaments dispenses au niveau du poste de sante ou du centre de sante; 2° prestations medicales et medicaments dispenses au niveau des hopitaux de District ou de Province; 3° drugs and medical services provided at the hospital or referral hospital level; 3° prestations medicales et medicaments dispenses au niveau des hopitaux ou des hopitaux de reference. An Order of the Minister in charge of health shall determine medical services provided at each level of health facilities referred to under Paragraph One of this Article. Un Arrete du Ministre ayant la sante dans ses attributions determine les prestations medicales dispensees a chaque niveau d'etablissement de sante vise a l'alinea premier du present article.

Ingingo ya 10: Inyunganirabwishyu Article 10: Co-payment Article 10: Ticket moderateur Icyiciro by'ubuvuzi cya 3: Itangwa ry'ibikorwa Section 3: Provision of medical services Section 3: Offre des prestations medicales Ingingo ya 10: Inyunganirabwishyu Article 10: Co-payment Article 10: Ticket moderateur Umunyamuryango wese wivuje atanga Any member who benefits from medical care soins medicaux Tout affilie beneficiant des supporte le ticket moderateur. Le ticket moderateur 17 P D F c o m p r e s s o n , i O C R , w e b o p t i i m z a t i o n i u s n g a w a t e r m a r k e d l e v a u a t i o n c o p y o f Official Gazette n° 15 of 13/0412015 inyunganirabwi shyu. Uti shoboye ubifitiye icyemezo cy'ubuyobozi bubifitiye ububasha arayi shyurirwa. services shall pay a co-payment. A needy member with a due certificate from a competent administrative authority shall have his/her co-payment effected. est paye pour le compte d'un affilie necessiteux muni d'une attestation delivree par une autorite administrative competente. Ingano y' inyunganirabwi shyu n'ushinzwe kuyitangira abatishoboye bigenwa n'Iteka rya Minisitiri ufite ubwisungane mu kwivuza mu nshingano ze. The rate of co-payment and the person responsible for payment for the needy shall be determined by an Order of the Minister in charge of community-based health insurance scheme. Le taux du ticket moderateur et le responsable du paiement du ticket moderateur pour les necessiteux sont determines par Arrete du Ministre ayant le regime des mutuelles dans ses attributions. Icyiciro by' ubuvuzi cya 3: Itangwa ry'ibikorwa Section 3: Provision of medical services Section 3: Offre des prestations medicales

Ingingo ya 11: Amavuriro yemerewe kwakira abanyamuryango b'ubwisungane mu kwivuza 11: Hospitals health Article establishments opened to community-based health affiliated members insurance scheme and Article 11: Etablissements sanitaires et hopitaux ouverts aux affilies des mutuelles de sante Ingingo ya 11: Amavuriro yemerewe kwakira abanyamuryango b'ubwisungane mu kwivuza Article 11: Health facilities opened to community-based health insurance scheme affiliated members Article 11: Etablissements sanitaires ouverts aux affilies du regime des mutuelles de sante b'ubwisungane Abanyamuryango mu kwivuza bivuriza mu mavuriro ya Leta n'afatanya na Leta ku bw'amasezerano. Bemerewe kandi kwivurizamu mavuriro yigenga yagiranye amasezerano n'Ikigo cya Leta gifite Ubwisungane mu kwivuza mu nshingano zacyo. Community-based health insurance scheme affiliated members shall seek medical services from public and Government aided health facilities. They shall also seek medical services from private health care facilities which concluded a contract with the public institution in charge of the community-based health insurance scheme as regard. Les affilies aux mutuelles de sante beneficient des prestations medicales au niveau des etablissements de sante publics. Its beneficient des prestations medicales au niveau des etablissements de sante prives ayant conclu un contrat de service medical avec l'etablissement public ayant les mutuelles de sante dans ses attributions. I I C V S O N P D F C o m p r e s s o r Abanyamuryango mu kwivuza bivuza bahereye ku rwego rw'Ikigo nderabuzima cyangwa ku ivuriro ry'ibanze. b'ubwisungane Usibye uburwayi bwihutirwa, umurwayi of scheme community-based health Members insurance receive primary shall medical care from a health centre or from a health post. With exception of emergency cases, a patient Les affilies au regime des mutuelles de sante beneficient des soins medicaux a partir du centre de sante ou du poste de sante. A l'exception d'un cas d'urgence, le patient ne 18 P D F c o m p r e s s o n , i O C R , w e b o p t i i m z a t i o n i u s n g a w a t e r m a r k e d l e v a u a t i o n c o p y o f I I C V S O N P D F C o m p r e s s o r yivuriza ku bitaro by'icyiciro cyisumbuye ari rwa muganga uko ruhamwohereza. urupapuro afite Official Gazette n° 15 of 13/0412015 benefits from medical care of health facilities of superior category if he or she has a transfer note. beneficie des soins medicaux dans les hopitaux de categorie superieure que sur transfert medical.

Ingingo ya 12: Amasezerano ajyanye n'ibikorwa by'ubuvuzi Article 12: Contracts relating to medical services Article 12: Conventions relatives aux prestations medicales Ingingo ya 12: Amasezerano ajyanye n'ibikorwa by'ubuvuzi Article 12: Contracts relating to medical services Article 12: Conventions relatives aux prestations medicales Ikigo cya Leta gifite ubwisungane mu kwivuza mu nshingano zacyo kigirana amasezerano n'ibigo nderabuzima, amavuriro na za farumasi byujuje ibisabwa n'icyo kigo ajyanye n'ibikorwa by'ubuvuzi bikorerwa abanyamuryango b'ubwisungane mu kwivuza. institution in charge of the The public Community-based health insurance scheme shall conclude with health centres, health meeting facilities requirements set by the institution contracts in relation with medical care services provided to affiliated members of community-based health insurance scheme. pharmacies and

Ingingo ya 13: Ubuvuzi bwisumbuye Article 13: Secondary healthcare services Article 13: Soins medicaux intermediaires et tertiaires 6 P D F c o m p r e s s o n , i O C R , w e b o p t i i m z a t i o n i u s n g a w a t e r m a r k e d l e v a u a t i o n c o p y o f I I C V S O N P D F C o m p r e s s o r Official Gazette n° 15 of 13/0412015 n'ubuhanitse and tertiary care Icyiciro cya bwisungane mu kwivuza 4: Ubukemurampaka mu Section 4: Settlement of disputes connection with health insurance scheme in the community-based Section 4: Reglement des differends lies au regime des mutuelles de sante Ingingo n'ubwisungane mu kwivuza ya 14: Ikibazo kijyanye Ingingo ya 13: Ubuvuzi bwisumbuye n'ubuhanitse Article 13: Secondary healthcare services and tertiary care Ubuvuzi bwisumbuye cyangwa ubuhanitse buhabwa umunyamuryango hashingiwe kuri ibi bikurikira: Secondary healthcare or tertiary care services shall be insured to the beneficiary on basis of the following criteria : le L'Etablissement Public ayant regime des mutuelles de sante dans ses attributions conclut avec les centres de sante, les etablissements de sante et les pharmacies remplissant les conditions fixees par ce meme etablissement, des conventions de prestations medicales en faveur des affilies au regime des mutuelles de sante. Article 13: Soins medicaux intermediaires et tertiaires Les soins medicaux intermediaires ou tertiaires sont assures au beneficiaire sur la base des criteres suivants : 1° usibye igihe uburwayi bwihutirwa, umurwayi afite urupapuro rw'ivuriro rumwohereza ku ivuriro riri mu cyiciro cyisumbuye; agomba kuba 1° except for emergence cases, the beneficiary shall receive secondary if he/she has healthcare medical transfer; services 1° a l' exception le beneficiaire recoit des soins medicaux intermediaires sur transfert medical; urgents, des cas 2° kuba ubuvuzi muganga yagennye buri ku rutonde rw'ibyishingirwa. 2° the medical service recommended by Physician is on the list of covered services. 2° le service medical recommande par le medecin est sur liste des services la assures. 19 P D F c o m p r e s s o n , i O C R , w e b o p t i i m z a t i o n i u s n g a w a t e r m a r k e d l e v a u a t i o n c o p y o f I I C V S O N P D F C o m p r e s s o r Official Gazette n° 15 of 13/0412015 Icyiciro cya bwisungane mu kwivuza 4: Ubukemurampaka mu Section 4: Settlement of disputes connection with health insurance scheme in the community-based Section 4: Reglement des differends lies au regime des mutuelles de sante Ingingo n'ubwisungane mu kwivuza ya 14: Ikibazo kijyanye

Article 14:Claim related to community- based health insurance scheme Icyiciro cya ubwisungane mu kwivuza 5: Umutungo ugenewe Section 5: Property the community-based health insurance scheme intended for Article 14: Reclamation relative au regime des mutuelles de sante Section 5 : Patrimoine destine au regime des mutuelles de sante Article 14: Claim related to community based health insurance scheme Article 14: Reclamation relative au regime des mutuelles de sante Haseguriwe ibiteganywa n'amategeko agenga imiburanishirize y'imanza mbonezamubano, iz'umurimo, n'izubutegetsi iz'ubucuruzi, ikibazo kijyanye n'ubwisungane mu kwivuza mbere y'uko kigezwa mu rukiko kigomba kubanza kugezwa ku Buyobozi Bukuru bw'Ikigo gifite ubwisungane mu kwivuza mu nshingano zacyo. the civil, labour commercial, Subject to the provisions of the laws relating to and administrative procedure, a claim related to community-based health insurance must be referred to the General Management of the in charge of community-based institution health insurance scheme before being filed with the court of law. Sous reserve des dispositions des lois portant code de procedure civile, commerciale, sociale et administrative, une reclamation relative aux mutuelles de sante doit etre prealablement soumise de l'etablissement ayant les mutuelles de sante dans la juridiction. ses attributions avant de saisir la Direction Generale a Ikibazo cyagejejwe mu Buyobozi Bukuru bw'Ikigo gifite ubwisungane mu kwivuza mu nshingano zacyo, kigomba kuba cyasubijwe mu nyandiko mu gihe kitarenze ukwezi kumwe (1). The General Management of the institution in charge of community-based health insurance must respond to the claim in writing within a period of one month (1). les mutuelles de La Direction Generale de l'etablissement ayant ses attributions doit reserver une suite &rite a la reclamation dans un delai ne depassant pas un (1) mois. sante dans Ikibazo kivugwa mu gika kibanziriza iki cyagejejwe ku kigo gifite ubwisungane mu kwivuza mu nshingano zacyo, gitangwa mu icyemezo nyandiko cy' iyakira. kigatangirwa kandi The claim provided under the preceding paragraph lodged to the institution in charge of community-based health insurance shall be made in writing with an acknowledgment of receipt. La reclamation visee a l'alinea precedent portee aupres de les mutuelles de sante dans ses attributions est formulee par ecrit dont on recoit accuse de reception. l'etablissement ayant 20 P D F c o m p r e s s o n , i O C R , w e b o p t i i m z a t i o n i u s n g a w a t e r m a r k e d l e v a u a t i o n c o p y o f I I C V S O N P D F C o m p r e s s o r Official Gazette n° 15 of 13/0412015 Icyiciro cya ubwisungane mu kwivuza 5: Umutungo ugenewe Section 5: Property the community-based health insurance scheme intended for Section 5 : Patrimoine destine au regime des mutuelles de sante

Ingingo ya 15: Aho umutungo ugenewe ubwisungane mu kwivuza uturuka Article 15: Sources of property intended for the community-based health insurance scheme Article 15: Source du patrimoine destine au regime des mutuelles de sante UMUTWE WA III: UBUKANGURAMBA GA MU BWISUNGANE MU KWIVUZA CHAPTER III: MOBILISATION FOR THE COMMUNITY-BASED HEALTH INSURANCE SCHEME III: MOBILISATION CHAPITRE EN FAVEUR DU REGIME DES MUTUELLES DE SANTE Icyiciro cya mbere: Ishyirwaho rya Komite Nkangurambaga, abayigize n'inshingano zabo the Section One: Establishment Mobilization Committee, its members and responsibilities of Ingingo ya 15: Aho umutungo ugenewe ubwisungane mu kwivuza uturuka Umutungo kwivuza uturuka aha hakurikira: ugenewe ubwisungane mu Article 15: Sources of property intended for the community-based health insurance scheme The sources of property intended for the community-based health insurance scheme are the following: Article 15: Source du patrimoine destine au regime des mutuelles de sante Le patrimoine destine au regime des mutuelles de sante provient de sources suivantes: 1° umusanzu w'abanyamuryango; 1° members' contributions; 1° cotisations des affilies ; 2° inkunga ya Leta ingana na cumi n'atatu ku ijana (13%) aturuka ku ngengo y'imariisanzwe ya Minisiteri y'Ubuzima y'umwaka; 2° Government contribution equivalent to thirteen per cent (13%) of the domestic the Ministry of Health; annual budget of 2° la subvention de l'Etat equivalente a treize pour cent (13%) du budget ordinaire annuel du Ministere de la Sante; 3° inkunga ya buri Kigo cya Leta n'icy'abigenga bikorera mu Rwanda ituruka ku misanzu y'ubwishingizi bw'indwara; 3° contribution of subscription fees from every public and private health in insurance Rwanda; operating entities 3° contributions prelevees sur les cotisations d'entites d'assurance maladie publiques et privees operant au Rwanda ; 4° impano, inkunga n'indagano. 4° donation, grant and bequest. 4° don, subvention et legs. Iteka rya Minisitiri w'Intebe riteganya ingano n'uburyo bw'itangwa ry'inkunga ituruka mu bigo byose bitanga ubwishingizi bw'indwara mu Rwanda. An Order of the Prime Minister determines the amount and payment modalities of contributions from health insurance entities in Rwanda. Un Arrete du Premier Ministre fixe le montant et les modalites de paiement des cotisations provenant d'entites d'assurance maladie operant au Rwanda. Leta ikora ku buryo ubwisungane mu kwivuza buhora bwihagije mu mutungo kugira ngo bukomeze gukora neza ibinyujije mu isuzuma The Government shall, every year, ensure the availability of enough funds for the effective functioning of the community-based health L'Etat doit, chaque armee, s'assurer de la suffisance de ces fonds en vue du bon fonctionnement du regime des mutuelles de sante. 21 P D F c o m p r e s s o n , i O C R , w e b o p t i i m z a t i o n i u s n g a w a t e r m a r k e d l e v a u a t i o n c o p y o f I I C V S O N P D F C o m p r e s s o r Official Gazette n° 15 of 13/0412015 rya buri mwaka. insurance scheme. UMUTWE WA III: UBUKANGURAMBAGA MU BWISUNGANE MU KWIVUZA CHAPTER III: MOBILISATION FOR THE COMMUNITY-BASED HEALTH INSURANCE SCHEME III: MOBILISATION CHAPITRE EN FAVEUR DU REGIME DES MUTUELLES DE SANTE Icyiciro cya mbere: Ishyirwaho rya Komite Nkangurambaga, abayigize n'inshingano zabo the Section One: Establishment Mobilization Committee, its members and responsibilities of Section premiere: Creation du Comite de Mobilisation, ses attributions ses membres et Ingingo Nkangurambaga ya 16 Ishyirwaho ryaKomite Article 16: Mobilisation Committee Establishment of the

Ingingo ya 16 Nkangurambaga Ishyirwaho ryaKomite Article 16: Mobilisation Committee Establishment of the In2in2o Nkangurambaga na manda yabo Abagize ya 17: Komite Article 16: Creation du Comite de Mobilisation Article 16: Creation du Comite de Mobilisation HashyizwehoKomite Nkangurambaga ku rwego rw'Umudugudu, urw'Akagari n'urw'Umurenge. There is hereby established the mobilisation committee at the Village, Cell and the Sector levels Il est cree un Comite de Mobilisation au niveau du Village, de la Cellule et du Secteur. Ingingo Nkangurambaga na manda yabo 17: Abagize ya Komite

Article 17: Members of the Mobilisation Committee and their term of office In2in2o Nkangurambaga bashyirwaho, 18: Uko abagize Komite inshingano ya Article 17: Membres du Comite de Mobilisation et leur mandat Article 17: Members of the Mobilisation Committee and their term of office Article 17: Membres du Comite de Mobilisation et leur mandat Kuri bun rwego, Komite Nkangurambaga igizwe n'abantu b'abakorerabushake (5) bakurikira: batanu At each level, the Mobilization Committee shall be composed of the following five (5) members serving on a voluntary basis: A chaque niveau, le Comite de Mobilisation est compose des cinq (5) membres suivants ceuvrant titre benevole : 1° Perezida; 2° Visi Perezida; 3° Umunyamabanga; 4° Abajyanama babiri (2). 1° 2° 3° 4° the Chairperson; the Deputy Chairperson; the Secretary; two (2) counsellors. 1° un President; 2° un Vice-President; 3° un Secretaire; 4° deux (2) conseillers. Abagize Komite Nkangurambaga batorerwa manda y'imyaka ibiri (2) ishobora kongerwa. Members of the Mobilization Committee shall be elected for a renewable term of two (2) years. Les membres du Comite de Mobilisation sont elus pour un mandat de deux (2) ans renouvelable. 22 P D F c o m p r e s s o n , i O C R , w e b o p t i i m z a t i o n i u s n g a w a t e r m a r k e d l e v a u a t i o n c o p y o f I I C V S O N P D F C o m p r e s s o r ya 18: Uko Ingingo Nkangurambaga bashyirwaho, zabo n'urwego rubatoresha abagize Komite inshingano Official Gazette n° 15 of 13/0412015

Article 18: Procedures for designating members of the Mobilisation Committee, 7 Section premiere: Creation du Comite de Mobilisation, ses attributions ses membres et Article 18: Modalites de designation des membres du Comite de Mobilisation, leurs attributions et l'organe charge de l'organisation P D F c o m p r e s s o n , i O C R , w e b o p t i i m z a t i o n i u s n g a w a t e r m a r k e d l e v a u a t i o n c o p y o f I I C V S O N P D F C o m p r e s s o r Official Gazette n° 15 of 13/0412015 zabo n'urwego rubatoresha responsibilities their responsible for the organization of their election and the organ de leur election Icyiciro Nkangurambaga cya 2: Imikorere ya Komite Section 2: Functioning of the Mobilisation Committee Section 2: Fonctionnement du Comite de Mobilisation In2in2o Nkangurambaga ya 19: Mama za Komite Article 18: Procedures for designating members of the Mobilisation Committee, their the organ responsible for the organization of their election responsibilities and Article 18: Modalites de designation des membres du Comite de Mobilisation, leurs attributions et l'organe charge de l'organisation de leur election Abagize Komite Nkangurambaga y'Umudugudu batorwa n'abaturage b'uwo mudugudu bemerewe gutora. Members of the Mobilisation Committee at the Village level shall be elected by residents of the village legally entitled to vote. Les membres du Comite de Mobilisation au niveau de Village sont elus par l'ensemble de la population du village legalement autorises a voter. Abagize Komite Nkangurambaga Midugudu KomiteNkangurambagay'Akagari. bitoramo batowe mu abagize Abagize Komite Nkangurambaga batowe mu Tugari bitoramo abagize Komite Nkangurambaga y'Umurenge . Members of the Mobilisation Committee elected at the Village level shall elect from of themselves members the among Mobilisation Committee at the Cell level. Members of the Mobilisation Committee elected at the Cell level shall elect from among themselves members the Mobilisation Committee at the Sector level. of Les membres du Comite de Mobilisation elus au niveau du Village elisent en leur sein les membres du Comite de Mobilisation au niveau de Cellule. Les membres du Comite de Mobilisation elus au niveau de Cellule elisent en leur sein les membres du Comite de Mobilisation au niveau de Secteur. Abagize Komite Nkangurambaga batorewe kujya ku rwego rwisumbuye basimburwa mu nzego bari baratorewemo mbere. Members of the Mobilisation Committee elected to the higher level shall be replaced in the formerly occupied positions. Les membres du Comite de Mobilisation elus l'instance superieure sont remplaces dans leurs postes anterieurement occupes. Uburyo abagize Komite Nkangurambaga batorwa, inshingano zabo n'urwego rubatoresha bigenwa n'amabwiriza ya Minisitiri ufite Ubutegetsi bw'Igihugu mu nshingano ze. Procedures for the election of members of the Mobilisation Committee, their responsibilities and the organ responsible for the organization of their election shall be determined by the instructions of the Minister in charge of Local Government. 23 leurs attributions et Les modalites d'election des membres du Comite l'organe de Mobilisation, chargé de l'organisation de leur election sont determines par instructions emises par le Ministre ayant l'Administration Locale dans ses attributions. les P D F c o m p r e s s o n , i O C R , w e b o p t i i m z a t i o n i u s n g a w a t e r m a r k e d l e v a u a t i o n c o p y o f I I C V S O N P D F C o m p r e s s o r Official Gazette n° 15 of 13/0412015 Imikorere ya Komite Section 2: Functioning of the Mobilisation Committee Section 2: Fonctionnement du Comite de Mobilisation Icyiciro Nkangurambaga cya 2: In2in2o Nkangurambaga ya 19: Mama za Komite

Article 19: Meetings of the Mobilisation Committee Article 19: Reunions du Comite de Mobilisation Icyiciro Nkangurambaga cya 3: Inshingano za Komite Section 3: Mobilisation Committee Responsibilities of the Section Mobilisation 3: Attributions du Comite de Inshingano Ingingo ya 20: Nkangurambaga y'Umudugudu za Komite Article 19: Meetings of the Mobilisation Committee Article 19: Reunions du Comite de Mobilisation Mama isanzweya Komite Nkangurambaga iterana rimwe mu kwezi. Itumizwa kandiikayoborwa na Perezida cyangwa Visi Perezida iyo Perezida Inamaisanzweitumizwa nibura adahari. iminsi itatu (3) mbere y'uko iterana. idasanzwe ya Komite Nkangurambaga Mama ishobora guterana bibaye ngombwa itumijwe na Perezida cyangwa Visi Perezida iyo Perezida adahari, abyibwirije cyangwa bisabwe mu nyandiko na kimwe cya gatatu (1/3) cy'abayigize. Mama itumizwa hasigaye nibura iminsi itanu (5) mbere y'uko iterana. The Mobilisation Committee shall hold a meeting once a month. It shall be convened and chaired by the Chairperson or by the Deputy Chairperson in the absence of the Chairperson. The ordinary meeting shall be convened at least three days (3) before it is held. The Mobilisation Committee may hold an extraordinary meeting whenever is considered necessary upon the invitation of the Chairperson or the Deputy chairperson in the absence of the Chairperson, upon his/her own initiative or upon request by one-third (1/3) of its members. It shall be convened at least five (5) days before it is held. it Le Comite de Mobilisation tient sa reunion une fois par mois. Il est convoque et preside par le president ou le vice-president en l'absence du president. La reunion ordinaire est convoquee au moins trois (3) j ours avant sa tenue. Le Comite de Mobilisation peut tenir une reunion extraordinaire chaque fois que de besoin sur invitation du president ou du vice-president en l'absence du president, de sa propre initiative ou sur demande d'un tiers (1/3) de ses membres. Il est convoque au moins cinq (5) jours avant la tenue de la reunion. Iyo Perezida na Visi Perezida badahari inama itumizwa ikanayoborwa n'umukuru mu myaka. In the absence of both the Chairperson and the Deputy Chairperson, the meeting shall be convened and chaired by the oldest member. En cas d'absence du President et du Vice-President, la reunion est convoquee et presidee par le doyen en age. Ibyemezo bya Komite Nkangurambaga bifatwa ku bwumvikane busesuye bw'abayigize bari mu nama. Decisions of the Mobilisation Committee shall be made through consensus of members present. Les decisions du Comite de Mobilisation sont prises par consensus des membres presents a la reunion. 24 P D F c o m p r e s s o n , i O C R , w e b o p t i i m z a t i o n i u s n g a w a t e r m a r k e d l e v a u a t i o n c o p y o f I I C V S O N P D F C o m p r e s s o r Official Gazette n° 15 of 13/0412015 Icyiciro 3: Nkangurambaga cya Inshingano za Komite Section 3: Mobilisation Committee Responsibilities of the Section Mobilisation 3: Attributions du Comite de Inshingano

Article 20: Responsibilities of the Village Mobilisation Committee Article Mobilisation au niveau du Village 20: Attributions du Comite de In2in2o ya Nkangurambaga y'Akagari 21: Inshingano za Komite Ingingo ya 20: Nkangurambaga y'Umudugudu za Komite Article 20: Responsibilities of the Village Mobilisation Committee Article Mobilisation au niveau du Village 20: Attributions du Comite de Komite Nkangurambaga y'Umudugudu inshingano zikurikira: 1° gushishikariza abaturage kwitabira ubwisungane mu kwivuza; 2° gusuzuma ubwitabire bw'abaturage mu rwego kwivuza ku bwisungane mu rw'Umudugudu; 3° gukora raporo y'ibikorwa Umukuru w'Umudugudu, Umunyamabanga w'Akagari na Nkangurambaga y'Akagari; igashyikirizwa ikagenera kopi Nshingwabikorwa Perezida wa Komite 4° gukorana z'ubuyobozi bw'Umudugudu mu ishyirwa mu bikorwa ry'inshingano zivugwa muri iyi ngingo. n'inzego ifite The Village Mobilisation Committee shall have the following responsibilities: 1° mobilising the population to join the insurance community-based health scheme; 2° examining the coverage rate of the population in the community-based health insurance scheme at the village level; making the report and submitting it to the Village Head with a copy to the Cell Executive Secretary and to the Chairperson of the Cell Mobilisation Committee; 3° 4° collaborating with the Village administrative the implementation of the responsibilities mentioned in this Article. organs in Le Comite de Mobilisation au niveau du Village a les attributions suivantes: 1° sensibiliser la population a adherer au regime des mutuelles de sante; 2° evaluer la participation de la population au regime des mutuelles de sante au niveau du Village; 3° faire le rapport d'activites et le soumettre au Chef du village avec copie au Secretaire Executif de la Cellule et au President du Comite de Mobilisation au niveau de la cellule; 4° collaborer avec les organes administratifs realisation des du Village dans attributions visees au present article. la

Article 21: Responsibilities of the Cell Mobilisation Committee Article Mobilisation au niveau de la Cellule 21: Attributions du Comite de Ingingo ya 21: Nkangurambaga y'Akagari Inshingano za Komite Article 21: Responsibilities of the Cell Mobilisation Committee 21: Attributions Article Mobilisation au niveau de la Cellule du Comite de Komite inshingano zikurikira: Nkangurambaga y'Akagari ifite The Cell Mobilisation Committee shall have the following responsibilities: Le Comite de Mobilisation au niveau de la Cellule a les attributions suivantes: 25 P D F c o m p r e s s o n , i O C R , w e b o p t i i m z a t i o n i u s n g a w a t e r m a r k e d l e v a u a t i o n c o p y o f I I C V S O N P D F C o m p r e s s o r Official Gazette n° 15 of 13/0412015 1° guhuza ibikorwa by'ubwisungane mu kwivuza bikorerwa ku rwego rw'Akagari; 1° coordinating community-based health insurance scheme activities conducted at the Cell level; 1° coordonner les activites du regime des mutuelles de sante au niveau de la Cellule; 2° gusuzuma ubwitabire bw'abaturage mu rwego kwivuzaku bwisungane mu rw'Akagari; 3° gukora raporo y'ibikorwa igashyikirizwa Umunyamabanga Nshingwabikorwa w'Akagari ikagenera kopi Perezida wa Komite Nkangurambaga y'Umurenge; 4° gukorana n'inzego z'ubuyobozi ishyirwa mu bikorwa bw'Akagari mu ry'inshingano zivugwa muri iyi ngingo. In2in2o ya Nkangurambaga y'Umurenge Inshingano 22: za Komite 2° evaluating the coverage rate of the population in the community-based health insurance scheme at the Cell level; preparing report and submitting it to the Cell Executive Secretary with the a of Sector Chairperson Mobilisation Committee; the activity copy the to 3° 4° collaborating Cell administrative the implementation of the responsibilities mentioned in this article. with organs the in 2° evaluer la participation de la population au regime des mutuelles de sante au niveau de la Cellule; 3° faire le rapport d'activites et le soumettre au Secretaire Executif de la Cellule et reserver copie au President du Comite de Mobilisation au niveau du Secteur; 4° collaborer avec les organes administratives la realisation des de attributions visees au present article. la Cellule dans

Ingingo ya 22: Nkangurambaga y'Umurenge Inshingano za Komite Article 22: Responsibilities of Sector mobilisation Committee Article 22: Attributions du Comite de Mobilisation au niveau du Secteur UMUTWE WA IV: IBIHANO BYO MU RWEGO RW'UBUTEGETSI CHAPTER SANCTIONS IV: ADMINISTRATIVE CHAPITRE IV: ADMINISTRATIVES SANCTIONS Article 22: Responsibilities of Sector Mobilisation au niveau du Secteur Mobilisation Committee Article 22: Attributions du Comite de Komite Nkangurambaga inshingano zikurikira: y'Umurenge ifite The Sector Mobilisation Committee has the following responsibilities: Le Comite de Mobilisation au niveau du Secteur a les attributions suivantes: 1° guhuza ibikorwa by'ubwisungane mu rwego bikorerwa ku kwivuza rw'Umurenge; 2° gusuzuma ubwitabire bw'abaturage mu rwego kwivuzaku bwisungane mu rw'Umurenge; 1° coordinating community-based health insurance scheme activities conducted at the Sector level; 2° evaluating the community-based health insurance scheme coverage rate at the Sector level; 1° coordonner les activites de la mutuelle de sante a base communautaire au niveau du Secteur; 2° evaluer la participation de la population au regime de mutuelle de sante au niveau du Secteur; 26 P D F c o m p r e s s o n , i O C R , w e b o p t i i m z a t i o n i u s n g a w a t e r m a r k e d l e v a u a t i o n c o p y o f I I C V S O N P D F C o m p r e s s o r Official Gazette n° 15 of 13/0412015 30 gukora raporo y'ibikorwa igashyikirizwa Nshingwabikorwa Umunyamabanga w'Umurenge ikagenera kopi agashami k'ubwisungane mu kwivuza ku rwego rw' Ikigo Nderabuzima; 30 submitting the activity report to the Executive Secretary of the Sector with a copy to the community-based health insurance scheme section at level of the health centre; 4° gukorana n'inzego z'ubuyobozi bw'Umurenge mu ishyirwa mu bikorwa ry'inshingano zivugwa muri iyi ngingo. 4° collaborating with Sector the administrative implementation of the responsibilities mentioned in this Article. organs the in 30 faire le rapport d'activites et le soumettre au Secretaire Executif du Secteur et reserver copie a la section des mutuelles de sante au niveau du centre de sante. 4° collaborer avec les organes administratifs des de Secteur dans attributions visees au present article. realisation la UMUTWE WA IV: IBIHANOBYO MU RWEGO RW'UBUTEGETSI CHAPTER SANCTIONS IV: ADMINISTRATIVE CHAPITRE IV: ADMINISTRATIVES SANCTIONS

Ingingo ya 23: Kudafata ubwishingizi bwo kwivuza Article 23: Non-membership in the health insurance scheme Article 23: Non-affiliation au d'assurance-maladie regime ry'ikarita Ingingo ya 23: Kudafata ubwishingizi bwo kwivuza ibiteganywa mu Haseguriwe gitabo cy' amategeko ahana, umuntu wese utabarirwa mu batishoboye bagomba gufashwa udafite ubwishingizi bwo kwivuza ahanishwa ihazabu yo mu rwego rw'ubutegetsi y'amafaranga y'u Rwanda kuva ku bihumbi bitanu (5.000 Frw) kugeza ku bihumbi icumi (10.000Frw). ubwisungane Umuntu wese ugandisha abandi ababuza kwitabira mu kwivuza,ahanishwa ihazabu yo mu rwego rw'ubutegetsi y'amafaranga y'u Rwanda kuva ku bihumbi mirongo itanu (50.000 Frw) kugeza ku bihumbi magana abiri (200.000 Frw). Article 23: Non-membership in the health insurance scheme Article 23: Non-affiliation au d'assurance-maladie regime Subject to the provisions of the Penal Code, any person who fails to enrol into health insurance scheme while he/she does not fall within the category of the needy eligible for to an assistance, administrative fine of five thousand Rwanda Francs (Rwf 5,000) to ten thousand Rwanda francs (Rwf 10,000). shall be liable Sous reserve des dispositions du Code Penal, toute personne ne rentrant pas dans la categorie des necessiteux admissibles a l'assistance qui regime d'assurance- n' est pas affiliee au maladie amende administrative de cinq mille (5.000 Frw) a dix mille (10.000 Frw) francs rwandais. passible d'une est Any person who incites others to refrain from health into enrolling insurance scheme shall be to an administrative fine of fifty thousand (Rwf 50,000) to two hundred thousand Rwanda francs (Rwf 200,000). community-based liable Toute personne qui incite les autres a ne pas s'affilier au regime des mutuelles de sante est passible d'une amende administrative de cinquante mille francs rwandais (50.000 Frw) deux cent mille francs rwandais (200.000 Frw). 27 P D F c o m p r e s s o n , i O C R , w e b o p t i i m z a t i o n i u s n g a w a t e r m a r k e d l e v a u a t i o n c o p y o f I I C V S O N P D F C o m p r e s s o r Official Gazette n° 15 of 13/0412015 ry'ikarita

Ingingo ya 24: y'ubwisungane mu kwivuza mu buryo bunyuranyije n'amategeko Ikoreshwa Article 24: Unlawful use of member card of community-based health insurance scheme Article 24: Utilisation illegale de la carte de mutuelle de sante 8 P D F c o m p r e s s o n , i O C R , w e b o p t i i m z a t i o n i u s n g a w a t e r m a r k e d l e v a u a t i o n c o p y o f I I C V S O N P D F C o m p r e s s o r Official Gazette n° 15 of 13/0412015 Ingingo ya 24: y'ubwisungane mu kwivuza mu buryo bunyuranyije n'amategeko Ikoreshwa Article 24: Unlawful use of member card of community-based health insurance scheme Article 24: Utilisation illegale de la cartede mutuelle de sante ibiteganywa mu Haseguriwe gitabo cy'amategeko ahana, umuntu wese ukoresha ikarita y'ubwisungane mu kwivuza mu buryo bunyuranyij e ahanishwa rw'ubutegetsi ihazabu y'amafaranga y'u Rwanda kuva ku bihumbi bitanu (5.000 Frw) kugeza ku bihumbi makumyabiri (20.000 Frw). n' amategeko, yo mu rwego Subject to the provisions of the Penal Code, any person who uses a member's card of community-based health insurance schemes law shall be contrary to an administrative fine of five thousand (Rwf twenty thousand Rwanda francs 5,000) to (Rwf 20,000). liable to Sous reserve des dispositions du Code Penal, toute illegalement la carte de personne qui utilise mutuelle de sante, est passible d'une amende administrative de cinq mille (5.000 Frw) a dix mille (10.000 Frw) francs rwandais.

Ingingo ya 25: Umukozi ukora amakosa ajyanye n'ubwisungane mu kwivuza Article 25: Misconduct committed by a connection with staff member in community-based health insurance scheme Article 25: Commission par un membre du personnel d'une faute en rapport avec le regime des mutuelles de sante Ishyirwa mu bikorwa Ingingo ya 25: Umukozi ukora amakosa ajyanye n'ubwisungane mu kwivuza Article 25: Misconduct committed by a staff member connection with in community-based health insurance scheme Article 25: Commission par un membre du personnel d'une faute en rapport avec le regime des mutuelles de sante amakosa Bitabangamiye ibiteganywa n'andi mategeko, ajyanye umukozi wese ukora n'ubwisungane mu kwivuza, ahanishwa rw'ubutegetsi ihazabu yo mu y'amafaranga kuva ku bihumbi ijana (100.000 Frw) kugeza ku bihumbi magana abiri (200.000 Frw) rwego Ishyirwa mu bikorwa

Ingingo ya 26: ry'ibiteganywa mu ngingo ya 23, iya 24 n'iya 25 Article provisions of articles 23, 24 and 25 Implementation 26: of the Article 26: Mise dispositions des articles 23, 24 et 25 en application des UMUTWE WA V: INGINGO Z'INZIBACYUHO N'IZISOZA CHAPTER V: TRANSITIONAL AND FINAL PROVISIONS Ingingo ya 26: ry' ibiteganywa mu ngingo ya 23, iya 24 n' iya 25 Ingano y'amafaranga y'ihazabu yo mu rwego rw'ubutegetsi iteganyijwe mu ngingo ya 23 y'Akagari n'Inama Njyanama igenwa Komite ishingiye raporo kuri ya Without prejudice to the provisions of other staff member who commits laws, any misconduct in connection with community- based health insurance scheme shall be liable to a fine of one hundred thousand (Rwf 100,000) to two hundred thousand Rwanda francs (Rwf 200,000). Sans prejudice des dispositions d'autres lois, tout membre du personnel reconnu coupable d'une faute en rapport avec le regime des mutuelles de sante est passible d'une amende administrative de cent mille (100.000 Frw) a deux cent mille francs rwandais (200.000 Frw). Article provisions of articles 23, 24 and 25 Implementation 26: of the Article 26: Mise dispositions des articles 23, 24 et 25 en application des The amount of administrative fine provided for by Article 23 shall be determined by the Cell Council based on the report of the Mobilisation Committee. Le montant de l'amende administrative visee Particle 23 est determine par le Conseil de Cellule sur la base du rapport du Comite de Mobilisation. 28 P D F c o m p r e s s o n , i O C R , w e b o p t i i m z a t i o n i u s n g a w a t e r m a r k e d l e v a u a t i o n c o p y o f I I C V S O N P D F C o m p r e s s o r Nkangurambaga. Ingano y'amafaranga y'ihazabu yo mu rwego rw'ubutegetsi iteganyijwe mu ngingo ya 24 n'iya 25 igenwa n'Ikigo cya Leta gifite ubwisungane mu kwivuza mu nshingano zacyo. yo mu Amafaranga y'ihazabu rwego rw'ubutegetsi avugwa mu gika cya mbere n'icya kabiri by'iyi ngingo ashyirwa kuri konti y'Akarere kugira ngo yunganire mu bikorwa mu bwisungane mu kwivuza. by'ubukangurambaga Official Gazette n° 15 of 13/0412015 the administrative fine The amount of provided for by Articles 24 and 25 shall be determined by the public institution in charge of the community-based health insurance scheme. the administrative The amount of fine provided for by Paragraphs One and two of this Article shall be deposited into the District thereof in mobilisation account for use activities. UMUTWE Z'INZIBACYUHO N'IZISOZA WA V: INGINGO CHAPTER V: TRANSITIONAL AND FINAL PROVISIONS Le montant de l'amende administrative visee est determine par aux articles 24 et 25 l'institution publique ayant le regime des mutuelles de sante dans ses attributions. Le montant de l'amende administrative visee aux alineas premier et 2 du present article est verse au compte de District en vue de son utilisation de mobilisation. activites fins aux des CHAPITRE TRANSITOIRES ET FINALES V: DISPOSITIONS

Ingingo ya 27: Igihe cy'inzibacyuho Article 27: Transitional period CHAPITRE V: DISPOSITIONS TRANSITOIRES ET FINALES Article 27: Periode transitoire Ingingo ya 27: Igihe cy'inzibacyuho Article 27: Transitional period Article 27: Periode transitoire Inzego za Leta zirebwa n'ishyirwa mu bikorwa ry'iri tegeko zihawe igihe kitarenze amezi atandatu (6) uhereye umunsi iri tegeko ritangarijwe mu Igazeti ya Leta ya Repubulika y'u Rwanda, kugira ngo zibe zashyize mu bikorwa ibiteganywa n'iri tegeko. entrusted with Government organs the implementation of this Law shall have a period not exceeding six (6) months from the date of the publication of this Law in the Official Gazette of the Republic of Rwanda to ensure the implementation of the provisions of this Law. Les organes publics charges de la mise en application de la presente loi disposent d'un delai ne depassant pas six (6) mois a compter de la date de publication de la presente loi au Journal Officiel de la Republique du Rwanda pour mettre en application les dispositions de la presente Loi. Inkunga ingana na rimwe ku ijana (1%) yari itangwa na buri Kigo cya Leta isanzwe n'icy'abikorera misanzu ituruka y'ubwishingizi bw'Indwara gikorera mu Rwanda, izakomeza gutangwa mu gihe Iteka ku A contribution equivalent to one per cent (1%) that is paid from medical insurance contributions by every public or private institution operating in Rwanda shall continue to be paid pending the publication of the Une contribution d'un pour cent (1%) versee partir des cotisations d'assurance maladie par toute institution publique ou privee ceuvrant au Rwanda, continue d'etre versee jusqu'a la publication de l'Arrete du Ministre prevu 29 P D F c o m p r e s s o n , i O C R , w e b o p t i i m z a t i o n i u s n g a w a t e r m a r k e d l e v a u a t i o n c o p y o f I I C V S O N P D F C o m p r e s s o r Official Gazette n° 15 of 13/0412015 rya Minisitiri riteganywa mu ngingo ya 15 y'iri tegeko, ritaratangazwa mu Igazeti ya Leta ya Repubulika y' u Rwanda. ministerial Order provided for by Article 15 of this Law in the Official Gazette of the Officiel de la Republique du Rwanda. Republic of Rwanda. l' article 15 de la presente loi au Journal

Ingingo ya 28: Kwegurirwa umutungo Article 28: Transfer of property Article 28: Transfert du patrimoine Ingingo ya 28: Kwegurirwa umutungo Article 28: Transfer of property Article 28: Transfert du patrimoine Umutungo utimukanwa wimukanwa, n' amazina by'ubwisungane mu kwivuza cy'Ubwiteganyirize mu byeguriwe Rwanda. Ikigo Movable and immovable assets as well as denominations of the community-based health insurance scheme are hereby transferred to Rwanda Social Security Board. Les biens meubles et immeubles ainsi que les denominations du regime des mutuelles de sante sont transferes a l'Office Rwandais de Securite Sociale.

Ingingo ya 29: Agaciro k'ibyakozwe Article 29: Value of actions undertaken Article 29: Valeur des actes poses Ingingo ya 29: Agaciro k'ibyakozwe Article 29: Value of actions undertaken Article 29: Valeur des actes poses ibiteganywa n'iri Bitabangamiye tegeko,ibyakozwe hashingiwe ku Itegeko n° rishyiraho 62/2007 ryo kuwa 30/12/2007 kandi rigena imiterere, imikorere n'imicungire y'ubwisungane mu kwivuza,bikomeza kugira agaciro kabyo. Without prejudice to the provisions of this law, actions undertaken pursuant to Law n° 62/2007 of 30/12/2007 establishing and determining the organization, functioning and management of the mutual health insurance scheme shall remain valid. Sans prejudice des dispositions de la presente loi, les actes poses conformement a la Loi n° 62/2007 du 30/12/2007 portant creation, organisation, fonctionnement et gestion des mutuelles de sante, restent valables. Ingingo ya n'itorwa by'iri tegeko 30: Itegurwa, isuzumwa

Ingingo ya 30: n'itorwa by'iri tegeko Itegurwa, isuzumwa Article 30: Drafting, consideration and adoption of this Law Article 30: Initiation, examen et adoption de la presente loi Ivanwaho Article 30: Drafting, consideration and adoption of this Law Article 30: Initiation, examen et adoption de la presente loi tegeko ryateguwe rurimi Iri rw'Icyongereza, risuzumwa kandi ritorwa mu rurimi rw'Ikinyarwanda. mu This Law was drafted in English, considered and adopted in Kinyarwanda. La presente examinee et adoptee en kinyarwanda. loi a ete initiee en anglais, Ivanwaho ry'itegeko

Ingingo ya 31: ry'itegeko n'ingingo z'amategeko binyuranye n'iri tegeko Article 31: Repealing provisions Article 31: Disposition abrogatoire Ingingo ya 31: n'ingingo z'amategeko binyuranye n'iri tegeko Itegeko n° 62/2007 ryo kuwa 30/12/2007 rishyiraho kandi rigena imiterere, imikorere Article 31: Repealing provision Article 31: Disposition abrogatoire n° 62/2007 of 30/12/2007 The Law establishing and determining the organization, La Loi n° 62/2007 du 30/12/2007 portant creation, organisation, des mutuelles de sante ainsi que toutes les dispositions fonctionnement et gestion 30 P D F c o m p r e s s o n , i O C R , w e b o p t i i m z a t i o n i u s n g a w a t e r m a r k e d l e v a u a t i o n c o p y o f I I C V S O N P D F C o m p r e s s o r Official Gazette n° 15 of 13/0412015 n'imicungire y'ubwisungane mu kwivuza n'ingingo zose z'amategeko abanziriza iri kandi zinyuranyije na ryo bivanyweho. functioning and management of the mutual health insurance scheme and all prior legal provisions inconsistent with this Law are hereby repealed. legales anterieures contraires a la presente loi sont abrogees. Igihe itegeko ritangira

Ingingo ya 32: gukurikizwa itegeko ritangira Igihe Article 32: Commencement Article 32: Entree en vigueur 9 P D F c o m p r e s s o n , i O C R , w e b o p t i i m z a t i o n i u s n g a w a t e r m a r k e d l e v a u a t i o n c o p y o f I I C V S O N P D F C o m p r e s s o r Official Gazette n° 15 of 13/0412015 03/2015 RYO KU WA LAW N° ITEGEKO N° 02/03/2015 RIGENGA IMITUNGANYIRIZE GOVERNING THE ORGANISATION OF ORGANISATION Y'UBWISUNGANE MU KWIVUZA DU THE COMMUNITY-BASED HEALTH MUTUELLES DE SANTE INSURANCE SCHEME 02/03/2015 LOI N° 03/2015 DU 02/03/2015 PORTANT DES 03/2015 OF REGIME Twebwe, KAGAME Paul, Perezida wa Repubulika; We, KAGAME Paul, President of the Republic; Nous, KAGAME Paul, President de la Republique; INTEKO ISHINGA AMATEGEKO YEMEJE, NONE NATWE DUHAMIJE, DUTANGAJE ITEGEKO KANDI DUTEGETSE KO RYANDIKWA MU IGAZETI YA LETA YA REPUBULIKA Y'U RWANDA RITEYE RITYA THE PARLIAMENT HAS ADOPTED AND WE SANCTION, PROMULGATE THE FOLLOWING LAW AND ORDER IT BE PUBLISHED IN THE OFFICIAL GAZETTE OF THE REPUBLIC OF RWANDA LE PARLEMENT ADOPTE ET NOUS SANCTIONNONS, PROMULGUONS LA LOI DONT LA TENEUR SUIT ET ORDONNONS QU'ELLE SOIT PUBLIEE AU JOURNAL OFFICIEL DE LA REPUBLIQUE DU RWANDA INTEKO ISHINGA AMATEGEKO: THE PARLIAMENT: LE PARLEMENT: Umutwe w'Abadepite, mu nama yawo yo kuwa 19 Mutarama 2015; The Chamber of Deputies, in its session of 19 January 2015; La Chambre des Deputes, en sa séance du 19 janvier 2015; Umutwe wa Sena, mu nama yawo yo ku wa 01 Ukuboza 2014; Ishingiye ku Itegeko Nshinga rya Repubulika y'u Rwanda ryo kuwa 04 Kamena 2003 nk'uko ryavuguruwe kugeza ubu, cyane cyane mu ngingo zaryo, iya 41, iya 62, iya 66, iya 67, iya 88, iya 89, iya 90, iya 92, iya 93, iya 94, iya 95, iya 108, iya 118, iya 126, iya 190 n'iya 201; ku Masezerano Mpuzamahanga Ishingiye uburenganzira mu by'Ubukungu, yerekeye Imibereho Myiza n'Umuco yo kuwa 16 Ukuboza 1966, yemejwe n'Iteka rya Perezida n° 8/75 ryo ku wa 12/02/1975; The Senate, in its session of 01 December 2014; Le Senat, en sa séance du 01 decembre 2014; Pursuant to the Constitution of the Republic of Rwanda of 04 June 2003 as amended to date, especially in Articles 41, 62, 66, 67, 88, 89, 90, 92, 93, 94, 95, 108, 118, 126, 190 and 201; juin 2003 Vu la Constitution de la Republique du Rwanda du 04 jour, specialement en ses articles 41, 62, 66, 67, 88, 89, 90, 92, 93, 94, 95, 108, 118, 126, 190 et 201; revisee a ce telle que to the Pursuant International Covenant on Economic, Social and Cultural Rights of 16 December 1966 as ratified by the Presidential Order n° 8/75 of 12/02/1975; le Pacte international relatif aux droits Vu economiques, sociaux et culturels du 16 decembre 1966 tel que raffia par Arrete Presidentiel n° 8/75 du 12/02/1975 ; 10 P D F c o m p r e s s o n , i O C R , w e b o p t i i m z a t i o n i u s n g a w a t e r m a r k e d l e v a u a t i o n c o p y o f I I C V S O N P D F C o m p r e s s o r Itegeko n° 62/2007 Isubiye ku 30/12/2007 rishyiraho kandi imikorere kwivuza; n'imicungire ryo kuwa imiterere, y'ubwisungane mu rigena Official Gazette n° 15 of 13/0412015 Having reviewed Law n° 62/2007 of 30/12/2007 establishing and determining the organisation, functioning and management of the mutual health insurance scheme; Revu la Loi n° 62/2007 du 30/12/2007 portant creation, organisation, fonctionnement et gestion des mutuelles de sante ; YEMEJE: ADOPTS: DOPTE: UMUTWE WA MBERE: RUSANGE INGINGO CHAPTER ONE: GENERAL PROVISIONS CHAPITRE PREMIER: DISPOSITIONS GENERALE S Ingingo ya 32: gukurikizwa Iri tegeko ritangira gukurikizwa ku munsi ritangarijweho mu Igazeti ya Leta ya Repubulika y'u Rwanda. Article 32: Commencement Article 32: Entree en vigueur This Law shall come into force on the date of its publication in the Official Gazette of the Republic of Rwanda. La presente loi entre en vigueur le jour de sa publication au Journal Officiel de la Republique du Rwanda. Kigali, ku wa 02/03/2015 Kigali, on 02/03/2015 Kigali, le 02/03/2015 (se) KAGAME Paul Perezida wa Repubulika (se) MUREKEZI Anastase Minisitiri w' Intebe (se) KAGAME Paul President of the Republic se) MUREKEZI Anastase Prime Minister (se) KAGAME Paul President de la Republique (se) MUREKEZI Anastase Premier Ministre Bibonywe kandi bishyizweho Ikirango cya Repubulika: Seen and sealed with the Seal of the Republic: Vu et scelle du le Sceau de la Republique: (se) BUSINGYE Johnston Ministiri w'Ubutabera/Intumwa Nkuru ya Leta (se) BUSINGYE Johnston Minister of Justice/Attorney General (se) BUSINGYE Johnston Ministre de la Justice/ Garde des Sceaux 31