FK-KMK UGM. In January 2013, the government issued Presidential Regulation No. 12 of 2013 on Health Insurance, which took effect on January 1, 2014.
Over time, this regulation has undergone five amendments. Most recently, the government enacted Presidential Regulation No. 59 of 2024, amending Presidential Regulation No. 82 of 2018 on Health Insurance.
In response to these changes, the Department of Health Policy and Management at the Faculty of Medicine, Public Health, and Nursing at Gadjah Mada University (KMK FK-KMK UGM) held a webinar titled “Understanding the Amendments to Presidential Regulation No. 82 of 2018 to Presidential Regulation No. 59 of 2024 on Health Insurance” online on Tuesday (21/5).
This policy dialogue webinar was conducted in collaboration with the Center for Health Policy and Management (PKMK) FK-KMK UGM. The topics discussed included the administration of health insurance in Indonesia, specifically concerning the rights of citizens (participants of the Social Security Administration Agency (BPJS) Health) to access health services without financial barriers.
This aligns with the global goal of Universal Health Coverage (UHC) by the World Health Organization (WHO) to improve accessibility, quality, and equity in health services.
Thus, Indonesia incorporates this mandate in the National Health Insurance (JKN) program through BPJS Health. However, the implementation of JKN still faces critical issues.
According to M. Faozi Kurniawan, MPH, the moderator and researcher at PKMK FK-KMK UGM, equitable access to health services has not been adequately addressed in the ten years since JKN was implemented. Therefore, the implementation of related policies must be monitored through independent implementation research.
“In the substantive material of these Presidential Regulation amendments, we also need to pay attention to the benefits, contributions, and governance,” added Dr. dr. Beni Satria, S.Ked., M.Kes., S.H., M.H., CPHMC., CPMed., CPArb., CPCLE., FISQua., a speaker at the webinar.
Beni mentioned that these Presidential Regulation changes include provisions regarding the implementation of participants’ rights to Basic Health Needs (KDK) and Standard Inpatient Class (KRIS); changing Primary Health Facilities (FKTP); Upper and Lower Wage Limits; the roles and responsibilities of local governments, among others.
“We hope that our colleagues in hospital associations or health services will also actively engage in policy dialogue because this Presidential Regulation is very important for JKN,” added Prof. dr. Laksono Trisnantoro, MSc, PhD., an expert from PKMK FK-KMK UGM.
Prof. Laksono further added that in the future, there could be many developments in funding sources beyond BPJS, such as strengthening access to commercial or philanthropic funds.
“If we all rely solely on BPJS, if something happens to BPJS, we will all collapse,” concluded Prof. Laksono.
This dialogue represents a commitment to the Sustainable Development Goals (SDGs), specifically Good Health and Well-being (SDGs 3) and Quality Education (SDGs 4). (Isroq Adi Subakti/Reporter).
