The draft has been published on the federal portal of draft regulations. The initiative provides for early removal of medical activities from the exemption set out in paragraph 9 of Government Resolution No. 353 of March 12, 2022. The current rule applies to applications filed from January 1, 2024 to December 31, 2029 and has been confirmed by Roszdravnadzor.
Two actions are proposed to become paid again: obtaining a licence for medical activities and making changes to the licence register where an application is required. The change will affect owners of clinics, dental practices, medical centres and individual entrepreneurs in medicine when opening new service addresses or expanding the list of medical services.
The draft contains a transitional provision: applications filed before January 1, 2027 and still under review by the licensing authority on that date will not be subject to the duty. This means the filing date directly affects the organisation's costs when planning to expand its activities.
Until the resolution is adopted, the current procedure remains fully in force. The draft may still change during approval, so it is premature to record the expected duty as an existing obligation in the budget. At the same time, organisations whose licensing documents are already ready should consider filing an application before the end of 2026. Submitting an incomplete package just to keep the exemption is not recommended: the timing should match the actual readiness of premises, staff and documentation.
For 2027 budget planning, it makes sense to include the state duty as a probable but not yet effective expense item. The final decision depends on the outcome of the review of the draft.
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