A billion from the Prime Minister on a cito
Published Oct. 15, 2025 09:52
Talks between the health and finance ministries on an additional budget subsidy to the National Health Fund have been ongoing since the beginning of the month. This year's gap is about 14 billion zlotys - that's how much is needed to finance all planned expenditures, including unlimited benefits, including drug programs. There are reports that the Ministry of Finance is not refusing the subsidy, but is demanding that real savings be planned on the cost side next year - this is about the shape of the amendment to the law on minimum wages. The Health Minister said in an interview that a number of options are on the table, including freezing the increase law. However, she did not prejudge that the decision would go in that direction - she listed all the solutions that have been discussed over the past year.
However, the money has to be found very soon, if only because the two largest branches of the National Health Service do not have guaranteed funding even for services contracted in the last months of the year. The payer is also unable to meet its obligations for the second quarter. Meanwhile, unofficial information indicates that even if the talks are successful and the Finance Minister agrees to an additional subsidy (Andrzej Domanski declared last week that additional funds for health will certainly be transferred), transferring the entire missing amount is highly unlikely. That would mean transferring part of this year's obligations to next year and thus widening the gap for 2026, which, according to calculations by the National Health Service and the Ministry of Health, already amounts to PLN 23 billion over the planned subsidy from the state budget.
In addition, it was reported this week that, after eight settled months, there is also a problem with premium income - there is a shortfall, relative to the plan, of about PLN 3.5 billion. Experts assess the gap as sizable (it amounts to 2 percent of the planned Social Security premium income), although it is possible to reduce it in the last four months of the year, if there are no extraordinary, negative, circumstances. However, this will be the first year in years in which there will be no surplus on the contribution revenue side (which was usually divided at the end of the year by amending the NHF financial plan).










