Analysis of Decree No. 154 Approving Additional Health Budget Expenditures

The Council of Ministers of the Republic of Bulgaria adopted Decree No. 154 on September 24, 2026, approving additional expenditures for the Ministry of Health’s 2026 budget. The decision, amounting to 25,652,100 euros, targets various healthcare programs and policies. It aims to ensure funding for critical areas such as vaccination, medical specialist training, and care beyond compulsory health insurance.

What changes

The decree approves an increase in the Ministry of Health’s budget by 25,652,100 euros, which will be allocated to various health programs. The funds cover training of medical specialists, subsidies for healthcare facilities outside compulsory insurance, delivery of vaccines for the immunization calendar, and due compensations.

Who is affected

The changes affect the Ministry of Health, healthcare facilities receiving state subsidies, and medical trainees. This decree does not impose new obligations on a wide range of businesses but may have indirect impacts on companies operating in the healthcare sector.

Dates and deadlines

The decree enters into force on the date of its publication in the “State Gazette,” which is September 29, 2026.

Practical next steps

The Minister of Health must implement the necessary changes in the ministry’s budget and notify the Minister of Finance of the amended expenditures. The Minister of Finance is required to make changes to the central budget.

What to check for your situation

The decree is limited to budgeting for the Ministry of Health and does not place additional legal or financial obligations on businesses outside the funded healthcare facilities.