Chapter 1. Observing social rights RECOMMENDATIONS To the Cabinet of Ministers of Ukraine – to develop and submit to the Verkhovna Rada of Ukraine a draft law on amending the State Budget of Ukraine for 2020 in order to bring the level of healthcare expenditures to the requirements set out in Article 4, item 5 of the Law of Ukraine “On State Financial Guarantees of Public HealthCare” #2168-VIII of 19 October 2017. To the Ministry of Health of Ukraine: 1. In the context of the launch of second stage of the healthcare reform, to allocate funding to pay salaries to health professionals according to the respective needs, and take measures to ensure that healthcare facilities in the rural areas are prioritized. 2. To create a register of citizens suffering from rare/orphan diseases, envisaged by Article 531 of the Law of Ukraine “On Fundamentals of Legislation of Ukraine on Healthcare,” to develop and approve the relevant regulatory acts on the planning and calculation of the need for medicines, special foods and medical products purchased for citizens suffering from rare/orphan diseases at the expense of local budgets. 3. To ensure the development and adoption in accordance with the established procedure of appropriate legal acts on regulation of issues around sending citizens of Ukraine for treatment abroad and to ensure control over targeted and effective spending of funds provided in the State Budget under the budget programme “Treatment of Ukrainian Citizens Abroad.” To the Ministry of Health of Ukraine, the Ministry of Finance of Ukraine – when developing fees for medical services under the programme of medical guarantees for secondary/specialized healthcare, to provide in the calculations the share of expenditures for paying salaries to health professionals. 17 To implement the findings of the efficiency audit of the use of State Budget funds allocated by the Ministry of Health for the treatment of citizens abroad conducted by the Accounting Chamber (decision of the Accounting Chamber # 12-1 of 12 May 2018) and the state financial audit of the budget programme “Treatment of Ukrainian Citizens Abroad” for the period from 1 January 2016 to 1 July 2018, conducted by the State Audit Service of Ukraine (audit report #04-24/17 of 5 November 2018), the MoH Order #701 of 1 April 2019 approved the Action Plan of the Ministry of Health on implementation of recommendations upon the results of the state financial control conducted by the Accounting Chamber and the State Audit Service of Ukraine. 39 CHAPTER 1 To increase the efficiency and transparency of the provision of healthcare to the population of Ukraine in terms of producing a conclusion on the impossibility of providing necessary health care in Ukrainian institutions, the Order of the Ministry of Health of Ukraine #447 of 22 February 2019 “On Amendments to the Regulation on the Expert Groups of the Ministry of Health of Ukraine” introduced amendments to the Regulation on the Expert Groups of the Ministry of Health of Ukraine approved by the Order of the Ministry of Health #302 of 21 March 201717.