of the Health Insurance Act stipulates that they should be in force from the date of opening the proceedings for granting a refugee status or a right of asylum. In practice, although the persons seeking international protection are insured for health purposes and are able to select a general practitioner, they prefer to seek primary medical care and medicines through the healthcare offices of the centres. For specialised medical care the persons are accompanied to medical specialists by NGO assistants or seek medical services from doctors speaking their language. No problems were found with the treatment of persons seeking international protection in hospitals. Of special note are the children accommodated in the centres, who are visited by representatives of Sofia Regional Health Inspectorate for annual vaccinations. The NPM held interviews with different categories of persons seeking international protection – men and families – on the quality of medical services. They stated to the NPM they had had no problems and were satisfied with the medical care rendered. The NPM established that action had been taken to amend and substitute the Rules on the Conditions for Admission and the Internal Order in the closed-type facilities of SAR with CoMs in accordance with the recommendations made by NPM in 2018. According to the amendments to the above Rules approved by the Chairperson of SAR on 19 April 2019, the Ombudsman’s recommendation for ensuring minimum living space for every person accommodated in closed-type premises in Busmantsi neighbourhood were implemented. Another Ombudsman’s recommendation in the capacity as NPM pertains to statutory regulation of the time for stay in the open air. The present wording of Article 13(1)(5) of the Rules stipulates that foreigners accommodated in closed-type premises are entitled to no less than one hour access to open air spaces. The NPM welcomes the action taken and recommends SAR to ensure other activities so as to engage the time of foreigners. In addition, a change was made in relation to preliminary meetings of foreigners with a lawyer. After the NPM recommendation, an express wording was included on the possibility for a meeting with a lawyer to be conducted outside the preliminary regulated time slots in case of emergencies. In relation to the recommendation for the List of authorised items to be set out in a public legal instrument, it should be noted that the List was included as an integral part of the Rules. A new text was created, Article 20 of the Rules, stating expressly that the Ombudsman is entitled to access to closed-type premises at any time, without the need of prior notification. As regards the recommendation to properly arrange the medical care in CTP in Busmantsi, the NPM was informed that a cooperation agreement was concluded between SAR and the Ministry of Interior to that end, by virtue of which doctors from SCTAF in Busmantsi render primary out-patient care to the persons accommodated in the CTP in Busmantsi. In regard to the NPM recommendation for building video surveillance in all centres of SAR with CoMs, it was found that the existing system was updated and upgraded. Unaccompanied children seeking or granted protection: Monitoring the rights of unaccompanied minors seeking or granted protection is a major focus of the work of the NPM. For 2019, the NPM notes down an improvement of the care provided by the public institutions to unaccompanied minors. 31