Report on the State of Human Rights in Institutions for Persons with Disabilities MEDICAL SERVICE IN THE FRAMEWORK OF INSURANCE POLICIES Different insurance companies in the framework of the state medical insurance program provide medical service. Different institutions use the services of different insurance companies that are distributed by territorial principle. Despite the fact that insurance policies are issued based on an ID card number, two beneficiaries of the Akhaltsikhe Boarding School, who do not have ID cards, have insurance policies. In the Kutaisi Boarding School, six beneficiaries had expired policies of Aldagi BCI. There are cases when the insurance policy cannot cover health care costs: ten pupils of Public School No. 200 diagnosed with epilepsy needed to undergo an electroencephalogram, but the insurance company did not cover its costs. The children with chronic diseases who attend the boarding schools occasionally need to be placed in an inpatient unit for further examinations and treatment. However, when they return to their institution (or are transferred to another similar institution), they do not have Forms #100 with them, or the Forms #100 are incomplete and do not say what type of treatment they received in the hospital. This indicates to the poor quality of the service provided by the medical institutions, on the one hand, and to the impossibility of providing the children with complete medical service by the residential institutions, which they are obliged to do according to legislative acts and by-laws, on the other hand. In several institutions (the Akhaltsikhe Public School No. 7, the Tbilisi Public School No. 202), preventive examinations have never been conducted on-site. Thus, the medical service provided for disabled children who live in the boarding schools is incomplete, and the medical records are made so incompetently and incompletely that they do not make it possible to make an on-site assessment of the effectiveness of the medical service. Public Defender of Georgia addresses the Minister of Labor, Health and Social Affairs of Georgia and the Minister of Education and Science of Georgia with recommendations to: Ensure coordinated work with the aim of improving the monitoring on the medical service provided for children with different types of disabilities; Introduce a procedure for the functioning of medical rooms in boarding schools; determine the rights and obligations of medical staff; Ensure the retraining of medical staff in boarding schools, taking into consideration the children’s special needs; Ensure the expansion of the insurance package according to the medical condition and needs of children with disabilities; Extend Order No. 6/61 of LEPL State Care Agency of the Ministry of Labor, Health and Social Affairs of Georgia, issued in 2011, on the Approval of Forms of Medical Documents to boarding schools for children with disabilities. ANNUAL REPORT OF THE PUBLIC DEFENDER OF GEORGIA NPM Report 2012 Ensure the development of common systems of maintenance of medical documents and introduce them in boarding schools for children with disabilities, taking into consideration children’s illness rate and needs;