The trend is towards cancelling “KNOPS” and attaching all its members to the National Social Security Fund.

Agadir24

Preparations are underway to cancel “KNOPS” and include all its members in the National Social Security Fund.

In this context, and in a step aimed at bringing together the basic compulsory health insurance systems under one administration, the government seeks, through Bill 54.23, to amend and supplement Law No. 65.00 relating to basic compulsory health insurance, as this bill represents a qualitative shift in the path of reforming the health insurance system, with the aim of improving the effectiveness of services and expanding the umbrella of health coverage for all categories.

The project provides for the integration of public sector employees into the National Social Security Fund, which will contribute to the adoption of a single management body for the basic compulsory health insurance systems for both the public and private sectors, as well as for people who cannot afford the subscriptions, which will lead to improved coordination between the two sectors and simplification of administrative procedures related to health insurance, to make health services more efficient and effective.

The draft law provides for the adaptation of the provisions of Law 65.00 to the new governing body, as it addresses all issues related to compulsory health insurance and puts an end to the previous compulsory coordination with mutual associations in registering persons and medical monitoring, an amendment that aims to simplify procedures and achieve greater transparency in the management of the health system.

The registered and trainee users will be integrated into the National Social Security Fund, in addition to the transfer of assets, real estate and archives from the National Fund for Social Security Organizations to the National Social Security Fund. This transfer also includes assets, liabilities and balances from compulsory health insurance accounts, ensuring the unification of financial and administrative responsibilities.

One of the most prominent aspects addressed by the project is the continuation of the transitional agreements concluded with the mutual societies, as these agreements will remain in effect for a transitional period whose duration will be determined by a government decree, with the aim of ensuring a smooth transition to the new system without affecting the current beneficiaries of the health system.

The draft law stipulates that the National Social Security Fund will replace the National Fund for Social Security Organizations in all contracts and agreements related to compulsory health insurance, as this will contribute to reducing legal and regulatory gaps and achieving greater consistency between the various actors in the health system.

Under this law, the National Social Security Fund will contribute to financing medical examinations and health awareness in accordance with priority health programmes. The Fund will also be required to provide financial data related to compulsory health insurance systems to the administration, enabling it to track financial performance and ensure the sustainability of the system.

Bill 54.23 comes as part of the government’s efforts to strengthen the national health insurance system and provide comprehensive and effective health coverage for all Moroccans. However, public sector employees are expressing their concerns, especially regarding the reduction of the compensation rate for medical files from 80% currently to 70% after joining the National Social Security Fund.

Employees are concerned that this change could negatively impact their ability to afford treatment and healthcare, making them less likely to benefit than they were under the current system. Many of them indicated that these concerns require open dialogue to ensure a fair transition that preserves employees’ rights and balances the desired reforms with ensuring the continuity of quality health services.