Zemsky Doctor program 2021: conditions, payments, participation

The essence of the Zemsky Doctor program

The lack of staff makes it much more difficult for residents of small municipalities to receive qualified medical care. To create attractive conditions for doctors, a specialized federal program “Zemsky Doctor” has been in place since 2012. It was created with the aim of improving the material security of specialists. The allocated funds, in particular, can be used to purchase housing. According to the current rules, assistance in the amount of 1 million rubles is provided.

The need for additional measures is due to a significant deterioration in the situation with personnel in this industry. According to statistics for the control period 2006-2011. the number of doctors in rural areas decreased by approximately 5%. Thematic surveys revealed the following reasons for graduates’ reluctance to move to the outback:

low wages;
poor living conditions.

For your information! There is no taxation of compensation payments. The money is transferred from the state budget. Therefore, obligations to return the corresponding part of the income to the treasury do not make sense.

Normative base

The main standards of the federal program “Zemsky Doctor” are formulated in the law “On Health Insurance” (Federal Law No. 326 of November 29, 2010) as amended in 2011. After several years of practical use, the following significant corrections have been made:

from 2021 – increasing the age limit for participants from 25 to 50 years, expanding the list of municipalities included in the program;
from 2021 - in addition to villages, settlements corresponding to the categories of “working” or “urban type” have been added to the list of eligible settlements.

The conditions applicable to the Zemstvo Doctor program can be clarified using the texts of the RF Government resolutions:

No. 1640 dated December 26, 2017;
No. 34 dated January 24, 2019.

Changes 2019-2020

Despite the measures taken, the situation with personnel shortage remains tense. During a specialized conference of Russian doctors in the fall of 2021, the following data were announced:

almost 500 settlements with a population of up to 2 thousand people are not able to provide first aid services in stationary centers;
the shortage of doctors (junior personnel) is more than 23,000 (130,000) people, respectively;
the overall figures for unfilled vacancies exceed 50% of the approved staffing table.

To increase the effectiveness of the Zemsky Doctor program, in 2020 a decision was made to eliminate age restrictions. The corresponding amendments were confirmed by special Government Resolution No. 1347 of October 18, 2019. The federal budget plans to allocate additional funds (more than 237 billion rubles) for targeted financing of medicine.

The legislative framework

The rules for implementing the state program for qualified doctors in villages are determined by Federal Law No. 326 “On Compulsory Medical Insurance”. Amendments to this bill were applied in two thousand and eleven.

They fix the registration rules and criteria required for participation in the state program.

The payment of a million rubles is carried out only for certified young specialists with a document confirming a completed internship or residency.

The allocated funds are intended as assistance to resolve housing issues during the period of moving to the countryside.

The money is provided one-time and does not need to be returned to the state.

The latest amendments to the legislation were made in 2016 and 2021, changing the age category of specialists who are eligible for the preferential offer. Before these amendments, the age of young doctors covered by the state program was a maximum of twenty-five years.

However, after the amendments it was raised to fifty years. In addition, the list of settlements in which the state program operates has also expanded.

Since two thousand and seventeen, not only rural doctors, but also qualified doctors in urban settlements have received the right to apply for support for doctors.

Basic conditions

The following basic conditions have been approved for the Zemstvo Doctor program:

amount – 1,000,000 rubles;
formation of payments - at the expense of the federal and regional budgets;
obligations of the participant - relocation, signing an employment contract in the specialty for a period of 5 years;
liability – return of funds in case of early termination of the contract due to the fault of the doctor;
the responsible institution is the territorial division of the Compulsory Health Insurance Fund (MHIF).

Requirements for participants

The essence of the Zemsky Doctor program is to attract employees with higher medical education. There is no age limit from 2021, so this criterion does not matter. The participant must document receipt of the relevant qualifications at the application review stage. Other requirements and features:

In addition to a university diploma, you can provide information about a completed internship (residency);
labor obligations are formalized by a contract for a period of 5 years;
an agreement is concluded for a medical specialty with a municipal medical institution;
a separate agreement with the Compulsory Medical Insurance Fund determines the conditions for receiving compensation, notes the obligation to return part of the money upon termination of the employment contract.

Junior medical personnel can receive assistance from the state under the special program “Zemstvo Paramedic”. The current rules provide support for paramedics and other workers of the corresponding category in the amount of 500,000 rubles. The general conditions correspond to those discussed above. In particular, in order to fulfill obligations under the contract, it is necessary to perform work in the specialty for at least five years.

The Zemsky Doctor program is not valid for nurses.

List of required documents

To participate in the Zemsky Doctor program, you must prepare the following set of documents:

civil passport, other identification document;
an employment contract signed by the parties;
order for the enterprise on employment in the specialty;
a certificate from the Federal Tax Service or another document confirming the TIN;
information about the doctor’s personal bank account (number and other payment details);
documents confirming the presence of a higher specialized education (completion of residency, internship);
data on permanent registration of place of residence from the Ministry of Internal Affairs;
an application indicating consent to draw up an agreement with the Ministry of Health under the “Zemsky Doctor” program.

Attention! Each region has its own payment application forms. .

Responsible agency

According to the approved rules, the responsibilities of the responsible institution are performed by the territorial division of the Compulsory Medical Insurance Fund. For consultations, you can contact the regional Ministry of Health. The MHIF department accepts and verifies applications for participation in the Zemstvo Doctor program. As a rule, a personal user account is opened for registration on the official website of the organization for each participant.

Procedure and deadlines

At the preparation stage, applicants study open vacancies under the Zemstvo Doctor program. Having chosen the appropriate option, contact the appropriate medical institution. Then proceed according to the following scheme:

conclude an employment contract in their specialty;
receive an extract from the order of the enterprise on appointment to the appropriate position;
collect the accompanying package of documents;
submit a completed application and the necessary confirmations to the authorized branch of the Compulsory Medical Insurance Fund;
sign the agreement;
The transfer of funds to the applicant’s account according to the law of the “Zemsky Doctor” program is carried out within 30 calendar days.

Where to look for vacancies

To search for a future job, you can use:

specialized reference resources on the Internet;
regional labor exchanges;
official websites of local departments of the Ministry of Health and municipal authorities.

The advertisements specify the following positions:

required professional experience;
employment mode;
a list of skills for performing job duties;
restrictions on existing education;
additional social benefits and compensation.

Some medical institutions fully (partially) compensate for the costs of moving and renting housing, and paying for housing and communal services. Additional financial assistance is not excluded within the framework of regional programs.

What documents are needed

To receive a payment under the state program, you need to submit the following documents to the regional Department of Health:

application for registration as a participant in the program (the form and sample for filling it out will be provided to you by the Department);
passport;
diploma of education in the field of health care;
a copy of the work book;
SNILS and TIN;
a copy of the employment contract concluded with the medical institution;
The order of acceptance to work;
Bank account details for transferring funds.

Receiving payment

If there are no errors when submitting documents, the MHIF will organize the transfer of funds from the federal treasury within three working days. Next, to form the total amount (1 million rubles), a share from the local budget is added. Payments under the “Zemsky Doctor” program are transferred to the applicant’s account 30 days after signing the compensation agreement.

For your information! Please fill out the accompanying documentation carefully. Returning money transferred to an erroneous account involves additional difficulties.

What to do if money is not paid

Compliance with other basic requirements should be checked according to the rules discussed above. Reasons for refusal on legal grounds:

lack of a signed employment contract;
typos, corrections, and other defects in the submitted documents;
providing false information;
lack of funds for special purposes in the local budget.

The age restrictions for the Zemsky Doctor program have been eliminated. However, a medical institution has the right to refuse employment on the following grounds:

there is no certificate of pension insurance or another document from the “mandatory” list;
there is a penalty of restriction on holding a certain position;
insufficient practical experience;
poor health does not allow to perform official duties in full;
the interview was conducted by a person not authorized to perform the relevant actions.

A negative response is provided in writing, listing the reasons. Certain positions (health status) are confirmed by an expert opinion.

An unjustified refusal by the MHIF can be appealed in court. To increase the effectiveness of the proceedings, you should carefully prepare convincing evidence of your case. In difficult situations, turn to an experienced lawyer for help.

On taxation of compensation payments.

Federal Law No. 147-FZ dated June 17, 2019 amended clause 37.2 of Art. 217 Tax Code of the Russian Federation. Due to the amendments, income in the form of one-time compensation payments to medical workers, not exceeding 1 million rubles, the financial support of which is carried out in accordance with the rules of the State Program “Health Development”.

At the same time, the new edition of paragraphs. 37.2 Art. 217 of the Tax Code of the Russian Federation applies to income, the right to receive, which arose (will arise) for medical workers from 01/01/2018 to 12/31/2022 inclusive (see clause 3 of article 2 of Federal Law No. 147-FZ). In this regard, if tax was withheld from a medical worker, it is subject to refund.

The procedure for returning personal income tax was set out in the Letter of the Federal Tax Service of the Russian Federation dated November 14, 2019 No. BS-4-11/ [email protected] In accordance with the provisions of clause 1 of Art. 231 of the Tax Code of the Russian Federation, the amount of tax excessively withheld by the tax agent is subject to refund based on a written application from the taxpayer. In this case, the refund is carried out at the expense of personal income tax, which is subject to transfer to the budget on account of upcoming payments both for this taxpayer and for other taxpayers, from whose income the tax agent makes withholding.

For your information

Refunds of excess withheld amounts must be made within three months from the date the tax agent receives the relevant application from the taxpayer.

If the amount of tax to be transferred by the tax agent to the budget is not enough for a refund, the tax agent, within ten days from the date of submission of the corresponding application to him, sends to the tax authority at the place of his registration an application for the refund of the amount of tax withheld in excess. The tax amount transferred to the budget is returned to the tax agent by the Federal Tax Service in the manner established by Art. 78 Tax Code of the Russian Federation.

At the same time, as noted in the Decree of the Constitutional Court of the Russian Federation dated February 17, 2015 No. 262-O, the rule according to which the excessively withheld amount of tax is returned to the taxpayer through a tax agent (clause 1 of Article 231 of the Tax Code of the Russian Federation) has priority, since the overpayment of tax arose due to the fault of the last one. In other cases, when returning tax, you should be guided by the general rules - Art. 78 and 79 of the Tax Code of the Russian Federation. A similar position is given in the Ruling of the RF Armed Forces dated 09/04/2018 No. 307-KG18-13379.

Thus, the return of the amount of personal income tax excessively withheld by the tax agent from one-time compensation payments to medical workers is carried out by him (in our case, by the regional Ministry of Health) in the manner established by clause 1 of Art. 231 Tax Code of the Russian Federation.

Responsibilities of the program participant

If a doctor received a million under the Zemsky Doctor program, it is necessary to fulfill the agreed obligations. In addition to the five-year service, the need to comply with the terms of the employment contract is implied.

Consequences of failure to comply with conditions

In case of early termination of the employment contract at the initiative of the employee, the money will have to be returned in proportion to the remainder of the mandatory period (5 years). The exception is the situation when a doctor must fulfill his military duties. Two options are offered:

calculation taking into account the time worked;
renewal of the contract after returning from the army.

The following list contains other grounds for non-repayment of monetary compensation upon termination of an employment relationship earlier than the standard period of 5 years:

dissolution or liquidation of the employing institution;
change in staffing;
the presence of medical contraindications for performing certain job duties;
death, serious illness, loss of working capacity of an employee;
natural disasters and other situations classified by law as circumstances of the “force majeure” category.

If official obligations are violated, the contract may be terminated. In this situation, the compensation received was 1 million rubles. will have to be returned in full. The parties to the contract resolve controversial issues in the courts.

Important nuances you need to know about

Despite the comparative simplicity of the Zemsky Doctor program for doctors, difficulties are encountered in the process of implementing plans for receiving government assistance. The following sections of the article cover important details that you should pay attention to.

Which regions are participating?

As noted above, the basic principles of the formation of state support imply the joint participation of the federal and local budgets. There is no need to find out which regions participate in the Zemsky Doctor program. Uniform rules apply for the entire territory of the Russian Federation (in Crimea - since 2015).

However, over time, specific difficulties due to regional specifics became clear. Good results were noted in the Smolensk, Irkutsk, and Moscow regions. However, in many other territorial entities, the number of doctors employed in rural areas was measured in just a few. For additional financial support from the federal center, starting from 2021, 60% of the target program budget will be allocated. A subsequent increase in the noted share to 70% is planned.

Taking into account the noted nuances, it is recommended to clarify the possibility of participation in the “Zemsky Doctor” program. Applicants can check the availability of appropriate funds in the regional budget when planning a move in 2021.

For married couples

Each spouse, if they meet the approved criteria, has the right to apply for state assistance in full. Of course, it is necessary to remember about personal compliance with obligations under the employment contract.

If the proceeds are used to purchase a home, the property will be considered marital property. In case of divorce, the division is carried out in equal proportions (50/50). To change the standard procedure, a marriage contract or a special agreement certified by a notary is used.

Is it possible to go on maternity leave?

There are no restrictions on child care. The decree is issued according to the standard scheme. The relevant time is taken into account when calculating the mandatory five-year contract period.

Can they refuse the program?

Receiving a negative response when considering an application is possible for various reasons.
The most common of them is incorrectly filling out documents, or providing an incomplete package of papers. Errors may also occur on the part of municipal authorities. Participation in the program will be denied to those persons who do not meet the requirements of the project. If a citizen has suspicions that he was denied participation in the program unreasonably, then he should collect the following papers:

a copy of the submitted application to the Compulsory Medical Insurance Fund (it can be printed from your personal account if it was submitted on the website, or picked up when accepting documents);
written refusal received at the MHIF office.

With the collected documents, you should contact the judicial or law enforcement authorities by filing a claim or statement.

Zemstvo Doctor and Mortgage Program

Additional funds will be useful for creating good living conditions after moving. The Zemsky Doctor 2020 program does not limit the intended use of allocated funds. The amount is 1 million rubles. can be used in whole or in part to pay for:

down payment on a mortgage;
percent;
repayment of the principal amount of the debt.

However, to qualify for a loan, you must meet the criteria set by the lender. You can study the conditions in the relevant segment of the financial market in detail using thematic publications on our website. Below are typical requirements for potential borrowers:

age at least 21 years, but not more than 65 years;
citizenship of the Russian Federation;
sufficient income to pay off debts and support the family;
long work experience;
consent of the spouse to receive a loan and register as a co-borrower;
insurance (personal, real estate).

The conditions differ significantly taking into account the following factors:

buying on the secondary market or in a new building,
purchase from a developer - a partner of the bank;
construction of a private house.

The condition of the property is checked separately. Dilapidated buildings and structures intended for planned demolition or reconstruction are not suitable for mortgage programs.

Support for young professionals

The main essence of the program to support young professionals is to provide this category of citizens with special benefits and additional privileges. All of them should lead to the fact that young specialists will become interested in the proposals presented and agree to carry out their work activities in remote corners of the country.

One of the main criteria of this program, of course, is the possibility of providing young specialists with preferential housing. If you consider that in our country the issue of acquiring your own square meters is too acute, you can understand that such a privilege is truly significant and tempting.

Legislative regulations established certain requirements for candidates for the benefit program. The main ones include:

The applicant must be of a certain age, namely not older than 35 years.
Mandatory presence of a certain professional education, which in profile will correspond to the future direction of work of the young specialist.
Minimum work experience – 3 years. It should be noted that the applicant must have experience in precisely the area in which he previously received the appropriate education, that is, in a specialized one.
The need to start working within the next three months, after completing studies at the appropriate institution. In this case, the status of a young specialist will be retained by the individual until his work experience reaches 3 years.

conclusions

Despite the relative ease of obtaining compensation, a participant in the zemstvo doctor program should carefully study the following positions:

personal compliance with basic requirements;
actual conditions of the selected vacancy, place of residence;
sufficiency of the money received to purchase housing and solve other specific problems;
plans for the allocation of targeted funds from the local budget.

It is necessary to correctly understand the impossibility of placing a therapist under the “Zemsky Doctor” program as an ophthalmologist. When applying, you must confirm that you have the appropriate qualifications. According to available statistics, in addition to general practitioners, dentists and surgeons are especially in demand. There are no direct prohibitions on certain medical professions within the framework of this program. However, the limited number of residents in rural areas must be realistically assessed.

To complete the analysis, it is recommended to check additional support programs at the federal (regional) level, for example:

“Social mortgage” for residents of the Moscow region with compensation of the principal debt on a housing loan;
monthly transfer of a fixed amount (RUB 1,200) to compensate for housing and communal services in accordance with the rules of PP No. 1607 of December 30, 2014;
provision of official housing with re-registration into private ownership after accumulating a certain length of service;
early retirement according to the current standards of the Labor Code of the Russian Federation;
additional payments established by doctor’s specialty and category;
compensation for damage to health caused during the performance of professional duties;
free travel on public transport, other benefits.

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Read more about mortgages for doctors here.

How much funding can a young doctor claim?

Funds for the Zemsky Doctor program are distributed after the state budget is approved. The final calculation of funds is made when a certain amount is provided to local budgets.

Based on this, funds are provided for each individual citizen individually.

Absolutely every young specialist who falls under the Zemsky Doctor program can qualify for financial assistance in the amount of one million rubles.

The funds can be spent on moving and purchasing, or building your own living space.

Sixty percent of the funds are provided by the state budget, and the remaining forty by local legislative bodies.

Where to go for money?

An employee who carries out his activities as a qualified doctor in rural areas and participates in the state program “Zemsky Doctor” must apply to the Compulsory Medical Insurance Fund.

Funds are provided within thirty days from the date of approval of the application.

The state portion is credited to the municipal budget within up to three days. After which, the rest is added by the local government. The final amount is transferred to the account of the program participant.