Guidance on the implementation of organised cancer screening

Guidance from the Ministry of Health of the Slovak Republic on the implementation of organised screening of cancer diseases
for health insurance, for healthcare providers, for professional and general public

Guidance on the implementation of organised cancer screening by § 2b of Law No 577/2004 Z. z. on the scope of health care paid on the basis of public health insurance and reimbursements for health care services, as amended (hereinafter "Law No 577/2004') OJ L 347, 20.12.2013, p. 671.

1. It shall take effect on 1 July 2025. § 2b of Law No 577/2004 Z. z. z.establishing a
   (a) carrying out cancer screening and reimbursement of screening of cancer of the colon and rectum, cervix, lung, prostate and breast from public health insurance; and
   (b) an enabling provision for the issue of general binding rules, i.e. an order.
   Reference: https://www.slov-lex.sk/epiles/legal-regulations/EN/ZZ/2004/577/20250701.html
2. Ministry of Health of the Slovak Republic by § 45 (1) (b) c) Act No 576/2004 Coll. on health care, health care services and amending certain laws (hereinafter "Law No 576/2004') Z. z. z.
3. By § 45 (1) (b) (c) Law No 576/2004 Z. z. z. Standard procedures are a binding part of the correct provision of healthcare. The monitoring of compliance with standard diagnostic and therapeutic procedures in practice is carried out by review doctors of individual insurance companies and the Health Care Supervisory Authority.
4. Within the period until the entry into force of the Decree, the provision applies Article 4 (3) of Law No 576/2004 Z. z. z.
   –The Provider is obliged to provide healthcare correctly. Health care is provided correctly if all health performances are performed to correctly identify the disease, ensuring early and effective treatment to cure a person or improve the condition of a person, taking into account current knowledge of medical science and in accordance with standard procedures for the performance of prevention, standard diagnostic procedures and standard therapeutic procedures, taking into account individual patient status...
5. Standard diagnostic and therapeutic procedures published on the website of the Slovak Ministry of Health:
   

   Screening of cervical cancer
   Standard Diagnostic and Therapeutic Procedure for comprehensive management of cervical cancer
   
   Screening of colorectal cancer
   Standard procedure for performance prevention of colorectal cancer by population screening, 2nd revision + high risk
   Approved new and innovative prevention procedures
   
   Breast cancer screening
   Standard procedure for medical exposure and prevention - screening mammography /Standard procedure for the prevention of breast cancer by population screening - screening mammography, 3rd revision + high risk
   https://www.noisk.sk/files/2022/2022-11-11-skrining-mamography-3-revizia.pdf
   https://health.gov.sk/Sources/documents/SDTP/standards/15-11-2022/2 1-Diag radiol ca-prsnika-Skring-karcinom-prsnika-in-high-risk population-green.pdf
   Approved new and innovative prevention procedures