Government of the Russian Federation. The procedure and conditions for recognizing citizens as disabled

In January 2018, the Government amended the decree on the procedure and conditions for recognizing a person as disabled. You can find the full text of the resolution in the current edition on our portal.

GOVERNMENT OF THE RUSSIAN FEDERATION

RESOLUTION

ON THE PROCEDURE AND CONDITIONS FOR RECOGNIZING A PERSON AS A DISABLED PERSON

In accordance with the Federal Law "On the Social Protection of the Disabled in the Russian Federation", the Government of the Russian Federation decides:

Approve the attached Rules for Recognizing a Person as Disabled.
Lost strength. - Decree of the Government of the Russian Federation of 10.08.2016 N 772.
The Ministry of Labor and Social Protection of the Russian Federation to provide clarifications on issues related to the application of the Rules approved by this Decree.

Recognize as invalid Decree of the Government of the Russian Federation of August 13, 1996 N 965 "On the procedure for recognizing citizens as disabled" (Collected Legislation of the Russian Federation, 1996, N 34, Art. 4127).

Prime Minister

Russian Federation M. FRADKOV

Approved by Government Decree

REGULATIONS

RECOGNITION OF A PERSON AS A DISABLED

General provisions

These Rules determine, in accordance with the Federal Law "On the Social Protection of the Disabled in the Russian Federation", the procedure and conditions for recognizing a person as a disabled person. Recognition of a person (hereinafter referred to as a citizen) as a disabled person is carried out by federal state institutions of medical and social expertise: the Federal Bureau of Medical and Social Expertise (hereinafter referred to as the Federal Bureau), the main bureaus of medical and social expertise (hereinafter referred to as the main bureaus), as well as the bureau of medical and social expertise in cities and districts (hereinafter referred to as bureaus), which are branches of the main bureaus.
The recognition of a citizen as a disabled person is carried out during a medical and social examination based on a comprehensive assessment of the state of the citizen's body based on an analysis of his clinical, functional, social, vocational and psychological data using classifications and criteria approved by the Ministry of Labor and Social Protection of the Russian Federation.

(as amended by Decree of the Government of the Russian Federation of 04.09.2012 N 882)

A medical and social examination is carried out to establish the structure and degree of restriction of the citizen's life and his rehabilitation potential.

Specialists of the bureau (the main bureau, the Federal Bureau) are obliged to familiarize the citizen (his legal or authorized representative) with the procedure and conditions for recognizing a citizen as disabled, as well as to provide explanations to citizens on issues related to the establishment of disability.

Conditions for recognizing a citizen as disabled

The conditions for recognizing a citizen as disabled are:

a) a health disorder with a persistent disorder of body functions due to diseases, consequences of injuries or defects;

b) restriction of life activity (complete or partial loss by a citizen of the ability or ability to carry out self-service, move independently, navigate, communicate, control their behavior, study or engage in labor activity);

c) the need for social protection measures, including rehabilitation and habilitation.

The presence of one of the conditions specified in paragraph 5 of these Rules is not a sufficient basis for recognizing a citizen as a disabled person.
Depending on the degree of severity of persistent disorders of body functions resulting from diseases, the consequences of injuries or defects, a citizen recognized as disabled is assigned I, II or III disability groups, and a citizen under the age of 18 is assigned the category "disabled child".

(as amended by Decree of the Government of the Russian Federation of 08/06/2015 N 805)

Repealed from January 1, 2010. - Decree of the Government of the Russian Federation of December 30, 2009 N 1121.
Disability of the I group is established for 2 years, II and III groups - for 1 year.

The paragraph became invalid on January 1, 2010. - Decree of the Government of the Russian Federation of December 30, 2009 N 1121.

The category "disabled child" is established for 1 year, 2 years, 5 years, or until the citizen reaches the age of 18 years.

The category "disabled child" for a period of 5 years is established upon re-examination in the event of the first complete remission of a malignant neoplasm, including any form of acute or chronic leukemia.

(clause 10 as amended by Decree of the Government of the Russian Federation of 06.02.2012 N 89)

If a citizen is recognized as disabled, the date of establishment of disability is the day the bureau receives the citizen's application for a medical and social examination.
Disability is established before the 1st day of the month following the month for which the next medical and social examination of a citizen (re-examination) is scheduled.
Citizens are assigned a disability group without indicating the period of re-examination, and citizens under the age of 18 are assigned the category “disabled child” until the citizen reaches the age of 18:

no later than 2 years after the initial recognition as a disabled person (establishment of the category "disabled child") of a citizen who has diseases, defects, irreversible morphological changes, dysfunctions of organs and body systems according to the list according to the appendix;

not later than 4 years after the initial recognition of a citizen as a disabled person (establishment of the category "disabled child") in the event that it is impossible to eliminate or reduce the degree of restriction of the citizen's life activity caused by persistent irreversible morphological changes, defects and dysfunctions of organs and systems during the implementation of rehabilitation or habilitation measures organism (with the exception of those specified in the appendix to these Rules);

(as amended by Decree of the Government of the Russian Federation of 08/06/2015 N 805)

not later than 6 years after the initial establishment of the category "disabled child" in case of a recurrent or complicated course of a malignant neoplasm in children, including any form of acute or chronic leukemia, as well as in case of addition of other diseases that complicate the course of a malignant neoplasm.

(the paragraph was introduced by Decree of the Government of the Russian Federation of 06.02.2012 N 89)

(as amended by Decree of the Government of the Russian Federation of 08/06/2015 N 805)

For citizens who applied to the bureau independently in accordance with paragraph 19 of these Rules, a disability group without specifying the re-examination period (category "disabled child" until the citizen reaches the age of 18) can be established upon initial recognition of a citizen as disabled (establishing the category "disabled child" ) in the absence of positive results of the rehabilitation or habilitation measures assigned to him in accordance with the specified paragraph.

(as amended by Decree of the Government of the Russian Federation of 08/06/2015 N 805)

(clause 13 as amended by Decree of the Government of the Russian Federation of 04/07/2008 N 247)

13.1. Citizens who are assigned the category of "disabled child", upon reaching the age of 18, are subject to re-examination in the manner prescribed by these Rules. At the same time, the calculation of the terms provided for in paragraphs two and three of clause 13 of these Rules is carried out from the day he establishes the category "disabled child".

(clause 13.1 was introduced by Decree of the Government of the Russian Federation of 04/07/2008 N 247; as amended by Decree of the Government of the Russian Federation of 01/24/2018 N 60)

If a citizen is recognized as disabled, the following causes of disability are established:

(as amended by Decree of the Government of the Russian Federation of 10.08.2016 N 772)

a) general illness;

(as amended by Decree of the Government of the Russian Federation of 10.08.2016 N 772)

b) labor injury;

(as amended by Decree of the Government of the Russian Federation of 10.08.2016 N 772)

c) occupational disease;

(as amended by Decree of the Government of the Russian Federation of 10.08.2016 N 772)

d) disability since childhood;

(as amended by Decree of the Government of the Russian Federation of 10.08.2016 N 772)

e) disability from childhood due to injury (concussion, mutilation) associated with military operations during the Great Patriotic War of 1941-1945;

(as amended by Decree of the Government of the Russian Federation of 10.08.2016 N 772)

f) military trauma;

(as amended by Decree of the Government of the Russian Federation of 10.08.2016 N 772)

g) the disease was acquired during military service;

(as amended by Decree of the Government of the Russian Federation of 10.08.2016 N 772)

h) a radiation-induced disease was acquired in the performance of military service (official duties) in connection with the catastrophe at the Chernobyl nuclear power plant;

(as amended by Decree of the Government of the Russian Federation of 10.08.2016 N 772)

i) the disease is associated with the disaster at the Chernobyl nuclear power plant;

(as amended by Decree of the Government of the Russian Federation of 10.08.2016 N 772)

j) a disease acquired in the performance of other duties of military service (official duties) is associated with the disaster at the Chernobyl nuclear power plant;

(as amended by Decree of the Government of the Russian Federation of 10.08.2016 N 772)

k) the disease is associated with an accident at the Mayak production association;

(as amended by Decree of the Government of the Russian Federation of 10.08.2016 N 772)

l) a disease acquired in the performance of other duties of military service (official duties) is associated with an accident at the Mayak production association;

(as amended by Decree of the Government of the Russian Federation of 10.08.2016 N 772)

m) the disease is associated with the consequences of radiation exposure;

(as amended by Decree of the Government of the Russian Federation of 10.08.2016 N 772)

n) a radiation-induced disease was acquired in the performance of military service duties (official duties) in connection with direct participation in the actions of special-risk units;

(as amended by Decree of the Government of the Russian Federation of 10.08.2016 N 772)

p) other reasons established by the legislation of the Russian Federation.

(as amended by Decree of the Government of the Russian Federation of 10.08.2016 N 772)

III. The procedure for sending a citizen

for medical and social examination

A citizen is sent for a medical and social examination by a medical organization, regardless of its organizational and legal form, by the body providing pensions, or by the body of social protection of the population.

(as amended by Decree of the Government of the Russian Federation of 08/06/2015 N 805)

A medical organization sends a citizen for a medical and social examination after carrying out the necessary diagnostic, therapeutic and rehabilitation or habilitation measures if there is data confirming a persistent impairment of body functions due to diseases, consequences of injuries or defects.

(as amended by Decree of the Government of the Russian Federation of 08/06/2015 N 805)

At the same time, in the direction for a medical and social examination, the form of which is approved by the Ministry of Labor and Social Protection of the Russian Federation and the Ministry of Health of the Russian Federation, data on the state of health of a citizen are indicated, reflecting the degree of dysfunction of organs and systems, the state of the body's compensatory capabilities, as well as the results of the performed rehabilitation or rehabilitation measures.

(As amended by Decrees of the Government of the Russian Federation of 04.09.2012 N 882, of 06.08.2015 N 805, of 10.08.2016 N 772)

The body providing pensions, as well as the body of social protection of the population, has the right to send for a medical and social examination of a citizen who has signs of disability and needs social protection, if he has medical documents confirming violations of body functions due to diseases, consequences of injuries or defects.

The form of the corresponding referral for medical and social examination, issued by the body providing pensions, or the body of social protection of the population, is approved by the Ministry of Labor and Social Protection of the Russian Federation.

(as amended by Decree of the Government of the Russian Federation of 04.09.2012 N 882)

Medical organizations, bodies providing pensions, as well as bodies of social protection of the population are responsible for the accuracy and completeness of the information indicated in the referral for a medical and social examination, in the manner established by the legislation of the Russian Federation.

(as amended by Decree of the Government of the Russian Federation of 08/06/2015 N 805)

If a medical organization, a body providing pensions, or a body of social protection of the population refused to send a citizen for a medical and social examination, he is issued a certificate, on the basis of which the citizen (his legal or authorized representative) has the right to apply to the bureau on his own.

(as amended by Decree of the Government of the Russian Federation of 08/06/2015 N 805)

19(1). The referrals for medical and social examination provided for in paragraphs 16 and 17 of these Rules and the certificate specified in paragraph 19 of these Rules shall be sent to the bureau in the form of an electronic a document using a unified system of interdepartmental electronic interaction and regional systems of interdepartmental electronic interaction connected to it, and in the absence of access to this system - on paper in compliance with the requirements of the legislation of the Russian Federation in the field of personal data.

(clause 19(1) was introduced by Decree of the Government of the Russian Federation of 16.04.2012 N 318; as amended by Decree of the Government of the Russian Federation of 06.08.2015 N 805)

The procedure for conducting medical and social

examination of a citizen

Medical and social examination of a citizen is carried out in the bureau at the place of residence (at the place of stay, at the location of the pension file of a disabled person who has left for permanent residence outside the Russian Federation).
In the main bureau, a citizen's medical and social examination is carried out if he appeals against the decision of the bureau, as well as in the direction of the bureau in cases requiring special types of examination.
In the Federal Bureau, a medical and social examination of a citizen is carried out in the event that he appeals against the decision of the main bureau, as well as in the direction of the main bureau in cases requiring particularly complex special types of examination.
A medical and social examination can be carried out at home if a citizen cannot come to the bureau (main bureau, Federal Bureau) for health reasons, which is confirmed by the conclusion of a medical organization, or in a hospital where the citizen is being treated, or in absentia by decision of the relevant the Bureau.

(as amended by Decree of the Government of the Russian Federation of 08/06/2015 N 805)

Medical and social examination is carried out at the request of a citizen (his legal or authorized representative).

(as amended by Decree of the Government of the Russian Federation of 10.08.2016 N 772)

The application is submitted to the bureau in writing, with a referral for a medical and social examination issued by a medical organization (a body providing pensions, a body for social protection of the population) and medical documents confirming a violation of health.

(as amended by Decree of the Government of the Russian Federation of 08/06/2015 N 805)

Medical and social examination is carried out by specialists of the bureau (main bureau, Federal Bureau) by examining the citizen, studying the documents submitted by him, analyzing the social, domestic, professional, psychological and other data of the citizen.
When conducting a medical and social examination of a citizen, a protocol is kept.
Representatives of state non-budgetary funds, the Federal Service for Labor and Employment, as well as specialists of the relevant profile (hereinafter referred to as consultants) may participate in the conduct of a medical and social examination of a citizen at the invitation of the head of the bureau (main bureau, Federal Bureau).

27(1). A citizen (his legal or authorized representative) has the right to invite any specialist with his consent to participate in the medical and social examination with the right of an advisory vote.

(Clause 27(1) was introduced by Decree of the Government of the Russian Federation No. 772 of 10.08.2016)

The decision to recognize a citizen as a disabled person or to refuse to recognize him as a disabled person is made by a simple majority of votes of the specialists who conducted the medical and social examination, based on a discussion of the results of his medical and social examination.

(as amended by Decree of the Government of the Russian Federation of 10.08.2016 N 772)

Based on the results of a medical and social examination of a citizen, an act is drawn up, which is signed by the head of the relevant bureau (main bureau, Federal Bureau) and the specialists who made the decision, and then certified by a seal.

The conclusions of the consultants involved in the medical and social examination, the list of documents and the main information that served as the basis for the decision are entered in the act of the citizen's medical and social examination or attached to it.

The procedure for drawing up and the form of an act of medical and social examination of a citizen are approved by the Ministry of Labor and Social Protection of the Russian Federation.

(as amended by Decree of the Government of the Russian Federation of 04.09.2012 N 882)

The paragraph is invalid. - Decree of the Government of the Russian Federation of 10.08.2016 N 772.

29(1). An act of medical and social examination of a citizen, a protocol for conducting a medical and social examination of a citizen, an individual program of rehabilitation or habilitation of a citizen are formed in the case of a medical and social examination of a citizen.

A citizen (his legal or authorized representative) has the right to familiarize himself with the act of the medical and social examination of a citizen and the protocol for conducting a medical and social examination of a citizen.

At the request of a citizen (his legal or authorized representative), filed in writing, he is issued copies of the act of the medical and social examination of the citizen and the protocol of the medical and social examination certified by the head of the bureau (main bureau, Federal Bureau) or an official authorized by him in the prescribed manner citizen.

Documents generated during and based on the results of the medical and social examination, in the form of electronic documents, are signed with an enhanced qualified electronic signature of the head of the bureau (main bureau, Federal Bureau) or an enhanced qualified electronic signature of an official authorized by him.

(Clause 29(1) was introduced by Decree of the Government of the Russian Federation No. 772 of August 10, 2016)

When conducting a medical and social examination of a citizen in the main bureau, the case of the medical and social examination of a citizen with the attachment of all available documents is sent to the main bureau within 3 days from the date of the medical and social examination in the bureau.

(as amended by Decree of the Government of the Russian Federation of 10.08.2016 N 772)

In cases requiring special types of examination of a citizen in order to establish the structure and degree of disability, rehabilitation potential, as well as to obtain other additional information, an additional examination program may be drawn up, which is approved by the head of the relevant bureau (main bureau, Federal Bureau). The specified program is brought to the attention of a citizen undergoing a medical and social examination in a form accessible to him.

(as amended by Decree of the Government of the Russian Federation of December 30, 2009 N 1121)

(as amended by Decree of the Government of the Russian Federation of 08/06/2015 N 805)

After receiving the data provided for by the additional examination program, the specialists of the relevant bureau (main bureau, Federal Bureau) make a decision on recognizing the citizen as disabled or on refusing to recognize him as disabled.
In the event that a citizen (his legal or authorized representative) refuses to undergo an additional examination and provide the necessary documents, the decision to recognize the citizen as disabled or to refuse to recognize him as disabled is made on the basis of the available data, which is noted in the protocol of the medical and social examination of the citizen in federal state institution of medical and social expertise.

(Clause 33 as amended by Decree of the Government of the Russian Federation of 10.08.2016 N 772)

For a citizen recognized as disabled, the specialists of the bureau (the main bureau, the Federal Bureau), who conducted the medical and social examination, develop an individual program of rehabilitation or habilitation.

If it is necessary to make corrections to the individual program of rehabilitation or habilitation in connection with a change in the personal, anthropometric data of a disabled person (disabled child), the need to clarify the characteristics of previously recommended types of rehabilitation and (or) habilitation measures, as well as in order to eliminate technical errors (misprint, misprint , grammatical or arithmetic error or similar error) to a disabled person (a disabled child), at his application or at the request of a legal or authorized representative of a disabled person (a disabled child), a new individual rehabilitation or habilitation program is drawn up instead of the previously issued one without issuing a new referral for medical and social examination disabled person (disabled child).

(as amended by Decrees of the Government of the Russian Federation of 10.08.2016 N 772, of 24.01.2018 N 60)

If it is necessary to include in the individual program of rehabilitation or habilitation of a disabled child recommendations on goods and services intended for social adaptation and integration into society of disabled children, for the purchase of which funds (part of the funds) of maternity (family) capital are allocated (hereinafter referred to as goods and services ), a disabled child, at his request or at the request of a legal or authorized representative of a disabled child, instead of the previously issued one, a new individual rehabilitation or habilitation program for a disabled child is drawn up without issuing a new referral for a medical and social examination.

Drawing up a new individual program for the rehabilitation or habilitation of a disabled child with the inclusion of recommendations on goods and services is carried out on the basis of a decision of the bureau (main bureau, Federal Bureau) on the need for the disabled child to purchase goods and services, adopted based on the results of an examination of the disabled child.

(the paragraph was introduced by Decree of the Government of the Russian Federation of January 24, 2018 N 60)

Submission of a certificate is not required if the application for the inclusion of goods and services related to medical devices in an individual program for the rehabilitation or habilitation of a disabled child was received within 1 year from the date of issuance of the indicated program by the bureau (main bureau, Federal Bureau). In this case, the decision on the need to purchase goods and services related to medical devices is made on the basis of information available in the Bureau (Main Bureau, Federal Bureau) of previous examinations of a disabled child at the disposal of the Bureau (Main Bureau, Federal Bureau).

(the paragraph was introduced by Decree of the Government of the Russian Federation of January 24, 2018 N 60)

An extract from the act of medical and social examination of a citizen recognized as disabled is sent to the relevant bureau (main bureau, Federal Bureau) to the body providing his pension within 3 days from the date of the decision to recognize the citizen as disabled in the form of an electronic document using a single systems of interdepartmental electronic interaction or otherwise in compliance with the requirements of the legislation of the Russian Federation in the field of personal data protection.

(as amended by Decree of the Government of the Russian Federation of 10.08.2016 N 772)

The procedure for compiling and the form of the extract are approved by the Ministry of Labor and Social Protection of the Russian Federation.

(as amended by Decree of the Government of the Russian Federation of 04.09.2012 N 882)

Information about all cases of recognition as invalids of citizens who are registered with the military or not registered with the military, but are obliged to be registered with the military, are submitted by the bureau (main bureau, Federal Bureau) to the relevant military commissariats.

(as amended by Decree of the Government of the Russian Federation of 10.08.2016 N 772)

A citizen recognized as disabled is issued a certificate confirming the fact of the establishment of disability, indicating the group of disability, as well as an individual program of rehabilitation or habilitation.

(as amended by Decrees of the Government of the Russian Federation of December 30, 2009 N 1121, of August 6, 2015 N 805)

The procedure for compiling and the form of the certificate are approved by the Ministry of Labor and Social Protection of the Russian Federation.

(as amended by Decree of the Government of the Russian Federation of 10.08.2016 N 772)

A citizen who is not recognized as a disabled person, at his request, is issued a certificate of the results of a medical and social examination.

For a citizen who has a document on temporary disability and is recognized as disabled, the disability group and the date of its establishment are indicated in the specified document.

The procedure for re-examination of a disabled person

Re-examination of a disabled person is carried out in the manner prescribed by Sections I-IV of these Rules.
Re-examination of disabled people of group I is carried out 1 time in 2 years, disabled people of groups II and III - 1 time per year, and disabled children - 1 time during the period for which the category "child with a disability" is established for the child.

(As amended by Decrees of the Government of the Russian Federation of 08/06/2015 N 805, of 08/10/2016 N 772)

Re-examination of a disabled person can be carried out in advance, but no more than 2 months before the expiration of the established period of disability.
Re-examination of a disabled person before the established deadline is carried out on his personal application (application of his legal or authorized representative), or on the direction of a medical organization in connection with a change in health status, or when the main bureau, the Federal Bureau of control over decisions taken by the bureau respectively, the main bureau.

(As amended by Decrees of the Government of the Russian Federation of 08/06/2015 N 805, of 08/10/2016 N 772)

The procedure for appealing the decisions of the bureau,

main bureau, federal bureau

A citizen (his legal or authorized representative) may appeal the decision of the bureau to the main bureau within a month on the basis of a written application submitted to the bureau that conducted the medical and social examination, or to the main bureau.

(as amended by Decree of the Government of the Russian Federation of 10.08.2016 N 772)

The bureau that conducted the medical and social examination of the citizen, within 3 days from the date of receipt of the application, sends it with all available documents to the main bureau.

The main bureau, no later than 1 month from the date of receipt of the citizen's application, conducts his medical and social examination and, based on the results, makes an appropriate decision.
In the event that a citizen appeals against the decision of the main bureau, the chief expert in medical and social expertise for the relevant subject of the Russian Federation, with the consent of the citizen, may entrust the conduct of his medical and social expertise to another team of specialists from the main bureau.
The decision of the main bureau can be appealed within a month to the Federal Bureau on the basis of an application submitted by a citizen (his legal or authorized representative) to the main bureau that conducted the medical and social examination, or to the Federal Bureau.

(as amended by Decree of the Government of the Russian Federation of 10.08.2016 N 772)

The Federal Bureau, no later than 1 month from the date of receipt of the citizen's application, conducts his medical and social examination and, based on the results, makes an appropriate decision.

Decisions of the bureau, the main bureau, the Federal Bureau may be appealed to the court by a citizen (his legal or authorized representative) in the manner prescribed by the legislation of the Russian Federation.

(as amended by Decree of the Government of the Russian Federation of 01/24/2018 N 60)

Appendix to the Rules for Recognizing a Person as Disabled

(as amended by the Government Decree

SCROLL

DISEASES, DEFECTS, IRREVERSIBLE

MORPHOLOGICAL CHANGES, FUNCTION DISTURBANCES

ORGANS AND SYSTEMS OF THE BODY IN WHICH THE GROUP

DISABILITY WITHOUT INDICATING THE TERM OF RE-CERTIFICATION

AGE 18) IS ESTABLISHED TO CITIZENS NO LATER

2 YEARS AFTER INITIAL RECOGNITION AS DISABLED

Malignant neoplasms (with metastases and relapses after radical treatment; metastases without an identified primary focus with treatment failure; severe general condition after palliative treatment, incurability of the disease with severe symptoms of intoxication, cachexia and tumor decay).
Malignant neoplasms of lymphoid, hematopoietic and related tissues with severe symptoms of intoxication and severe general condition.
Inoperable benign neoplasms of the brain and spinal cord with persistent and pronounced disorders of motor, speech, visual functions (pronounced hemiparesis, paraparesis, triparesis, tetraparesis, hemiplegia, paraplegia, triplegia, tetraplegia) and severe liquorodynamic disorders.
The absence of the larynx after its surgical removal.
Congenital and acquired dementia (severe dementia, severe mental retardation, profound mental retardation).
Diseases of the nervous system with a chronic progressive course, with persistent pronounced disorders of motor, speech, visual functions (pronounced hemiparesis, paraparesis, triparesis, tetraparesis, hemiplegia, paraplegia, triplegia, tetraplegia, ataxia, total aphasia).
Hereditary progressive neuromuscular diseases (pseudohypertrophic Duchenne myodystrophy, Werdnig-Hoffmann spinal amyotrophy), progressive neuromuscular diseases with impaired bulbar functions, muscle atrophy, impaired motor functions and (or) impaired bulbar functions.
Severe forms of neurodegenerative diseases of the brain (parkinsonism plus).
Complete blindness in both eyes with the ineffectiveness of the treatment; decrease in visual acuity in both eyes and in the better seeing eye up to 0.03 with correction or concentric narrowing of the visual field in both eyes up to 10 degrees as a result of persistent and irreversible changes.
Complete deafness.
Congenital deafness with impossibility of hearing replacement (cochlear implantation).
Diseases characterized by high blood pressure with severe complications from the central nervous system (with persistent pronounced disorders of motor, speech, visual functions), heart muscles (accompanied by circulatory failure IIB-III degree and coronary insufficiency III-IV functional class), kidneys (chronic renal failure IIB - III stage).
Ischemic heart disease with coronary insufficiency III-IV functional class of angina pectoris and persistent circulatory disorders IIB-III degree.
Diseases of the respiratory organs with a progressive course, accompanied by persistent respiratory failure II-III degree, in combination with circulatory failure IIB-III degree.
Cirrhosis of the liver with hepatosplenomegaly and portal hypertension of the III degree.
Unremovable fecal fistulas, stomas.
Pronounced contracture or ankylosis of large joints of the upper and lower extremities in a functionally disadvantageous position (if arthroplasty is impossible).
End-stage chronic renal failure.
Unrecoverable urinary fistulas, stomas.
Congenital anomalies in the development of the musculoskeletal system with severe persistent disorders of the function of support and movement when it is impossible to correct.
Consequences of traumatic injury to the brain (spinal) cord with persistent pronounced disorders of motor, speech, visual functions (pronounced hemiparesis, paraparesis, triparesis, tetraparesis, hemiplegia, paraplegia, triplegia, tetraplegia, ataxia, total aphasia) and severe dysfunction of the pelvic organs.
Defects of the upper limb: amputation of the shoulder joint, disarticulation of the shoulder, shoulder stump, forearm, absence of the hand, absence of all phalanges of the four fingers, excluding the first, absence of three fingers of the hand, including the first.
Defects and deformities of the lower limb: amputation of the hip joint, disarticulation of the femur, femoral stump, lower leg, absence of a foot.

One of the most common questions that patients have is questions about obtaining a disability: What group is required? How to get a referral? What to do if disability is denied? This article contains answers to many questions related to the disability determination procedure.

Regulations

The general procedure for establishing disability is determined by the "Rules for Recognizing a Person as Disabled", approved by Decree of the Government of the Russian Federation of February 20, 2006 No. 95.

The current legislation does not contain a list of diseases for which disability should be established (there is only a list of diseases for which an indefinite disability can be established no later than 2 years after the initial recognition as a disabled person), therefore, in each case, the issue is resolved individually, based on the objective condition of the patient that he has a disability.

Obtaining a referral for a medical and social examination

The issue of establishing disability is resolved during the examination at the Bureau of Medical and Social Expertise (ITU). The referral to the ITU is issued by the medical institution where the patient is observed. If a citizen has medical documents confirming violations of body functions, a referral can also be obtained from the pension authorities and social protection authorities.

In case of refusal to send to the ITU, a citizen is issued a certificate, with which you can independently apply to the ITU Bureau. In this case, ITU experts conduct an examination of the citizen and develop a program for additional examination of the citizen and rehabilitation measures, after which they consider the issue of the presence of life restrictions.

A referral to the ITU can be obtained both at the place of residence and at the place of temporary residence. This is provided for in clause 20 of the Rules for Recognizing a Person as Disabled.

Terms of referral to ITU

The deadlines for referral to the ITU are established by clause 27 of the “Procedure for issuing sick leave certificates”, approved by Order of the Ministry of Health and Social Development of June 29, 2011 No. 624n.

obvious unfavorable clinical and labor prognosis, regardless of the duration of temporary disability, but no later than 4 months from the date of its onset;
favorable clinical and labor prognosis in case of temporary disability lasting more than 10 months (in some cases - conditions after injuries and reconstructive operations, in the treatment of tuberculosis - more than 12 months);
the need to change the vocational rehabilitation program for working disabled people in the event of a deterioration in the clinical and labor prognosis, regardless of the disability group and the duration of temporary disability.

It is worth noting that there is no minimum period for referral to the ITU, and a citizen, if there are relevant medical indications, has the right to receive a referral to the ITU without waiting for the expiration of the above deadlines. The day the disability was established is the day the citizen's application is received by the ITU Bureau. From the same day, the disability pension should be calculated.

For non-working citizens, the terms of referral to the ITU have not been established.

Conditions for recognizing a person as disabled

The main conditions for establishing disability are enshrined in clause 5 of the above Rules:

Impairment of health with a persistent disorder of body functions due to diseases, consequences of injuries or defects.
Limitation of life activity (complete or partial loss by a citizen of the ability or ability to carry out self-service, move independently, navigate, communicate, control their behavior, study or engage in work activities).
The need for social protection measures, including rehabilitation.

The presence of only one of the three conditions is not sufficient grounds for recognizing a person as disabled.

In addition to these conditions, the ITU criteria apply (approved by the Order of the Ministry of Health and Social Development dated August 22, 2005 No. 535).

Disability groups

If, based on the results of the examination, a decision is made on the recognition of disability, the citizen is assigned I, II or III group of disability. For persons under 18 years of age, the category "disabled child" is established. The degree of limitation of the ability to work was canceled by the amendments to the “Rules for Recognizing a Person as Disabled” that came into force in 2010.

Disability of the I group is established for 2 years, disability of the II and III groups - for 1 year. The category "disabled child" is set for 1, 2 years or until the age of 18.

Reason for disability

If a citizen is recognized as a disabled person, the cause of disability is a general illness, a labor injury, an occupational disease, disability from childhood, disability from childhood due to injury (concussion, injury) associated with military operations during the Great Patriotic War, a military injury, a disease received during military service, disability associated with the disaster at the Chernobyl nuclear power plant, the consequences of radiation exposure and direct participation in the activities of special risk units, as well as other reasons established by the legislation of the Russian Federation.

Permanent disability

The grounds for establishing permanent disability are indicated in clause 13 of these rules.

Citizens are assigned a disability group without specifying the re-examination period, and citizens under the age of 18 are assigned the category “disabled child” until the citizen reaches the age of 18:

no later than 2 years after the initial recognition as a disabled person (establishment of the category "disabled child") of a citizen who has diseases, defects, irreversible morphological changes, dysfunctions of organs and body systems according to the list according to the appendix;
no later than 4 years after the initial recognition of a citizen as a disabled person (establishment of the category "disabled child") in the event that it is impossible to eliminate or reduce the degree of restriction of the citizen's life activity caused by persistent irreversible morphological changes, defects and dysfunctions of the organs and systems of the body during the implementation of rehabilitation measures ( with the exception of those specified in the appendix to these Rules).

Individual rehabilitation program

During the examination, ITU specialists develop an individual rehabilitation program (IPR) containing information on restrictions on work activity and rehabilitation measures and technical means recommended for a disabled person (prostheses, wheelchairs, etc.). A copy of this program is given to a disabled person. An individual rehabilitation program for the disabled person himself is advisory in nature, however, for any organization, its implementation is mandatory.

Appeals against ITU decisions

The decision of the ITU territorial bureau can be appealed to the ITU Main Bureau within a month from the date of the examination. The decision of the ITU Main Bureau can be appealed within a month to the ITU Federal Bureau.

In this case, an application for appeal must be submitted to the same bureau that conducted the examination, and within 3 days it must send documents to a higher bureau.

The decision of any bureau can be appealed by a citizen in court. According to the results of the trial, the decision of the ITU may be declared invalid and a re-examination may be carried out.

If you have any questions related to disability, you can call All-Russian free round-the-clock hotline for cancer patients and their relatives 8-800 100-0191 and ask your lawyer.

Anton Radus, legal adviser of the Clear Morning Project

Document's name:
Document Number:	95
Document type:
Host body:	Government of the Russian Federation
Status:	current
Published:
Acceptance date:	February 20, 2006
Effective start date:	March 08, 2006
Revision date:	June 27, 2019

GOVERNMENT OF THE RUSSIAN FEDERATION

RESOLUTION

On the procedure and conditions for recognizing a person as disabled

Document as amended by:
(Russian newspaper - week, N 84, 04/17/2008);
(Rossiyskaya Gazeta, No. 3, January 13, 2010) (entered into force on January 1, 2010);
(Rossiyskaya Gazeta, No. 32, February 15, 2012);
(Rossiyskaya Gazeta, N 89, 04/23/2012);
(Collected Legislation of the Russian Federation, N 37, 09/10/2012);
(Official Internet portal of legal information www.pravo.gov.ru, 11.08.2015, N 0001201508110019) (for the procedure for entry into force, see paragraph 2 of Decree of the Government of the Russian Federation of August 6, 2015 N 805);
(Official Internet portal of legal information www.pravo.gov.ru, 19.08.2016, N 0001201608190013);
(Official Internet portal of legal information www.pravo.gov.ru, 01/29/2018, N 0001201801290001);
(Official Internet portal of legal information www.pravo.gov.ru, 04/06/2018, N 0001201804060053);
(Official Internet portal of legal information www.pravo.gov.ru, 06/25/2018, N 0001201806250014);
(Official Internet portal of legal information www.pravo.gov.ru, 03/25/2019, N 0001201903250001);
(Official Internet portal of legal information www.pravo.gov.ru, 05/21/2019, N 0001201905210016) (for the procedure for entry into force, see);
(Official Internet portal of legal information www.pravo.gov.ru, 06/07/2019, N 0001201906070045);
(Official Internet portal of legal information www.pravo.gov.ru, 06/28/2019, N 0001201906280018).
____________________________________________________________________

In accordance with the Government of the Russian Federation

decides:

1. Approve the attached Rules for recognizing a person as disabled.

2. The clause became invalid from August 27, 2016 - ..

3. To provide explanations to the Ministry of Labor and Social Protection of the Russian Federation on issues related to the application of the Rules approved by this resolution.
Decree of the Government of the Russian Federation of September 4, 2012 N 882.

4. Recognize invalid the Decree of the Government of the Russian Federation of August 13, 1996 N 965 "On the procedure for recognizing citizens as disabled" (Sobraniye Zakonodatelstva Rossiyskoy Federatsii, 1996, N 34, Art. 4127).

Prime Minister
Russian Federation
M. Fradkov

Rules for recognizing a person as disabled

APPROVED
Government Decree
Russian Federation
dated February 20, 2006 N 95

I. General provisions

1. These Rules determine, in accordance with the Federal Law "On the Social Protection of the Disabled in the Russian Federation", the procedure and conditions for recognizing a person as a disabled person. Recognition of a person (hereinafter referred to as a citizen) as a disabled person is carried out by federal state institutions of medical and social expertise: the Federal Bureau of Medical and Social Expertise (hereinafter referred to as the Federal Bureau), the main bureaus of medical and social expertise (hereinafter referred to as the main bureaus), as well as the bureau of medical and social expertise in cities and districts (hereinafter referred to as bureaus), which are branches of the main bureaus.

2. The recognition of a citizen as a disabled person is carried out during a medical and social examination based on a comprehensive assessment of the state of the citizen's body based on an analysis of his clinical, functional, social, vocational and psychological data using classifications and criteria approved by the Ministry of Labor and Social Protection of the Russian Federation. Federation.
(Paragraph as amended, put into effect on September 18, 2012 by Decree of the Government of the Russian Federation of September 4, 2012 N 882.

3. A medical and social examination is carried out to establish the structure and degree of restriction of the citizen's life and his rehabilitation potential (paragraph as amended, put into effect on January 1, 2010 by Decree of the Government of the Russian Federation of December 30, 2009 N 1121.

4. Specialists of the Bureau (Chief Bureau, Federal Bureau) are obliged to familiarize the citizen (his legal or authorized representative) with the procedure and conditions for recognizing a citizen as disabled, as well as to provide explanations to citizens on issues related to the establishment of disability.
Decree of the Government of the Russian Federation of August 10, 2016 N 772.

II. Conditions for recognizing a citizen as disabled

5. The conditions for recognizing a citizen as a disabled person are:

a) a health disorder with a persistent disorder of body functions due to diseases, consequences of injuries or defects;

c) the need for social protection measures, including rehabilitation and habilitation.
(Subparagraph as amended, entered into force on January 1, 2016 by Decree of the Government of the Russian Federation of August 6, 2015 N 805.

6. The presence of one of the conditions specified in paragraph 5 of these Rules is not a sufficient basis for recognizing a citizen as a disabled person.

7. Depending on the severity of persistent disorders of body functions resulting from diseases, the consequences of injuries or defects, a citizen recognized as disabled is assigned I, II or III disability groups, and a citizen under the age of 18 years - the category "disabled child" .
(Paragraph as amended, entered into force on January 1, 2016 by Decree of the Government of the Russian Federation of August 6, 2015 N 805.

8. The paragraph became invalid from January 1, 2010 - ..

9. Disability of the I group is established for 2 years, II and III groups - for 1 year.

The paragraph became invalid on January 1, 2010 - Decree of the Government of the Russian Federation of December 30, 2009 N 1121 ..

The disability group without indicating the period of re-examination is established on the basis of the list in accordance with the appendix, as well as on the grounds specified in paragraph 13 of these Rules.
Decree of the Government of the Russian Federation of March 29, 2018 N 339)

10. The category "disabled child" is established for a period of 1 year, 2 years, 5 years, until the citizen reaches the age of 14 or 18 years.

The category "disabled child" for a period of 5 years, until reaching the age of 14 or 18 years, is established for citizens with diseases, defects, irreversible morphological changes, dysfunctions of organs and systems of the body, provided for in sections I, II and II_1 of the annex to these Rules.
(Paragraph as amended, put into effect on July 6, 2019 by Decree of the Government of the Russian Federation of June 27, 2019 N 823.
(Paragraph as amended, entered into force on April 14, 2018 by Decree of the Government of the Russian Federation of March 29, 2018 N 339.

11. If a citizen is recognized as a disabled person, the date of establishment of disability shall be the date of receipt by the bureau of a referral for a medical and social examination (a citizen's application for a medical and social examination).
Decree of the Government of the Russian Federation of May 16, 2019 N 607.

12. Disability is established before the 1st day of the month following the month for which the next medical and social examination of a citizen (re-examination) is scheduled.

13. Citizens are assigned a disability group without indicating the re-examination period, and citizens under the age of 18 are assigned the category "disabled child" until the citizen reaches the age of 18:

not later than 2 years after the initial recognition as a disabled person (establishment of the category "disabled child") of a citizen who has diseases, defects, irreversible morphological changes, dysfunctions of organs and systems of the body, provided for in Section I of the Appendix to these Rules;
(Paragraph as amended, put into effect on April 14, 2018 by Decree of the Government of the Russian Federation of March 29, 2018 N 339.

no later than 4 years after the initial recognition of a citizen as a disabled person (establishment of the category "disabled child") in the event that it is impossible to eliminate or reduce the degree of limitation of the citizen's life activity caused by persistent irreversible morphological changes, defects and dysfunctions of organs and systems during the implementation of rehabilitation or habilitation measures organism (with the exception of those specified in the appendix to these Rules);
Decree of the Government of the Russian Federation of August 6, 2015 N 805.

The paragraph is additionally included from February 23, 2012 by the Decree of the Government of the Russian Federation of February 6, 2012 N 89; expired on April 14, 2018 - Decree of the Government of the Russian Federation of March 29, 2018 N 339 ..

The establishment of a disability group without specifying the period of re-examination (the category "disabled child" until the citizen reaches the age of 18 years) can be carried out upon the initial recognition of a citizen as disabled (establishing the category "disabled child") on the grounds specified in paragraphs two and three of this paragraph, in the absence of positive results of rehabilitation or habilitation measures carried out by a citizen before he was sent for a medical and social examination. At the same time, it is necessary that in the direction for a medical and social examination issued to a citizen by a medical organization that provides him with medical care and sent him for a medical and social examination, or in medical documents in the event that a citizen is sent for a medical and social examination in accordance with paragraph 17 of these The Rules contained data on the absence of positive results of such rehabilitation or habilitation measures.
Decree of the Government of the Russian Federation of August 6, 2015 N 805 Decree of the Government of the Russian Federation of August 6, 2015 N 805.

Citizens with diseases, defects, irreversible morphological changes, violations of the functions of organs and systems of the body, provided for in Section III of the Annex to these Rules, upon the initial recognition of a citizen as a disabled person, a disability group is established without specifying the re-examination period, and for citizens under 18 years of age - the category " disabled child" until the citizen reaches the age of 18 years.
(The paragraph is additionally included from April 14, 2018 by Decree of the Government of the Russian Federation of March 29, 2018 N 339)

For citizens who applied to the bureau on their own in accordance with paragraph 19 of these Rules, a disability group without specifying the re-examination period (category "disabled child" until the citizen reaches the age of 18) can be established upon initial recognition of a citizen as disabled (establishing the category "disabled child" ) in the absence of positive results of the rehabilitation or habilitation measures assigned to him in accordance with the specified paragraph.
(Paragraph as amended, put into effect on January 1, 2016 by Decree of the Government of the Russian Federation of August 6, 2015 N 805.
(Paragraph as amended, entered into force on April 25, 2008 by Decree of the Government of the Russian Federation of April 7, 2008 N 247

13_1. Citizens who are assigned the category of "disabled child" upon reaching the age of 18 are subject to re-examination in the manner prescribed by these Rules. In this case, the calculation of the time limits provided for in paragraphs two and three of clause 13 of these Rules is carried out from the day he establishes the category "disabled child".
(The paragraph was additionally included from April 25, 2008 by Decree of the Government of the Russian Federation of April 7, 2008 N 247; as amended, put into effect on February 6, 2018 by Decree of the Government of the Russian Federation of January 24, 2018 N 60.

14. If a citizen is recognized as a disabled person, the following causes of disability are established:
Decree of the Government of the Russian Federation of August 10, 2016 N 772.

a) general illness;
Decree of the Government of the Russian Federation of August 10, 2016 N 772)

b) labor injury;
(The subparagraph has been additionally included since August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772)

c) occupational disease;
(The subparagraph has been additionally included since August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772)

d) disability since childhood;
(The subparagraph has been additionally included since August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772)

e) childhood disability due to injury (concussion, mutilation) associated with military operations during the Great Patriotic War of 1941-1945;
(The subparagraph has been additionally included since August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772)

f) military trauma;
(The subparagraph has been additionally included since August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772)

g) the disease was acquired during military service;
(The subparagraph has been additionally included since August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772)

h) a radiation-induced disease was acquired in the performance of military service (official duties) in connection with the catastrophe at the Chernobyl nuclear power plant;
(The subparagraph has been additionally included since August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772)

i) the disease is associated with the disaster at the Chernobyl nuclear power plant;
(The subparagraph has been additionally included since August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772)

j) a disease acquired in the performance of other duties of military service (official duties) is associated with the disaster at the Chernobyl nuclear power plant;
(The subparagraph has been additionally included since August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772)

k) the disease is associated with an accident at the Mayak production association;
(The subparagraph has been additionally included since August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772)

l) a disease acquired in the performance of other duties of military service (official duties) is associated with an accident at the Mayak production association;
(The subparagraph has been additionally included since August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772)

m) the disease is associated with the consequences of radiation exposure;
(The subparagraph has been additionally included since August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772)

n) a radiation-induced disease was acquired in the performance of military service duties (official duties) in connection with direct participation in the actions of special-risk units;
(The subparagraph has been additionally included since August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772)

o) a disease (wound, contusion, mutilation) received by a person serving the active military units of the Armed Forces of the USSR and the Armed Forces of the Russian Federation, who were on the territories of other states during the period of combat operations in these states;
(The subparagraph has been additionally included since August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772)

p) other reasons established by the legislation of the Russian Federation.
(The subparagraph has been additionally included since August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772)

In the absence of documents confirming the fact of an occupational disease, labor injury, military injury or other circumstances provided for by the legislation of the Russian Federation that are the cause of disability, a general illness is indicated as the cause of disability. In this case, the citizen is assisted in obtaining these documents. When the appropriate documents are submitted to the bureau, the cause of disability changes from the date of submission of these documents without additional examination of the disabled person.

The procedure for establishing the causes of disability is approved by the Ministry of Labor and Social Protection of the Russian Federation.
(The paragraph was additionally included from April 2, 2019 by Decree of the Government of the Russian Federation of March 22, 2019 N 304)

III. The procedure for sending a citizen to a medical and social examination

15. A citizen is sent for a medical and social examination by a medical organization, regardless of its organizational and legal form, by the body providing pensions, or by the body of social protection of the population with the written consent of the citizen (his legal or authorized representative).

The form of consent of a citizen to be sent for a medical and social examination is approved by the Ministry of Health of the Russian Federation in agreement with the Ministry of Labor and Social Protection of the Russian Federation.
(Paragraph as amended, entered into force on May 21, 2019 by Decree of the Government of the Russian Federation of May 16, 2019 N 607.

16. A medical organization sends a citizen for a medical and social examination after carrying out the necessary diagnostic, therapeutic and rehabilitation or habilitation measures if there is data confirming a persistent impairment of body functions due to diseases, consequences of injuries or defects.
(Paragraph as amended, entered into force on August 11, 2015 by Decree of the Government of the Russian Federation of August 6, 2015 N 805; as amended by Decree of the Government of the Russian Federation of August 6, 2015 N 805.

A citizen who is being treated in a hospital in connection with an operation to amputate (reamputate) a limb (limbs), having defects provided for in paragraphs 14 and (or) 15 of the annex to these Rules, in need of primary prosthetics, is sent for a medical and social examination on time , not exceeding 3 working days after the specified operation.
Decree of the Government of the Russian Federation of June 4, 2019 N 715)

In the direction for medical and social examination by a medical organization, data on the state of health of a citizen are indicated, reflecting the degree of dysfunction of organs and systems, the state of the body's compensatory capabilities, information about the results of medical examinations necessary to obtain clinical and functional data depending on the disease in order to conduct medical - social expertise, and carried out rehabilitation or habilitation activities.
Decree of the Government of the Russian Federation of May 16, 2019 N 607.

The form and procedure for filling out a referral for a medical and social examination by a medical organization is approved by the Ministry of Labor and Social Protection of the Russian Federation and the Ministry of Health of the Russian Federation.
(The paragraph is additionally included from May 21, 2019 by Decree of the Government of the Russian Federation of May 16, 2019 N 607; as amended by Decree of the Government of the Russian Federation of June 4, 2019 N 715.

The list of medical examinations required to obtain clinical and functional data depending on the disease in order to conduct a medical and social examination is approved by the Ministry of Labor and Social Protection of the Russian Federation and the Ministry of Health of the Russian Federation.
(The paragraph was additionally included from July 3, 2018 by Decree of the Government of the Russian Federation of June 21, 2018 N 709)

17. The body providing pensions, as well as the body of social protection of the population, has the right to send for a medical and social examination of a citizen who has signs of disability and needs social protection, if he has medical documents confirming violations of body functions due to diseases, consequences of injuries or defects.

The form and procedure for filling out a referral for a medical and social examination issued by the body providing pensions or the body of social protection of the population is approved by the Ministry of Labor and Social Protection of the Russian Federation.
(Paragraph as amended, put into effect on June 15, 2019 by Decree of the Government of the Russian Federation of June 4, 2019 N 715.

18. Medical organizations, bodies providing pensions, as well as bodies of social protection of the population are responsible for the accuracy and completeness of the information indicated in the referral for a medical and social examination, in the manner established by the legislation of the Russian Federation.
Decree of the Government of the Russian Federation of August 6, 2015 N 805.

19. In the event that a medical organization, a body providing pensions, or a body of social protection of the population refused to refer a citizen to a medical and social examination, he is issued a certificate on the basis of which the citizen (his legal or authorized representative) has the right to apply to the bureau on his own .
(Paragraph as amended, put into effect on August 11, 2015 by Decree of the Government of the Russian Federation of August 6, 2015 N 805 by Decree of the Government of the Russian Federation of August 10, 2016 N 772.

Bureau specialists conduct an examination of a citizen and, based on its results, draw up a program for an additional examination of a citizen and carrying out rehabilitation or habilitation measures, after which they consider the issue of whether he has life restrictions.
(Paragraph as amended, put into effect on January 1, 2016 by Decree of the Government of the Russian Federation of August 6, 2015 N 805.

19_1. Medical organizations form a referral for medical and social expertise in the form of an electronic document in the medical information systems of medical organizations or state information systems in the field of healthcare of the constituent entities of the Russian Federation, and if the medical organization does not have an information system or access to these state information systems - on paper.
(The paragraph was additionally included from May 1, 2012 by Decree of the Government of the Russian Federation of April 16, 2012 N 318; as amended, put into effect on May 21, 2019 by Decree of the Government of the Russian Federation of May 16, 2019 N 607.

19_2. Referral for medical and social examination, issued by a medical organization, and information on the results of medical examinations necessary to obtain clinical and functional data depending on the disease for the purpose of conducting a medical and social examination, within 3 working days from the date of issuance of a referral to a medical and social examination is transferred by the medical organization to the bureau in the form of an electronic document signed with an enhanced qualified electronic signature using the information systems provided for in paragraph 19.3 of these Rules, and in the absence of access to such information systems - on paper.

The referral for medical and social examination, issued by the body providing pensions, or the body of social protection of the population, within 3 working days from the date of its execution is transferred by the body providing pensions, or the body of social protection of the population to the bureau in the form of an electronic document signed with a strengthened qualified electronic signature, using state information systems in accordance with the procedure for information interaction for the purpose of conducting a medical and social examination between the body providing pensions, or the body of social protection of the population and the bureau approved by the Ministry of Labor and Social Protection of the Russian Federation, and in the absence of access to such information systems - on paper.

Formation and transfer of a referral for a medical and social examination to the bureau, transfer of information about the results of medical examinations necessary to obtain clinical and functional data depending on the disease in order to conduct a medical and social examination in the bureau, as well as the formation and transfer to a medical organization of information about the results of the medical and social examination in the form of an electronic document or on paper are carried out taking into account the requirements of the legislation of the Russian Federation in the field of personal data and observance of medical secrecy.
Decree of the Government of the Russian Federation of May 16, 2019 N 607)

19_3. The referral for medical and social examination in the form of an electronic document, formed in accordance with paragraph 19.1 of these Rules, is transmitted to the bureau using medical information systems of medical organizations, state information systems in the field of healthcare of the constituent entities of the Russian Federation, a unified state information system in the field of healthcare, federal state information system "Unified Automated Vertically Integrated Information and Analytical System for Conducting Medical and Social Expertise" in accordance with the procedure for information interaction for the purpose of conducting medical and social expertise between medical organizations and bureaus, approved by the Ministry of Labor and Social Protection of the Russian Federation and the Ministry of Health Russian Federation.
(The paragraph was additionally included from May 21, 2019 by Decree of the Government of the Russian Federation of May 16, 2019 N 607)

19_4. If the conduct of a medical and social examination is necessary for the purposes provided for in subparagraphs "i", "m", "n" and "o" of paragraph 24_1 of these Rules, as well as in the cases provided for in paragraphs two and four of paragraph 34 of these Rules, the direction medical and social examination is not required.

In these cases, a citizen (his legal or authorized representative) submits to the bureau an application for a medical and social examination on paper or in electronic form using the federal state information system "Unified Portal of State and Municipal Services (Functions)".
Decree of the Government of the Russian Federation of May 16, 2019 N 607)
(The paragraph was additionally included from May 21, 2019 by Decree of the Government of the Russian Federation of May 16, 2019 N 607)

IV. The procedure for conducting a medical and social examination of a citizen

20. Medical and social examination of a citizen is carried out in the bureau at the place of residence (at the place of stay, at the location of the pension file of a disabled person who has left for permanent residence outside the Russian Federation).

21. In the main bureau, a medical and social examination of a citizen is carried out if he appeals against the decision of the bureau, as well as in the direction of the bureau in cases requiring special types of examination.

22. In the Federal Bureau, a medical and social examination of a citizen is carried out in the event that he appeals against the decision of the main bureau, as well as in the direction of the main bureau in cases requiring particularly complex special types of examination.

23. Medical and social examination can be carried out at home if a citizen cannot come to the bureau (main bureau, Federal Bureau) for health reasons, which is confirmed by the conclusion of the medical commission of the medical organization, or at the location of the citizen in the medical organization providing medical assistance in stationary conditions, in a social service organization providing social services in a stationary form, in a correctional institution, or in absentia by decision of the relevant bureau.
(Paragraph as amended, put into effect on May 21, 2019 by Decree of the Government of the Russian Federation of May 16, 2019 N 607.

A medical and social examination of a citizen who is being treated in a hospital in connection with an operation to amputate (reamputate) a limb (limbs) with defects provided for in paragraphs 14 and (or) 15 of the annex to these Rules, in need of primary prosthetics, is carried out on time, not exceeding 3 working days from the date of receipt by the bureau of the relevant referral for medical and social examination.
(The paragraph was additionally included from June 15, 2019 by Decree of the Government of the Russian Federation of June 4, 2019 N 715)

Citizens with diseases, defects, irreversible morphological changes, violations of the functions of organs and systems of the body, provided for by Section IV of the Appendix to these Rules, disability is established during an absentee examination.
(The paragraph is additionally included from April 14, 2018 by Decree of the Government of the Russian Federation of March 29, 2018 N 339)

Also, a medical and social examination can be carried out in absentia in the absence of positive results of rehabilitation or habilitation measures carried out in relation to the disabled person.
(The paragraph is additionally included from April 14, 2018 by Decree of the Government of the Russian Federation of March 29, 2018 N 339)

When the Bureau (Chief Bureau, Federal Bureau) decides on an external examination of a citizen, the following conditions are taken into account:
(The paragraph is additionally included from April 14, 2018 by Decree of the Government of the Russian Federation of March 29, 2018 N 339)

residence of a citizen in a remote and (or) hard-to-reach area, or in an area with complex transport infrastructure, or in the absence of regular transport links;
(The paragraph is additionally included from April 14, 2018 by Decree of the Government of the Russian Federation of March 29, 2018 N 339)

severe general condition of a citizen, preventing his transportation.
(The paragraph is additionally included from April 14, 2018 by Decree of the Government of the Russian Federation of March 29, 2018 N 339)
(Paragraph as amended, put into effect on August 11, 2015 by Decree of the Government of the Russian Federation of August 6, 2015 N 805.

24. A medical and social examination is carried out upon a referral for a medical and social examination received from a medical organization, a body providing pensions, or a body of social protection of the population, as well as upon an application for a medical and social examination submitted by a citizen (his legal or authorized representative) in the bureau, in the cases provided for in paragraphs 19 and 19_4 of these Rules.

The bureau organizes the registration of received referrals for medical and social examination and applications of citizens for medical and social examination.

Based on the results of consideration of the documents received, the bureau (main bureau, Federal Bureau) decides on the place of the medical and social examination or on its conduction in absentia, and also determines the date of the medical and social examination and sends an invitation to the citizen to conduct a medical and social examination. If a citizen submits an application for a medical and social examination in electronic form using the federal state information system "Unified Portal of State and Municipal Services (Functions)", an invitation for a medical and social examination is sent to the citizen using the specified information system.

Medical and social examination is carried out with the written consent of the citizen (his legal or authorized representative).
____________________________________________________________________
Paragraph four of clause 24 of these Rules in part concerning the submission by a citizen of an application for a medical and social examination in electronic form using the federal state information system "Unified portal of state and municipal services (functions)", entered into force on October 1, 2019- see paragraph 2 of the Decree of the Government of the Russian Federation of May 16, 2019 N 607.
____________________________________________________________________

The form of consent of a citizen to conduct a medical and social examination is approved by the Ministry of Labor and Social Protection of the Russian Federation.

Medical and social expertise is carried out in accordance with the stated goals.
(Paragraph as amended, entered into force on May 21, 2019 by Decree of the Government of the Russian Federation of May 16, 2019 N 607.

24_1. The objectives of the medical and social examination may be:

a) establishment of a disability group;

c) establishing the causes of disability;

d) setting the time of onset of disability;

e) setting the period of disability;

f) determination of the degree of loss of professional ability to work in percent;

g) determination of the permanent disability of an employee of the internal affairs body of the Russian Federation;

h) determining the need for health reasons in constant outside care (assistance, supervision) of a father, mother, wife, brother, sister, grandfather, grandmother or adoptive parent of a citizen called up for military service (a military serviceman doing military service under a contract);

i) determining the cause of death of a disabled person, as well as a person injured as a result of an accident at work, an occupational disease, the disaster at the Chernobyl nuclear power plant and other radiation or man-made disasters, or as a result of injury, concussion, injury or illness received during military service, in cases where the legislation of the Russian Federation provides for the provision of social support measures to the family of the deceased;

j) development of an individual program for the rehabilitation or habilitation of a disabled person (child with a disability);

k) development of a rehabilitation program for a person injured as a result of an accident at work and an occupational disease;

l) issuance of a duplicate certificate confirming the fact of the establishment of disability, the degree of loss of professional ability to work in percent;

m) issuance of a new certificate confirming the fact of the establishment of disability, in the event of a change in the last name, first name, patronymic, date of birth of a citizen;

n) other purposes established by the legislation of the Russian Federation.
(Clause 24_1 is additionally included from April 14, 2018 by Decree of the Government of the Russian Federation of March 29, 2018 N 339)

25. Medical and social examination is carried out by specialists of the bureau (main bureau, Federal Bureau) by examining the citizen, studying the documents submitted by him, analyzing the social, domestic, professional, psychological and other data of the citizen.

26. When conducting a medical and social examination of a citizen, a protocol is kept.

27. At the invitation of the head of the bureau (main bureau, Federal Bureau), representatives of state non-budgetary funds, the Federal Service for Labor and Employment, as well as specialists of the relevant profile (hereinafter referred to as consultants) may participate in the medical and social examination of a citizen at the invitation of the head of the bureau (main bureau, Federal Bureau).

27_1. A citizen (his legal or authorized representative) has the right to invite any specialist with his consent to participate in the medical and social examination with the right of an advisory vote.
Decree of the Government of the Russian Federation of August 10, 2016 N 772)

28. The decision to recognize a citizen as a disabled person or to refuse to recognize him as a disabled person is made by a simple majority of votes of the specialists who conducted the medical and social examination, based on a discussion of the results of his medical and social examination.

The decision is announced to the citizen who underwent the medical and social examination (his legal or authorized representative), in the presence of all the specialists who conducted the medical and social examination, who, if necessary, provide explanations on it.
(Paragraph as amended, put into effect on August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772.

29. Based on the results of a medical and social examination of a citizen, an act is drawn up, which is signed by the head of the relevant bureau (main bureau, Federal Bureau) and the specialists who made the decision, and then certified by a seal.

The procedure for drawing up and the form of an act of medical and social examination of a citizen are approved by the Ministry of Labor and Social Protection of the Russian Federation.
Decree of the Government of the Russian Federation of September 4, 2012 N 882.

The paragraph became invalid on August 27, 2016 - Decree of the Government of the Russian Federation of August 10, 2016 N 772 ..

29_1. An act of medical and social examination of a citizen, a protocol for conducting a medical and social examination of a citizen, an individual program of rehabilitation or habilitation of a citizen are formed in the case of a medical and social examination of a citizen.

A citizen (his legal or authorized representative) has the right to familiarize himself with the act of the medical and social examination of a citizen and the protocol for conducting a medical and social examination of a citizen.

At the request of a citizen (his legal or authorized representative) submitted to the bureau on paper, on the day of filing the said application, copies of the certificate of medical and social examination of the citizen certified by the head of the bureau (main bureau, Federal Bureau) or an official authorized by him in the prescribed manner and a protocol for conducting a medical and social examination of a citizen.
(Paragraph as amended, put into effect on May 21, 2019 by Decree of the Government of the Russian Federation of May 16, 2019 N 607.

Documents generated during and based on the results of the medical and social examination, in the form of electronic documents, are signed with an enhanced qualified electronic signature of the head of the bureau (main bureau, Federal Bureau) or an enhanced qualified electronic signature of an official authorized by him.

At the request of a citizen (his legal or authorized representative), submitted to the bureau in electronic form, he, no later than the next working day from the date of submission of the said application, depending on the option of obtaining documents chosen by him:
(The paragraph is additionally included from October 1, 2019 by Decree of the Government of the Russian Federation of May 16, 2019 N 607)

copies of the act of the medical and social examination of the citizen and the protocol of the medical and social examination of the citizen on paper are issued certified by the head of the bureau (main bureau, Federal Bureau) or an official authorized by him in the prescribed manner;
(The paragraph is additionally included from October 1, 2019 by Decree of the Government of the Russian Federation of May 16, 2019 N 607)

are sent using the federal state information system "Unified Portal of State and Municipal Services (Functions)" in the form of electronic documents certified by an enhanced qualified electronic signature of the head of the bureau (main bureau, Federal Bureau) or an enhanced qualified electronic signature of an authorized official, a copy of the medical act - social examination of a citizen and a protocol for conducting a medical and social examination of a citizen.
(The paragraph is additionally included from October 1, 2019 by Decree of the Government of the Russian Federation of May 16, 2019 N 607)

(The paragraph was additionally included from August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772)

30. When conducting a medical and social examination of a citizen in the main bureau, the case of the medical and social examination of a citizen with the attachment of all available documents is sent to the main bureau within 3 days from the date of the medical and social examination in the bureau.
(Paragraph as amended, put into effect on August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772.

When conducting a medical and social examination of a citizen in the Federal Bureau, the case of the medical and social examination of a citizen with the attachment of all available documents is sent to the Federal Bureau within 3 days from the date of the medical and social examination in the main bureau.
(Paragraph as amended, put into effect on August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772.

31. In cases requiring special types of examination of a citizen in order to establish the structure and degree of disability, rehabilitation potential, as well as to obtain other additional information, an additional examination program may be drawn up, which is approved by the head of the relevant bureau (main bureau, Federal Bureau). The specified program is brought to the attention of a citizen undergoing a medical and social examination in a form accessible to him (paragraph as amended, put into effect on January 1, 2010 by Decree of the Government of the Russian Federation of December 30, 2009 N 1121.

An additional examination program may include conducting the necessary additional examination in a medical organization, an organization engaged in rehabilitation, habilitation of disabled people, obtaining an opinion from the main bureau or the Federal Bureau, requesting the necessary information, conducting an examination of the conditions and nature of professional activity, the social and living situation of a citizen, and others. Events.
(Paragraph as amended, put into effect on January 1, 2016 by Decree of the Government of the Russian Federation of August 6, 2015 N 805.
____________________________________________________________________
The second paragraph of clause 31, regarding medical organizations, entered into force on August 11, 2015 - Decree of the Government of the Russian Federation of August 6, 2015 N 805.
____________________________________________________________________

32. After receiving the data provided for by the additional examination program, the specialists of the relevant bureau (main bureau, Federal Bureau) make a decision to recognize the citizen as disabled or to refuse to recognize him as disabled.

33. In case of refusal of a citizen (his legal or authorized representative) from an additional examination and provision of the necessary documents, the decision to recognize the citizen as disabled or to refuse to recognize him as disabled is made on the basis of the available data, which is noted in the protocol of the medical and social examination. citizen in the federal state institution of medical and social expertise.
(Paragraph as amended, entered into force on August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772.

34. For a citizen recognized as a disabled person, the specialists of the bureau (main bureau, Federal Bureau) who conducted the medical and social examination develop an individual program of rehabilitation or habilitation.

If it is necessary to make corrections to the individual program of rehabilitation or habilitation in connection with a change in the personal, anthropometric data of a disabled person (disabled child), the need to clarify the characteristics of previously recommended types of rehabilitation and (or) habilitation measures, as well as in order to eliminate technical errors (misprint, misprint , grammatical or arithmetic error or similar error) to a disabled person (a disabled child), at his application or at the request of a legal or authorized representative of a disabled person (a disabled child), a new individual rehabilitation or habilitation program is drawn up instead of the previously issued one without issuing a new referral for medical and social examination disabled person (disabled child).
(Paragraph as amended, put into effect on February 6, 2018 by Decree of the Government of the Russian Federation of January 24, 2018 N 60.

At the same time, the change of other information specified in the previously issued individual rehabilitation or habilitation program is not carried out.
(The paragraph is additionally included from April 14, 2018 by Decree of the Government of the Russian Federation of March 29, 2018 N 339)

If it is necessary to include in the individual program of rehabilitation or habilitation of a disabled child recommendations on goods and services intended for social adaptation and integration into society of disabled children, for the purchase of which funds (part of the funds) of maternity (family) capital are allocated (hereinafter - goods and services ), a disabled child, at his request or at the request of a legal or authorized representative of a disabled child, instead of the previously issued one, a new individual rehabilitation or habilitation program for a disabled child is drawn up without issuing a new referral for a medical and social examination.
Decree of the Government of the Russian Federation of January 24, 2018 N 60)

Drawing up a new individual program for the rehabilitation or habilitation of a disabled child with the inclusion of recommendations on goods and services is carried out on the basis of a decision of the bureau (main bureau, Federal Bureau) on the need for the disabled child to purchase goods and services, adopted based on the results of an examination of the disabled child.
(The paragraph was additionally included from February 6, 2018 by Decree of the Government of the Russian Federation of January 24, 2018 N 60)

In the event that recommendations on goods and services related to medical devices are included in the individual rehabilitation or habilitation program for a disabled child, the disabled child (his legal or authorized representative) submits to the bureau (head bureau, Federal Bureau) a certificate issued by a medical organization containing information about the main diagnosis, complications and concomitant diagnosis (diagnoses) of the child (hereinafter referred to as the certificate), and a decision on the need for the disabled child to purchase goods and services related to medical devices, which is made on the basis of the certificate.
(The paragraph was additionally included from February 6, 2018 by Decree of the Government of the Russian Federation of January 24, 2018 N 60)

Submission of a certificate is not required if the application for the inclusion of goods and services related to medical devices in an individual program for the rehabilitation or habilitation of a disabled child was received within 1 year from the date of issuance of the indicated program by the bureau (main bureau, Federal Bureau). In this case, the decision on the need to purchase goods and services related to medical devices is made on the basis of information available in the Bureau (Main Bureau, Federal Bureau) of previous examinations of a disabled child at the disposal of the Bureau (Main Bureau, Federal Bureau).
(The paragraph was additionally included from February 6, 2018 by Decree of the Government of the Russian Federation of January 24, 2018 N 60)

(Paragraph as amended, entered into force on August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772.

35. An extract from the act of the medical and social examination of a citizen recognized as disabled is sent to the relevant bureau (main bureau, Federal Bureau) to the body providing his pension within 3 days from the date of the decision to recognize the citizen as disabled in the form of an electronic document with using a unified system of interdepartmental electronic interaction or otherwise in compliance with the requirements of the legislation of the Russian Federation in the field of personal data protection.
(Paragraph as amended, put into effect on August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772.

The procedure for compiling and the form of the extract are approved by the Ministry of Labor and Social Protection of the Russian Federation.
(Paragraph as amended, put into effect on September 18, 2012 by Decree of the Government of the Russian Federation of September 4, 2012 N 882.

Information about all cases of recognition as invalids of citizens who are registered with the military or not registered with the military, but are obliged to be registered with the military, are submitted by the bureau (main bureau, Federal Bureau) to the relevant military commissariats.
(Paragraph as amended, put into effect on August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772.

36. A citizen recognized as disabled is issued a certificate confirming the fact of the establishment of disability, indicating the group of disability, as well as an individual program of rehabilitation or habilitation.
(Paragraph as amended, entered into force on January 1, 2010 by Decree of the Government of the Russian Federation of December 30, 2009 N 1121; as amended by Decree of the Government of the Russian Federation of August 6, 2015 N 805.

The procedure for compiling and the form of the certificate are approved by the Ministry of Labor and Social Protection of the Russian Federation.
(Paragraph as amended, put into effect on August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772.

A citizen who is not recognized as a disabled person, at his request, is issued a certificate of the results of a medical and social examination.

37. For a citizen who has a document on temporary disability and is recognized as disabled, the disability group and the date of its establishment are indicated in the specified document.

37_1. Information about the results of the medical and social examination carried out is formed in the federal state information system "Unified Automated Vertically Integrated Information and Analytical System for Conducting Medical and Social Expertise" in accordance with the form approved by the Ministry of Labor and Social Protection of the Russian Federation, and sent by the bureau to the medical organization in the form of an electronic document signed with an enhanced qualified electronic signature, using the specified system, a unified state information system in the field of healthcare, state information systems in the field of healthcare of the constituent entities of the Russian Federation, medical information systems of medical organizations in accordance with the procedure for information interaction specified in paragraph 19_3 of these Rules, and in the absence of access to such information systems - on paper.
(The paragraph was additionally included from May 21, 2019 by Decree of the Government of the Russian Federation of May 16, 2019 N 607)

V. The procedure for re-examination of a disabled person

38. Re-examination of a disabled person is carried out in the manner prescribed by sections I-IV of these Rules.

39. Re-examination of disabled people of group I is carried out once every 2 years, disabled people of groups II and III - once a year, and disabled children - once during the period for which the category "child with a disability" is established for the child.

A re-examination of a citizen whose disability has been established without specifying the re-examination period may be carried out on his personal application (application of his legal or authorized representative), or on the direction of a medical organization due to a change in health status, or when carried out by the main bureau, the Federal Bureau of Control over Decisions, adopted respectively by the bureau, the main bureau.
(Paragraph as amended, entered into force on August 11, 2015 by Decree of the Government of the Russian Federation of August 6, 2015 N 805; as amended by Decree of the Government of the Russian Federation of August 10, 2016 N 772.

40. Re-examination of a disabled person may be carried out in advance, but no more than 2 months before the expiration of the established period of disability.

41. A re-examination of a disabled person before the established deadline is carried out at his personal request (application of his legal or authorized representative), or at the direction of a medical organization in connection with a change in health status, or when the main bureau, the Federal Bureau of control over decisions taken by the bureau respectively, the main the Bureau.
(Item as amended, entered into force on August 11, 2015 by Decree of the Government of the Russian Federation of August 6, 2015 N 805; as amended by Decree of the Government of the Russian Federation of August 10, 2016 N 772.

VI. The procedure for appealing decisions of the bureau, the main bureau, the Federal Bureau

42. A citizen (his legal or authorized representative) may appeal the decision of the bureau to the main bureau within a month on the basis of an application submitted to the bureau that conducted the medical and social examination, or to the main bureau in writing on paper or in electronic form using federal state information system "Unified portal of state and municipal services (functions)".
(Paragraph as amended, entered into force on October 1, 2019 by Decree of the Government of the Russian Federation of May 16, 2019 N 607.

43. The main bureau, no later than 1 month from the date of receipt of the citizen's application, conducts his medical and social examination and, based on the results, makes an appropriate decision.

44. In the event that a citizen appeals against the decision of the main bureau, the chief expert in medical and social expertise for the relevant subject of the Russian Federation, with the consent of the citizen, may entrust the conduct of his medical and social expertise to another team of specialists from the main bureau.

45. The decision of the main bureau can be appealed within a month to the Federal Bureau on the basis of an application submitted by a citizen (his legal or authorized representative) to the main bureau that conducted the medical and social examination, or to the Federal Bureau.
(Paragraph as amended, put into effect on August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772.

The Federal Bureau, no later than 1 month from the date of receipt of the citizen's application, conducts his medical and social examination and, based on the results, makes an appropriate decision.

46. Decisions of the bureau, the main bureau, the Federal Bureau may be appealed to the court by a citizen (his legal or authorized representative) in the manner prescribed by the legislation of the Russian Federation.
(Paragraph as amended, entered into force on February 6, 2018 by Decree of the Government of the Russian Federation of January 24, 2018 N 60.

Appendix to the Rules. List of diseases, defects, irreversible morphological changes, dysfunctions of organs and systems of the body, as well as indications and conditions in order to establish a disability group and the category "disabled child"

Appendix
to the Rules for Recognizing a Person as Disabled
(additionally included from April 25, 2008
Government Decree
Russian Federation
dated April 7, 2008 N 247;
in the editorial
put into effect
from April 14, 2018
Government Decree
Russian Federation
dated March 29, 2018 N 339. -
See previous edition)

List of diseases, defects, irreversible morphological changes, dysfunctions of organs and systems of the body, as well as indications and conditions in order to establish a disability group and the category "disabled child"

I. Diseases, defects, irreversible morphological changes, violations of the functions of organs and systems of the body, in which a disability group without specifying the period of re-examination (the category "disabled child" until the citizen reaches the age of 18) is established for citizens no later than 2 years after the initial recognition as disabled ( establishing the category of "disabled child")

1. Malignant neoplasms (with metastases and relapses after radical treatment; metastases without an identified primary focus with treatment failure; severe general condition after palliative treatment; incurability of the disease).

2. Inoperable benign neoplasms of the brain and spinal cord with persistent, pronounced and significantly pronounced disorders of neuromuscular, skeletal and movement-related (statodynamic) functions, mental, sensory (vision), language and speech functions, severe liquorodynamic disorders.

3. Absence of the larynx after its surgical removal.

4. Congenital and acquired dementia (severe mental retardation, profound mental retardation, severe dementia).

5. Diseases of the nervous system with a chronic progressive course, including neurodegenerative diseases of the brain (parkinsonism plus) with persistent pronounced disorders of neuromuscular, skeletal and movement-related (statodynamic) functions, language and speech, sensory (vision) functions.

6. Severe forms of inflammatory bowel disease (Crohn's disease, ulcerative colitis) with a chronic continuous and chronic relapsing course in the absence of the effect of adequate conservative treatment with persistent, pronounced and significantly impaired functions of the digestive, endocrine systems and metabolism.

7. Diseases characterized by high blood pressure with severe complications from the central nervous system (with persistent pronounced disorders of neuromuscular, skeletal and movement-related (static-dynamic) functions, language and speech, sensory (vision) functions, impaired functions of the cardiovascular system (accompanied by insufficiency blood circulation IIB-III degree and coronary insufficiency III-IV functional class), with chronic renal failure (chronic kidney disease stage 2-3).

8. Ischemic heart disease with coronary insufficiency III-IV functional class of angina pectoris and persistent circulatory disorders IIB - III degree.

9. Diseases of the respiratory organs with a progressive course, accompanied by persistent respiratory failure II-III degree, in combination with circulatory failure IIB-III degree.

10. Fatal fecal, urinary fistulas, stoma.

11. Severe contracture or ankylosis of large joints of the upper and lower extremities in a functionally disadvantageous position (if arthroplasty is impossible).

12. Congenital anomalies in the development of the musculoskeletal system with severe persistent disorders of neuromuscular, skeletal and movement-related (static-dynamic) functions (support and movement when correction is impossible).

13. Consequences of traumatic injury to the brain (spinal) cord with persistent pronounced disorders of neuromuscular, skeletal and movement-related (statodynamic) functions, language and speech, sensory (vision) functions and severe dysfunction of the pelvic organs.

14. Defects of the upper limb: amputation of the shoulder joint, disarticulation of the shoulder, shoulder stump, forearm, absence of the hand, absence of all phalanges of the four fingers, excluding the first, absence of three fingers of the hand, including the first.

15. Defects and deformities of the lower limb: amputation of the hip joint, disarticulation of the thigh, femoral stump, lower leg, absence of a foot.

II. Indications and conditions for establishing the category of "disabled child" for a period of 5 years and until reaching the age of 14 years

a) during the initial examination of children in case of detection of a malignant neoplasm, including any form of acute or chronic leukemia;

b) when re-examining disabled children with congenital operated hydrocephalus with persistent, pronounced and significantly pronounced disorders of mental, neuromuscular, skeletal and movement-related (statodynamic) functions, sensory functions;

c) when re-examining disabled children with grade III-IV scoliosis, rapidly progressive, mobile, requiring long-term complex types of rehabilitation;

d) when re-examining disabled children with adrenogenital syndrome (salt-losing form) with a high risk of life-threatening conditions;

e) when re-examining disabled children with nephrotic syndrome with steroid dependence and steroid resistance, with 2 or more exacerbations per year, with a progressive course, with chronic renal failure (chronic kidney disease of any stage);

f) with congenital, hereditary malformations of the maxillofacial region with persistent, pronounced and significantly pronounced disorders of the digestive system, disorders of language and speech functions during multi-stage complex types of rehabilitation, including during the initial examination of children with congenital complete cleft lip, hard and soft palate

g) during the initial examination of children with early childhood autism and other autism spectrum disorders.

a) the subparagraph is excluded from July 6, 2019 - Decree of the Government of the Russian Federation of June 27, 2019 N 823;

b) during the initial examination of a child with a classic form of moderate phenylketonuria, in an age period in which independent systematic monitoring of the course of the disease is impossible, independent implementation of diet therapy;

c) when re-examining disabled children with chronic thrombocytopenic purpura with a continuously relapsing course, with severe hemorrhagic crises, resistance to therapy.

II_1. Indications and conditions for establishing the category of "disabled child" before the citizen reaches the age of 18

17_1. The category "disabled child" until the age of 18 is established during the examination of children with insulin-dependent diabetes mellitus.
(The section is additionally included from July 6, 2019 by Decree of the Government of the Russian Federation of June 27, 2019 N 823)

III. Diseases, defects, irreversible morphological changes, violations of the functions of organs and systems of the body, in which the disability group (category "disabled child") is established without a re-examination period (up to the age of 18 years) during the initial examination

18. Chronic kidney disease stage 5 in the presence of contraindications to kidney transplantation.

19. Cirrhosis of the liver with hepatosplenomegaly and portal hypertension of the III degree.

20. Congenital incomplete (imperfect) osteogenesis.

21. Hereditary metabolic disorders that are not compensated by pathogenetic treatment, which have a progressive severe course, leading to pronounced and significantly pronounced disorders of the body's functions (cystic fibrosis, severe forms of acidemia or aciduria, glutaric aciduria, galactosemia, leucinosis, Fabry disease, Gaucher disease, Niemann's disease - Peak, mucopolysaccharidosis, cofactor form of phenylketonuria in children (phenylketonuria II and III types) and others).

22. Hereditary metabolic disorders that have a progressive severe course, leading to pronounced and significantly pronounced disorders of the body's functions (Tay-Sachs disease, Krabbe disease, and others).

23. Juvenile arthritis with severe and severe disorders of skeletal and movement-related (statodynamic) functions, blood system and immune system.

24. Systemic lupus erythematosus, severe course with a high degree of activity, rapid progression, a tendency to generalization and involvement of internal organs in the process with persistent, pronounced, significantly impaired body functions, without the effect of treatment using modern methods.

25. Systemic sclerosis: diffuse form, severe course with a high degree of activity, rapid progression, a tendency to generalization and involvement of internal organs in the process with persistent, pronounced, significantly impaired body functions, without the effect of treatment using modern methods.

26. Dermatopolymyositis: severe course with a high degree of activity, rapid progression, a tendency to generalization and involvement of internal organs in the process with persistent, pronounced, significantly impaired body functions, without the effect of treatment using modern methods.

27. Separate disorders involving the immune mechanism with a severe course, recurrent infectious complications, severe syndromes of immune dysregulation, requiring permanent (lifelong) replacement and (or) immunomodulatory therapy.

28. Congenital epidermolysis bullosa, severe form.

29. Congenital malformations of various organs and systems of the child's body, in which only palliative correction of the defect is possible.

30. Congenital anomalies in the development of the spine and spinal cord, leading to persistent, pronounced and significantly pronounced disorders of neuromuscular, skeletal and movement-related (statodynamic) functions and (or) dysfunction of the pelvic organs, with the impossibility or ineffectiveness of surgical treatment.

31. Congenital anomalies (malformations), deformities, chromosomal and genetic diseases (syndromes) with a progressive course or unfavorable prognosis, leading to persistent, pronounced and significantly pronounced disorders of body functions, including impaired mental functions to the level of moderate, severe and profound mental retardation . Complete trisomy 21 (Down's syndrome) in children, as well as other autosomal numerical and unbalanced structural chromosomal anomalies.

32. Schizophrenia (various forms), including the childhood form of schizophrenia, leading to severe and severe mental disorders.

33. Epilepsy is idiopathic, symptomatic, leading to severe and significantly pronounced disorders of mental functions and (or) resistant seizures to therapy.

34. Organic diseases of the brain of various origins, leading to persistent, pronounced and significantly pronounced disorders of mental, language and speech functions.

35. Cerebral palsy with persistent, pronounced and significantly pronounced disorders of neuromuscular, skeletal and movement-related (static-dynamic) functions, mental, language and speech functions. There are no age and social skills.

36. Pathological conditions of the body caused by blood clotting disorders (hypoprothrombinemia, hereditary factor VII deficiency (stable), Stuart-Prouer syndrome, von Willebrand disease, hereditary factor IX deficiency, hereditary factor VIII deficiency, hereditary factor XI deficiency with persistent, pronounced, significantly pronounced disorders functions of the blood and (or) the immune system).

37. HIV infection, stage of secondary diseases (stage 4B, 4C), terminal stage 5.

38. Hereditary progressive neuromuscular diseases (pseudohypertrophic Duchenne myodystrophy, Werdnig-Hoffmann spinal amyotrophy) and other forms of hereditary rapidly progressive neuromuscular diseases.

39. Complete blindness in both eyes with the ineffectiveness of the treatment; decrease in visual acuity in both eyes and in the better seeing eye up to 0.04 with correction or concentric narrowing of the visual field in both eyes up to 10 degrees as a result of persistent and irreversible changes.

40. Complete deaf-blindness.

41. Bilateral sensorineural hearing loss III-IV degree, deafness.

42. Congenital multiple arthrogryposis.

43. Paired amputation of the hip joint.

44. Ankylosing spondylitis with persistent, pronounced, significantly pronounced disorders of the body's functions.

IV. Diseases, defects, irreversible morphological changes, dysfunctions of organs and systems of the body, in which disability is established during an absentee examination

45. Diseases of the respiratory organs with significantly pronounced dysfunctions of the respiratory system, characterized by a severe course with chronic respiratory failure of III degree; chronic pulmonary heart failure IIB, stage III.

46. Diseases of the circulatory system with significant impairment of the functions of the cardiovascular system: functional class IV angina pectoris is a severe, significantly pronounced degree of coronary circulation impairment (occurring in combination with chronic heart failure up to stage III inclusive).

47. Diseases characterized by high blood pressure with severe complications from the central nervous system (with persistent pronounced disorders of neuromuscular, skeletal and movement-related (statodynamic) functions, language and speech, sensory (vision) functions, impaired functions of the cardiovascular system ( accompanied by circulatory failure IIB-III degree and coronary insufficiency III-IV functional class), with chronic renal failure (chronic kidney disease stage 2-3).

48. Diseases of the nervous system with a chronic progressive course, including neurodegenerative diseases of the brain (parkinsonism plus), with persistent pronounced disorders of neuromuscular, skeletal and movement-related (statodynamic) functions, language and speech, sensory (vision) functions.

49. Extrapyramidal and other motor disorders with persistent, significantly pronounced disorders of neuromuscular, skeletal and movement-related (static-dynamic) functions, mental, language and speech functions.

50. Cerebrovascular diseases with persistent, significantly pronounced disorders of neuromuscular, skeletal and movement-related (static-dynamic) functions, mental, sensory (vision), language and speech functions.

51. Diabetes mellitus with a significant multiple dysfunction of organs and systems of the body (with chronic arterial insufficiency of stage IV in both lower extremities with the development of gangrene, if high amputation of both extremities is required and the impossibility of restoring blood flow and performing prosthetics).

52. Fatal fecal, urinary fistulas, stomas - with ileostomy, colostomy, artificial anus, artificial urinary tract.

53. Malignant neoplasms (with metastases and relapses after radical treatment; metastases without an identified primary focus with treatment failure; severe general condition after palliative treatment; incurability of the disease).

54. Malignant neoplasms of lymphoid, hematopoietic and related tissues with severe symptoms of intoxication and severe general condition.

55. Inoperable benign neoplasms of the brain and spinal cord with persistent, pronounced and significantly pronounced disorders of neuromuscular, skeletal and movement-related (statodynamic) functions, mental, sensory (vision), language and speech functions, severe liquorodynamic disorders.

56. Epidermolysis congenital bullous, generalized moderate, severe forms (simple epidermolysis bullosa, borderline epidermolysis bullosa, dystrophic epidermolysis bullosa, Kindler's syndrome).

57. Severe forms of psoriasis with persistent, pronounced, significantly impaired body functions, not controlled by immunosuppressive drugs.

58. Congenital forms of ichthyosis and ichthyosis-associated syndromes with a pronounced, significantly pronounced dysfunction of the skin and related systems.

Revision of the document, taking into account
changes and additions prepared
JSC "Kodeks"

On the procedure and conditions for recognizing a person as a disabled person (as amended on June 27, 2019) (version effective from October 1, 2019)

Document's name:	On the procedure and conditions for recognizing a person as a disabled person (as amended on June 27, 2019) (version effective from October 1, 2019)
Document Number:	95
Document type:	Decree of the Government of the Russian Federation
Host body:	Government of the Russian Federation
Status:	current
Published:	Rossiyskaya gazeta, N 40, 28.02.2006 Collection of Legislation of the Russian Federation, N 9, 27.02.2006, art. 1018
Acceptance date:	February 20, 2006
Effective start date:	March 08, 2006
Revision date:	June 27, 2019

Many people have questions about what diseases people are assigned a disability, and what not. Sometimes with the same pathology, in one case they give a group, in the other - no. These situations are regulated by the rules for recognizing a person as a disabled person, which are clearly spelled out in the legislation of the Russian Federation. Our article will be devoted to this issue.

General rules

The federal law, which protects the rights of disabled people who are citizens of Russia, has determined the procedure for establishing disability. The patient is assigned the status of "disabled" by the federal state medical and social examination in the form of:

Federal Bureau of Medical and Social Expertise;
the main bureau of medical and social expertise;
medical and social expertise of the local level, located in the area, the city, which is considered a branch of the main bureau.

The recognition of a person as a disabled person is carried out during the MSEC (medical and social examination), at which the members of the commission take into account the patient's condition, evaluating the results of clinical studies, functional diagnostics, living conditions, social, psychological opportunities, professional and labor activity. For this, criteria, classifications approved by the Ministry of Health are used.

MSEC establishes the extent to which the patient's body was damaged, how limited his life activity was, assesses the rehabilitation potential. Members of the medical commission must familiarize the person applying for benefits, or his legal representative, with the rules, the condition for recognition as a disabled person. They are required to provide clarifications on issues related to the possibility of obtaining benefits.

Under what conditions is a citizen assigned the status of a disabled person?

The medical commission takes into account the conditions for recognizing a person as disabled:

a persistent health disorder, a disorder in the functioning of organs and systems, which is caused by a major, occupational disease, injury, injury, defect;
the presence of limited life activity, which can be partial or complete. Possibility of self-service, independent movement, orientation, communication, control of one's own behavior, training, labor activity;
the need for social protection, including habilitation and rehabilitation measures.

The basis for recognizing a patient as a disabled person is the presence of all items. If some condition is missing, then he cannot be given a group. Based on how pronounced the disorder in the functioning of the body, which arose against the background of illness, injury, a person recognized as disabled is assigned 1, 2 or 3 groups. When a health disorder manifests itself in minor children, they are assigned the status of a "disabled child".

What is the duration of the examination?

Medico-social examination issues a decision for a certain period. Next, the patient must undergo a re-examination in accordance with the established deadlines:

1 group is assigned for 2 years;
group 2 - for 1 year;
group 3 - for 1 year;
the status of a "child with a disability" is established for one year, two years, five years, until reaching the age of 14, 18 years.

Assignment is established on the basis of the list according to the basis and application, which is described in the Federal Law. The date of assignment of the fact of disability is considered the day when the medical and social bureau received an application from a citizen for MSEC. A group is appointed until the first day of the month following the month for which the next re-examination is scheduled.

Reasons for disability

At the medical and social examination, the members of the commission find out the reasons that led to a persistent health disorder. If it turns out that this condition arose as a result of the applicant's purposeful actions, then his request will be denied.

Disability can be recognized based on the following reasons:

underlying disease;
work injury. This section includes not only an injury that occurred at the workplace, but also on the territory of the enterprise, on the way to work and home from work;
occupational disease formed as a result of unfavorable working conditions;
disability from early childhood;
disability, which is associated with the period of the Second World War;
military injuries;
illness received during military service;
defeat resulting from work at the Chernobyl nuclear power plant;
illnesses related to the Mayak accident;
pathologies associated with radiation exposure;
domestic trauma.

If the applicant does not have documentation confirming the presence of an illness related to professional activity, labor, military injury, then according to the legislation of the Russian Federation, he is diagnosed with a general illness. The patient is assisted in obtaining the necessary documentation. When the necessary documents arrive at the medical and social bureau, a change in the cause of the permanent health disorder is recorded from the day they were submitted. This does not require additional examination of the person.

Direction to MSEK

Disability is given by MSEK, to which a medical organization sends a citizen. The commission takes into account medical, diagnostic, rehabilitation, habilitation measures that confirm permanent damage to health caused by illness, injury. The attending physician in the direction indicates information about the patient's condition, the degree of violation of systems and organs, what are the compensatory capabilities of the body, the results of the rehabilitation.

For your information: the attending physician gives a referral to MSEC, its form is approved by the Ministry of Labor.

The medical organization that sends the patient to the commission is fully responsible for the reliability and completeness of the information that is indicated in the referral. If for some reason the medical institution does not give a referral to the patient, then he receives a certificate, which is the basis for an independent appeal to the bureau. Bureau specialists conduct an examination of a citizen, according to the results of which a person recognized as disabled is assigned rehabilitation and habilitation measures.

How MSEC is carried out

Conducting a medical and social examination is carried out in the bureau at the place of residence, location of the patient. If the applicant and the local department disagree, the citizen needs a special type of examination, then he is sent to the main office. The federal bureau is appointed if the patient plans to appeal the decision of the main bureau.

If the patient does not have the opportunity to attend the examination in person, then the bureau can be carried out at home or in the hospital where he is being treated. It is also possible to conduct a remote examination based on the conclusion of a medical institution. In addition, a correspondence examination is possible in the absence of a positive result of the habilitation, rehabilitation program.

The decision on the possibility of an external examination is influenced by the person's residence in a remote area that is not equipped with regular transport links, the serious condition of the patient, which prevents transportation. In the medical and social bureau, the referral is submitted in writing with a package of documents that confirm the presence of health disorders.

Objectives of MSEC

Conducting a medical and social examination has the following goals:

group definition;
establishing the status of a "disabled child";
determination of the cause that caused a permanent deterioration in health;
discovery of the cause that caused;
definition ;
determination of the degree of disability;
determining how much the patient needs the help of third parties;
development of an individual rehabilitation, habilitation plan;
issuance of a copy of the certificate, which confirms the fact of incapacity for work.

During the MSEC, the secretary takes minutes. Not only medical and social workers, but also labor specialists can participate in the procedure. The applicant may call for participation of any specialist. Whether to recognize a patient as disabled or not is decided by the number of votes of professionals who conduct an examination and, if necessary, give some explanations.

Based on the result, an act is drawn up, signed by the head of the bureau, certified by a seal. The applicant has the right to get acquainted with the act. Recommendations on the necessary service or product may be included in an individual rehabilitation program. In 2019, there were changes in the rules, citizens were given the opportunity to use Maternity Capital to cover the costs of rehabilitation goods for children with disabilities.

How is recertification carried out?

Re-examination is carried out on the basis of the rules. With disability of the first group - this is once every two years, the second and third groups - once a year. If an unlimited group was previously assigned, then the commission can be carried out at the request of the applicant, in the direction of a medical institution. It is possible to carry out an early re-examination, but not earlier than 8 weeks before the end of the period of disability.

If the applicant or his representative does not agree with the results of the local bureau, he can submit a written application to the main bureau for appeal within 30 days. The main bureau has a month to re-examine and make a decision.

Diseases in which disability is assigned indefinitely

The diseases that are the reason for assigning an indefinite group include:

malignant tumor conditions with metastases;
benign tumors of the spinal cord, brain of an inoperable form;
operational status after removal of the larynx;
dementia acquired or congenital form;
diseases of the central nervous system, characterized by impaired speech, vision, movements;
violation of swallowing function;
complete loss of vision;
deafblindness;
complete deafness;
complicated cirrhosis of the liver;
chronic renal failure of the 3rd degree;
fistulas of the anus, urinary canal;
congenital anomaly of bone tissue that disrupts the support function;
consequences of severe injuries of the spinal cord, brain;
limb amputation.

Assignment of disability is made by order of the Federal legislation of Russia, which precisely determines the possibility and term of the appointment of the group.

New disability law: changes and latest news in 2018-2019

On April 9, 2018, the government approved a new list of disability diseases for which disability can be established:

Indefinitely
Until the child reaches the age of 18,
In absentia.

The changes also touched upon the possibility of making changes to the individual rehabilitation or habilitation program for a disabled person without revising the disability group or the period for which it was established.

The main changes have taken place in expanding the list of diseases: for the first time, all chromosomal abnormalities are included, including Down syndrome, schizophrenia, cirrhosis of the liver, blindness, deafness, cerebral palsy. There are 58 diseases on the list in total.

Thus, the possibility of determining the period for establishing disability at the discretion of the ITU specialist will be excluded. The full list of changed diseases can be found in the government decree dated March 29, 2018 No. 339.

Classification of the disability group by disease

Disabled person is a person whose basic functions of the body are disrupted. These may be pathological changes or chronic ailments that led to some kind of deviation.

Disability- this is a persistent violation of the functionality of the body, which entails the restriction of the functional life of a person.

List of diseases for which disability is given:

Damage to internal organs (endocrine, circulatory system).
Neuropsychiatric diseases (disorders of consciousness, memory, intellect).
Problems with hearing, vision and other senses.
Language and speech disorders (dumbness, speech problems).
Disorders of the musculoskeletal system.
anatomical defects.

A citizen is recognized as disabled after passing a special examination. The state of his body is assessed by a medical and social expert commission ( MSEC), which establishes his social, household, educational professional and labor status. The procedure is carried out in absentia, in a hospital or at home.

During the examination, the commission must tell the citizen the rules for establishing disability, as well as provide the necessary explanations if questions arise.

To obtain a disability, it is necessary to gain a majority of the votes of the experts conducting the examination. If necessary, an additional examination is prescribed, which allows you to determine how much human life is limited.

The decision is made based on all the information received. If a person refused to undergo an additional examination, then the available information is taken into account.

Disability 1 group has term two years, 2 and 3 groups - one year. installed for one or two years, as well as up to the age of 18.

Re-examination is being carried out not earlier than 2 months before the expiration of the period of disability established earlier. This procedure is appointed at the request of the citizen himself or the organization that provides him with medical assistance.

List of diseases for assignment of 1 disability group

Citizens who have general dysfunctions of the body with deviations from normal over 90%. These are people who can not do without outside help. It does not matter how these disorders were obtained - due to pathology, trauma or the development of the disease.

Deviations for disability group 1

Vegetative state as a result of stroke, dysfunction of the nervous system.
Amputation of both upper or lower limbs.
Blindness.
Deafness.
Paralysis.
Malignant neoplasms with metastases.
Chronic diseases of the respiratory system, the cardiovascular system, which caused problems with blood circulation.
Damage to the nervous system, leading to irreversible visual impairment, speech, motor apparatus.
Mental disorders (oligophrenia, dementia as a result of epilepsy).

To get 1 group, one violation from the norm is enough for any of the criteria (inability to learn, control one's actions).

List of diseases for assignment of 2 groups of disability

Group 2 is characterized by deviations at the level of 70-80% of the norm. At the same time, a person retains the ability to perform the simplest actions (partly with the use of special means or with the help of outsiders). This includes hearing-impaired citizens using various devices, persons able to move with assistive devices.

Disabled people of this group can work, despite the existing physical and mental disorders. Some types of work are available to them under special conditions.

Disability group 2 is established for the following diseases:

Complete or partial deafness.
Oncological diseases accompanied by radiation or chemical therapy.
Liver damage in the absence of improvement after treatment.
Joint endoprosthetics.
Pulmonary insufficiency in the chronic stage (absence of one lung).
Absence of one lower limb and dysfunction of the other limb.
Blindness (ptosis in both eyes).
Paralysis of one limb.
Transplantation of internal organs.
Severe skull defects.
Mental disorders that last over 10 years.

List of diseases for assignment of 3rd disability group

It is often difficult to distinguish from healthy people by external signs. With a disability of this category, there is always the opportunity to work. Indicators of dysfunction here should be 40-60%.

Disabled people of the 3rd group are able to move independently, although it takes them a lot of time. This also applies to other criteria. It is assumed that a person is able to navigate only in familiar surroundings.

What diseases belong to the 3rd group of disability:

Early stage of cancer.
Ability to see with only one eye (blindness or absence of the other eye).
Permanent ptosis of one eye even after undergoing medical procedures.
Bilateral deafness.
Defects of the jaw with the impossibility of chewing.
Defects of the face that cannot be eliminated by surgery.
Skull defects.
Paralysis of the hand, as well as one of the limbs, which limits the activity of movement and causes muscle hypotrophy.
The presence of a foreign object in the brain (after injury). If a foreign body is introduced during treatment, then such cases are not considered by the commission. In this case, disability is assigned in the diagnosis of mental disorders.
Installation of a foreign body in the region of the heart (pacemaker, artificial valve). Exceptions are the use of foreign objects in the course of treatment.
Amputation of the hand, one or more fingers.
Presence of only one kidney or lung.

Obtaining disability on an indefinite basis

Permanent disability is granted to the following groups of persons:

Disabled people of the first two groups, subject to the preservation of the degree of disability or negative changes for 15 years.
Disabled men from 60 years old.
Disabled women from 50 years old.
Disabled people of the first two groups, participants of the Great Patriotic War. This includes veterans who fought while in the status of a disabled person.
Persons who received a disability in the course of military service.

List of diseases of disability groups on an indefinite basis:

Cancers with metastases.
Complete deafness or blindness with treatment failure.
Various limb defects (absence of the shoulder joint).
Diseases of the nervous system, accompanied by serious visual impairment, musculoskeletal system.
Violations of the heart and blood vessels (if accompanied by an increase in blood pressure and complications of other body functions).

On April 9, 2018, the government expanded the list of diseases for which disability is granted indefinitely. All chromosomal abnormalities are included, including Down's syndrome, liver cirrhosis, blindness, deafness, cerebral palsy are included.

Simplification of the procedure for obtaining disability in 2019

The new RF GD No. 607 dated May 16, 2019 amends the procedure for a medical examination for the appointment of a disability. Now it will be easier to get a group. The text of the resolution establishes the following adjustments:

The referral to the ITU is transmitted to the bureau in electronic form without the participation of the disabled person.
Citizens will be able to apply for copies of decisions and acts of medical and social expertise through the State Services.
On the portal, you can appeal the decision of the ITU by submitting an application in electronic format.

Conclusion

To obtain a disability, the conclusion of specialists from the relevant authorities is required. In case of disability, certain benefits are given and pension payments are assigned. This status is set by one or more groups:

Musculoskeletal disorders.
Serious problems with the respiratory system and digestion.
Circulatory, vascular and heart disorders.
sensory dysfunction.
physical defects.
Mental disorders.