A bill allowing maternity capital to be spent on expensive treatment for mothers and children has been submitted to the State Duma. Using maternity capital for the treatment of a child How to use maternity capital for the treatment of a child

Few people know that regional maternity capital funds are allowed to be used for dental services. Moreover, it is possible to treat teeth not only for a child, but also for his closest relatives - parents, siblings. This opportunity allows you to save the family budget, because the cost of prosthetics, implantation and other complex procedures may be too high. Let's take a closer look at the features of using maternity capital for dental treatment.

What can maternity funds be spent on?

Federal maternity capital is issued at the birth of a second child, regional - the third or subsequent children. To date, federal subsidy funds can only be spent on:

• improving the living conditions of the family;
• formation of a funded pension for the mother;
• child's education;
• social adaptation of a disabled child.

IMPORTANT! It is impossible to use federal maternity capital for the treatment of a mother or children.

The regional program is determined by local legislation, so its conditions differ depending on the subject of the Federation. In some regions, including the Khabarovsk Territory, materiel can be used not only to expand housing and educate a child, but also to pay for medical services for the whole family - children and parents. We are talking about any paid services related to diagnosis, treatment and rehabilitation, and you can get them both in municipal and private clinics that have the appropriate license. Thus, for Khabarovsk residents, dental treatment at the expense of maternity capital is acceptable.

Dental treatment through regional subsidy

In 2019, the amount of regional maternity capital in the Khabarovsk Territory is 250,000 rubles. Legislation allows you to dispose of these funds freely, so a family can spend even the entire amount on dental services. This is good news for those who are not able to pay for expensive procedures for the treatment and prosthetics of teeth from their wallet. True, you will have to be patient.

To use maternity capital for teeth, you need to choose the right dentistry. Despite the fact that, according to the law, you can spend the subsidy in any certified clinic, in fact, not everyone accepts it. It may be unprofitable for a medical institution to expect payment under the contract within two months, namely, so much time is spent on the consideration of the application by the social protection authority and on the transfer of funds to the account of the legal entity.

The Scientific and Clinical Center for Aesthetic Dentistry Estetica provides services that can be paid for, among other things, from the funds of regional maternity capital. You just need to make an appointment: our specialists will conduct a thorough diagnosis, draw up a treatment plan and help you collect all the documents necessary to receive a family subsidy. It will take a minimum of effort on your part to undergo high-quality treatment and at the same time not pay for it from the family budget.

Required list of documents for the use of regional maternity capital funds

If you plan to spend maternity capital on the treatment of the teeth of your mother, father or children, you must provide the following documents to the social security authority at the place of registration.

• Original letter of guarantee confirming the right to receive regional maternity capital.
• Passport of the holder of a letter of guarantee with a residence permit in the Khabarovsk Territory. Most often this is the mother, but if she has died or is deprived of parental rights, the owner may be the father (adoptive parent) and even the child himself.
• Documents confirming the identity and authority of the legal representative of the child.
• Birth or adoption certificate of the child, if it is he who will use mat capital for dental treatment.
• Contract for the provision of paid medical services with an indication of its cost and terms of payment.

IMPORTANT: family subsidy in the Khabarovsk Territory is awarded after the birth (adoption) of the third or subsequent children. It can be disposed of only after the child reaches the age of two.

Back in 2015, the government increased the number of areas for using maternity capital. Previously, it was allowed to invest in:

• acquisition (construction) of apartments and houses;
• children's education;
• pension savings.

Since 2016, it has been allowed to use state aid funds for the treatment of a child with limited physical abilities. This rule was approved by law No. 438-FZ of November 28, 2015. He amends the main normative act (No. 256-FZ of December 29, 2006). Let's take a look at how to put into practice in 2019 the new rule for using mother capital.

Download for viewing and printing:

The essence of innovation

The Pension Fund of Russia (PFR) published data according to which the number of families - holders of the certificate, which contain children with disabilities, in 2016 was 13.5 thousand. All these citizens need real support from the state. The socialization of children with disabilities is not an easy, and most importantly, financially costly task.

In this regard, the legislator decided to redirect part of the state aid to families with children for the following needs:

• rehabilitation measures for children with fixed disabilities;
• on their socialization (assistance in integration into the social environment).

The declared directions are practically implemented in the following ways:

1. Acquisition of goods prescribed in an individual rehabilitation or adaptation program (IPRA).
2. Compensation for the costs of IPRA services.

Limiting conditions for the implementation of the amendment to the law

Conditions for investing mother's capital in the rehabilitation and habilitation of children with disabilities:

1. Activities are described in the IPRA.
2. Money is allowed to be used for any child with disabilities brought up in a family.
3. It is forbidden to direct state aid money to funds and medical care provided free of charge.
4. Adopted children are among the children to whom maternity capital can be directed.
5. The transfer of money from the budget is carried out exclusively in the form of compensation for already incurred costs after checking their intended use.

Do you need on the subject? and our lawyers will contact you shortly.

Legal Framework

Specific areas for the use of mother capital for the treatment of a child are set out in regulations:

1. Decree of the Government of the Russian Federation No. 380 dated April 30, 2016 "Rules for the allocation of maternity capital funds to disabled children."
2. Order No. 831-r dated April 30, 2016, containing a list of goods and services for the social adaptation and integration of children with disabilities.

What is rehabilitation and social adaptation

To deal with where it is allowed to spend funds on a certificate, it is necessary to define concepts.

1. Under the rehabilitation of people with limited physical abilities, they understand activities that help restore impaired functions. Ideally, a program is selected that contributes to a person's normal perception of his life and society.
2. Habilitation includes activities that help shape lost or missing opportunities. For example, behavior in everyday life, educational skills, playing and working abilities.

It should be added that this process is complex and time-consuming. To achieve these goals, not only special means are needed, but also constant, systematic efforts of parents and doctors.

What is IPRA

The adaptation or rehabilitation program is compiled exclusively by specialists. That is, it needs to be done. To do this, you should contact the federal body of medical and social expertise (ITU) (the pediatrician will tell you).

This state body is guided by the Order of the Ministry of Labor and Social Protection of the Russian Federation dated July 31, 2015 No. 528n. The document contains the rules for compiling the IPRA. In particular, such a program can be developed on

• one year;
• two years;
• until the age of majority of a child with disabilities.

In addition, it includes two types of events (indicated by separate lists):

• free;
• paid.

What is included in the IPRA

The program is compiled individually based on the physical examination of the disabled person and the available documentation about his health. It includes the following information:

1. Opportunities available to the child:
   • to movement;
   • to orientation;
   • to games and learning;
   • to control their own behavior;
2. Required rehabilitation and habilitation measures:
3. Medical nature, prosthetics, for example;
   • psychological and pedagogical direction;
   • social (household, introduction into the environment, socio-cultural and others);
   • physical education;
4. Planned results of the program;
5. What funds are needed from the budget:
   • federal;
   • local;
6. Other types of support to overcome social restrictions.

Directions for the use of funds

The list does not include facilities and services provided free of charge. They are described in the government order of December 30, 2005 No. 2347-r. They will not be allowed to direct matkapital to them.

According to government decree No. 831 dated February 30, 2016, the list of funds and services compensated for money under the certificate includes:

1. Mobility aids, including:
   • ramps and lifts with rail fastening;
   • beds, specialized chairs equipped with a motor.
2. High-tech devices that promote social skills, such as braille displays.
3. Inventory that helps the development of the physical body, including for sports activities (exercise equipment, wheelchairs, jogging tracks, etc.).
4. Sanitary and hygienic equipment of a specialized type and functionality (tables, dishes, chairs).
5. Devices that allow you to better perceive reality, that is, to communicate with the environment (dictaphones, clockwork, magnifiers, telephones).
6. Services of a reader-secretary.

The procedure for using budget money for rehabilitation and habilitation in 2019

The law stipulates that expenses are compensated by state money. Thus, parents raising a child with disabilities will first have to invest their savings in the activities planned in the IPRA. Only after the goods are purchased will the Pension Fund pay for them.

Important: compensation is carried out only after the submission of a package of documents, including proof of costs.

The step-by-step algorithm of actions can be described as follows:

1. Obtaining IPRA in ITU bodies.
2. The study of the document and the implementation of its activities.
3. Purchasing at your own expense only devices specified in the program.
4. Collection of all payment documents.
5. Appeal to the local branch of the FIU with a package of papers (there is a list below).
6. Filling in the order on spending the funds of the mother capital (on a special form).
7. Waiting for the decision of the FIU (at least a month).
8. Receipt of money in case of approval of the application (two months from the date of application).

List of documents

The application to the FIU must be accompanied by identification papers and proving the targeted spending. These include:

• a copy of the passport of the person - the recipient of the capital;
• certificate (duplicate, if issued);
• a copy of the IPRA, pages indicating the necessary paid rehabilitation facilities;
• confirmation of costs in the form of:
  • checks;
  • invoices;
  • contracts;
  • warranty cards for goods and more;
• an act drawn up by the social service, upon checking the availability of the transferred funds, indicating:
  • personal data of the certificate holder;
  • descriptions and names of means of rehabilitation;
  • confirmation of the fact of its compliance with the IPRA and the current regulatory legal acts (employees know how to draw up this document);
• a certificate from a banking institution with account details for transferring money;
• a notarized power of attorney and a passport of the representative (if one is involved in the application).

Regional support programs for children with disabilities

Some subjects of the federation have legislated their own programs to stimulate the birth rate, similar to the national one. In them, the conditions for the use of a regional matcapial are set at the discretion of the local government. In particular, a number of regions have allowed spending assistance to families with children on the social rehabilitation of disabled people.

1. It is allowed to compensate for the receipt of paid medical services with money according to a regional certificate in the Republic of Kalmykia, Yakutia (Sakha), Tyva and Khakassia, Samara, Nizhny Novgorod, Ulyanovsk and some other regions.
2. In Yakutia, it is allowed to use budgetary funds to pay for high-tech care for children with disabilities, just like in the Nenets Okrug.
3. Oryol authorities allow transfer of mother's capital for the treatment of disabled children.
4. The government of the Republic of Komi approved among the permitted purposes of investing mother capital - the annual receipt of cash in the amount of 25 thousand rubles. for recreational activities.
5. The Nizhny Novgorod authorities allowed the use of regional family capital for summer holidays and recreation in a non-cash form.
6. The Krasnoyarsk and Perm governments have added to the list of permitted uses of the certificate by acquiring rehabilitation equipment. The same was done in the Leningrad region.

Other areas of application of regional mother capital

There has long been a dispute in society about expanding the permitted areas for investing federal certificate funds. However, the last major changes to this issue were made in 2015 (for the rehabilitation of disabled children).

And in the regions, the authorities go towards the citizens. Here are some examples:

1. The Nenets government allows you to invest a local certificate in the construction of a garage.
2. It is allowed to buy a car at the expense of local assistance for residents - certificate holders in:
   • the republics of Sakha (Yakutia) and Buryatia;
   • Kaliningrad, Leningrad, Murmansk, Saratov, Orel and other regions;
   • the city of St. Petersburg;
   • Kamchatka and Krasnoyarsk Territories.

It is allowed to spend local capital on durable items (furniture, for example) for parents in the Tver, Murmansk, Kaliningrad regions, the Republic of Buryatia, and the Nenets Autonomous Okrug.

Important: legislation regarding the use of state and regional assistance to families with children is constantly being improved. The current directions of local programs should be found out in the relevant government agencies.

May 18, 2017, 22:55 Mar 3, 2019 13:49

Regional maternity capital for the treatment of a child on a paid basis, it is provided in certain regions at the birth or adoption of a third or subsequent child in the family in accordance with regional legislation.

See also other options for using regional maternity capital

• Regional maternity capital to the country

  It is provided in certain regions at the birth or adoption of a third or subsequent child in the family in accordance with regional legislation: today, the possibility of directing regional maternity capital (RMC) for the construction or purchase of a dacha is provided in St. Petersburg and the Sverdlovsk region.

• Regional maternity capital for housing improvement

  It is provided in all regions that have established regional maternity capital (RMC) in the event of the birth or adoption of a third or subsequent child, with the exception of regions that pay RMC in cash, which does not exclude the use of the funds received to improve the family's living conditions.

• Regional maternity capital for daily needs

  It is provided in certain regions at the birth or adoption of a third or subsequent child in the family in accordance with regional legislation: in the Republics of Adygea, Dagestan, Mari El, North Ossetia, the Trans-Baikal Territory, Arkhangelsk, Astrakhan, Vladimir, Volgograd, Vologda regions and a number of other regions.

All options

Popular answers to questions about matkapital

A written obligation for maternity capital is drawn up by a person who is a party to the contract for the sale of an apartment at a notary. Its meaning lies in the obligation to formalize the acquired or built residential premises in the common shared ownership of all family members within six months after the removal of all encumbrances and receipt of a certificate of ownership ...

On Monday, a draft law was submitted to the State Duma, allowing the use of maternity capital (MC) for expensive treatment of mothers and children. The author of the document, the Legislative Assembly of Buryatia (People's Khural), proposes to introduce an additional article into the Federal Law "On Additional Measures of State Support for Families with Children" dated December 29, 2006, concerning the disposal of funds (part of the funds) of the MC. It is assumed that these funds can be transferred to any medical organization in Russia to pay for high-tech treatment that is not provided under the programs of state guarantees of free medical care.

According to the republican deputies, the bill expands the ability of citizens to dispose of the funds of the MK "in the most efficient and rational way."

“Parents have repeatedly drawn attention to the big problems with the organization of expensive treatment. Many types of such assistance are provided only in the leading centers of the country and are completely absent in remote regions. All this delays for many years the possibility of receiving such assistance, and for many children it remains completely inaccessible ... In their numerous appeals, parents note that they are ready to use the funds of the MK, first of all, for timely high-tech treatment, ”the explanatory note to the bill says. .

In 2013, the amount of capital amounted to about 409 thousand rubles. The corresponding certificate can be used in whole or in part for the improvement of living conditions, the education of a child or the formation of a funded part of a pension for the mother. It is prohibited by law to receive money in cash.

The Ministry of Health has not yet commented on the bill. However, proposals to allow MC funds to be used to pay for voluntary medical insurance, treatment or purchase of medicines have been made before. And each time, “explanations” came from the government that the MK was intended for completely different purposes, and the high-tech assistance included in the standards for citizens of the Russian Federation is provided free of charge as part of compulsory medical insurance (CHI).

Nikolai Gerasimenko, First Deputy Chairman of the State Duma Committee on Health Protection, also considers the proposal of the People's Khural to be "redundant". According to him, the Ministry of Health has the opportunity to provide all the necessary high-tech medical care to children and mothers. However, the deputy made a reservation that he is not yet ready to give an official opinion on the bill, since no one has yet seen it in the committee (on Monday the bill was only registered and sent to the chairman of the State Duma).

According to the chairman of the social policy commission of the Moscow City Duma, Mikhail Antontsev, “it is the responsibility of the state to enable seriously ill people to survive within the framework of compulsory medical insurance.” “When the draft law on maternity capital had just been sent to the Moscow City Duma for review, we proposed in this review to include treatment costs in the nascent system. And we received an answer that everything will, of course, be done at the state expense within the framework of compulsory medical insurance. And you just need to demand the implementation of the law,” the deputy said.

Meanwhile, in reality, everything is far from being so smooth. According to Elena Topoleva-Soldunova, chairman of the commission of the Public Chamber of Russia on social policy, labor relations and quality of life of citizens, director of the Social Information Agency, an expert assessment of quotas and compulsory medical insurance rates shows that they are underfunded by 3-4 times.

Often, public health guarantees payment for the second stage of treatment without paying for the first - for example, in the case of bone marrow transplantation. The current legislation, which leads to the purchase of low-quality generics instead of effective original drugs, does not contribute to the effective treatment of sick children. And these purchases themselves are such a clumsy process that many patients die without waiting for the medicines they need.

“Of course, when using MK funds for treatment, there should be some restrictions and control, but in general this is the right proposal,” Topoleva-Soldunova told Gazeta.Ru. “If it becomes possible to direct MK funds for expensive treatment that is not prescribed in state guarantees, but it is necessary, this will seriously simplify the life of people who are forced today to collect money around the world.”

In addition, the program of state guarantees applies only to treatment carried out according to protocols and standards - an approved guide to action. However, standard measures do not always help.

This was discussed at a meeting of the Council under the Government of Russia on issues of guardianship in the social sphere, held in March, on the topic of interaction between the authorities and charitable foundations, Deputy Director of the Federal Scientific and Clinical Center for Pediatric Hematology, Oncology and Immunology named after V.I. Dima Rogacheva (FNKC) Galina Novichkova. According to her, the scientific center has the right to use its own evidence-based therapy. But this is the use of technologies that are not financed by the budget, and drugs that are not registered in Russia. In addition, the continuation of the therapy started in the center at the place of residence of the child is absolutely not ensured.

The charitable foundation for helping children with oncohematological and other serious diseases “Give Life” took upon itself the solution of this problem in the Federal Scientific and Practical Center. In 2012, the fund purchased unregistered drugs for 28.4 million rubles. The fund allocated 23.5 million rubles for the search for unrelated donors and the delivery of bone marrow from abroad. The “Drugs at Home” program for patients of the Federal Scientific and Clinical Center amounted to 14.5 million rubles.

Chulpan Khamatova, Co-Chair of the Board of Trustees of the Podari Zhizn Foundation, in her speech, divided the fund's expenses into those that are not funded by the state in principle, and those that are not covered by budgetary funds due to the imperfection of the regulatory legal framework. The first group includes payment for the search and activation (determination of suitability) of a bone marrow donor (in Russia, bone marrow transplantation from an unrelated donor is carried out exclusively with the support of philanthropists), the purchase, importation and customs clearance of medicines not registered in the Russian Federation, payment for the accommodation of patients from other cities who are on outpatient treatment. The second group is even wider. But first of all, this is a targeted purchase of medicines.

“A child cannot take a break from taking medication, so the funds provide a reserve for one to two months after discharge from the hospital, so that parents have time to process documents for their preferential receipt,” Khamatova explained.

In addition, it is often not possible to obtain at the expense of the regional budget a drug that is vital for a child and is not included in the list of additional drug provision. And when purchasing at the expense of budgetary funds, preference is given to drugs that have the lowest price. As a result, regions often purchase generic drugs that have not passed clinical trials for use in children. And finally, many medical institutions refuse to accept extrabudgetary funds in order to maintain performance. “Very often, doctors are forbidden, under threat of dismissal, to tell patients that there is a foreign analogue of a domestic medicine,” Khamatova said.

The officials who took part in the meeting did not deny the lack of funds. According to the Minister of Health Veronika Skvortsova, funding of state medical care programs in full (from clinical examination to high-tech medical care) is expected only by 2015. Even so, new treatments will emerge that outpace government funding. “This concerns rehabilitation, rare diseases, provision of expensive medicines on an outpatient basis,” the minister explained.

Meanwhile, citizens who have received certificates for MK during the program, by hook or by crook, are trying to cash them out.

The Internet is full of announcements about the cashing of certificates through the participation of their owners in fraudulent schemes related to the purchase and subsequent sale of housing or lending to such a purchase. According to the Pension Fund of Russia, which is engaged in issuing certificates, in dozens of regions of the country facts of misuse of MK funds are recorded. This is most common in regions with a low standard of living.

At the end of March 2013, the head of the Pension Fund, Anton Drozdov, said that the fund was in favor of the possibility of issuing MK, or at least part of it, in cash in the future. According to the official, this could reduce the corruption component when cashing funds by unscrupulous structures.

Recognize the problem and "at the top". For several years, the government has been improving the scheme for using MK to work with real estate (this is the most popular way to invest capital). The law has been amended to allow the first installment of mortgage lending to be paid with the help of MK, to repay interest on the loan, and it is even allowed to refinance the loan. In 2010, maternity capital was allowed to be used for settlements in the secondary housing market. It is possible to pay for an apartment with a certificate that was issued to the mother of the child if the housing is issued to the father. There were also proposals from the deputies to allow placement of maternity capital funds on deposits in banks.

Can maternity capital be used for treatment?

Yes, this is one of those goals that Federal Law No. 256-FZ provides.

Since 2009, such conversations have been going on, but the final innovation, approving the fourth permissible purpose for spending family capital, was approved only in 2015, by Federal Law No. 348-FZ.

Prior to that, it could only be directed to the funded part of the parent's pension, solving the housing problem, or educating children.

But if the concept of "housing issue" includes a whole range of options - this is the first installment of a new mortgage, and the repayment of an existing one, and the expansion of housing, and building a house, and just buying an apartment - then the concept of "treatment" is much narrower.

The only acceptable option is services and goods for the rehabilitation and adaptation of a disabled child. Moreover, the mentioned goods and services should be included in the list of categories provided for by the individual program for the rehabilitation and adaptation of a disabled child (IPRA). And it's all.

What is included in the list of rehabilitation measures for persons with disabilities, provided for by Federal Law No. 181-FZ (On the Social Protection of the Disabled), can no longer be paid from the family “case”. This must be taken into account when planning how to help the baby find a place in a full life.

But that's not all "but".

The principle of payment here will be somewhat different than, for example, in a mortgage. - an apartment is selected there, an agreement is drawn up, submitted to the Pension Fund for consideration, and it makes payment.

It won't be the same here... the request for disposal must be sent after the goods and services have been paid for, and the Pension Fund makes some kind of compensation. In other words, if your family has suffered such a difficult fate as the birth or adoption of a child with disabilities, then you will first have to open your wallet.

Only later, when the checks are on hand, can we sort out what the state can compensate for this, and what will be taken for granted for a loving and caring family. And invite employees of social protection agencies to confirm and draw up an appropriate document.

I.e, such an opportunity is not designed to improve the health of the mother and father- adults are obliged to resolve issues on their own, including financial ones, including those related to health.

For more information on how you can start spending maternity capital, see the video below:

Maternal capital for the treatment of the mother

Impossible. At the moment, the State Duma is considering a bill on this issue. But no changes were made to Federal Law No. 256-FZ in this respect.

As before, you can pay, or rather, compensate for a number of services for the rehabilitation of a small person with disabilities.

We treat mom's teeth

The law does not provide for the use of maternity capital for the treatment of mother's teeth, although such an initiative has been voiced more than once.

Probably, in the future this addition will be introduced into the legislation, but so far there is no such rule.

Child rehabilitation

In addition, the use of maternity capital for the treatment of a child is also not provided for by law - unless we are talking about a specifically agreed range of services and goods for the rehabilitation of children with disabilities.

Important: You don't have to wait until the third birthday of your son or daughter.

For example, if a baby is seriously ill and he needs an expensive operation, mom and dad will not be able to use family capital for this. You will have to decide the issue yourself - use your own savings, for example, or take a loan from a bank.

Important: the package of mandatory documents when submitting an application also includes an act of verification by social authorities. protection, confirming that the services and goods from the list approved by the Government were actually paid for.

What are these goods and services?

These include:

• mobility aids (eg braille displays);
• equipment (for example, specialized chairs; rail system);
• appliances and goods for sanitary purposes (special furniture, utensils);
• inventory and sports equipment.