The full implementation of medical insurance throughout Uzbekistan is planned by the end of 2026. According to the decree of President Shavkat Mirziyoyev dated September 6 on improving the activities of the Ministry of Health, the State Medical Insurance Fund will be transferred to the structure of the Ministry of Health from 2024, and from 2027 it will become an independent fund.

The Minister of Health and the Executive Director of the State Medical Insurance Fund will be personally responsible for the timely fulfillment of the tasks set.

From January 1, 2024, the State Medical Insurance Fund will be included in the structure of the Ministry of Health, retaining the status of an independent legal entity and current funding sources. From January 1, 2027, the fund will be separated from the ministry and will function as an independent entity.

The supervisory board of the fund will independently determine the providers (both state and private) involved in providing medical services within the guaranteed volume of medical care, the volume of purchased medical services, and form its budget.

Plans for the implementation of compulsory medical insurance and the development of the corresponding law were outlined in the President's decree on the development of the private sector in healthcare from April 2017. The phased implementation of insurance was supposed to start from January 1, 2021, as provided for by the President's decree of December 2018.

In November 2020, a document was signed on the implementation of a pilot project in the Syrdarya region, after which the State Medical Insurance Fund was established from December 1, 2020.

In December 2022, the President, in his annual address, stated the need to accelerate the transition to state medical insurance, which will begin in Tashkent in 2023 and then spread to other regions.