Health care and health insurance

Schools, healthcare, taxes: the same question does not always lead to the same level of government. Start with a policy area, then follow responsibility to an institution.

Who regulates treatment and health care?

Overview of legal responsibilities, not a chain of command: “shared” includes coordination or different functions in the same field. Cantons exist only in FBiH; local functions depend on entity laws, and Brčko is a separate unit. Listed political bodies do not control independent judicial and regulatory decisions.

State

Shared

The state portfolio coordinates activities, entity plans and international health strategies.

FBiH

Shared

Health is shared with cantons; the Federation Health Insurance and Reinsurance Institute performs common functions and manages federal solidarity funds.

RS

Main responsibility

RS organises its health system, supervises institutions and regulates health-care planning and financing.

Brčko

Main responsibility

The District regulates its own health care and health insurance; its Health Insurance Fund explains compulsory-insurance entitlements under District law.

Cantons

Shared

Cantons regulate health with the Federation; cantonal institutes organise compulsory health insurance and contract health services under law.

Local

Shared

In FBiH local authorities evaluate health services, may fund improvements and take hygiene measures; the RS Constitution provides for meeting health needs locally.

Mayors of municipalities and cities

Sources for the responsibility matrix (45)

Unique sources across all displayed areas. Each responsibility and its source are also explained on the selected area's page.

Policy area × level. Select an area for explanations and sources. A dash means unresearched, not that the level has no role.
Policy area	State	FBiH	Cantons	RS	Brčko	Local
Defence and armed forces	Main responsibility	No role	No role	No role	No role	No role
Foreign policy	Main responsibility	Shared	Shared	Shared	Shared	Shared
Borders and customs	Main responsibility	No role	No role	No role	No role	No role
VAT, excise duties and the single account	Main responsibility	Implements	Implements	Implements	Implements	Implements
Direct taxes and local charges	No role	Main responsibility	Shared	Main responsibility	Main responsibility	Shared
Police and security	Shared	Shared	Main responsibility	Main responsibility	Main responsibility	Shared
Courts and prosecutors	Shared	Shared	Shared	Main responsibility	Main responsibility	No role
Schools and universities	Shared	Shared	Main responsibility	Main responsibility	Main responsibility	Shared
Health care and health insurance	Shared	Shared	Shared	Main responsibility	Main responsibility	Shared
Pensions and social protection	Shared	Shared	Shared	Main responsibility	Main responsibility	Shared
Economy and business registration	Shared	Main responsibility	Shared	Main responsibility	Main responsibility	Shared
Agriculture, water and forests	Shared	Shared	Shared	Main responsibility	Main responsibility	Shared
Energy and electricity	Shared	Main responsibility	Shared	Main responsibility	Shared	Shared
Roads and transport	Shared	Shared	Shared	Main responsibility	Main responsibility	Shared
Culture and media	Shared	Shared	Main responsibility	Main responsibility	Main responsibility	Shared
Elections	Main responsibility	Implements	Implements	Implements	Implements	Implements
Citizenship and identity documents	Main responsibility	Shared	Implements	Main responsibility	Implements	Implements
Environment and spatial planning	Shared	Shared	Shared	Main responsibility	Main responsibility	Shared
Water, waste and local services	No role	Shared	Shared	Shared	Main responsibility	Main responsibility