A Legal Analysis of Hospital Refusal of National Health Insurance Patients in Health Services

Abstract

This study aims to analyze the legal protection for National Health Insurance participants who experience rejection of healthcare services by hospitals and to examine the legal implications for hospitals and medical personnel who refuse patients. This research employed a normative juridical method using statutory and conceptual approaches. Data sources were obtained through library research on legislation, scientific journals, and legal literature related to healthcare services and the National Health Insurance system. The results showed that the rejection of National Health Insurance patients by hospitals contradicts the Health Law, Hospital Law, and Social Security Administering Body Law. Hospitals and medical personnel who refuse patients may face civil, administrative, and criminal liability. In addition, weak supervision and administrative obstacles within the National Health Insurance system are factors contributing to discriminatory healthcare services toward insured patients