TELEMEDCINA IN COLOMBIA ARE REQUIRED PERCENTAGE OF EPS, PUBLIC HEALTH CARE AND MORE DEPARTMENTS 
To ensure the provisions of paragraph 2 of Article 26 of Law No. 1122, 2007, Corporate Health Promotion, EPS, subsidized regime and contribution devoted 0.3% of the Unit Capitation payment for the coordination and funding of telemedicine services with national coverage for both health promotion and to care for their members, the municipalities and districts, through the national body that the members, will enable the delivery of this service. Also, the National Health Superintendence verify compliance with the provisions of this article for the grant or renew the operation of the EPS, particularly when checking their service networks. "
" Grounds of objection:
- is objected by unconstitutionality as follows: "Health Promoting Business EPS, subsidized regime and contribution devoted 0.3% of the capitation payment unit for coordination and funding of telemedicine services with national coverage for both health promotion as to care for their members "and" Also, the National Health Superintendence verify compliance with the provisions of this article for the grant or renew the operation of the EPS, particularly when checking their service networks. "
regard, it should be noted that these sections are part of Article 6 of the Investment Plan, which contains a description of the main inversión17 programs, and to that extent, affected by the proposal submitted by the Government, to be included in the bill for parliamentary initiative without the approval required by the Constitution, especially by Article 341, Law and Development Plans, in particular Article 22, which renders it unconstitutional.
is important to note that according to the rules of the tax system and subsidized health services included in the Compulsory Health Plan must be defined in accordance with changes in the demographic structure of the population, the epidemiological profile, technology appropriate financial conditions of the system. Thus, the activities, interventions, procedures and technologies that are part of benefit plans, require studies to justify their inclusion or substitution of other technologies, so that they meet the criteria of cost-effectiveness and are consistent with financial stability of the system, so it is not feasible without technical support service available only to the few resources allocated to it without considering and assessing its suitability against other alternative health services. It should be explained that paragraph 2 of Law No. 1122 of 2007 for telemedicine, said the mandate to promote such services to contribute to health care, but in no event superimposed on the aforementioned criteria to determine the suitability of these on alternative intervention and inclusion or exclusion of other services, benefit plans.
Any provision that seeks to disregard the general welfare and quality improvement life of the population, one of the purposes pretermite social State, as enshrined in Article 366 of the Constitution in accordance with Articles 48 and 49, which is precisely what makes the provision in question leave the underfunded health insurance and hence its performance. Moreover, if this change in the management of these revenues comes at the expense of the fulfillment of one of its fundamental objectives State activity which is to ensure health, according to the provisions mencionadas.Con the transfer of resources from social security a person of private law to bear costs of an activity that corresponds neither to the assurance of the population or the direct provision of health services, would fall under the constitutional prohibition of paragraph 5 of Article 48 consist in preventing the destination or use of funds for social security institutions for purposes other than her.
desvertebraría The standard structure like nature of this contribution, therefore, the resources extracted from the citizens to benefit their own health, would be diverted to private persons for a purpose other than originally intended. In addition to wipe out the quasi-fiscal framework, would be to change substantively the contribution and participation sort of national income, taxes in the case of the subsidized and quasi-tax contributions in the case of contributory scheme, in favor of a person which bring together local authorities. Sendas figures, the modification of the levies and the participation of national income, demand the government exclusive initiative, as indicated by the Constitutional Article 154 in its second paragraph, which in the case of this article is absent.
should be remembered that the National Development Plan that is not the only part where it mentions the telemedicine. In Article 129 includes the following:
"Article 129. Viable projects. Accompany the National Government to local authorities in the design and Annex structuring projects that, even when not included in this National Investment Plan, are important to help achieve greater competitiveness, productivity and social impact of the regions and to further advance the goals of the international agenda and Colombia Second Centennial Vision for subsequent inclusion in the Bank of Investment Projects National BPIN. Some of these projects will be funded from the appropriation of U.S. $ 1,000 million to which this law:
Boyacá Department Reorganization
physical functional, structural reinforcement, information system, replenishment technology, telemedicine:
But develop this aside, says nothing explicitly, although you might think that refers to the Hospital of Tunja, as the numeral 1 of the separate states as a project "Implementation of quality systems, in order of possession to the Hospital of Tunja" (surely wanted say "position", but it reads "possession" in the version of the Official Journal of the Act). Later in the same article and for other department, if you say something concrete:
Vichada Department Building new hospitals in the Spring and Cumaribo, provision of medical equipment, public health laboratory staffing and medical supplies, ambulances, medium complexity medical, emergency room and telemedicine equipment.
