The government yesterday submitted to the State Duma a bill on the execution of the budget of the Social Insurance Fund (FSS) in 2020. The fund’s expenditures in the covid year grew by more than 40% compared to 2019, while income increased by only 11%. The increase in the spending of the FSS budget was mainly due to the increase in the number of sick leaves opened in connection with the coronavirus, and the emergence of additional responsibilities for the fund to calculate incentive payments to medical workers.
As follows from the draft law on the execution of the FSS budget submitted to the State Duma, in 2020 the fund’s revenues amounted to 903.4 billion rubles – 11.3% more than in 2019. As before, the main share (76.8%) in the fund’s income was made up of insurance premiums – 693.6 billion rubles.
Due to new expenses caused by the pandemic, in 2020 the fund has a sharp increase – 2.5 times – in the volume of transfers from the federal budget.
With 65 billion rubles planned for the adoption of the law. as a result, the volume of transfers amounted to 162.4 billion rubles. The growth was mainly due to subsidies for calculating payments to medical and social workers. We will remind, in the spring of last year, the government introduced additional payments for doctors and nurses who work in “coronavirus” hospitals, as well as for social workers serving the disabled and the elderly. Initially, the payments that were financed by the federal budget were charged by the regions, but after an increase in the number of scandals over the practice of providing these amounts, the organization of the process was transferred to the FSS.
This also caused a noticeable increase in the fund’s expenses – they grew immediately by 40.7% compared to 2019 and by 31.8% to the originally pledged amount, to the level of 1.039 trillion rubles. Most of all (by 39.3%) the fund’s expenses on sick leave payments increased.
At the same time, the costs of paying for medical care for women during pregnancy, childbirth and the postpartum period, as well as for preventive medical examinations of a child during the first year of life, have decreased by almost a third compared with planned – due to the decrease in the birth rate that occurred last year. In addition, as indicated in the explanatory note to the bill, a number of regions, due to the coronavirus, suspended the observation of pregnant women in antenatal clinics and did not conduct preventive medical examinations of children. Expenditures on incentive payments to medical workers also turned out to be lower than expected during the year – out of 78 billion rubles allocated by the federal budget. the regions in total requested only 44.3 billion rubles, which they spent on almost 2 million payments.
The government is reorganizing the structure and functions of two of the three off-budget funds – the Pension Fund of Russia and the Social Insurance Fund, this follows from the concept of digital transformation of the social sphere until 2025 presented yesterday. The basis for the reform of the foundations will be the creation of a single digital platform that will unite all information systems existing in the social sphere in order to provide social services to the population in a proactive mode and in electronic form.