Tashkent, Uzbekistan (UzDaily.uz) — From 1 January 2027, state medical institutions in Uzbekistan will procure certain medical and support services from private providers under a new outsourcing framework.
The procedure was introduced by Presidential Resolution No. PP-392 of 4 November 2026, titled “On Measures to Further Expand Private Sector Participation in the Development of the Healthcare System”, according to Uzbekistan’s National Database of Legislation.
By 2030, the share of clinical and support services procured through outsourcing is expected to be gradually increased to 30%. Another objective is to attract reputable foreign companies and professional management teams to at least five major healthcare organisations.
Outsourcing contracts will be concluded for up to five years, depending on the nature of the service and the volume of investment made by the provider.
In certain cases, contracts may run for up to 10 years based on the investment payback period, subject to an opinion from the Ministry of Health.
Projects whose contracts expire before the new procedure takes effect may be extended until the end of 2027.
Buildings and premises belonging to medical institutions may be provided to service providers for free use where this is economically justified and reflected in the service price.
From 2027, public and private sector participation in healthcare will be guided by long-term and short-term master plans for the sector’s development. Institutions required to provide state-guaranteed medical care will remain under state control.
Their capacity will be developed in line with the actual needs of the population. New facilities requiring substantial capital investment will generally be established through public-private partnerships.
Services that do not require major investment and are already supplied by a competitive private market will be procured through outsourcing in accordance with public procurement legislation.
Professional managers will generally be selected through open competition, taking into account their experience in managing medical institutions, financial stability and management capacity. Their performance will be assessed annually against key performance indicators (KPIs).
The assessment results will provide the basis for extending, revising or terminating contracts.
An electronic information system called “Tibbiyot autsorsingi” (Medical Outsourcing) will be launched by 1 April 2027. It will maintain a unified register of projects, service providers and contracts.
The system will monitor the volume and quality of services, payments and fulfilment of contractual obligations. Procurement data will be automatically transferred from public procurement systems.
By the same date, the Prosecutor General’s Office, together with the Ministry of Health and the Agency for Management of State Assets, will conduct a comprehensive inventory of lease agreements covering buildings, premises and land plots belonging to medical institutions.
Based on the findings, proposals will be submitted to the Cabinet of Ministers concerning contracts concluded in violation of the law and cases involving the misuse of facilities.
Starting in 2027, the Ministry of Health will publish a list of priority projects for attracting private investment and implementing public-private partnerships on its website by 1 November each year.
A project office will also be established under the ministry to review urban planning and sanitary standards for the design of medical facilities and bring them into line with international standards.
