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Вестник Северо-Восточного федерального университета имени М. К. Аммосова. Vestnik of North-Eastern Federal University. Серия «Общественные науки. Social science»

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Licensing of medical activities: legal problems and ways of improvement

https://doi.org/10.25587/2587-5612-2025-4-32-38

Abstract

The article examines the systemic legal problems of licensing medical activities in the Russian Federation. The purpose of the study is to identify key defects in the current licensing model and develop specific proposals for its improvement. To achieve the goal, the tasks of analyzing the regulatory framework, classifying problems, and studying judicial practice are solved. The methodological basis was formed by formal-legal, comparative legal methods and the method of analysis of judicial practice. The main problems are identified and analyzed: fragmentation and redundancy of requirements, formal nature of inspections, legal vacuum in the regulation of telemedicine. The scientific novelty lies in the justification of a comprehensive approach to reform, the key elements of which are: the transition to a risk-oriented model, full digitalization of procedures (“electronic licensing file”) and the development of specialized requirements for services using telemedicine technologies. The results of the study can be used in legislative activities to improve licensing legislation, as well as in the practical work of supervisory authorities and medical organizations.

About the Authors

A. A. Mutalieva
M.K. Ammosov North-Eastern Federal University
Россия

Mutalieva Aza Abukarovna – Cand. Sci. (Law), Docent, Associate Professor, Department of Civil Law and Process, Faculty of Law

Yakutsk



L. S. Vasilieva

Россия

Vasilieva Lena Semyonovna – «Il Tumen» parliamentary newspaper correspondent

Yakutsk



References

1. Constitution of the Russian Federation (adopted by popular vote on December 12, 1993) // Rossiyskaya Gazeta. 1993. December 25. (in Russian)

2. Civil Code of the Russian Federation (Part One) No. 51-FZ of November 30, 1994 // Sobraniye Zakonodatelstva Rossiiskoi Federatsii [SZ RF]. 1994. No. 32. Article 3301. (in Russian)

3. On Licensing of Certain Types of Activity: Federal Law No. 99-FZ of May 4, 2011 // SZ RF. 2011. No. 19. Article 2716. (in Russian)

4. On the Fundamentals of Public Health Protection in the Russian Federation: Federal Law No. 323-FZ of November 21, 2011 // SZ RF. 2011. No. 48. Article 6724. (in Russian)

5. Decree of the Government of the Russian Federation No. 852 of June 1, 2021 (as amended on May 8, 2025) “On Licensing of Medical Activity (Except for the Said Activity Carried Out by Medical Organizations and Other Organizations within the Private Healthcare System on the Territory of the ‘Skolkovo’ Innovation Center) and on Invalidating Certain Acts of the Government of the Russian Federation” (together with the “Regulation on Licensing of Medical Activity (Except for the Said Activity Carried Out by Medical Organizations and Other Organizations within the Private Healthcare System on the Territory of the ‘Skolkovo’ Innovation Center)”) // SZ RF. 2021. No. 23. Article 4091. (in Russian)

6. Order of the Ministry of Health of Russia No. 866n of August 19, 2021 (as amended on May 21, 2025) “On Approval of the Classifier of Works (Services) Constituting Medical Activity” (Registered with the Ministry of Justice of Russia on August 31, 2021 No. 64810) // Official Internet Portal of Legal Information http://pravo.gov.ru, August 31, 2021. (in Russian)

7. Order of Roszdravnadzor [Federal Service for Surveillance in Healthcare] No. 9936 of October 28, 2020 “On Approval of the Administrative Regulation of the Federal Service for Surveillance in Healthcare for the Provision of the State Service for Licensing of Medical Activity (Except for the Said Activity Carried Out by Medical Organizations and Other Organizations within the Private Healthcare System on the Territory of the ‘Skolkovo’ Innovation Center)” (Registered with the Ministry of Justice of Russia on December 22, 2020 No. 61696) // Official Internet Portal of Legal Information http://pravo.gov.ru, December 22, 2020. (in Russian)

8. Mishina O.V. Licensing of Medical Activity: Theory and Practice of Law Enforcement. Gosudarstvennaya sluzhba i kadry [Public Service and Personnel]. 2020;(2):78-82. (in Russian)

9. Golubev S.Yu. Administrative Barriers in the Sphere of Private Medicine: Licensing and Control. Pravo i gosudarstvo: teoriya i praktika [Law and State: Theory and Practice]. 2021;4(196):112-115. (in Russian)

10. Kozlova N.V. Contemporary Problems of Legal Regulation of Medical Activity Licensing. Meditsinskoye pravo [Medical Law]. 2022;(3):45-49. (in Russian)

11. Reznik G.M. Telemedicine in Russia: Legal Aspects of Implementation and Regulatory Problems. Meditsinskoye pravo [Medical Law]. 2021;(1):33-38. (in Russian)

12. Petrov A.I. Risk-Oriented Approach in Control and Supervisory Activities: Prospects for Healthcare. Voprosy ekonomiki i prava [Issues of Economics and Law]. 2023;(2):56-60. (in Russian)

13. Govorov I.V., Minakov P.A. Specifics of Licensing Medical Activity under the Introduction of New Provisions of Federal Law No. 99-FZ within the Framework of the “Regulatory Guillotine”. Meditsinskoye pravo [Medical Law]. 2022;(4):14-17. (in Russian)


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For citations:


Mutalieva A.A., Vasilieva L.S. Licensing of medical activities: legal problems and ways of improvement. Вестник Северо-Восточного федерального университета имени М. К. Аммосова. Vestnik of North-Eastern Federal University. Серия «Общественные науки. Social science». 2025;(4):32-38. (In Russ.) https://doi.org/10.25587/2587-5612-2025-4-32-38

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