In December 2020, the law on the reform of the Mandatory Health Insurance system was signed by the President of the Russian Federation. The key changes are related to the role of the Medical Insurance Organizations – the current intermediatory between the Fund for Mandatory Medical Insurance and providers of care. From 2021, the Federal Fund will directly contract and provide financing to federal organizations, for provision of High End Medical Care (part 1 of the HEMC List, focused on care, integrated in the Mandatory Medical Insurance financing scheme).