New Public Healthcare Fees to Take Effect January 2026 Amid Comprehensive Reform in Hong Kong's Health System.

Fee schedule for public healthcare services gazetted to take effect on January 1 next year

Following the Public Healthcare Fees and Charges Reform initiated jointly by the Health Bureau (HHB) and the Hospital Authority (HA), the HA today (April 25) gazetted the new fee schedule for public services in public hospitals applicable to eligible persons. The new fees will take effect on January 1, 2026 (See Annex).

The HHB spokesperson emphasised that the Government is implementing the healthcare system reform in a holistic manner, of which public healthcare fees and charges is an integral part. The reform will be based on five key principles:

(i) Commitment will not be lessened: The Government's commitment to public health will remain unchanged. All gains from the reform will be wholly utilised for public healthcare services;

(ii)Co-payment for those who can afford it and for those with mild conditions: The Government will reasonably expand and enhance the co-payment mechanism;

(iii) Enhancement and reduction: Protection for "poor, acute, serious, critical" patients will be enhanced, and wastage will be reduced;

(iv) High subsidisation: The high level of subsidy will be maintained after the reform, with the target of maintaining the 90 per cent overall public subsidisation rate; and

(v)Gradual and orderly progress: The objective will be achieved in a progressive and orderly manner in five years.

Meanwhile, the HHB will continue to advance other aspects of the healthcare reform, including primary healthcare services, HA governance, private healthcare fee transparency, the Voluntary Health Insurance Scheme, as well as the approval, registration, introduction and procurement of drugs and medical devices, to enhance healthcare system sustainability and ensure better protection of public health in the long run.

Following the announcement of the Public Healthcare Fees and Charges Reform on March 25, the HHB and the HA have been actively engaging with the Legislative Council, members of the public, and various stakeholders to explain the reform details and gather feedback on the reform direction. There is a consensus across society that Hong Kong's current public healthcare subsidisation structure cannot cope with increasing service demands driven by demographic changes and healthcare developments. This necessitates reform of the public healthcare subsidisation structure to modify healthcare service utilisation patterns, achieve precise allocation of medical resources, reduce wastage and misuse of medical resources, and strengthen protection for those most in need.

Apart from restructuring subsidisation levels for various services, the public healthcare fees and charges reform emphasises enhanced healthcare protection, including enhancing the medical fee waiver mechanism, introducing a cap on annual spending, and strengthening protection for patients with critical illnesses regarding drugs and medical devices. As such, public healthcare will be reinforced as a safety net for all, which is also becoming larger, more stable, thicker and denser, to enhance protection for "poor, acute, serious, critical" patients. It is expected that the enhanced medical fee waiving mechanism will expand eligible beneficiaries from 0.3 million to 1.4 million underprivileged individuals, while the annual spending cap will benefit 70 000 patients with serious illnesses. More patients with critical illnesses, including those from middle-income families, will receive subsidies for drugs and medical devices.

The HA spokesperson said, "The HA's next steps will focus on refining implementation measures to ensure the smooth execution of the reform, including streamlining application procedures for medical fee waivers and relaxing the eligibility criteria of means test for the Samaritan Fund safety net, and establishing information platforms to help members of the public understand and utilise the new healthcare protection measures starting next year. On April 28, the HA will launch a means test calculator on the HA website and mobile application 'HA Go' (See Attachment). By inputting information about household income and assets, members of the public can make a preliminary estimation of their eligibility for medical fee waiving and safety net applications under the new healthcare protection measures to be implemented next year."

The spokesperson added that the Primary Healthcare Commission (PHC Commission) will actively develop primary healthcare to complement the reform, encouraging appropriate utilisation of community primary healthcare networks. The HA will continue to increase the capacity of family medicine outpatient services, with a priority to serve underprivileged groups including low-income families and the elderly living in poverty. Through cross-district collaboration and flexible resource allocation, evening and holiday outpatient services will be increased, focusing on districts with high demand. The PHCCommission and the HA will also collaborate with private healthcare institutions to compile information about private hospitals and primary healthcare clinics providing evening and holiday services, making this information available through various channels including eHealth and at Accident and Emergency (A&E) departments to help members of the public access service options beyond A&E. Starting January 1 next year, when the new A&E fee ($400) takes effect, the HA will simultaneously regularise the special A&E refund arrangements. While waiting for consultation after triage nurses conduct triage and preliminary medical assessments, patients who choose to seek treatment at other healthcare institutions may apply for a $350 refund.

The HA is also reviewing fees for non-eligible persons, private services in public hospitals, and remaining individual fee items for public healthcare services. Further announcements will be made upon completion of the review.

DH responds to media enquiries on air-conditioning interruption in private hospital

In response to media enquiries regarding the air-conditioning interruption that occurred at St. Teresa's Hospital in July 2024 for about an hour, the Department of Health (DH) today (May 14) gave the following response:

Regulatory regime

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The DH regulates licensed private hospitals in accordance with the Private Healthcare Facilities Ordinance (Cap. 633) (the Ordinance). The Code of Practice for Private Hospitals (the CoP) issued by the Director of Health in accordance with the Ordinance sets forth licensing and operating standards for private hospitals, including the relevant requirements for hospital facilities and equipment.

The CoP stipulates that hospital installations and equipment must be kept in good operational order and requires hospitals to have contingency plans for emergencies (such as fire and the cessation of water or electricity supply). It also sets out that healthcare engineering systems (including electrical installations, specialised ventilation systems and medical gas supplies) must be properly maintained to meet the service need and ensure patient safety. Reportable events for private hospitals are also set out in the CoP.

The DH regularly reviews and updates regulatory standards for private healthcare facilities, together with the experts of the Advisory Committee for Regulatory Standards for Private Healthcare Facilities in accordance with the established mechanism of the Advisory Committee. The DH will also continue to review the CoP in accordance with the mechanism in order to protect the interest of the public.

Investigation work

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Regarding the incident at St. Teresa's Hospital, the DH was notified by a doctor on September 2, 2024, about an air-conditioning interruption in the operating theatres on the second floor of the hospital concerned in the evening of July 31, 2024, which lasted approximately one hour.

Although air-conditioning interruption is not a reportable event of private hospitals, the DH considered that the incident might have potential patient safety concerns and therefore promptly initiated an investigation on the same day (September 2, 2024) the notification was received. The DH sent staff to conduct an inspection at the hospital concerned, checked relevant documents, evaluated the effectiveness of its contingency measures, assessed the environmental condition of the operating theatres during the interruption and followed up on the remedial actions.

According to the investigation, the incident involved a malfunction of the air-conditioning system used to regulate the room temperature which lasted for about one hour. During which, 10 surgeries were performed in various operating theatres. The hospital explained that dehumidifiers were immediately deployed in the operating theatres where higher risk surgeries were being performed, including the one where the doctor was performing an operation. According to the hospital and the nurses on site, the severity of condensation in the operating theatre did not result in water dripping onto the surgical site of patients. The ventilation system used for infection control in the operating theatres (including air filtration equipment, hourly air change rate and a positive pressure environment) was operating normally. Apart from immediately responding to the incident, the hospital has also worked with its contractor to identify the cause of the incident and take measures to prevent recurrence of similar incidents.

In addition, the hospital conducted prompt follow-up by conducting air sampling of the operating theatres and surveillance on conditions of patients who underwent surgeries during the affected period for infection, with no abnormality detected. Based on the available evidence gathered, the DH considered that there was insufficient evidence to show that the hospital has breached the requirements of the Ordinance or the CoP.

Complaint handling

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The Ordinance also provides for a complaints handling mechanism against private healthcare facilities, which includes the establishment of the statutory Committee on Complaints Against Private Healthcare Facilities (Complaints Committee), with the DH serving as the Secretariat, to handle complaints lodged by patients against licensed private healthcare facilities (including private hospitals).

There were media enquiries on whether the DH had received any complaints from patients. According to the DH's existing records, the DH received a call on September 12, 2024, from a member of the public who enquired about the complaint procedure against private healthcare facilities, and mentioned the air-conditioning system of St. Teresa's Hospital was not functioning properly when underwent surgeries. The Secretariat explained to the enquirer the function of the Complaints Committee and statutory procedures of lodging a complaint promptly. The Secretariat on the following day (September 13, 2024) sent information on the complaint procedures with complaint form and statutory declaration form to the email address provided by the person as requested. The enquirer confirmed receipt of the concerned information and forms by email but since then, the Complaints Committee has not received any complaint from the concerned enquirer in relation to this incident.

The DH has completed investigation based on all available information, but will continue to closely monitor licensed private healthcare facilities. If there is new and concrete evidence, the DH will take appropriate actions as necessary to safeguard patient safety.