Mikhail Mishustin’s opening remarks
Tatyana Golikova’s report on the state programme providing guaranteed free medical care for citizens
Dmitry Patrushev’s report on measures to support small agribusinesses
Mikhail Mishustin at a meeting with deputy prime ministers on current issues
Mikhail Mishustin at a meeting with deputy prime ministers on current issues
Deputy Prime Minister Tatyana Golikova at a meeting with deputy prime ministers on current issues
Deputy Prime Minister Dmitry Patrushev at a meeting with deputy prime ministers on current issues
Deputy Prime Minister Marat Khusnullin at a meeting with deputy prime ministers on current issues
Mikhail Mishustin at a meeting with deputy prime ministers on current issues
Mikhail Mishustin: Good afternoon, colleagues,
The Government has approved a programme of state guarantees for free medical care. Its measures are designed, among other objectives, to implement the new healthcare strategy, which, as a reminder, was signed by the President in December, and to advance national goals.
A special focus is placed on disease prevention. For the first time, the programme provides citizens with access to renovated health centres, which are being established nationwide. Specialists at these centres will help identify disease predispositions and offer guidance on prevention or delaying disease progression. These centres are intended to serve as the foundation for longevity medicine.
During medical examinations, additional tests will be carried out to identify early-stage risks of cardiovascular diseases.
The range of specialised and high-tech treatments covered by compulsory medical insurance has also been expanded, with new methods actively being introduced into clinical practice.
Protecting maternal and child health remains a priority. Genetic testing will be available both during pregnancy planning and throughout pregnancy, and expanded neonatal screening will continue to be provided for newborns.
At the President’s instructions, efforts to combat socially significant diseases, including cancer, diabetes, and hepatitis, will continue.
Medical care for our defenders, participants in the special military operation has also been improved.
For instance, a medical psychologist is now required during the initial stage of medical examinations, and preference is given to single- and double-occupancy hospital rooms. Regional and federal medical institutions will work together to provide comprehensive support for participants in the special military operation.
Ms Golikova, please, provide an overview of the implementation of the state guarantees programme over the next three years.
Tatyana Golikova: Mr Mishustin, colleagues,
As you have already noted, the state guarantees programme for providing free medical care to citizens in 2026 is aimed at ensuring universal access to healthcare for citizens of the Russian Federation and, in fact, represents a continuation of the new Healthcare Development Strategy approved by the President.
I must emphasise that funding for the 2026 state guarantees programme, transferred to the constituent entities of the Russian Federation from the Federal Mandatory Medical Insurance Fund, has increased significantly. In 2026, this funding will amount to four trillion roubles, representing a 9.7 percent increase compared to the previous year.
We have preserved and further expanded the amendments introduced in 2024 and 2025 within the 2026 state guarantees programme.
First – as you have already mentioned – this includes a dedicated section on the activities of health centres. Why was it given a separate and detailed section?
As we know, Presidential Executive Order No. 309 sets the objective of increasing healthy life expectancy, and in recent years we have achieved substantial progress in early disease detection through preventive medical examinations and screening programmes.
However, achieving healthy longevity requires the development of a healthcare system focused not only on early detection, but also on preventing the emergence of risk factors and on the timely identification and correction of functional abnormalities that may later lead to age-related diseases. We can see that this field is developing rapidly worldwide, and Russia is keeping pace with these global trends.
Drawing on international experience, Russian specialists have developed specialised research programmes to identify pre-clinical risks of disease development. These studies will be conducted by health centres, whose functionality has been significantly expanded. The full checkup procedure is clearly defined in the state guarantees programme. For citizens, participation will be entirely free of charge and funded through mandatory health insurance. All necessary financial calculations have been completed. Given that these are new technologies, the programme allows the regions to introduce these processes gradually, ensuring that health centres are properly equipped and that medical personnel receive timely training.
Several countries have already adopted national standards in the field of healthy longevity medicine. We are now incorporating best international practices and will implement them in Russia.
The second key area, in line with the president’s instruction, involves the expansion of neonatal screening to include two additional hereditary diseases. When such conditions are detected through neonatal screening, appropriate medical assistance, primarily drug therapy, will be provided. Funding for this support will be allocated through the Krug Dobra (Circle of Kindness) Foundation.
Third, the state guarantees programme now includes a dedicated section on the provision of medical care with telemedicine technologies. This section establishes procedures for payment, registration, timelines for service delivery, and monitoring of compliance with these deadlines. These provisions were developed in part in response to proposals from the heads of regions.
Based on recommendations from experts and the Presidential Commission on Disability, which has already considered this issue, we have included a section addressing the provision of medical care to people with disabilities. In particular, the programme enshrines the right of persons with Group I disabilities to receive round-the-clock inpatient care accompanied by a close relative, legal representative, or another designated person. To implement this provision, medical organisations will be required to adopt appropriate internal procedures. We will closely monitor and oversee how this work is organised.
We have also expanded the list of high-tech medical services covered by mandatory health insurance, adding 15 new types. This will significantly increase access to advanced medical care, including treatment for kidney diseases, oncological conditions, gastrointestinal disorders, and, of course, cardiovascular diseases.
Finally, for the first time, the programme introduces a set of performance criteria for health insurance companies, along with a procedure for monitoring their activities. This will enhance their accountability and encourage more active fulfilment of their core mission: protecting patients’ rights.
I would like to stress once again that these and other amendments to the state guarantees program are aimed at ensuring accessible, high-quality medical care for all citizens of the Russian Federation.
Mikhail Mishustin: Thank you, Ms Golikova. Our common objective is to make quality and up-to-date medicine available throughout the country, regardless of the place of residence, be it a city, a village or a remote place. To this end, we will continue to implement national projects and develop the healthcare infrastructure, including at the primary level. And, of course, we have to listen to the opinions of both the public and the medical community. It is important for us to monitor and take due account of the feedback.
Now we will go over to the support for entrepreneurs in rural areas. Starting this year, we begin to apply such instruments, including through the federal project Small Agribusiness Development under the relevant state programme.
The President spoke on several occasions on the need for creating comfortable conditions for our agricultural producers. And, of course, this approach, these instruments are very important for small enterprises.
This is why the Government has supplemented the rules of granting them subsidies in two areas at once – for developing tourism infrastructure and for assisting small agribusinesses in the priority areas. This comprises a whole set of measures. The new ones include partial compensation for the cost of starting a small village bakery and adopting a gas-powered electric generator.
Considerable funds are earmarked for such purposes in the federal budget. Almost 14 billion roubles for small agribusiness enterprises in 2026, and 730 million for rural tourism.
Mr Patrushev, please tell us in more detail how the work under the new federal project will be organised. Please, I give you the floor.
Dmitry Patrushev: Mr Mishustin, colleagues,
Measures to facilitate the development of agro-industrial businesses remain our priorities. Small businesses can use absolutely all mechanisms of state financial support. These businesses and homesteads are provided with secured low-interest loans.
Moreover, small businesses are eligible for targeted support, including grants and subsidies for making, processing and selling agricultural produce, as well as state support for business cooperatives. The Government annually allocates substantial funding for these purposes.
I would like to note that, in our dialogue with the farming community, we constantly streamline state support tools in order to make them more affordable, more flexible and to adapt them to the current situation.
For example, agrarian tourism promotion grants remain one of the most popular tools. In the past few years, over 300 projects have obtained support, and 1.5 million tourists have visited agrarian facilities. An additional 56 projects are to be implemented throughout 2026. Apart from this grant, subsidies for developing the tourism infrastructure are available in 2026. Over 100 agrarian facilities catering to tourists can obtain them.
Last year, we began to issue specialised grants worth up to seven million roubles for participants and veterans of the special military operation; these grants make it possible to launch production.
Mr Mishustin, as you have noted, all state support measures for agro-industrial businesses have been incorporated into a single federal project. This will primarily make it possible to stipulate fixed funding volumes, due to total 14.5 billion roubles throughout 2026.
Newly-established and existing businesses can apply for a wider range of state support measures.
I would like to note that the consolidation of these tools will make it possible to finance end users more quickly, and the funding management process will also be simplified.
Colleagues, several new options for supporting small agro-industrial businesses were launched in early 2026.
First, this implies financial support for starting and upgrading small rural bakeries. Second, small businesses will be reimbursed for up to 60 percent for purchasing gas-powered electrical generators. Their use will reduce power and heating bills by up to 50 percent and ensure uninterrupted power supply. This helps expand production capacities.
And, finally, support for product sale is a significant factor for small agro-industrial businesses.
This year, agrarian aggregators will start receiving subsidies; these companies are called on to help farmers quickly sell their produce to major retailers. About 80 such organisations currently operate across Russia.
More to be posted soon…
