Regulation on Cooperation in International Health Services
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This Turkish regulation, effective from 14 February 2026, establishes the procedures for cooperation between the Ministry of Health and state universities in delivering international health tourism services. It allows physicians, dentists, and medical specialists employed by one public institution (service provider) to work in health facilities of another public institution (service recipient) that holds an international health tourism authorization certificate, under a formal protocol. The regulation defines clear rules on protocol content, maximum 3-year duration, patient admission, medical responsibility, team formation, and financial distribution of service fees. It exempts participating staff from certain full-time work restrictions and mandates use of the Ministry’s EKİP and SİNA digital platforms for notifications.
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Key Changes
- Maximum protocol duration set at 3 years with automatic 1-year extension if not terminated with 1-month notice
- 50% of net service fee (after medicine and material costs) transferred to the service provider organization
- Service provider organization pays its share to the physician and team according to the protocol ratio
+ 3 more changes with Pro
Obligations
What this law requires
Notify the Ministry of Health via the EKİP platform and HealthTürkiye Portal within 15 days of signing or amending an international health services cooperation protocol
Execute a written protocol signed by authorized representatives (Minister or University Rector) that includes minimum mandatory provisions: institutional details, medical specialties and procedures, work arrangements, patient admission procedures, institutional share payment terms, protocol duration, liability for non-performance, modification/termination provisions, and personnel lists with consent documents
Limit cooperation protocols to a maximum duration of 3 years, with automatic one-year extension if neither party provides written notice of termination at least one month in advance
Ensure that healthcare personnel providing services were insured and employed by the service-providing institution before participating in the cooperation, and that the service-receiving institution does not register them as separately insured
Obtain written consent from healthcare personnel and from their employing institution (Chief Physician for Ministry health facilities; Health Application and Research Center Director for universities) before including them in service delivery teams