Information for legal representatives about the right to stay with a child in a hospital

If the child is under 4 years old, then one of the parents, another family member or another legal representative is granted the right to stay with the child at the Center free of charge, while providing him with medical care in hospital conditions during the entire period of treatment. Payment for the creation of conditions of stay, including for the provision of a bed and meals, is not charged from these persons (Article 51 of Federal Law No. 323-FZ dated 11/21/2011 "On the basics of protecting the health of citizens in the Russian Federation").

If a disabled child, who, in accordance with an individual rehabilitation or habilitation program for a disabled child, issued based on the results of a medical and social examination, has limitations of the main categories of human activity of the second and (or) third degrees of severity (limitations of the ability to self-care, and (or) independent movement, and (or) orientation, and (or) communication, and (or) training, and (or) control of one's behavior), then one of the parents, another family member or other legal representative is granted the right to stay with the child in the Center free of charge when providing him with medical care in an inpatient setting, regardless of the age of the child during the entire period of treatment. Payment for the creation of conditions of stay, including for the provision of a bed and meals, is not charged from these persons (Article 51 of Federal Law No. 323-FZ dated 11/21/2011 "On the basics of protecting the health of citizens in the Russian Federation")

If a child is over 4 years old, then it is possible to stay in the hospital for free around the clock only if the child has medical indications (Letter from the Ministry of Health of the Russian Federation dated January 13, 2022 N 15-3/I/2-223):

• severe motor disorders in which children are unable to move without assistance, there is no complete ability to walk, children require the use of additional devices (walkers, crutches) for movement, movement is carried out in a wheelchair;
• severe sensory impairments (uncorrectable deafness, blindness, visually impaired),
• severe mental disorders in which it is difficult or impossible to properly observe personal safety, self-service skills are impaired or lacking, understanding of spoken language is impaired or missing, a constant decrease in criticism of one's behavior and the surrounding environment, including with the possibility of partial correction only with the regular help of others;
• frequent (at least 3-4 times a month) attacks of partial or complete loss of consciousness (twilight disorders of consciousness, generalized tonic-clonic seizures, tonic or clonic seizures), not compensated by medications;
• the presence of a high risk of life-threatening conditions (hypoglycemia, hyperglycemia) in children with diabetes mellitus, requiring maintenance for constant monitoring of glycemic level readings.
• In other cases, it is for the decision of the attending physician of the medical organization in which the child receives medical care in an inpatient setting.