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Thailand’s Health Minister Proposes Reserve Fund for NHSO Budget

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Public Health Minister Phatthana Phromphat is reviewing the National Health Security Office's 'high-low' budget surplus to establish a contingency reserve fund.

On August 4, 2026, Thailand’s Minister of Public Health, Phatthana Phromphat, announced a review of the National Health Security Office (NHSO) budget allocation. The focus is on the 'high-low' fund, which consists of surplus capital generated from procurement savings and budget adjustments throughout the fiscal year.

Minister Phatthana proposed that these billions of baht, currently held for discretionary use by the NHSO board, should be transitioned into a formal reserve fund. The objective is to provide financial stability for hospitals facing deficits and to create a buffer against potential crises, such as sudden spikes in medication costs or emergency situations.

For residents and long-term visitors, this development is significant as it aims to ensure the continuity of healthcare services and the availability of essential medicines during periods of economic or social instability. By formalizing this reserve, the Ministry intends to prevent service disruptions in the public health system.

While the proposal is under active discussion, several details remain to be confirmed. It is not yet clear how the transition of these funds will be structured, what specific criteria will trigger the use of the reserve, or how the oversight of this new fund will be managed compared to the existing NHSO board processes. Further updates are expected as the Ministry continues its audit of the 60-billion-baht budget allocation.

Translated from Thai.

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