The Healthcare Services Act (HCSA) will replace the current Private Hospitals and Medical Clinics Act (PHMCA) in phases.
To continue offering your service(s), you will need to abide by the requirements in the following:
- General Regulations
- Advertisement Regulations
- Relevant Service Regulations
- Licence Conditions (LCs)
- Code of Practice for Key Officeholders
If you would like to learn more about the HCSA, please click here for a detailed introduction to HCSA, proposed amendments to HCSA, and the General Regulations under the HCSA. Do note that the proposed amendments to HCSA and the General Regulations are not finalised. The finalised regulations will be uploaded on the HCSA website closer to HCSA Phase 2 implementation. Licensees will also be informed when these documents are issued.
The proposed amendments to HCSA will introduce specified services and non-premises based modes of service delivery (e.g. virtual medical consultations, home medical care) for various licensable healthcare services. When the amendments take effect on June 2023, licensees will be required to seek approval prior to providing the specified services. Click on the respective licensable service to see the specified services allowable.
For Clinical Laboratory Service and Radiological Service, the specified services correspond to the laboratory disciplines and specified tests, and various imaging modalities.
*For these licensable healthcare services, there are currently no specified services allowable.
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The Healthcare Application & Licensing Portal (HALP) is the licensing system that will replace the current e-Licensing (eLIS) system, for all HCSA licence applications and renewals. Access HALP at https://halp.moh.gov.sg to submit HCSA licence applications and manage your HCSA licences.
Phase 1 HCSA licensees may click here to download HALP training manual.
Licensees will be updated when the training guide for Phases 2 and 3 are available.
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A. How HCSA licence fees are charged
Under HCSA, all licence fees will:
(i) Be based on a Standard 2-Year Licence Tenure.
- The purpose of this standardisation is to help licensees reduce the administrative complexity of managing multiple licences with different licence expiry dates.
- Licence fees have been adjusted to ensure that they remain commensurate with the regulatory costs of a 2-year licence.
Under PHMCA today, Medical Clinic and Laboratory licensees could be eligible for 5-year licences. We have adjusted the fees for these licence categories to be based on a 2-year tenure under HCSA. However, licensees whose remaining PHMCA licence tenure exceeds 2 years at the time of transition to HCSA, will have their full remaining PHMCA licence tenure ported over to HCSA.
- Example:
(ii) Be based on a per-service and per-premises or conveyance basis.
- Licence fees will be charged based on per-service and per-premises or conveyance basis, i.e. separate fees will apply for each service provided at each premises and conveyance that the service is offered out of.
- Example:
(iii) Include Standard Administrative Fees
- All fees are inclusive of a non-refundable application fee of $100 per service licence which will be retained in the event an application is withdrawn or rejected.
Combining (i), (ii) and (iii), this is how the HCSA licensing fees would work:
A licensee who provides Clinical Laboratory and Radiological Service at Site A will pay $1,016 for a Clinical Laboratory licence and $1,016 for a Radiological Service licence (i.e. total of $2,032).
- Both the Clinical Laboratory and Radiological Service licences held for Site A will be valid for 2 years.
- Each licence fee includes a non-refundable application fee of $100.
- Should the licensee withdraw their application before the start of the licence, they will be refunded $916 for the Clinical Laboratory licence and $916 for the Radiological Service licence. $200 will be retained as the non-refundable application fee (i.e. $100 for each licence).
Please also note that in addition to the licensing fees described above, the fees chargeable for late renewals and amendments are similar to what is currently charged under PHMCA, and will continue to apply:
- Renewal applications which are received less than 2 months before the licence expiry, will be charged a late fee equivalent to 20% of their full licence fees.
- Over the 2-year tenure of a licence, if there are changes to the licence that require an amendment of the licence, a $100 administrative fee will be charged.
B. Impact on Licensees
While you may need to hold multiple HCSA licences, most licensees will see no change, or a reduction in their licence fees, unless you provide new licensable healthcare services (e.g. Cord Blood Banking, Human Tissue Banking, Assisted Reproduction)
- To help you manage these changes, we have introduced:
- Licence Fee Bundles: to help you lower costs when you need to hold multiple HCSA licences.
- Gradual Fee Increase Mechanism: to spread the increase in fees by gradually increasing fees over three renewal cycles, for those who meet the eligibility conditions.
Learn more about these below.
C. Licence Fee Bundles
- Licence Fee Bundles help you to lower costs when you need to hold several HCSA licences. These bundles are for complementary services that are provided by the same licensee, out of the same premises, have the same end-dates for all licences, and can be inspected together. Further details of any Licence Fee Bundles will be updated at a later date.
D. Gradual Fee Increase (GFI) Mechanism
- The GFI is a mechanism put in place to help mitigate the impact of an increase in licensing fees on licensees, when transiting from PHMCA to HCSA, by gradually increasing fees over three renewal cycles, for those who meet the eligibility conditions.
- The GFI will be applied when you make a licence renewal/application on the new IT system, within 1 year of the service being rolled out under HCSA.
Click
here to see which HCSA Phase(s) your service(s) are in.