Minister of Health Regulation Number 6 of 2026 Consolidates Hospital Regulations

Introduction

On 4 June 2026, the Ministry of Health issued Minister of Health Regulation Number 6 of 2026 on Hospitals (“MOH Regulation 6/2026”), which took effect on 12 June 2026. This regulation restructures and integrates the administration of comprehensive individual health service facilities, covering inpatient, outpatient, and emergency services, into a single comprehensive regulatory framework.

MOH Regulation 6/2026 implements the mandates of Article 823, Article 830, Article 832, Article 850 paragraph (5), Article 861 paragraph (2), Article 862, and Article 876 of Government Regulation Number 28 of 2024 on Implementing Regulations of Law Number 17 of 2023 on Health. MOH Regulation 6/2026 is intended to address overlapping operational standards by harmonizing service standards, clarifying licensing obligations, and safeguarding patient safety rights, thereby improving the quality and accountability of hospital administration.

 

Comparison

MOH Regulation 6/2026 revokes and replaces the following 21 regulations:

1. Minister of Health Decree Number 772/MENKES/SK/VI/2002 on Guidelines for Hospital Internal Regulations (Hospital By Laws).
2. Minister of Health Decree Number 058/Menkes/SK/I/2009 on the Administration of Mobile Hospitals.
3. Minister of Health Regulation Number 971/MENKES/PER/XI/2009 on Competency Standards for Health Structural Officials (insofar as it regulates the competencies of hospital health structural officials).
4. Minister of Health Regulation Number 775/MENKES/PER/IV/2011 on the Administration of Medical Committees in Hospitals.
5. Minister of Health Regulation Number 1171/MENKES/PER/VI/2011 on Hospital Information Systems.
6. Minister of Health Regulation Number 2306/MENKES/PER/XI/2011 on Technical Requirements for Hospital Electrical Installation Infrastructure.
7. Minister of Health Regulation Number 49 of 2013 on Hospital Nursing Committees.
8. Minister of Health Regulation Number 82 of 2013 on Hospital Management Information Systems.
9. Minister of Health Regulation Number 10 of 2014 on Hospital Supervisory Boards.
10. Minister of Health Regulation Number 17 of 2014 on Membership, Appointment, and Dismissal of Members of the Indonesian Hospital Supervisory Board.
11. Minister of Health Regulation Number 24 of 2014 on Class D Primary Hospitals.
12. Minister of Health Regulation Number 85 of 2015 on the National Hospital Tariff Framework.
13. Minister of Health Regulation Number 88 of 2015 on Guidelines for Supervision, Reporting Systems, and Information Systems in the Administration of Hospital Guidance and Supervision by the Hospital Supervisory Board.
14. Minister of Health Regulation Number 11 of 2016 on the Administration of Executive Outpatient Services in Hospitals.
15. Minister of Health Regulation Number 4 of 2018 on Hospital Obligations and Patient Obligations.
16. Minister of Health Regulation Number 42 of 2018 on Hospital Ethics and Legal Committees.
17. Minister of Health Regulation Number 3 of 2020 on Hospital Classification and Licensing.
18. Minister of Health Regulation Number 80 of 2020 on Hospital Quality Committees.
19. Minister of Health Regulation Number 31 of 2022 on Implementing Regulations of Government Regulation Number 93 of 2015 on Teaching Hospitals.
20. Minister of Health Regulation Number 40 of 2022 on Technical Requirements for Hospital Buildings, Infrastructure, and Medical Equipment.
21. Minister of Health Regulation Number 33 of 2023 on Hospital Ships.

The following table compares MOH Regulation 6/2026 and MOH Regulation 3/2020:

 

Key Provisions

Business Licensing Obligations and Establishment Standards

Articles 6 and 7 require every hospital operator establishing Hospital to obtain and fulfill business licensing requirements by complying with standards relating to location, facilities and infrastructure, medical equipment, and health human resources.

Hospital Classification System

Article 12 paragraph (1) stipulates that Hospital classification is determined based on service capability levels. Article 12 paragraph (3) further classifies service capability into four levels:

1. Comprehensive;
2. Primary;
3. Intermediate; and
4. Basic.

Licensing Requirements for Foreign and Domestic Investment

Pursuant to Article 10, the Government differentiates bed capacity ownership requirements based on the source of investment. Hospitals receiving domestic investment must provide at least 50 inpatient beds and administer at least two services classified as basic services. Meanwhile, for Hospitals receiving foreign investment, Article 10 imposes stricter licensing requirements, namely compliance with the following provisions:

1. Providing at least 50 inpatient beds and administering at least one service classified as comprehensive; or
2. Providing at least 200 inpatient beds and administering at least two services classified as comprehensive.

Administration of Inpatient Facilities

Under Article 15 paragraph (2), Hospitals must provide intensive care unit services in delivering intensive inpatient services. In addition to intensive care unit services, Hospitals may also provide intensive inpatient services in the form of:

1. Neonatal intensive care unit services;
2. Pediatric intensive care unit services;
3. Intensive cardiovascular care unit services;
4. Intensive cardio-cerebrovascular care unit services; and/or
5. Other intensive inpatient services as needed.

Meanwhile, non-intensive inpatient services are administered in inpatient wards, consisting of:

1. Standard inpatient class; and
2. Executive inpatient class.

Hospital Obligations

Article 36 paragraph (1) establishes a series of obligations that Hospital management must fulfill in conducting both medical and non-medical operations. Hospitals are required to provide safe, high-quality, and non-discriminatory healthcare services and to implement an effective patient referral system. Article 36 paragraph (1) requires every Hospital to:

1. Provide emergency services to patients according to operational capability and actively perform social functions, including providing emergency services without requiring an advance payment;
2. Provide treatment facilities for underprivileged communities and facilitate appropriate public facilities for vulnerable groups, including persons with disabilities, older persons, breastfeeding women, and children;
3. Provide honest and accurate information regarding patient conditions and rights and fully respect and protect those rights;
4. Refuse any patient request that violates professional standards, ethical principles, or applicable laws and regulations;
5. Establish Hospital internal regulations, maintain orderly medical record documentation, and strictly enforce all hospital premises as non-smoking areas; and
6. Protect all Hospital personnel and provide legal assistance when they face legal issues in carrying out their professional duties.

Obligation to Establish Internal Governance (Hospital By Laws)

Pursuant to Articles 61 and 64, Hospital management must develop internal regulations as the operational foundation for implementing sound institutional governance and clinical governance. Hospital owners and leaders must formulate Hospital Organizational Regulations that align working relationships in a transparent and accountable manner. Furthermore, pursuant to Article 65, Hospital leadership must establish Medical Staff and Health Personnel Regulations that govern the following clinical mechanisms:

1. Organization and working procedures of medical staff and health personnel;
2. Credentialing and clinical assignment implementation;
3. Maintenance of professional quality and enforcement of professional ethics and discipline; and
4. Development of continuous professional programs.

Restrictions on Authority to Determine Service Tariffs

Through Article 71, the Minister of Health limits the authority of Hospitals to determine medical service fees or tariffs. Hospitals must establish patient service tariffs based on the National Tariff Framework issued by the Minister of Health and must comply with the maximum tariff ceiling established by the Governor in their respective regions. If a Governor has not established a maximum tariff ceiling in a particular region, Hospital management may use the National Tariff Framework as the basis for charging healthcare service fees to the public.

Digital Recording and Reporting

Pursuant to Article 74, every Hospital must integrate all documentation of its activities into the National Health Information System. Hospital administrators must digitally record and report all operational activities while ensuring the confidentiality of patients’ medical records.

 

Sanctions

Article 79 paragraph (1) provides that the Minister, Governor, and/or Regent/Mayor may impose administrative sanctions on Hospitals that violate Article 36 paragraph (1), Article 67 paragraph (1), Article 73 paragraph (1), and Article 74 paragraph (1).

The sanctions include:

1. Verbal warning;
2. Written warning;
3. Administrative fine;
4. Adjustment or revocation of accreditation status; and/or
5. Revocation of the Hospital business license.

Transitional Provisions

Pursuant to Article 83, Hospital administration must comply with the provisions of MOH Regulation 6/2026 no later than 12 June 2028. Meanwhile, Class D Primary Hospitals that already held business licenses before 12 June 2026 and will continue administering hospital services must comply with the Hospital administration provisions under MOH Regulation 6/2026 no later than 12 June 2030.

 

Closing

MOH Regulation 6/2026 consolidates 21 previous regulations to restructure hospital administration and enhance quality and accountability. This regulation changes the basis of hospital classification to service capability levels, namely Comprehensive, Primary, Intermediate, and Basic, and imposes stricter bed-capacity licensing requirements for foreign investment. Furthermore, this regulation requires every Hospital to establish internal governance arrangements (Hospital By Laws), safeguard patient rights and safety, including the provision of emergency services without advance payment, and restrict tariff determination by requiring compliance with the National Tariff Framework and the maximum tariff ceiling established by the Governor. To ensure transparency and oversight, all operational activities must be digitally recorded and reported through the National Health Information System. Violations of these provisions are subject to administrative sanctions up to and including revocation of business licenses, and every Hospital institution must comply with these new requirements no later than 12 June 2028, or 12 June 2030 for Class D Primary Hospitals.