Presidential Regulation Number 13 of 2026 Regulating Cross-Sector Compliance in Health Management

Introduction

On 11 March 2026, the Government issued Presidential Regulation Number 13 of 2026 on Health Management (“PR 13/2026”). PR 13/2026 governs the coordination of roles among the Central Government, Regional Governments, and businesses in organizing public and individual health efforts effectively, efficiently, and transparently.

PR 13/2026 serves to implement the provisions set forth in Law Number 17 of 2023 on Health and regulates integrated health management. Based on these considerations, PR 13/2026 covers the implementation of health efforts and health resource management. The provisions also allocate the roles of ministries, agencies, and regional governments in managing health resources and information.

Comparison

PR 13/2026 repeals the provisions of and invalidates Presidential Regulation Number 72 of 2012 on the National Health System (“PR 72/2012”). The following is a comparison between PR 13/2026 and PR 72/2012:

Key Provisions

Scope of National Health Efforts

Health management is carried out in an integrated manner through health efforts and health resources as stipulated in Article 5, while Article 6 details the types of health efforts. Health efforts include:

1. Maternal, infant, child, adolescent, adult, and elderly health;

2. Health of persons with disabilities;

3. Reproductive health;

4. Family planning;

5. Nutrition;

6. Occupational health;

7. Environmental health;

8. Securing pharmaceutical preparations;

9. Medical devices;

10. Household health supplies; and

11. Securing food, beverages, and addictive substances.

The Minister of Health may determine other health efforts as deemed necessary, and all such efforts are implemented through primary and advanced healthcare services.

Health Management Responsibilities and Businesses Participation

The Central Government, Regional Governments, and Village Governments organize integrated health management to achieve outputs and outcomes as stipulated in Article 4, targeting health efforts and health resources as set forth in Article 5. In its implementation, the Central Government and Regional Governments involve the community, including businesses, in health management through valid partnerships and funding in accordance with Article 22.

Mandatory Data Integration for Health Electronic System Providers

Businesses operating health information systems or health electronic systems must integrate their data into the national system in accordance with the standards set by the relevant ministry. This obligation encompasses compliance with national health data control policies to maintain information security and patient data confidentiality as set forth in Annex Section D.4 point 1.

Fulfillment of Reproductive Rights and Lactation Facilities in the Workplace

Employers or businesses must provide lactation facilities for female workers to breastfeed or express breast milk during working hours as set forth in Annex Section A.1.a point 1 letter c. Employers also provide opportunities for workers to breastfeed and guarantee rest periods before and after childbirth, including for workers who experience a miscarriage. These provisions are part of maternal health efforts in workplace health management.

Occupational Health Standards and Disease Management

Businesses must implement occupational health standards as part of Occupational Safety and Health. This implementation includes the prevention, control, and management of communicable and non-communicable diseases in the workplace as set forth in Annex Section A.12 points 1 and 2. Supervision of the implementation of these standards is carried out by the ministry administering manpower affairs along with relevant regional agencies.

Smoke Free Areas and Addictive Substance Product Advertisements

Workplace and tourist destination managers must establish and implement Smoke Free Areas (Kawasan Tanpa Rokok, “KTR”) as set forth in Annex Section A.21. These provisions include the supervision of KTR implementation in the workplace to reduce exposure to addictive substances. The government, through the relevant ministries, also blocks access to content selling tobacco products and electronic cigarettes on digital platforms and prohibits addictive substance product advertisements in digital media.

Mandatory Labeling for Sugar, Salt, and Fat Content in Processed Foods

Processed food business operators must adjust their product packaging by including nutritional value information, including Sugar, Salt, and Fat content, on the front label as set forth in Annex Section A.20 point 1 and Annex Section A.9 point 4. These provisions apply to manufacturing industries as well as micro, small, and medium enterprises. Supervision of the labeling implementation is carried out by the Food and Drug Supervisory Agency (Badan Pengawas Obat dan Makanan, “BPOM”) in accordance with applicable provisions.

Industrial Environmental Health Standards and Hazardous and Toxic Waste Management

Business operators in the industrial sector must implement environmental health quality standards and health requirements to control pollution that impacts human health. This implementation includes preventing contamination from chemicals and Hazardous and Toxic Materials (Bahan Berbahaya dan Beracun, “B3”) waste in the industrial environment as set forth in Annex Section A.14 point 2. Business operators must also manage waste to prevent health risks to workers and the surrounding community, with management carried out within the coordination framework as stipulated in Article 6.

Pharmaceutical Industry Standards and Local Product Priorities

The pharmaceutical industry must implement Good Manufacturing Practice (Cara Pembuatan yang Baik, “CPB”) and Good Distribution Practice (Cara Distribusi yang Baik, “CDB”) standards in the production and distribution of pharmaceutical preparations. The government provides guidance on business licensing in the pharmaceutical preparations sector as set forth in Annex Section A.19. Furthermore, the government prioritizes the use of local pharmaceutical preparations and medical devices through the government procurement system as stipulated in Annex Section D.5 point 1.

Health Management in Crisis and Emergency Conditions

Under health crisis conditions, the government coordinates the deployment of health resources as stipulated in Article 15 and Article 17. The implementation of health management in such conditions may involve businesses. Businesses carry out operational activities in accordance with health crisis management policies.

Licensing Supervision, Transparency Principles, and the Repeal of Prior Regulations

Business licensing supervision for health facilities and health industries is carried out through a risk-based national electronic system as set forth in Annex Section D.1, including through the Online Single Submission (“OSS”) system. In its implementation, health management must apply the principles of transparency and accountability as expressly stipulated in Article 25. Regarding prior regulations, PR 72/2012 was repealed and invalidated since the promulgation of PR 13/2026 in accordance with the provisions of Article 28.

Closing

PR 13/2026 regulates health management through health efforts and health resources as stipulated in Article 6, with a distribution of roles between the government and businesses in implementation. In practice, businesses adjust their operational activities to comply with applicable requirements, including integrating health electronic system data into the national system, providing lactation facilities and fulfilling the reproductive rights of female workers, implementing occupational health standards and workplace disease management, and implementing Smoke Free Areas in the workplace. Business operators in the food sector also include information on sugar, salt, and fat content in their product labeling, while the industrial sector implements environmental health standards and hazardous and toxic waste management, and the pharmaceutical industry implements production and distribution standards and adheres to local product usage policies in government procurement. Under health crisis conditions, health management implementation may involve businesses, while business licensing supervision is carried out through a risk-based system, including through OSS, by observing the obligation to comply with transparency and accountability principles as stipulated in Article 25 and referring to the repeal of the previous system under Article 28. Therefore, operational adjustments across various business sectors are necessary to ensure strict compliance with this new overarching regulation.