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All Journal International Journal of Social Service and Research Indonesian Journal of Multidisciplinary Science
Fani, Veranika Santiani
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Humanities Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Engineering Environmental Science Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Mathematics Public Health Social Sciences

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Urgency of Regulatory Updates in Law Enforcement Against Fraudulent Acts by Health Facilities in the National Health Insurance Program Fani, Veranika Santiani; Suparno, Suparno
International Journal of Social Service and Research Vol. 5 No. 7 (2025): International Journal of Social Service and Research
Publisher : Ridwan Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/ijssr.v5i7.1261

Abstract

The National Health Insurance (JKN) Program in Indonesia faces significant challenges in law enforcement against fraudulent activities by health facilities. Despite the implementation of Minister of Health Regulation No. 16 of 2019, which addresses fraud through administrative sanctions, the regulation has shown limitations, particularly the absence of criminal sanctions. This study utilizes a normative juridical method with a statutory approach and descriptive-analytical specifications to evaluate the current regulatory framework and the need for stronger legal measures. The analysis reveals that the current sanctions, limited to warnings and fines, lack a deterrent effect, enabling repeated fraudulent practices that undermine the JKN system. This paper suggests the introduction of criminal sanctions, which would align the regulation with the broader legal framework, including the Criminal Code and anti-corruption laws. The implications of this regulatory gap are significant, as it hampers the effectiveness of law enforcement, impacts public trust in the system, and threatens the sustainability of health services. Strengthening the regulation will improve accountability, ensure transparency, and protect citizens' rights to health services, ultimately fostering a more robust and reliable national health insurance system.
Transformation of health law: Legal protection for persons with mental disorders Fani, Veranika Santiani; Sara, Rineke
Indonesian Journal of Multidisciplinary Science Vol. 4 No. 3 (2024): Indonesian Journal of Multidisciplinary Science
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/ijoms.v4i3.1044

Abstract

The legal protection for individuals with mental disorders in Indonesia is governed by various laws; however, there are still significant challenges in their implementation. This research uses a normative juridical method to analyze and study existing laws and regulations, focusing on their application in the legal protection of individuals with mentally disorders. The research aims to provide a thorough analysis that highlights existing regulations and reflects the practical realities, ultimately offering relevant recommendations to improve the legal system and mental health policies in Indonesia. The results indicate that despite having a robust legal framework, the challenges in its application indicate the need for transformation and improvement of the health law system in Indonesia so that the protection of individual rights can be more optimal and sustainable. In addition, healthcare professionals, including doctors, nurses, and counselors, need to receive specialized training on sensitive approaches to mental health so they can provide better and more humane care for patients with mental disorder. Additionally, despite the efforts and regulations that have been established, the implementation of mental health laws and policies has not yet demonstrated the expected effectiveness. This work provides valuable insights for policymakers, practitioners, and advocates, ultimately advancing the legal discourse surrounding mental health in Indonesia, laying the groundwork for future research and enriching legal scholarship.
Co-Authors Sara, Rineke Suparno Suparno