Why Health Ministry Returned Rp10tn BPJS Subsidy to Finance Ministry

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September 16, 2026 | 03:16 pm

Minister of Health Budi Gunadi Sadikin in a working meeting with Commission IX of the House of Representatives at the Parliament Complex, Senayan, Jakarta, July 20, 2026. Tempo/Amston Probel

TEMPO.CO, Jakarta - The Ministry of Health has returned a health insurance subsidy allocation of Rp10 trillion to the Ministry of Finance. The decision stems from legislative constraints that barred the health ministry from directly disbursing the funds to the Healthcare and Social Security Agency (BPJS Kesehatan).

Health Minister Budi Gunadi Sadikin explained that the government had earmarked a total subsidy of Rp20 trillion for BPJS Kesehatan in the 2026 fiscal year. Under the original mechanism, disbursement was split into two equal tranches of Rp10 trillion, one routed directly through the Ministry of Finance and the other managed by the Ministry of Health.

However, existing regulations restrict the Health Ministry from injecting capital into BPJS Kesehatan unless two specific conditions are met: an expansion of subsidized beneficiaries (PBI) or an increase in premium tariffs. Because neither condition materialized this year, the ministry lacked the legal basis to release the funds.

"Because the government decided not to do so, the Ministry of Health was unable to disburse the Rp10 trillion subsidy to BPJS this year, and we finally return it to the Ministry of Finance," Budi said during a hearing with House of Representatives Commission IX at the Parliamentary Complex in Senayan, Jakarta, on Wednesday, September 16, 2026.

Budi noted that the process to reallocate the funds has been underway for over three months and currently awaits the issuance of a Finance Ministry Regulation. "Hopefully, it can be finalized this month so BPJS can settle its outstanding payments to hospitals without encountering further delays like what is happening now," he added.

The return of the Rp10 trillion allocation has become the main factor behind the cut in the Health Ministry’s 2027 budget. Parliament approved a 2027 budget ceiling of Rp115.9 trillion for the ministry, marking a decline from its 2026 allocation of Rp128.6 trillion. To prevent similar problems, Budi recommended that the Rp10 trillion subsidy scheme for BPJS Kesehatan be excluded entirely from the Health Ministry’s budget next year.

"Our position is that this Rp10 trillion should not be assigned to us next year. So, it will not be channeled to the Ministry of Health because based on our experience this year, we also couldn't disburse it," Budi concluded.

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