BPJS Kesehatan Class 1, 2, 3 System to be Abolished and Replaced with KRIS: When?

Jakarta, CNBC Indonesia - The government is drafting a new regulation at the presidential level that will revise Presidential Regulation No. 59 of 2024. Health Minister Budi Gunadi Sadikin revealed that this presidential regulation will detail the implementation of the Standard Inpatient Class (KRIS) for BPJS Kesehatan and the Indonesia Diagnosis Related Group (iDRG)-based healthcare payment system. “There was a question about when KRIS and iDRG will be rolled out? It is hoped that the presidential regulation will be finalised. Hopefully, it can be signed this month (February),” Budi stated during a working meeting with Commission IX of the DPR, quoted from Detikcom on Monday (30/3/2026). Budi explained that once the presidential regulation is signed, the government will immediately proceed with pilot projects. At least three new systems will be tested simultaneously, including the referral system. “After it is signed, we can conduct the pilot project for iDRG, referrals, and KRIS all at once so we can see the results,” he said. Budi claimed that the referral system changes have already been tested on a small scale and yielded positive results. One of them is significant cost savings for BPJS Kesehatan. “The insight that to get advanced services, one usually needs to be hospitalised 3-4 times and transferred between hospitals; that (in future) will only need to be done 1 or 2 times,” Budi emphasised. However, as of the end of March 2026, the government has not yet released the revision to the presidential regulation on KRIS and iDRG. As a note, the implementation of KRIS has been postponed since 2025. The postponement of KRIS implementation also came at the request of the Health Minister. As known, during a hearing with Commission IX of the DPR on 30 May 2025, Budi Gunadi proposed delaying the implementation of the KRIS policy to 31 December 2025. The reason is that only 1,436 hospitals, or 57.28%, have met the 12 criteria for KRIS implementation out of the government’s target of 2,554 hospitals. Meanwhile, 786 hospitals have only managed to meet 9-11 KRIS criteria, 189 hospitals 5 to 8 criteria, 46 hospitals just 1 to 4 criteria, and 70 hospitals have not met any KRIS criteria. “Therefore, we propose extending the June implementation to 31 December 2025, because from the data we saw earlier, 90% will only be completed by the end of 2025,” Budi said during that hearing. Originally, the KRIS transition was to take effect on 30 June 2025 and apply from 1 July 2025 in accordance with Presidential Regulation No. 59 of 2024.