DPR: BPJS Kesehatan Fee Increase Must Be Accompanied by Comprehensive Governance Reform

Jakarta (ANTARA) - Member of Commission IX of the DPR RI, Edy Wuryanto, has reminded that the planned increase in fees for the National Health Insurance (JKN) program, managed by BPJS Kesehatan, must be accompanied by transparency and comprehensive governance reform.

“We must not see the fee increase as the only instrument for saving the program. There must be transparency in data and actuarial analysis that can be tested publicly so that this policy is legitimate and rational,” said Edy in Jakarta, Thursday.

According to him, the plan to adjust fees needs to be placed within the framework of maintaining the sustainability of the national social security system.

It is known that pressure from health inflation, rising prices of medicines and medical devices, and the expansion of service benefits, have widened the gap between contribution revenue and service costs.

“I understand that there is pressure from health inflation, rising prices of medicines and medical devices, and the widening gap between service costs and contribution revenue, but the solution taken must still be based on the interests of the people,” said Edy.

He then emphasized that the deficit problem cannot be immediately resolved by increasing fees without a thorough evaluation. He requested transparency in data and actuarial analysis that can be tested publicly.

Edy also highlighted the regulatory aspect, which he believes has not been optimally implemented. He referred to Presidential Regulation (Perpres) Number 82 of 2018, which mandates that fee evaluations be carried out at most every two years.

If in 2026 the government still makes adjustments, Edy believes that a fairer step would be to first increase the fees for Recipients of Contribution Assistance (PBI) and Regional PBPU as a form of strengthening the fiscal commitment of the state and local governments.

“The state must first show its responsibility through the adjustment of PBI and Regional PBPU contributions before burdening independent participants,” said Edy.

Meanwhile, regarding independent participants, he believes that the fee increase should not be carried out in the near future. According to him, the economic conditions of the community are still under pressure, while the promise to eliminate outstanding fees for independent participants since October 2025 has not been realized.

“It should not be the case that people are asked to pay more, while the commitment to eliminate outstanding fees that has been promised has not been fulfilled. Policies must be consistent and fair,” he said.