The Sejm has adopted an amendment to the regulations that will enable more precise monitoring of the earnings of healthcare workers. Thanks to these changes, the Agency for Health Technology Assessment and Tariff System (AOTMiT) will be able to analyse the salaries of medical staff in connection with specific individuals, which is intended to help create a more complete picture of the labour market in the healthcare sector.
MPs back government bill
In Friday’s vote on the amendment to the Act on healthcare services financed from public funds and the Act on medical activity, 253 MPs supported the bill. There were no votes against, while 177 MPs abstained.
The new provisions provide for an expansion of the scope of data transferred to the Agency for Health Technology Assessment and Tariff System (AOTMiT). Information on salaries will be able to be linked to a PESEL number or a professional licence number.
End of full data anonymisation
At present, the Agency receives payroll data in anonymised form. This means it is not possible to determine the total income earned by one person working in several medical institutions or performing duties under different forms of employment.
After the new regulations come into force, AOTMiT will be able to assign salary information to a specific medical worker. This is intended to enable more detailed analyses of employment structures and pay levels in the healthcare system.
Ministry seeks fuller picture of the labour market
As the authors of the bill point out, the current model of data collection does not allow for an assessment of the actual incomes of doctors and other medical staff. The problem concerns in particular those who combine work in several healthcare institutions or perform duties simultaneously under an employment contract and a civil law contract.
According to the government, more precise data is intended to support decision-making processes regarding the organisation and financing of the healthcare system.
Trigger: high-profile case of a resident doctor
The amendment was prepared and adopted by the Council of Ministers in an expedited manner. The background to the changes was a case described by the Zero.pl portal involving a doctor in specialist training who, in 2025, was said to have earned approximately PLN 1.6 million.
The medical professional was also a local government politician elected from Civic Platform (KO) lists. After the case gained public attention, he ended his membership in the party. According to government representatives, the incident highlighted the limitations of the current system for collecting data on healthcare salaries.