This article examines the theoretical, legal, and socio-economic foundations for the introduction of Mandatory Health Insurance (MHI) in the Republic of Uzbekistan. The study analyzes the current health care financing system and identifies its key limitations related to budget constraints, increasing health care costs, and high out-of-pocket expenditures. Based on international experience, the article evaluates effective models of mandatory health insurance and assesses their applicability to Uzbekistan’s socio-economic conditions. The research substantiates that the implementation of MHI can enhance financial sustainability of the health care system, expand access to quality medical services, reduce financial risks for households, and strengthen social equity. The findings provide scientifically grounded policy recommendations for the phased introduction of mandatory health insurance in Uzbekistan, emphasizing the importance of legal reforms, institutional capacity building, and effective financial management mechanisms.

mandatory health insurance, health care system, health care financing, social insurance, health sector reform, financial sustainability, universal health coverage.

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