Uzbekistan will implement a nationwide state medical insurance system starting in 2026, aimed at overhauling healthcare financing and service delivery. The reform includes a national purchaser of medical services, digital referral systems, and a guaranteed package of essential healthcare funded by the state budget. The initiative, which began discussions in 2017 and launched pilot programs in 2021, focuses on primary healthcare with family doctors at the center. The system will be financed through general taxation, ensuring access for vulnerable groups and aiming for universal health coverage.