Legal News Update
Contributors: Almaida Askandar, S.H., MBA, Nita Damayanti, S.H., and Rania Adhara Safira, S.H.
Published on 27 September 2026 by IABF Law Firm, Jakarta, Indonesia.
Indonesia Issues New Hospital Regulation: Key Changes under Minister of Health Regulation No. 6 of 2026
On 4 June 2026, the Indonesian Minister of Health issued Minister of Health Regulation No. 6 of 2026 on Hospitals (“MOH Regulation 6/2026”), which came into effect on 12 June 2026. MOH Regulation 6/2026 implements several provisions of Government Regulation No. 28 of 2024, which implements Law No. 17 of 2023 on Health, and introduces a more integrated regulatory framework for hospitals in Indonesia. The regulation consolidates and replaces 21 previous hospital-related regulations, including Minister of Health Regulation No. 3 of 2020 on Hospital Classification and Licensing (“MOH Regulation 3/2020”). It regulates, among other matters, hospital licensing, classification, investment requirements, inpatient services, internal governance, tariffs, digital reporting and administrative sanctions. For hospital operators and investors, the most notable changes include a new service capability-based classification system, revised requirements for foreign-invested hospitals, enhanced internal governance obligations and greater integration of hospital data into the National Health Information System.
Key Regulatory Changes
1. New Hospital Classification System
MOH Regulation 6/2026 replaces the previous hospital classification framework, which generally categorized hospitals as Class A, B, C or D, with a system based on the hospital’s service capability. Under Article 12, hospital service capabilities are classified into four levels:
a. Paripurna / comprehensive;
b. Utama / primary;
c. Madya / intermediate; and
d. Dasar / basic.
The classification takes into account the scope and complexity of services provided, professional competencies and the availability of supporting facilities, infrastructure and medical equipment. This represents a significant shift from the previous regime, under which hospital classification was closely linked to minimum bed capacity. Hospital operators should therefore assess whether their existing services, personnel and infrastructure align with the new service capability classifications.
2. Revised Requirements for Foreign-Invested Hospitals
MOH Regulation 6/2026 introduces a new framework for hospitals established with foreign investment. Under Article 10, a foreign-invested hospital must generally satisfy either of the following requirements:
a. have at least 50 inpatient beds and provide at least one service classified as Paripurna; or
b. have at least 200 inpatient beds and provide at least two services classified as Paripurna.
By comparison, MOH Regulation 3/2020 generally required a foreign-invested hospital to have at least 200 beds, unless otherwise provided under an international cooperation arrangement. For domestic-investment hospitals, the general minimum requirement is 50 inpatient beds and at least two services classified as Dasar. Certain exceptions apply, including for hospitals providing specific single-specialty services and certain investment structures involving hospital groups. The revised framework is particularly relevant to foreign investors, as it potentially allows hospital investments with fewer than 200 beds, provided that the required level of service capability is achieved.
3. Licensing and Establishment Requirements
Hospitals remain subject to business licensing requirements and must comply with applicable standards relating to:
a. location;
b. buildings and infrastructure;
c. medical equipment; and
d. health human resources.
Hospitals must also comply with applicable spatial planning, environmental health and safety requirements. Hospital owners and prospective investors should assess these requirements together with the applicable risk-based business licensing framework when establishing, expanding or restructuring hospital operations.
4. Strengthened Hospital By-Laws and Governance Requirements
MOH Regulation 6/2026 places greater emphasis on institutional and clinical governance. Under Articles 61 to 65, hospitals must establish internal regulations consisting of:
a. Hospital Organisational Regulations; and
b. Medical Staff and Healthcare Staff Regulations.
The Hospital Organisational Regulations must clearly regulate the relationship between hospital owners and hospital management, including the division of authority, accountability and decision-making responsibilities. The Medical Staff and Healthcare Staff Regulations must address matters including:
a. organisation and working arrangements;
b. credentialing and clinical assignments;
c. maintenance of professional quality;
d. professional ethics and discipline; and
e. continuing professional development.
Existing hospitals should therefore review their current hospital by-laws, governance manuals, credentialing policies and internal delegation arrangements to ensure consistency with the new requirements.
5. Hospital Operational Obligations
Article 36 sets out a broad range of obligations applicable to hospitals. Among other requirements, hospitals must:
a. provide safe, effective, high-quality and non-discriminatory healthcare services;
b. provide emergency services in accordance with their service capability;
c. provide emergency treatment without requiring an advance payment;
d. maintain medical records;
e. implement an appropriate patient referral system;
f. protect patient rights;
g. provide appropriate facilities for vulnerable groups;
h. implement hospital ethics and patient safety measures;
i. establish internal hospital regulations; and
j. provide legal protection and assistance to hospital personnel in carrying out their professional duties.
The regulation therefore reinforces accountability not only for clinical services, but also for governance, patient protection and operational compliance.
6. Hospital Tariff Controls
Article 71 requires hospitals to determine their service tariffs by reference to:
a. the national tariff framework determined by the Minister of Health; and
b. the maximum tariff ceiling determined by the relevant governor.
If a governor has not yet established the applicable maximum tariff ceiling, hospitals may use the national tariff framework as the basis for determining tariffs. This introduces a clearer tariff control mechanism and may require private hospital operators to revisit existing pricing policies and internal tariff approval procedures.
7. Digital Reporting and Health Information Integration
Under Article 74, hospitals must record and report their operational activities through a Health Information System that is integrated with the National Health Information System. Hospitals must also continue to safeguard the confidentiality of patient and medical information. Hospital operators should review their existing hospital management information systems, reporting processes and data governance arrangements to ensure that they are capable of satisfying the new integration requirements.
8. Administrative Sanctions
Non-compliance with certain obligations under MOH Regulation 6/2026 may result in administrative sanctions imposed by the Minister of Health, governor and/or regent or mayor, depending on their respective authority. The sanctions may include:
a. verbal warnings;
b. written warnings;
c. administrative fines;
d. adjustment or revocation of accreditation status; and/or
e. revocation of the hospital’s business licence.
The regulation also permits stronger enforcement action in certain serious cases, including violations resulting in significant patient safety consequences or material failures in hospital management.
Transitional Period
Existing hospitals are generally required to comply with MOH Regulation 6/2026 within two years from its promulgation, meaning by 12 June 2028. A longer transitional period applies to Pratama Class D hospitals that already held a business licence before 12 June 2026. These hospitals are required to comply with the new framework by 12 June 2030.
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Disclaimer
This news update is prepared for general informational purposes only. The content does not constitute legal advice, a legal opinion, or counsel from IABF Law Firm. The information contained herein may not reflect the most current developments. Any quotation, distribution, or use of this information for any purpose is solely at the user’s own risk.
