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Duma Backs Mandatory Targeted Contracts for State‑Funded Medical Students in First Reading

The bill targets high graduate attrition by binding state-funded trainees to contracts with penalties, with rules slated to begin March 1, 2026.

Overview

  • The draft requires budget medical and pharmaceutical students to sign a targeted training contract in their first academic year when an offer exists and they meet the employer’s criteria, with possible expulsion for failing to do so.
  • Reciprocal liability is set: employers that do not provide jobs must compensate at least one year of training and pay a double fine, while students who refuse obligations must reimburse the first-year cost plus a double fine.
  • A three-year mentorship program will follow initial accreditation, with practice in state-funded healthcare or the employer named in the contract, and detailed rules to be set by the Health Ministry.
  • Implementation is proposed from March 1, 2026, with exemptions for students who entered before that date and carve-outs for those already accredited before the cutoff.
  • Officials cite losses of roughly 35% of medical university graduates and at least 40% of secondary medical graduates to the state system, while the targeted quota for 2025 healthcare admissions is reported as over 70%, and debate continues before second and third readings.