What does PP 28/2024 regulate regarding medical and health personnel management?

Government Regulation Number 28 of 2024 (PP 28/2024), implementing Law Number 17 of 2023 on Health, governs the management of medical personnel. Furthermore, Health personnel under Chapter III (Articles 565 through 760). It covers workforce planning, education qualifications, lifetime Registration Certificates (STR), Practice Licenses (SIP), professional councils, rights and duties, clinical privileges via credentialing, and administrative sanctions. Effective since 26 July 2024, it repeals PP 67/2019.

Planning, qualifications, STR, and SIP licensing

• Workforce planning and education (Articles 567, 572, 575): Personnel requirements are determined via workload analysis and minimum staffing standards. Minimum qualifications are professional degree education for medical personnel and three-year diploma (D3) for health personnel.
• Lifetime STR (Articles 677–678, 695): STRs are issued by the Indonesian Health Council. Furthermore, Remain valid for life for Indonesian citizens, with temporary validity restricted to training, internship, or adaptation periods.
• Municipal SIP licensing (Articles 681–682): SIP licenses are issued by municipal governments for a single practice location, valid for five years. Renewal requires an active STR, an active practice location, and adequate Continuing Professional Development (SKP) credit points.

Rights, duties, and clinical credentialing

Employers at private healthcare facilities must pay fair remuneration and enroll medical. Furthermore, Health personnel in BPJS Health and BPJS Employment programs (Article 725 and Article 730 paragraph (2)). Healthcare facility leadership must implement occupational safety and health systems (Article 728 paragraph (3)). Together with the government, facility leadership also provides reporting channels for violence, harassment, and bullying (Article 731 paragraph (3)). Facilities must provide legal aid assistance in service disputes (Article 723 paragraph (4)).

In healthcare facilities, specific medical and health personnel who provide direct patient care. Alternatively, Whose work impacts patient safety, receive clinical privileges following a formal credentialing process. these clinical privileges are enacted by the head of the facility (Article 743 paragraphs (1) through (4)). Healthcare support personnel (such as health IT and administrative staff) are entitled to fair wages. Furthermore, Social security, while remaining bound to preserve facility confidentiality (Articles 755 and 759).

Tiered administrative sanctions (Articles 736, 748–754)

Violations of practice duties or standards trigger tiered administrative penalties:

1. Verbal warning (given at most once);
2. Written warning (given at most once with a maximum one-month remediation period);
3. Administrative fines (if remediation recommendations are unfulfilled). and
4. SIP practice license revocation (if administrative fines remain unpaid).

Practicing without a valid STR or mandatory SIP incurs direct administrative fines (Article 752). Persistent non-compliance leads to publication on official government social media channels (Article 754).

Legal basis

• Government Regulation Number 28 of 2024 implementing Law Number 17 of 2023 on Health: Article 1 points 31, 32, 42, and 52. Chapter III (Articles 565–760). Article 1170. and Article 1172.
• Law Number 17 of 2023 on Health: Article 264 paragraph (6)(e).