Jakarta: Minister of Social Affairs Agus Gumiwang Kartasasmita fully supports regions that will eliminate smokers from the list of contribution assistance recipients (PBI) of the National Health Insurance (JKN) program.
"So far the granting of the subsidy has not shown improvements in healthy lifestyle behaviors including smoking," the minister told Media Indonesia in Jakarta, Wednesday, October 9, 2019.
Based on the data from the the Ministry of Social Affairs, at least 34 million JKN participants are supported by regional governments.
"It is the authority of regional governments if they want to regulate JKN membership whose contributions come from their budget," Agus said.
According to the Law Number 23 Year 2014 on Regional Economy and the Law Number 40 Year 20014 on National Social Security System (SJSN), local governments are also responsible to improve the health of their people.
Deputy Minister of Finance Mardiasmo said the government is preparing sanctions to punish people who skip paying their Health Care and Social Security Agency (BPJS Kesehatan) premiums.
According to the Finance Ministry official, the offenders will be difficult to get public services starting from making a Building Permit (IMB), Business License (SIUP), Certificate of Company Registration (TDP), Driver's License (SIM), Passport, and Vehicle Registration Certificate (STNK).
However, Head of Advocacy for BPJS Watch Timboel Siregar considers that issuing a Presidential Instruction is not necessary because the sanctions have been mentioned in the Government Regulation No. 86/2013.
"The sanctions have not been implemented by local governments, police, immigration and other institutions that carry out public services," he said.
Weak enforcement of sanctions can also be seen from many business entities that do not register their workers with BPJS Kesehatan.