In the years 2009 Ð 2013 (in the times of economic downturn) to cover disbalances between CHI revenues and expenditures several measures were undertaken by the Government, MoH and/or by HIIS to provide fiscal sustainability of the health care system: restrictions in the field of wages of public employees (government 2010-2012), different measures to lower down the CHI expenditures (the Fiscal Balance Law, 2012, which enabled increased copayments, reduction of drug prices through new system of therapevtic drug groups, reduction of the level of sick-leave compensation of wages, reduction of price standards for medical devices etc.). In the 2013 two cash benefits (funeral and death expences) were transferred from CHI to other social security sectors. With the novelty of the Health Care and Health Insurance Act certain basis for payment of CHI contributions were changed to enable higher revenues from contributions, too. After three consecutive years with hindered operation HIIS has been operating stable and succeeded to settle all outstanding obligations since 2014. However, certain public health care institutes (mainly hospitals) accumulated losses, which reached 135 million EUR in 2015.