The National Office for Rehabilitation and Social Affairs (NORSA) and its legal predecessors look back on a history of over 100 years. Even at the beginning, in the previous century setting up and developing various insurance systems required insurers to employ a variety of highly qualified experts in their respective field in order to be able to provide professional services and objectively assess health impairments. Medical experts were also employed for similar business interests.

The organisation has undergone a major overhaul over the past decade. These changes not only affected the name of the institution and its scope of tasks, but equally implied major restructuring at an organisational, procedural, methodological and training level. Expert activities undertaken in the field of social and employment rehabilitation were added to medical expert tasks.

In Government Decree No. 2013/2007, the Government designated the immediate predecessor of the Office, i.e., the National Rehabilitation and Social Institute (ORSZI), with the task of acting as a social expert body independent to service providers in the case of assessing caring needs before using services provided in old age homes, home care and home care assisted with a medical alert system. Assessing caring needs was removed from the scope of authority of ORSZI from 17 August 2012 after the amendment of Act III of 1993.

Government Decree No. 92/2008 (IV. 23.) assigned additional social assessments to ORSZI, as a result of which the Office also undertakes the basic examination and care review of persons with disabilities, as well as the social employment aptitude test and review and the comprehensive rehabilitation aptitude test and review from 1 July 2009.

In accordance with Government Decree No. 331/2004 (XII.27.), the name of the Office was changed to National Office for Rehabilitation and Social Affairs from 1 January 2011. Its scope of tasks and competency was concurrently extended. The Government designated this Office as a medical expert and rehabilitation body, as well as the authority responsible for social and services supervision. From 1 January 2011, the above-mentioned Government Decree designated the organisation and assurance of patient rights and children’s rights representation to the Office.

Further major changes took place in the life of the Office in 2012. The overhaul of the system providing services for persons with disabilities and handicapped individuals has been demanded for several decades due to the high number of individuals receiving services, the high social security and budgetary costs of these and the low level of employment activity of persons with disabilities and handicapped individuals.

The organisational structure and mode of operation of the rehabilitation authority was also changed as a part of the transformation of rehabilitation services. The Administrative Bodies for Rehabilitation were set up at County Government Offices from 1 July 2012.

Government Decree No. 95/2012 (V.15.) defines the division of tasks and changes to the scope of tasks of NORSA, as well as administrative bodies for rehabilitation under the management of the former. Activities relating to rights protection were handed over on 1 November 2012 following the establishment of the National Patient Rights and Documentation Centre.

As regards its legal status, NORSA is a central office managed by a director under the supervision of the Minister of Human Resources. Its seat is in Budapest and it undertakes tasks within its scope of competency in the entire territory of Hungary.

A separate amount has been allocated within the budget of the Ministry of Human Resources to cover its operating budget.

Main tasks of the Office:

1.    Methodological activities:

  • -    Defines and regularly reviews criteria applied to assess and evaluate needs in respect of rehabilitation, social care and services, as well as rules and rules of procedure applied in respect of examinations;
  • -    Reconciles the examination and opinion issuing system applied in respect of functionality, disability and work capacity;
  • -    Puts forth recommendations for developing expert activities required for determining eligibility for rehabilitation and social services;
  • -    Sets up the complex rehabilitation services system;
  • -    Compiles notes, studies and professional guidelines and ensures the publication of these;
  • -    Organises and arranges trainings;
  • -    Ensures professional practice for the training of health insurance and medical examiners and health insurance experts, as well as rehabilitation experts. 

2.    Employment rehabilitation activities:

  • -    Undertakes official duties relating to checking the accreditation of employers employing persons with disabilities and accredited employers;
  • -    Undertakes tasks relating to benefits that may be granted from the budget to employees with disabilities;
  • -    Undertakes tasks relating to announcing, implementing and controlling calls for applications launched in respect of projects implemented from funding granted from the budget or the funds of the European Union;
  • -    Undertakes educational, innovation, storage, logistics registration and IT tasks relating to employment rehabilitation.   

                   
3.    Social, child welfare and child protection activities:

  • -    Tasks relating to licensing, operation and checking official activities in the case of social services providers and institutions, as well as tasks relating to authorising operation in the case of child welfare and child protection services and institutions;
  • -    Tasks relating to social institutional employment, implementing and financing calls for application pertaining to social institutional employment;
  • -    Tasks relating to financing assistive care services, community services, home care assisted with a medical alert system, outreach social work and crisis centres;
  • -    Tasks relating to the development and operation of the central social information system;
  • -    Electronic issuing of template documents created for the purpose of assisting the work of bodies licensing the operation of social child welfare and child protection services and institutions through the national registration system of social child welfare and child protection services and institutions. 

In accordance with relevant legislation, the Office issues official positions in first instance procedures to determine eligibility and
in certain cases specified by law, undertakes expert tasks and issues professional opinions in respect of:

  • o    severe dementia;
  • o    the basic examination of persons with disabilities, the social employment aptitude assessment, as well as reviewing the state of individuals cared for in social institutions.


4.    Unless otherwise regulated by law, the Office is authorised to review appeals and act as a supervisory body

  • - in the official matters of administrative bodies for rehabilitation.
  • The Office is competent in second instance procedures if the administrative bodies for rehabilitation acts as an administrative authority or expert body in official administrative procedures defined in relevant legislation.
  • -  in the official matters of social and guardianship offices.


5.    Tasks relating to registration/keeping records at the Office:

  • -    Tasks relating to the registration of individuals officially undertaking guardianship, as well as the sectoral identification of the national registration of social, child welfare and child protection services and institutions;
  • -    Manages the national social services reporting system;
  • -    Keeps a record to check the financing of social services, basic child welfare service and child protection services;
  • -    Undertakes tasks relating to the registration of accredited employers, the central registration of employers and employees to whom budgetary assistance may be granted for employing persons with disabilities and the registration of protected workshops;
  • -    Keeps a record of the National List of Social Policy Experts, the National List of Child Protection Experts, the National List of Sign Language Interpreters, the List of Employment Rehabilitation Experts and the List of Medical Rehabilitation Experts.

6.    Beyond its wide-range of technical tasks, NORSA is also the beneficiary of several major priority EU-funded projects, namely: technical, IT and infrastructure developments covering its entire scope of tasks funded through the Social Renewal Operational Programme (SROP), the Electronic Administration Operational Programme (EAOP) and the State Reform Operational Programme (SROP). The Office is currently implementing the following projects: Social Renewal Operational Programme 5.4.8, Social Renewal Operational Programme 1.1.1, Social Infrastructure Operation Programme 3.2.2, State Reform Operational Programme 1.A.4, Electronic Administration Operational Programme 1.1.13, as well as Social Renewal Operational Programme 5.4.2-8/1-2009-0001 and Social Renewal Operational Programme 5.4.2-12.

The following key legislation regulates the scope of tasks and competency and rules of procedure of our Office:
Legislation regulating the scope of tasks and competency of the Office Government Decree 95/2012 (V. 15.) on the National Office for Rehabilitation and Social Affairs, as well as the Scope of Tasks and Competency of Administrative Bodies for Rehabilitation under the Management of the Office
Legislation relating to all official procedures Act CXI of 2004 on General Rules of Administrative Proceedings and Services

Legislation relating to specific types of services
Services provided for persons with disabilities, pension for relatives and accident annuity Act CXCI of 2011 on Benefits for Persons with Changed Working Capacity and the Amendment of Certain Other Acts; Government Decree No. 327/2011 (XII.29.) on Rules of Procedure Applied in Respect of Persons with Disabilities; Act LXXXIII of 1997 on Statutory Health Insurance and Government Decree No. 217/1997 (XII.1.) on the implementation of Act LXXXIII of 1997 on Statutory Health Insurance, and Ministry of National Resources Decree No. 7/2012 (II.14.) on Detailed Rules Relating to Complex Assessment
Disability annuity Council of Ministers Decree No. 83/1987 (XII.27.) on Disability Annuity
Disability allowance Act XXVI of 1998 on the Rights and Equal Opportunities of Persons with Disabilities, as well as Government Decree No. 141/2000 (VIII.9.) on Disability Assessment, Review and Rules Applied in Respect of Payment
Allowance substituting employment, regular social welfare Act III of 1993 on Social Administration and Social Services, as well as Government Decree No. 63/2006 (III.27.) on the Detailed Set of Rules to be Applied in Respect of Applying for, Determining and Transferring Monetary and In-kind Allowances issued to execute the former; Government Decree No. 339/2007. (XII. 15) on the Amendment of Specific Social Government Decrees
Higher family benefits Act LXXXIV of 1998 on Family Support and Government Decree No. 223/1998 (XII. 30.) on the Implementation of Act LXXXIV of 1998 on Family Support, as well as Ministry of Health, Social and Family Affairs Decree No. 5/2003 (II.19.) on Diseases and Disabilities Authorising Eligibility for Services
Sick pay (earning capacity – incapacity and preliminary assessment of health impairment during the period of sick pay)    Act LXXXIII of 1997 on Statutory Health Insurance and Government Decree No. 217/1997 (XII. 1.) on the Implementation of Act LXXXIII on Statutory Health Insurance and Government Decree No. 102/1995 (VIII. 25.) on the Medical Assessment and Control of Earning Incapacity and Earning Capacity
Extending the period of payment of accident sick pay Act LXXXIII of 1997 Statutory Health Insurance and Government Decree No. 217/1997 (XII. 1.) on the Implementation of Act LXXXIII on Statutory Health Insurance
Higher state contribution to institutional care (in the case of severe dementia) Act III of 1993 on Social Administration and Social Services; Act CLXXXVIII of 2011 on the Budget of the Republic of Hungary for 2012; Ministry of Health, Social and Family Affairs Decree No. 1/2000 (I. 7.) on Professional Tasks and Conditions for Operation of Institutions Providing Personal Care
Placement in an institution, determining employability and disability or determining, issuing an opinion in respect of potential for rehabilitation Government Decree No. 92/2008 (IV. 23.) on the Basic Examination and Rehabilitation Aptitude Testing of Persons with Disabilities and Reviewing the State of Health of Individuals Cared for in Social Institutions
Fit to drive on public roads Ministry of Welfare Decree No. 13/1992 (VI. 26.) on Determining the Fitness of Drivers to Use Public Roads
Disability allowance for miners and supplementing the salary of miners Government Decree No. 23/1991 (II. 9.) on Social Security Allowances for Certain Miners
Transport discounts for severely disabled persons Government Decree No. 102/2011 (VI. 29.) on Transport Discounts for Severely Disabled Persons
Review of a fitness of the regular and contracted staff of the Hungarian Defence Force, as well as the health status of the regular members of armed forces Act XCV of 2001 on the Status of Professional and Contracted Military Personnel of the Hungarian Defence Forces and Act XLIII of 1996 on Conditions of Service for Members of the Regular Armed Forces; Ministry for National Economy Decree No. 27/2011 (VII.26.) on the Assessment of the Health, Psychological and Physical Fitness of the Regular Staff of the National Tax and Customs Office and Act 57/2009 (X.30.) jointly issued by the Ministry of Justice and Law Enforcement, the Ministry for Local Government and Regional Development and the Minister without Portfolio on the Health, Psychological and Physical Fitness of the Regular Staff of Certain Law Enforcement Bodies, the Occupational Fitness of Civil Servants and Public Servants and Determining Capacity to Serve and Earn
War veterans allowance Act XLV of 1994 on War Veterans and Government Decree No. 113/1994 on the Implementation of Act XLV of 1994
National service allowance Government Decree No. 173/1995 (XII.27.) on the Introduction of the National Service Allowance
National caring fee Act LII of 1992 on National Care
Allowances paid to individuals unlawfully convicted between 1945 and 1963 Government Decree No. 267/2000 (XII. 26.) on Allowances Paid to Individuals that Served Certain Long Sentences
Life annuity (in return for compensation vouchers) Act XXXI of 1993 on Exchanging Compensation Vouchers for Life Annuity and Government Decree No. 87/1992 (V. 29.) on Rules of Procedure
Allowances for students enrolled in higher education (certification of disability) Act CCIV of 2011 on Higher Education and Government Decree No. 76/2006 (IV.5.) on the Implementation of Act CCIV of 2011
Special acquired disability pension and pension for relatives Government Decree No. 52/2011 (III. 31.) on Allowances Provided by the Hungarian Public Foundation for Creative Art
Accommodation Act III of 1993 on Social Administration and Social Services and Act XXXI of 1997 on Child Protection and Guardianship
Assistive services, community services, home care assisted with a medical alert system, outreach social work. Crisis centres operated by the temporary lodging for families, as well as tasks relating to announcing tenders for social institutional employment and the financing and funding of these Government Decree No. 191/2008 (VII 30.) on Rules of Financing of Assistive Services and Community Services and Government Decree No. 112/2006 (V.12.) on the Authorisation and Subsidisation of Social Employment
On-site control and extraordinary control of social institutions and services Government Decree No. 191/2008 (VII. 30.) on Rules of Financing of Assistive Services and Community Services and Government Decree No. 112/2006 (V.12.) on the Authorisation and Subsidisation of Social Employment
Tasks relating to recording the Institutional Database, the National Reporting System and the Claimant Database Government Decree No. 226/2006 (XI. 20.) on the Sectoral Identification and National Registration of Social, Child Welfare and Child Protection Services and Institutions
Registration of employment rehabilitation experts Ministry of Human Resources Decree No. 8/2012 (II. 21.) on Vocational Rehabilitation Experts
Registration of the National List of Sign Language Interpreters Ministry of National Resources Decree No. 38/2011 (VI. 29.) on Recording the National List of Sign Language Interpreters
Registration of the National List of Child Protection Experts and the National List of Social Policy Experts Ministry of Social Affairs and Labour Decree No. 25/2009 (XI. 13.) on the National List of Child Protection Experts and Social Policy Experts
Registration of the List of Medical Rehabilitation Experts Ministry of Human Resources Decree No. 47/2012 (XII. 11.) on the List of Medical Rehabilitation Experts
Registration of individuals working as professional full-time guardians Ministry of Health, Family and Social Affairs  Decree No. 25/2003 (V. 13.) on Accreditation Requirements of Individuals Working as Professional Full-time Guardians
Managing applications, preparing financing and assistance contracts, as well as accounting of funding; managing the electronic application management system Government Decree No. 191/2008 (VII. 30.) on Rules of Financing Assistive Services and Community Services and Government Decree No. 112/2006 (V. 12.) on the Authorisation and Subsidisation of Social Employment
Accreditation of employers employing persons with disabilities and budgetary funding for employment Government Decree No. 327/2012 (XI. 16.) on the Accreditation of Employers Employing Persons with Changed Working Capacity  and Budgetary Subsidization Available for their Employment and Ministry of Human Resources Decree No. 38/2012 (XII.32.) on Rules of Administrative Service Fee of the Accreditation Procedure of Employers Employing Persons with changed Working Capacity
Registration and control of protected workplaces Government Decree No. 302/2006 (XII. 23.) on the Rules of Public Procurements Reserved for Protected Employers