Agreement SDN 101 2022

OBJECTIVES: a. GENERAL OBJECTIVE: To regulate the past, present, and future credit operations granted by the Military Hospital to its affiliates, beneficiaries, and special affiliates, as well as non-affiliates who request its services. b. SPECIFIC OBJECTIVES:

• 1)

  To adjust credit operations to precise standards regarding their amount, charges, term, and interest, to guarantee equality of rights and obligations of affiliates, contributing to superior decision-making and seeking the efficient fulfillment of the Military Hospital's objectives.

• 2)

  To provide the necessary regulatory and technical tools to the authorities for the sanitation of the Military Hospital's credit portfolio and financial statements in general.

• 3)

  To establish the technical-legal mechanism to carry out the accounting write-off of values of doubtful recovery and those accounts that, after the verification process, are established as uncollectible.

SCOPE: The provisions of this Regulation are mandatory compliance for all affiliates, beneficiaries, special affiliates, and non-affiliates who request credit from the Military Hospital derived from hospital medical care services, or maintain debts from past fiscal years with the Military Hospital.

For purposes of application and interpretation of this Regulation, the following concepts are defined: a. Affiliate/Beneficiary Holder: The titular Officer or Non-Commissioned Officer of the Armed Forces, National Police, and others as established who contribute monthly a pre-established fee. b. Beneficiaries: The children, spouse, parents of affiliates, as well as the widower(a) and children legally registered with the Military Hospital as beneficiaries, in accordance with the Military Hospital's Service Provision Regulation. c. Special Affiliate: Personnel of Cadets, Troops, Military Police, Auxiliary Personnel, and others whose contribution and coverage are governed by agreements, insurance policies, or special provisions. d. Guarantor: A natural or legal person with accredited and proven economic solvency who responds jointly and severally for the credit granted to the debtor. e. Installed Capacity: The charges and percentages during the provision of hospital medical services provided exclusively to the affiliates and beneficiaries of the Military Hospital that do not generate additional economic costs to the Institution, whose value is susceptible to discount application based on this Regulation, the Medical Hospital Service Provision Regulation, and the Regulation of the Military Hospital Supervisory and Control Committee. f. Payment Capacity: The maximum amount of income that individuals can allocate to pay debts incurred, determined in accordance with a socio-economic study. g. Credit and Collections Committee: The body responsible for evaluating and resolving those credits that, by their nature and debtor circumstances, require the application of special standards for their readjustment, evaluation of payment alternatives, and other modalities within this regulation. h. Insurance Company: A legal person duly authorized by the National Banking and Insurance Commission that provides hospital medical insurance coverage services and other insurance services related to credit granting. i. Institutional Debtors: Public or private law institutions to which the Military Hospital grants a credit line through special agreements. j. Hospital Credits: Those credits generated contingently, derived from hospital medical care services, granted to natural or legal persons, aimed at financing coverage exceedances by insurance companies, private patients, or others who request them and are previously authorized by the Military Hospital and Credit and Collections Committee. k. Installment: Equal and consecutive monthly payment applied to the amortization of a credit, which includes principal and interest payment. l. Interest: The additional percentage charge applied to a debt in accordance with the established term and amount. m. Uncollectible Accounts: Those accounts receivable that, regardless of the category to which they belong, their legal possibility of recovery by the Institution for different reasons is constituted as uncertain. n. Non-affiliate: Any natural or legal person who applies for services provided by the Military Hospital and who is not included within the different categories of Military Hospital beneficiaries, or is not governed by a special agreement. o. Default: The condition that arises from the non-performance of one or more obligations by the debtor within the stipulated time. p. Debtor: Any natural or legal person to whom a credit is granted. q. Coverage Ceiling: The amount established through an actuarial study to which each affiliate, beneficiary, and special affiliate is entitled annually in the concept of hospital medical care received at the Military Hospital. r. Coverage Ceiling Excess: The difference that arises when the annual coverage ceiling assigned to the affiliate, beneficiary, and special affiliate is exceeded, which is paid by the affiliate, beneficiary, or third party at their own account or on their behalf. s. Uncollectible Accounts Reserve: The percentage amount constituted for each account of doubtful recovery based on the categorization of default in accordance with that established in article 35 of this Regulation.

All affiliates, beneficiaries, special affiliates, institutional debtors, and non-affiliates who acquire a debt for hospital medical services provided at the Military Hospital may access a credit or financing plan.

The following are excluded from credit granting: a. Foreign non-affiliates who are in transit in national territory. b. Those deprived of freedom in civil interdiction. c. Non-affiliates who maintain accounts in default with the Military Hospital.

To guarantee compliance with the obligation, the person who accesses credit granting must complete the file, which must be incorporated by the Accounts Receivable Section in accordance with coverage ceiling consumption with the following requirements: a. Complete the credit application form. b. Attach original salary statement with deductions or equivalent document, which may not exceed thirty (30) days from issuance. c. Depending on the amount to be granted, the petitioner must present one (01) guarantor with payment capacity, who will be jointly and severally responsible for the credit granted to the principal debtor; said guarantor must accredit work statement with deductions. d. Signature of bearer instruments and/or any other guarantee. e. Signature of payment commitment. f. Sign the authorization for salary deduction, pension, insurance contributions, and others, through the different Treasury Offices or Administrative Management Offices, Military Welfare Institute (I.P.M.), and others deemed necessary. g. Photocopy of affiliate card and beneficiary card if applicable or statement from the Unit to which it belongs (Troop Personnel). h. Photocopy of the National Identification Document of the debtor. i. Photocopy of card or other proof in case of enjoying benefits from an insurance company or institutional debtors. j. Photocopy of the National Identification Document of the guarantor. k. Personal data of the guarantor. l. Residential sketch map (prepared by the collections section, referenced with digital tools and maps). m. Two (02) public utility payment receipts with address indication. n. Resolution of the Credit Committee where the granted credit is authorized and detailed in applicable cases.

For all credit, a credit application must be made, which shall consist of a form that must be completed by the applicant. Said application form must be accompanied by the documentation required in the preceding article (requirements to access credit). All documentation together with the application must be completed and delivered to the Accounts Receivable Section for their respective analysis.

Debts generated by medical care services, whose debtors accept in a negotiated and agreed manner the terms and rates established by the Military Hospital Supervisory and Control Committee, will not require submission to the Credit and Collections Committee.

Hospital account debts whose debtors cannot accept for any reason the rates and terms established by the Supervisory and Control Committee will be referred to the Credit and Collections Committee to resolve according to the powers established in this Regulation.

In accordance with article 4 of this Regulation, credit approval shall be formalized by the Accounts Receivable Section through Resolution approved and issued by the Supervisory and Control Committee regarding the interest percentages and debt term; special credits shall be formalized through a resolution issued by the Credit and Collections Committee, where payment conditions shall be established. In both cases, the Supervisory and Control Committee of the Military Hospital shall be informed of the credits granted, as well as the Finance Department for pertinent accounting entries.

In the event that the debtor does not agree with the issued Resolution and the reconsideration regarding the credit, the Military Hospital shall take the actions that are legally appropriate through the judicial channel.

The term of the approved and authorized credit shall be the time during which the debtor must cancel his obligation, plus applicable interest, whose duration shall be established and modified through a motivated Resolution of the Military Hospital Supervisory and Control Committee.

The annual interest rate on accounts receivable generated by hospital account credits for coverage exceedances and non-affiliate patient accounts shall be reviewed and adjusted by the Military Hospital Supervisory and Control Committee, in consideration of the country's economic indicators, with a minimum periodicity of one (01) year.

The Supervisory and Control Committee of the Military Hospital, in cases of national emergency, epidemics, pandemics, natural disasters, military or civil armed conflicts, social uprisings, and any extraordinary event duly accredited and declared by the Government of the Republic, may establish through motivated Resolution special conditions related to hospital accounts of those affiliated with the Hospital system, for those who are in greater vulnerability, first line, and/or imminent risk due to the effects thereof, authorizing modalities of hospital accounts and coverage exceedances with the burden of hospital costs outside the installed capacity of the Military Hospital regarding its personnel, equipment, and supplies. Likewise, the Supervisory and Control Committee is authorized to conduct a general review of the hospital accounts portfolio in order to make the respective adjustments regarding the presented balances for the accounting readjustment thereof.

The Credit and Collections Committee has the function of granting and regulating credit or financing operations derived exclusively from hospital accounts of the affiliates, beneficiaries, and non-affiliates of the Military Hospital.

The Credit and Collections Committee shall be composed of: a. Sub-Director of the Military Hospital (President) b. Chief of the Finance Department (Member) c. Chief of the Accounts Receivable Section (Member Secretary) d. Social Worker (Member) e. Representative of Internal Control (Advisor) f. Representative of Legal Advisory (Advisor) g. Representative of Internal Audit (Advisor)

The following shall be the powers and mechanisms of the Credit Committee: a. Receive, process, approve or deny credit applications submitted in accordance with established regulations. b. Intervene and resolve conflicting credit situations that arise in credits provided they are within its scope of authority. c. Analyze, evaluate and recommend to the Supervision and Control Committee regarding credit readjustments. d. Conduct quarterly evaluations of credit portfolio movement, regarding amounts, terms, destinations and payment delinquency, reporting to the Director of the Military Hospital. e. Recommend to the Direction of the Military Hospital, for knowledge of the Supervision and Control Committee of the Military Hospital the application of the accounts receivable reserve, prior to the close of the fiscal year. f. Analyze, evaluate and recommend to the Supervision and Control Committee regarding the waiver of interest in relation to capital recovery when balances are financially substantial. g. Analyze, evaluate and resolve payment alternatives through debt transactions, payment in goods or technical or professional services, exchange, goods in kind or other means that permit the cancellation of the debt.

The Credit Committee shall meet at a minimum once (01) per month in order to resolve credit applications submitted by interested parties, according to the analysis and evaluation of each case.

The Credit Committee shall present a monthly report to the Direction of the Military Hospital, and the latter in turn shall present it to the Supervision and Control Committee, in order to specify which credits were approved in the respective month, and likewise any other consideration taken by the same regarding credits. CHAPTER V OF DISCOUNTS

Patients who are beneficiaries of discounts established in the Comprehensive Law for Protection of Elderly Adults and Retirees, understood as persons over sixty (60) years of age, retirees regardless of age whose status has been granted or determined by public or private Social Security Institutes, shall enjoy general discounts in the following manner: a. Discount of twenty percent (20%) on invoices for hospitalization in general, including those for surgical intervention and care received in the Emergency Room, applicable to the total amount, including all invoiced items, applicable to patients and non-affiliates. b. Discounts on fees for outpatient medical consultation of twenty-five percent (25%) in general medicine and of thirty percent (30%) with a medical specialist.

The discount for installed capacity due to coverage surplus shall be made based on the definition expressly stated in this Regulation, understood as the percentage of the hospital bill for services to affiliates and beneficiaries of the Military Hospital exclusively, and which did not generate an additional economic cost for the Institution, whose value is susceptible to the application of partial or total discounts depending on the financial analysis of the account and payment movements, being subject to its approval by reasoned Resolution of the Supervision and Control Committee of the Military Hospital, at the request of the Direction according to the classification of services and percentages in relation to hospital cost.

In cases of non-affiliated patients requiring a discount, it must be requested from the Direction of the Military Hospital and may be granted up to ten percent (10%) for cash payment. TITLE II OF COLLECTIONS CHAPTER I OF DEBT READJUSTMENT

In consideration of the purpose of the Military Hospital as an institution created to provide hospital medical services to members of the Armed Forces, its non-financial or profit-making purpose as a dependency of the Joint General Staff, centralized agency dependent on the State Secretariat of the National Defense Office, and the contingent nature of active credits, by right the Military Hospital through the Credit and Collections Committee or at the request of the debtor may establish administrative measures and debt readjustments, which are not mutually limiting, in consideration of the following parameters: a. REGARDING CREDIT RECOVERY: Credit recovery shall be understood as those actions carried out by the Credit and Collections Committee to re-negotiate existing debts, regarding which the following mechanisms may be considered:

• 1)

  Total or partial waiver of interest.

• 2)

  Application of installed capacity discount in cases where it applies.

• 3)

  Discount up to ten percent (10%) for cash payment in the case of non-affiliates. b. EXTENSION OF DEBT TERM: Based on socioeconomic studies conducted, analysis of payment capacity, lack of executable guarantees, lack of joint sureties and unreasonableness of the term granted, the Credit and Collections Committee shall conduct pertinent assessments to establish effective collectability under the principle of conservation of the value of money over time, analysis of special situations of the debtor, high amount of the installment, inflationary rate, devaluation and others which in the judgment of the Credit and Collections Committee require the establishment of financial measures for the extension of terms for amortization of hospital debts. c. PURGING OF DEBTS WITHOUT MOVEMENT: In cases of debts that have not been paid by the debtor, reasonably implying low probability of recovery such as the death of the debtor, demonstrated insolvency, civil prescription, executive prescription with respect to the action on negotiable instruments and judicial prescription of debts, as well as other objective reasons that result in excess delinquency in accordance with its categorization and the parameters established in this Regulation; the Credit and Collections Committee once administrative and legal processes have been exhausted, may resolve and recommend to the Supervision and Control Committee the writeoff of accounts without movement, execution of accounting and tax shields such as the reserve for uncollectible accounts and other measures for the reasonable adjustment of the financial statements of the Military Hospital, respecting generally accepted accounting principles in Honduras. d. REGARDING OTHER PAYMENT MODALITIES: The debtor may submit for consideration of the Credit and Collections Committee payment in goods and other debt transactions such as the provision of technical or professional services, exchange, goods in kind or others that permit the cancellation of the debt by means other than cash.

PAYMENT ARRANGEMENTS: In the event that a payment agreement is reached that involves bringing overdue installments current, the Administration may recalculate partially or totally the pending debt as of that date and the new balance shall be distributed within the credit conditions established in the preceding article.

PAYMENTS ON PRINCIPAL: The debtor may at any time make extraordinary partial or total payments to his credit, such extraordinary payments may permit the modification of future installments provided there is a written request from the debtor, following the guidelines of article 23 regarding debt readjustment.

In extraordinary cases the Supervision and Control Committee of the Military Hospital prior to the report and proposal issued by the Credit and Collections Committee, may grant special conditions regarding debts owed to the Institution. CHAPTER II OF PAYMENT AND CANCELLATION OF CREDITS

The cancellation of credits may be made in the following manner: a. Payment through payroll deduction. b. Direct Payment (total or partial on a monthly basis). c. Other transactions different from cash.

PAYROLL DEDUCTION: For the cancellation of a credit through this payment method, the debtor shall authorize expressly by signing an authorization for payroll deduction, so that monthly and consecutively there is deducted from his salary or pension an installment that shall be calculated according to the amount owed, the term and the current interest rate.

If the debtor due to reasons of civil interdiction that supposes the suspension of salary, leaves or any other circumstance that prevents the payroll deduction of the monthly installment for amortization of principal and interest, the debtor is obligated to make the payment personally at the offices of the Military Hospital or in the bank accounts that are established for such purposes. Likewise, if the debtor does not comply with what is described above, the Accounts Receivable Section must notify the debtor that deductions shall be made once the debtor's salary or pension is restored or the cause that motivated the suspension ceases.

Payment through payroll deduction does not prevent the debtor from voluntarily making additional payments to the account pending with the institution. In the event that such a situation occurs, the provisions of article 25 preceding regarding payments on principal shall apply.

In cases where the deduction cannot be made through payroll deduction, the debtor may cancel the debt through direct payment in whole or in part, by means of deposits to bank accounts or at the facilities of the Military Hospital. The Accounts Receivable Section shall supervise that the monthly installment payment is made; otherwise, they shall carry out the collection actions that are required by Law.

In the case of death of a debtor affiliated with the Military Hospital and who, at the time the event occurs, is not in default, the Accounts Receivable Section shall conduct collection proceedings to ensure compliance with payment of the debt through payment arrangements with possible heirs or beneficiaries. The successors, beneficiaries or heirs of the debtor, if they exist, may voluntarily authorize deductions from the rights generated by the debtor's death through a payment arrangement for the cancellation of the credit. In the case that the deceased debtor is a non-affiliated person, the Accounts Receivable Section shall conduct collection actions against the guarantors to ensure payment of the credit. If said collection actions prove unsuccessful, the file shall be referred to the Legal Department of the Military Hospital for purposes of executing the enforceable instruments signed by the guarantor as a guarantee of payment. If the debtor dies during medical care, the Accounts Receivable Section shall conduct the corresponding proceedings for the signature of the legal documentation required in Article 6 (requirements) by the representatives or persons responsible for the same.

In the case of withdrawal from the Institution affiliated with the Military Hospital, the debtor shall continue making payments through the payment window; otherwise, compliance with the provisions established in Chapter III Section II of this Title, judicial collection, shall be implemented.

The Military Hospital may enter into strategic alliances with social security institutions, financial and credit institutions for the non-exclusive assignment of one or more debts contracted by affiliates, special affiliates and non-affiliates. CHAPTER III DEFAULT

For judicial purposes and prior to the corresponding collection proceedings, the debtor shall be in default when he has not made payment of one or more installments for purposes of credit amortization within the stipulated term. The categorization of accounts receivable is established in accordance with the following table:

If on the date of maturity for payment of one or more installments, the debtor has not made effective the amortization corresponding to him, or has not justified his

Payment through payroll deduction does not prevent the debtor from voluntarily making additional payments to the outstanding account with the institution. In the case of such payments, the provisions of Article 25 above shall apply regarding payments to principal.

In cases where deduction cannot be made through payroll deduction, the debtor may cancel the debt through direct payment in whole or in part, by means of deposits to bank accounts or at the facilities of the Military Hospital. The Accounts Receivable Section shall supervise that the monthly installment payment is made; otherwise, they shall carry out the collection actions that are required by Law.

In the case of death of a debtor affiliated with the Military Hospital, and who, at the time the event occurs, is not in default, the Accounts Receivable Section shall conduct collection proceedings to ensure compliance with payment of the debt through payment arrangements with possible heirs or beneficiaries. The successors, beneficiaries or heirs of the debtor, if they exist, may voluntarily authorize deductions from the rights generated by the debtor's death through a payment arrangement for the cancellation of the credit. In the case that the deceased debtor is a non-affiliated person, the Accounts Receivable Section shall conduct collection actions against the guarantors to ensure payment of the credit. If said collection actions prove unsuccessful, the file shall be referred to the Legal Department of the Military Hospital for purposes of executing the enforceable instruments signed by the guarantor as a guarantee of payment. If the debtor dies during medical care, the Accounts Receivable Section shall conduct the corresponding proceedings for the signature of the legal documentation required in Article 6 (requirements) by the representatives or persons responsible for the same.

In the case of withdrawal from the Institution affiliated with the Military Hospital, the debtor shall continue making payments through the payment window; otherwise, compliance with the provisions established in Chapter III Section II of this Title, judicial collection, shall be implemented.

The Military Hospital may enter into strategic alliances with social security institutions, financial and credit institutions for the non-exclusive assignment of one or more debts contracted by affiliates, special affiliates and non-affiliates. CHAPTER III DEFAULT

For judicial purposes and prior to the corresponding collection proceedings, the debtor shall be in default when he has not made payment of one or more installments for purposes of credit amortization within the stipulated term. The categorization of accounts receivable is established in accordance with the following table: CATEGORY DAYS IN DEFAULT I From 0 to 30 days II From 31 to 60 days III From 61 to 90 days IV From 91 to 120 days V More than 121 days

If on the date of maturity for payment of one or more installments, the debtor has not made effective the amortization corresponding to him, or has not justified his delay in the fulfillment of the pending obligation to the Accounts Receivable Section, the Director of the Military Hospital shall request that the Legal Advisory Department exercise the pertinent administrative and judicial actions to recover the past-due balances following the procedures for judicial execution against debtors, guarantors and guarantees provided.

The collection procedures, whether preventive or in case of default, that the related Departments and Sections shall follow are the following: a. Extrajudicial Collections carried out by the Accounts Receivable Section of the Finance Department; and, b. Judicial Collection which shall be in charge of the Legal Department of the Military Hospital. SECTION I EXTRAJUDICIAL COLLECTION MANAGEMENT

The Accounts Receivable Section shall efficiently manage the recovery of credits granted by the Military Hospital through the procedures established in this Regulation.

COLLECTION ACTIONS: The Accounts Receivable Section shall conduct preventive collection management prior to judicial proceedings, as follows: Legal Advisory shall exercise the pertinent administrative and judicial actions to recover overdue balances following judicial execution procedures against debtors, guarantors, and securities granted.

The collection procedures, whether preventive or in case of default, that shall be followed by the related Departments and Sections shall be the following: a. Extrajudicial Collections conducted by the Accounts Receivable Section of the Finance Department; and b. Judicial Collection which shall be the responsibility of the Legal Department of the Military Hospital. SECTION I EXTRAJUDICIAL COLLECTION MANAGEMENT

The Accounts Receivable Section shall efficiently manage the recovery of credits granted by the Military Hospital through the procedures established in this Regulation.

COLLECTION ACTIONS: The Accounts Receivable Section shall conduct preventive collection management prior to judicial proceedings, as follows: NUMBER OF ACTIONS TYPE OF COMMUNICATION WHAT IS COMMUNICATED 3 Text message or telephone call to the debtor. Default of one (01) payment 3 Telephone call and text message to the guarantors. Default of three (03) payments 2 Personal delivery and written Payment Demand and account statement to the debtor. First notice: Report to the Military Hospital facilities to make payment effective. Second notice: Report to the Military Hospital facilities to make payment effective. Otherwise, the file shall be forwarded to the Legal Department for judicial collection. The notice shall include attached the account statement of the debt as of the date of demand.

During all communications indicated in the preceding article, there must remain evidence of the management performed by the Accounts Receivable Section, responsible for the extrajudicial collection process.

The Accounts Receivable Section shall issue monthly reports to the Finance Department

During all communications indicated in the preceding article, there must remain evidence of the management performed by the Accounts Receivable Section, responsible for the extrajudicial collection process.

The Accounts Receivable Section shall issue monthly reports to the Finance Department and this in turn to the Direction of the Military Hospital, making reference to the progress of collection in the extrajudicial phase of the credits under its charge. SECTION II JUDICIAL COLLECTION MANAGEMENT

When extrajudicial collection has been exhausted as indicated in the preceding section, the Military Hospital shall be authorized to manage collection before the corresponding judicial authority, forwarding the debtor's file to the Legal Department and shall deliver all pertinent documentation for the initiation of the proceeding.

Once the debtor's file has been forwarded, proceedings shall be conducted by all legal means available in the Law regarding the garnishment of wages, execution of guarantors, execution of securities, and others to recover the sums owed.

The Legal Department shall present monthly to the Supervision and Control Committee a report on the status of each of the proceedings under its charge, indicating the actions taken and reporting on the possibility of recovery of the portfolio in its possession. CHAPTER IV INSURANCE COMPANIES AND OTHER INSTITUTIONAL DEBTORS

The Insurance Companies Section shall manage collection from the different insurance companies and institutional debtors for hospital medical assistance provided by the Military Hospital to members, special members, as well as to non-affiliated patients who are insured by said companies or institutions.

The credits granted to insurance companies and other institutional debtors shall be regulated by the existing agreements. TITLE III LEGAL WRITE-OFF OF ACCOUNTS RECEIVABLE UNIQUE CHAPTER UNCOLLECTIBLE ACCOUNTS, ORDER ACCOUNTS AND RESERVE FOR UNCOLLECTIBLE ACCOUNTS

An account shall be considered uncollectible when its legal possibility of recovery for different reasons becomes uncertain, regardless of the category in which it may be found in accordance with the extrajudicial collection actions, analysis and study conducted by the Credit and Recovery Committee regarding the effective collectibility of the debts, payment capacity, legal documentation and other factors that give rise to the submission of the process of write-off of these accounts to the knowledge and Resolution of the Supervision and Control Committee of the Military Hospital.

ORDER ACCOUNTS: For the corresponding legal purposes, the administration of the Military Hospital through the Accounting Section shall establish the use and management of one or more order accounts that allow the remedying of accounts of doubtful recovery, whose creation and end of validity shall be defined by the Supervision and Control Committee of the Military Hospital in accordance with its complexity and collectibility.

For purposes of supervision and monitoring of suspense accounts, the Commissioner of the Supervision and Control Committee shall review quarterly the progress of recovery actions and their evolution with respect to the required documentation, for its clearing or remedying.

RESERVE FOR UNCOLLECTIBLE ACCOUNTS: The Finance Department through the Accounting Section shall project the economic percentage of the Reserve for Uncollectible Accounts, in accordance with the detail of this Title, whose application in the financial statements shall be executed according to the Resolutions issued by the Supervision and Control Committee of the Military Hospital through the Adjustments Committee of the Military Hospital.

GENERAL AND TRANSITORY PROVISIONS: Cases not provided for in this Regulation shall be elevated to the Supervision and Control Committee as the Superior Body of consultation and oversight of the Military Hospital, which has the authority to resolve what is appropriate.

The updates that may affect the provisions contained in this Regulation shall be formalized and approved by the Supervision and Control Committee of the Military Hospital by means of a Resolution by adhesion to the Regulation.

REPEALING CLAUSE: The provisions established in this Regulation of Accounts Receivable shall take precedence over the provisions established in the Regulation on Provision of Services of the Military Hospital and the Regulation of the Supervision and Control Committee of the Military Hospital, insofar as they conflict with this Regulation.

This Regulation shall enter into force as of the date of its publication in the Official Gazette La Gaceta. Given in the city of Tegucigalpa, municipality of the Central District, on the twenty-second day of the month of November of the year two thousand twenty-two. ATTORNEY JOSÉ MANUEL ZELAYA ROSALES STATE SECRETARY IN THE OFFICE OF NATIONAL DEFENSE ATTORNEY ADA GRISELDA MONTOYA GENERAL SECRETARY OF THE STATE SECRETARIAT IN THE OFFICE OF NATIONAL DEFENSE