Khotsenko's regional needs Birth-rate and ambulance aid

Oct 5

Khotsenko says birth-rate problems extend beyond the forty-one regions selected using 2023 data. He explains Omsk's initial exclusion and fertility decline to 1.38, seeking federal co-financing for all regions below the 1.6 target. He attributes an estimated annual subsidy rise from 12.5 to twenty-four billion to the Labor Ministry. He seeks an ambulance-replacement programme covering regional capitals, citing seventy-three-percent wear in Omsk and earlier rural-programme limitations, and supports indexing grants that partially compensate public-sector wage increases, asking that indexing be enshrined in law. Matviyenko backs reconsidering ambulance funding for domestic manufacture, driver retention and care. These are proposals and cited estimates.

Regional participants seek predictable and larger aid, inflation-adjusted grants, broader treasury loans, easier deficit/debt rules and further write-offs. Matviyenko urges debt monitoring and fair funding of regional responsibilities; Teksler, Martynov, Shumkov, Korolyov, Chibis, Khotsenko and Abramov provide regional experience and proposals. Siluanov describes existing transfers, debt relief and loans, cautions against commercial debt and insists on balanced budgets and recovery programmes, offering specified compromises and resource-dependent support. This connected hearing debate does not adopt the requested blanket relaxation or debt cancellation.