E/C.12/SVN/CO/2 Health insurance system 23. The Committee is concerned that the Fiscal Balance Act has had a negative impact on the State party’s health insurance system. It has resulted inter alia in limiting health-care coverage; in additional health payments; in restricting employment in the health sector despite increasing needs; and in reduced compensation during temporary absence from work. The Committee is also concerned that individuals who do not possess citizenship or residence status in the State party are excluded from the basic health insurance (arts. 9 and 12). The Committee urges the State party to reform its health insurance system with a view to increasing the proportion of essential rights and services covered by the basic health insurance, and ensuring that all residents in the State party have access to basic health insurance without discrimination. Access to health services 24. The Committee is concerned that regional disparities in access to health-care services persist, particularly the inadequate numbers of primary health-care experts in some of the remote rural areas, and that measures taken to that end were not comprehensive (arts. 2, para. 2, and 12). While the Committee takes note of the information provided by the State party’s delegation that some measures are anticipated to reduce regional disparities in access to health services, including the development of a new health strategy, it urges the State party to step up its efforts to provide equal access to quality health-care services to all persons in the State party and report on those efforts in its next periodic report. Mental health 25. The Committee expresses its concern about the shortage of child and adolescent psychiatrists. The Committee is further concerned that, despite the adoption of the Mental Health Act in 2008, a related national strategy is still absent (art. 12). In the light of its general comment No. 14 (2000) on the right to the highest attainable standard of health, the Committee recommends that the State party: (a) Ensure that all children and adolescents have effective access to psychiatrists across the State party; (b) Expedite the adoption of the National Mental Health Programme, and provide it with the necessary resources to ensure its effective implementation. Access to education 26. The Committee notes with concern the regional disparities in access to education, including tertiary education, with the eastern region of the State party being most affected by limited access to education (arts. 2, para. 2, and 13). The Committee recommends that the State party ensure equal access to quality education to all students in the State party without discrimination. To that end, it should enhance access to education, including tertiary education in the eastern region, by, inter alia, adopting temporary special measures. Access to education by Roma 27. The Committee expresses its concern that, despite some measures taken to integrate Roma children into mainstream education and the adoption of the Strategy of Education of Roma (2011): 8