Peculiarities of the obligatory medical insurance system (OMIS) and form varietyof the OMIS will be considered in this article at the regional and municipallevel. In conclusion the analysis of planning over patching in the OMIS in connectionwith a new version of the federal statute № 212 of 24.07.2009 and a new bill«About obligatory medical insurance in the Russian Federation» will be made.Th is article is based on the own empirical research that was conducted withinthe period of November 2006 to June 2010 in the municipal bodies of Kirov,Arkhangelsk, Kostroma and Kaliningrad Regions, in Altai Territory, Republic ofAltai, Republic of Tatarstan, Republic of Bashkortostan.Th e majority of the collected materials is devoted to problems of municipalhealth services and to survival mechanisms of primary medical institutions withinthe modern administration system in the conditions of a fi nancial defi cit, a weakmaterial and technical basis and a lack of qualifi ed personnel. In the research conductedthe following methods were used: statistical data analysis for each region,fi nancial and other offi cial documentation analysis of medical institutions, the interviewingof local experts and healthcare personnel.