Meeting with deputy prime ministers on current issues

The agenda encompassed the development of public transport, the President's instructions following the meeting of the Council for Science and Education, the training of personnel for agriculture, and the introduction of the healthy longevity medicine system in the regions.

Mikhail Mishustin's opening remarks

Deputy Prime Minister Tatyana Golikova's report on the progress of introducing the healthy longevity medicine system in the regions

Mikhail Mishustin: Good afternoon, colleagues.

Last week in Ulan-Ude, the President chaired a meeting of the State Council dedicated to a subject of great significance for millions of our citizens - the development of public transport.

We discussed in detail the implementation of the objectives set for the next four years. The conversation centred on the modernisation of the vehicle fleet in cities and towns, with the aim of enabling tens of millions of people to travel in comfort. Each year, we allocate approximately 30 billion roubles from the federal budget for this purpose.

A range of support instruments has been established to assist the regions in renewing their public transport fleets, including subsidised leasing, the urban electric transport programme, treasury infrastructure loans, and an important mechanism - the writing off of two-thirds of the debt incurred by constituent entities of the Russian Federation on budget loans directed towards these aims.

The Head of State emphasised that the financial capacity of the regions varies, and that the terms of co-financing from the federal budget for the acquisition of vehicles should reflect this reality.

In this context, the issue of establishing mechanisms to facilitate the conclusion of long-term contracts with equipment manufacturers was also raised. Such arrangements would sustain the workload of industrial enterprises producing vehicles and provide them with guaranteed orders. Similarly, the constituent entities of the Russian Federation would be able to plan the acquisition and renewal of their vehicle fleets on a stable basis.

I instruct Deputy Prime Ministers Marat Khusnullin and Anton Siluanov, along with Minister of Transport Andrei Nikitin, to take into consideration all matters raised during the State Council meeting and to coordinate the resolution of these tasks within their respective spheres of competence. The primary focus must be on the needs of local residents and the interests of large families when organising this work, to ensure that journeys are both safe and comfortable.

Furthermore, a meeting of the Council for Science and Education was held in Novosibirsk - Deputy Prime Minister Dmitry Chernyshenko provided me with a detailed report on this - during which the President inaugurated the Siberian Circular Photon Source, a unique shared research centre. It is of paramount importance that we deliver such facilities and ensure their active utilisation by scientific and educational organisations, and by scientists for research and experimentation, as well as for the development of innovative materials and products. Russian businesses should also be afforded the opportunity to introduce these advanced solutions in the bioeconomy, pharmaceuticals, food security, and other spheres.

The discussion further addressed enhancing the effectiveness of domestic science and personnel training. Particular attention was given to providing modern conditions for teaching activities and broadening support for exemplary departments and laboratories - those teams achieving significant results.

The Head of State issued a series of instructions, including on the establishment of robust educational centres and the implementation of their development programmes, for which additional funding must be allocated over the next three years.

The capabilities of the scientific, educational, and social infrastructure currently being developed in the constituent entities of the Russian Federation should be made available for shared use by research institutes, universities, scientists, and students from various regions. To this end, suitable organisational and legal mechanisms must be developed.

I instruct Dmitry Chernyshenko, in conjunction with the Ministry of Finance, the Ministry of Science and Higher Education, and the Russian Academy of Sciences, to conduct a thorough and comprehensive review of all these matters.

Colleagues, this week, the President will hold a meeting of the Council for Strategic Development and National Projects. We are here today to have an in-depth discussion on the progress of the national projects - in particular, the specific tasks to enhance the stability of the Russian economy and to improve the quality of life.

The next issue concerns supporting workforce in the agricultural sector. At the meeting of the Council for Science and Education, the President noted the importance of improving the quality of education and creating modern conditions for instructors and students. This sort of matters are addressed by the Human Resources in Agriculture federal projects, among others. In order to attract young professionals with practical experience and knowledge of the latest-generation technology to the industry, we are building a system that spans school education, teaching qualification, and support for researchers.

Funds have been allocated from the budget for these purposes for the second consecutive year, with over 9.5 billion roubles this year.

Importantly, agricultural enterprises are actively involved in this modernisation. They invest in the development of education institutions. In view of their contributions, the agricultural businesses are entitled to the compensation of actual expenses regarding an entire scope of needs such as renovation and equipment for agricultural technology classrooms, construction and procurement of accommodation for faculties, and expenses on targeted education for students.

We need more veterinary medicine professionals. The Government has drafted a resolution that extends the categories of state support beneficiaries. They will be able to compensate their expenses when signing agreements with agriculture students, and to compensate for partial expenses on the accommodation and work placement for future workers.

Some other adjustments to the State Programme for Agriculture Development have been made. We also plan to clarify subsidy regulations in the sector.

We expect that the decision will improve the effectiveness of subsidising workforce training for the agricultural sector while school and university students will gain an opportunity to learn new skills using modern equipment.

The next issue is improving the public healthcare system. Here, we take guidance from the Strategy for Healthcare Development until 2030 endorsed by the President. The Government recently adopted an action plan to fulfill the strategy and is working towards the goal.

We focus on raising the quality and accessibility of medical help, modernising hospitals and outpatient clinics, and implementing advanced tools in the medical practice.

Healthy longevity medicine is an important developing area of medicine that is new in our country. This specialisation focuses on preventing potential adverse health conditions. We are building necessary infrastructure, opening specialised centres where patients can receive advice, get a health checkup and have personal prevention plans developed by doctors under mandatory health insurance, free of charge.

We are helping regions to purchase required equipment for such organisations under the Long and Active Life national project. These centres will open in all Russian regions by the end of the year. Last week, a longevity centre opened in Yekaterinburg.

I would like to ask Ms Golikova to report on the general progress with implementing this healthcare model across the country.

Tatyana Golikova: Thank you.

Mr Mishustin, colleagues,

As you have already noted, healthy longevity medicine represents a new paradigm. It is focused not on anticipating illness, but on the timely identification of pre-risk factors and on sustaining a healthy life. This is precisely how we intend to deliver on the President's objective of increasing healthy life expectancy.

This approach is being rolled out through two national projects: New Health Saving Technologies (which covers innovative technologies, new medical devices and drugs, dietary supplements, and the regional movement For Healthy Longevity Medicine), and Long and Active Life, which you mentioned earlier. These projects allocate funding for the modernisation of health centres and their conversion into centres for healthy longevity medicine.

All the necessary regulatory groundwork has now been put in place. In your opening remarks, you referred to Russia's Strategy for Healthcare Development until 2030, which was approved by the presidential executive order, and the implementation plan, which was adopted by the government decision. Furthermore, for the first time we have incorporated this approach into the state-guaranteed programme of free medical care for citizens for 2026-2028. We have introduced a separate funding rate for medical services provided through the Healthy Longevity Medicine Centres. Importantly, 16 known mechanisms of ageing have been consolidated into seven research programmes aimed at identifying pre-risk factors and early signs of premature ageing. As I mentioned, a dedicated reimbursement rate has been introduced for these programmes.

We are treating 2026 as a transitional year, with all regions required to complete the necessary preparatory work by the end of it. By 2027, these centres are expected to be operational nationwide.

A new professional role has been created: a physician specialising in healthy longevity medicine. Equipment is being procured, and laboratory facilities are being upgraded. Monitoring of the national projects' implementation indicates that 72 regions are fully prepared to operate under the new model.

In early 2026, the first federal model centre for healthy longevity medicine opened at the Petrovsky National Research Centre of Surgery under the Ministry of Science and Higher Education. And on 30 June, in line with your directive, this same centre was designated as a national medical research centre for healthy longevity medicine. This status is essential to enable it to oversee the regions in implementing the methodologies we are developing within this field.

The centre has developed a full methodological framework and software package for healthy longevity medicine centres - covering everything from patient questionnaires to issuance of a health passport and, importantly, personalised recommendations. All materials for the software product have been submitted to the Ministry of Digital Development, Communications, and Mass Media. We are awaiting the appropriate registration from our colleagues. After that, it will be distributed to all regions for implementation.

Furthermore, 600 individuals from across the country have been trained to work in healthy longevity medicine centres. And, as you already noted, we have begun opening these centres in the regions. The first opened on 24 April in Mordovia, followed by Moscow. Work is progressing steadily.

I would like to share some figures on the centre's performance in Mordovia, since Moscow traditionally has a wide reach, whereas Mordovia offers a more representative example. Since its opening, the centre has been visited by nearly 800 people. Significantly, 17 percent of these were citizens who had not undergone preventive medical examinations or check-ups in the past two years - so we have effectively reached a new cohort. They came to the new centre.

However, of all those who applied, 58 percent were found to have pre-risk factors for disease, contributory factors, or an existing condition. These individuals were referred either to specialist care or for a second stage of testing in appropriate inpatient facilities.

These figures underline the need for us to address this issue and to step up our efforts in identifying such conditions proactively.

We are continuing our work. As you mentioned, on the 13th, during my business trip to Yekaterinburg, we opened a new centre there. The next one, we very much hope, will open in September in Murom, Vladimir Region.

Work is ongoing, and where these centres have opened, they are proving to be in high demand.

Mikhail Mishustin: Thank you, Ms Golikova.

Healthy longevity medicine is a new and highly significant area, and its development is essential to achieving the head of state's goal of improving health and increasing life expectancy. Crucially, we need to proactively inform people about these opportunities - and make it clear that they are accessible to all. This is a nationwide effort that needs to be properly organised. I would ask you to keep this under review.