The main measures regarding the funding of the NHS for yrs 2010-2012 and the expenditure control that are set by the 2010 Financial Law, the decree nr. 78/2010 and the Stability Law, have been significantly amended by the Spending Review designed and implemented by the "Monti Government".
At the end of the 2HY of 2012 several acts were put in place in order to rationalize payments by the PA and offer liquidity to suplliers through the banking system or compensations.

The Ministry of Finance decrees dtd May 22nd 2012 (transposed into the Law of August 7 th 2012, nr. 135) address also credits owed by Regions and NHS agencies, introducing a certification procedure as well as a compensation procedure for amounts already approved for collection. The decrees also provide for a frame agreement between the Italian Banking Association and the organisations representing Italian manufacturing and services companies aimed at setting up a plafond to cover credit discount.
The 2010 Financial Law (law nr. 191 dtd Dec 23rd 2009), that implemented the "Pact for Health 2010-2012", defined stricter rules governing the repayment plans and the administration of regions by the central Government.
The Expenditure Rationalization Law (Decree nr.52/2012 transposed into Law nr. 94/2012) provided for a reduction of requirements by the NHS and the following fundings: 900 mln euro for 2012, 1.800 mln for 2013, 2.000 mln for 2014 and 2.100 mln from 2015 onwards.
Regarding the expenditure for goods and services, a 5% discount must be applied to all ongoing contracts.
Reduction measures have benn introduced for medical devices and assistance, resulting in a reduction in the number of bed-places standards: from 4 bed-places per 1 thousand inhabitants to 3,7, including rehab and long-term care.
Norms in the Decree nr. 158 dtd Sept 23rd 2012 (aka Balduzzi Decree) extended the freezing of foreclosures introduced by 2010 Financial Law to Dec 31st 2013.

The Law nr. 111/2011 provides for an agreement between the State and the Regions within the end of April to finalize the "Pact for Health 2013-2015", aimed at defining requirements and investments by the NHS. In a preliminary stage the regions reported a decreased funding as a result of the Spending Review, that will wound up in a risk for the Levels of Assistance (LEA).

In Nov 2012, the Decree nr. 192/12 transposed the Directive CE 2011 / 7 (aka New Directive on Late Payments), 3 months before the deadline (Mar 2013). Having in common with the previous Directive, transposed by the Decree 231/2002, the scope of fighting the late payments, it differs as to: payment terms, interest rate and clauses that could be unfair for the creditor.