The contemporary legal form of contributory organisations is in the case of hospitals considered as outdated. The aim of the paper is to use the multiple streams' lens to identify factors of successful and unsuccessful processes in giving a legislative anchor to the new organizational-legal form of Czech hospitals after 2000.
There were several attempts to change the organizational-legal structure of hospitals and two of them succeeded to enter the decision-making phase in parliament - in 2004 and 2017, but only the first one led to the successful approval of the Act.