Introduction. Metaphylaxis of urolithiasis is an important link in the effectiveness of treatment of patients suffering from urolithiasis. However, this direction in the Russian Federation has not become widespread and is implemented, as a rule, only in large medical centers. To identify the reasons for this, an assessment of the existing regulatory framework for the possibility of urolithiasis metaphylaxis in state institutions of the Russian Federation was carried out

Materials and methods. The normative legal documents regulating the provision of medical care to patients with urolithiasis in the Russian Federation are analyzed.

Results. Regulatory legal acts regulating the provision of medical care to patients with urolithiasis allow for the prevention of urolithiasis at the regional level. The development and introduction of clinical guidelines on urolithiasis as the main regulatory document has greatly simplified the work of the urologist. It is necessary to further coordinate the standards of medical care and quality criteria for its provision with clinical recommendations for urolithiasis. All citizens of the Russian Federation, as well as stateless persons insured in the insurance system, have the right to receive a metabolic profile assessment for urolithiasis at the expense of budgetary funds.

Conclusion. The modern regulatory framework allows for the metaphylaxis of stone formation in budgetary medical institutions of the Russian Federation as part of the implementation of the state guarantees program. At the same time, coordination of efforts at the regional level is required to organize this work.