Respiratory support and oxygen therapy are indicated for patients with various respiratory diseases complicated by chronic respiratory failure. Currently, home respiratory support and oxygen therapy are implemented for palliative care in our country. Nevertheless, many patients with chronic respiratory failure do not meet the criteria for palliative care but can benefit from home-based respiratory support and oxygen therapy. Improving the legal basis governing medical care, as well as determining the sources of financing and payment methods are necessary to expand the possibilities of home-based respiratory support and oxygen therapy. The authors propose the changes in the sens of legislative term «primary care, out-patient and hospital-at-home» by including long-tem care into its definition. It should be stated that long-term care is provided continuously, and there is no need in daily visits of a physician. Instead periodical visits are necessary or distant follow-up with the use of telemedicine. It is advisable to pay for home-based respiratory support and oxygen therapy in patients not needing for palliative care at the expense of compulsory medical insurance either for medical procedure or specially designed diagnosis-related group.