Abstract: The object of the study is the humanitarian aspects of ensuring national security in the context of providing medical care to migrants. The subject is associated with the development of a system of mutual settlements for medical care to labor migrants between the Russian Federation and labor-exporting countries. The authors examine in detail the issues related to financial support for the provision of medical care to labor migrants, taking into account their unification into two groups: legal and illegal. The authors propose modernizing the legislation taking into account the minimization of financial risks and imposing the obligation to pay for medical care on the government bodies of the country from which the corresponding migrant arrived. A conclusion is made about the presence of not only direct, but also indirect effects, which, first of all, are associated with ensuring the achievement of the national development goals of the Russian Federation for the period up to 2030. Мethods: data analysis and synthesis, induction and deduction, graphic tools. Scientific novelty: the author's recommendations on the organization of a system of mutual settlements for medical care to labor migrants between the Russian Federation and labor exporting countries. A conclusion is made on the need to organize it taking into account the existing problems of financial support for the provision of medical care in the context of legal and illegal migrants. The authors propose to form statistics on the amount of expenditures of the budgets of the Russian Federation on the provision of medical care to labor migrants. The presented results will be in demand by the President of the Russian Federation, the Government of Russia and the Ministry of Health of Russia.