This Decree, based on the provisions of the Law on ambient air quality, prescribes limit values ​​for levels and types of pollutants in the ambient air and sets alert thresholds, deadlines for reaching these limit values, tolerance margins for limit values, target values ​​and long-term ozone targets. Target values ​​for ozone are levels of ozone concentrations in ambient air which are fixed in order to avoid more long-term harmful effects on human health and environment as a whole, and which should be achieved over a period of time. The provisions of this Decree shall apply to: 1. Assessment of ambient air quality and determination of zones and agglomerations; 2. Assessment of ambient air quality and establishment of networks for monitoring and measurement of ambient air; 3. Monitoring of the ambient air quality within state network for monitoring of ambient air quality, as well as with local networks. 4. Measurement of the ambient air quality in measuring stations and measuring points that are not included in the state network, but are managed by accredited legal entities, municipalities and the city of Skopje in order to monitor the impact of ambient air pollution on human health and environment. 5. Ambient air quality planning and protection. 6. Other cases determined by relevant laws.

The 2013 amending regulation on ambient air quality standards introduced new limits for pollutants such as PM10, PM2.5, arsenic, cadmium, nickel, and benzo(a)pyrene to align with EU directives. It defined key terms, established measurement methods, and set compliance deadlines, with provisions for deadline extensions under specific conditions. The Ministry of Environment and Spatial Planning will enforce the regulation from January 1, 2013, ensuring compliance and reporting progress to the government. The regulation emphasizes the integration of air quality management into urban planning, public awareness campaigns, and regional cooperation to enhance environmental and public health. Additionally, it highlights the impact of air quality on agriculture and ecosystems, promoting sustainable practices to protect vegetation, crops, and natural habitats.

The 2017 amending regulation established new criteria for managing air quality, focusing on alarm and information thresholds for PM10 concentrations. It introduced a definition of "stable weather conditions," updated section titles to address thresholds and deadlines, and mandated alerts when PM10 levels exceed limits for two consecutive days during stable weather. Emphasis is placed on systematic monitoring, requiring data from multiple stations, particularly in urban areas like Skopje.

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