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Medical Network December 14th, the first health care regulation bill passed! Premier Li Keqiang presided over an executive meeting of the State Council on December 9 and adopted the Regulations on Supervision and Administration of the Use of Health Care Fund (Draft), Xinhua reported.
The Regulations (Draft) adhere to the people's health as the center, determine the rights and responsibilities of the medical insurance departments, designated medical institutions, insured persons, etc., and stipulate that, in accordance with the principle of the people, strengthen medical security services, timely settlement and allocation of medical insurance funds, and improve the quality of service. the
calls for strengthening supervision and social supervision, strictly prohibits the deception of medical insurance funds through forgery, alteration of medical documents or fictitious medical services, and increases disciplinary measures for illegal and illegal activities by ordering the return of funds, suspension of medical insurance settlement, fines, revocation of the qualifications of designated pharmaceutical institutions, etc., and the good use of medical insurance funds to safeguard the legitimate rights and interests of the masses in medical security.
understood that in April 2019, the State Health Insurance Administration has issued regulations on the use of health insurance funds (draft for comments), for the health insurance fund regulatory agencies, regulatory methods, regulatory content and so on to make clear.
the official draft has not yet been published, but from the previous draft, the health care fund supervision, or will establish credit management, flight inspection, intelligent monitoring and other work systems and supervision.
At the same time, it is required that designated pharmaceutical institutions and their staffs, as well as medical practitioners (including assistant medical practitioners who may practise alone) and pharmacists and pharmaceutical practitioners in fixed-point retail pharmacies who are included in the agreement management, shall not fraudulently defraud the medical security fund by falsifying materials such as fake prescriptions, medical records, medical examination records, records of access to medicines and medical devices, financial accounts, etc.
。