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    Home > Medical News > Latest Medical News > my country plans to formulate a medical security law to clarify the responsibilities of all parties

    my country plans to formulate a medical security law to clarify the responsibilities of all parties

    • Last Update: 2021-06-30
    • Source: Internet
    • Author: User
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    Medical Network News on June 16 In order to accelerate the formation of a legal and regulatory system that is in line with the medical security reform and is conducive to the establishment and improvement of the system, the National Medical Security Administration announced on the 15th the "Medical Security Law (Draft for Solicitation of Comments)" and publicly solicited it from the public Opinion
    .
     
    The "Medical Security Law (Draft for Comment)" consists of 8 chapters and 70 articles, including general provisions, financing and benefits, fund management, medical services, public management services, supervision and management, legal responsibilities, etc.
    , clarifying medical security administrative departments and medical security agencies Institutions, designated medical institutions, and insured persons are responsible for the main body
    .
     
    The draft opinion proposes that the medical security administrative department formulates and supervises the implementation of bidding procurement policies for drugs and medical consumables , guides the construction of a centralized procurement platform for drugs and medical consumables, and is responsible for conducting cost price surveys of drugs and medical consumables, and implementing medical prices and bidding procurement credit evaluations System, strengthen the supervision and inspection of illegal acts infringing on the medical security fund by means of price monopoly and price drive up in accordance with the law .
     
    The medical security agency shall manage, supervise and evaluate the implementation of the service agreement of the medical institution
    .
    Among them, designated medical institutions in violation of the service agreement, health care agencies as stipulated in the service agreement appropriate treatment, including interviews with the responsible persons, whether or not to suspend the allocation of costs
    .

     
    The draft opinion clarifies that if the medical insurance premium collection department arbitrarily changes the medical insurance premium payment base and rate, resulting in underpayment or overpayment of medical insurance premiums, the relevant administrative department shall order it to recover the medical insurance premiums that should be paid, or return the medical insurance premiums that should not be paid.
    Medical insurance premiums
    .

     
    It is worth noting that the draft opinions clearly stipulate the penalties for centralized procurement agencies and pharmaceutical companies for illegal activities in the centralized procurement process: four situations involving pharmaceutical companies bidding at a price lower than cost, and the medical security administrative department shall order corrections.
    Confiscation of illegal income; if the bid is won, the bid won is invalid, and a fine of 5‰ to 10‰ of the amount of the winning project shall be imposed; the legal representative, the main person in charge, the directly responsible person in charge and other responsible persons shall be imposed a fine of more than 5% of the unit 10 Fines below %
    .
     
    In terms of fraudulently obtaining medical insurance funds, the draft opinion makes relevant provisions on the staff of medical insurance agencies, designated medical institutions and their staff, and insured persons
    .
    Among them, if an individual defrauds the expenditure of the medical security fund, in addition to corresponding penalties, the medical security administrative department will also impose a fine of more than 2 times and less than 5 times the amount defrauded
    .

     
    The National Medical Insurance Administration stated that establishing an independent and complete medical security legal system under the guidance of the Medical Security Law, supporting the promulgation of a number of administrative regulations and departmental rules, is an inevitable requirement for deepening the reform of the medical security system and promoting the modernization of the medical security governance system and governance capabilities.

    .
    Medical Network News on June 16 In order to accelerate the formation of a legal and regulatory system that is in line with the medical security reform and is conducive to the establishment and improvement of the system, the National Medical Security Administration announced on the 15th the "Medical Security Law (Draft for Solicitation of Comments)" and publicly solicited it from the public Opinion
    .
     
    The "Medical Security Law (Draft for Comment)" consists of 8 chapters and 70 articles, including general provisions, financing and benefits, fund management, medical services, public management services, supervision and management, legal responsibilities, etc.
    , clarifying medical security administrative departments and medical security agencies Institutions, designated medical institutions, and insured persons are responsible for the main body
    .
     
    The draft opinion proposes that the medical security administrative department formulates and supervises the implementation of bidding procurement policies for drugs and medical consumables , guides the construction of a centralized procurement platform for drugs and medical consumables, and is responsible for conducting cost price surveys of drugs and medical consumables, and implementing medical prices and bidding procurement credit evaluations System, strengthen the supervision and inspection of illegal acts infringing on the medical security fund by means of price monopoly and price drive up in accordance with the law .
     
    The medical security agency shall manage, supervise and evaluate the implementation of the service agreement of the medical institution
    .
    Among them, designated medical institutions in violation of the service agreement, health care agencies as stipulated in the service agreement appropriate treatment, including interviews with the responsible persons, whether or not to suspend the allocation of costs
    .

     
      The draft opinion clarifies that if the medical insurance premium collection department arbitrarily changes the medical insurance premium payment base and rate, resulting in underpayment or overpayment of medical insurance premiums, the relevant administrative department shall order it to recover the medical insurance premiums that should be paid, or return the medical insurance premiums that should not be paid.
    Medical insurance premiums
    .

     
      It is worth noting that the draft opinions clearly stipulate the penalties for centralized procurement agencies and pharmaceutical companies for illegal activities in the centralized procurement process: four situations involving pharmaceutical companies bidding at a price lower than cost, and the medical security administrative department shall order corrections.
    Confiscation of illegal income; if the bid is won, the bid won is invalid, and a fine of 5‰ to 10‰ of the amount of the winning project shall be imposed; the legal representative, the main person in charge, the directly responsible person in charge and other responsible persons shall be imposed a fine of more than 5% of the unit 10 Fines below %
    .
     
      In terms of fraudulently obtaining medical insurance funds, the draft opinion makes relevant provisions on the staff of medical insurance agencies, designated medical institutions and their staff, and insured persons
    .
    Among them, if an individual defrauds the expenditure of the medical security fund, in addition to corresponding penalties, the medical security administrative department will also impose a fine of more than 2 times and less than 5 times the amount defrauded
    .

     
      The National Medical Insurance Administration stated that establishing an independent and complete medical security legal system under the guidance of the Medical Security Law, supporting the promulgation of a number of administrative regulations and departmental rules, is an inevitable requirement for deepening the reform of the medical security system and promoting the modernization of the medical security governance system and governance capabilities.

    .
      Medical Network News on June 16 In order to accelerate the formation of a legal and regulatory system that is in line with the medical security reform and is conducive to the establishment and improvement of the system, the National Medical Security Administration announced on the 15th the "Medical Security Law (Draft for Solicitation of Comments)" and publicly solicited it from the public Opinion
    .
     
      The "Medical Security Law (Draft for Comment)" consists of 8 chapters and 70 articles, including general provisions, financing and benefits, fund management, medical services, public management services, supervision and management, legal responsibilities, etc.
    , clarifying medical security administrative departments and medical security agencies Institutions, designated medical institutions, and insured persons are responsible for the main body
    .
     
      The draft opinion proposes that the medical security administrative department formulates and supervises the implementation of bidding procurement policies for drugs and medical consumables , guides the construction of a centralized procurement platform for drugs and medical consumables, and is responsible for conducting cost price surveys of drugs and medical consumables, and implementing medical prices and bidding procurement credit evaluations System, strengthen the supervision and inspection of illegal acts infringing on the medical security fund by means of price monopoly and price drive up in accordance with the law .
    Drug Drug Drug Purchase Purchase Purchase medicine medicine medicine tender tender tender
     
      The medical security agency shall manage, supervise and evaluate the implementation of the service agreement of the medical institution
    .
    Among them, designated medical institutions in violation of the service agreement, health care agencies as stipulated in the service agreement appropriate treatment, including interviews with the responsible persons, whether or not to suspend the allocation of costs
    .

     
      The draft opinion clarifies that if the medical insurance premium collection department arbitrarily changes the medical insurance premium payment base and rate, resulting in underpayment or overpayment of medical insurance premiums, the relevant administrative department shall order it to recover the medical insurance premiums that should be paid, or return the medical insurance premiums that should not be paid.
    Medical insurance premiums
    .

     
      It is worth noting that the draft opinions clearly stipulate the penalties for centralized procurement agencies and pharmaceutical companies for illegal activities in the centralized procurement process: four situations involving pharmaceutical companies bidding at a price lower than cost, and the medical security administrative department shall order corrections.
    Confiscation of illegal income; if the bid is won, the bid won is invalid, and a fine of 5‰ to 10‰ of the amount of the winning project shall be imposed; the legal representative, the main person in charge, the directly responsible person in charge and other responsible persons shall be imposed a fine of more than 5% of the unit 10 Fines below %
    .
     
      In terms of fraudulently obtaining medical insurance funds, the draft opinion makes relevant provisions on the staff of medical insurance agencies, designated medical institutions and their staff, and insured persons
    .
    Among them, if an individual defrauds the expenditure of the medical security fund, in addition to corresponding penalties, the medical security administrative department will also impose a fine of more than 2 times and less than 5 times the amount defrauded
    .

     
      The National Medical Insurance Administration stated that establishing an independent and complete medical security legal system under the guidance of the Medical Security Law, supporting the promulgation of a number of administrative regulations and departmental rules, is an inevitable requirement for deepening the reform of the medical security system and promoting the modernization of the medical security governance system and governance capabilities.

    .
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