Representative of the National People's Congress Xie Zilong: Remove the restrictions on the operation of medical insurance pharmacies with non-drugs

Proposal to remove non-drug restrictions on the operation of health insurance pharmacies
(to the Ministry of Human Resources and Social Security
In recent years, with the realization of comprehensive coverage of health insurance and the increase in reimbursement ratio, the level of people's health security gradually increased, insured personnel in the hope of obtaining the convenience of drug purchase at the same time there is a growing demand for health products and services.
health products are necessary for the treatment of diseases or patients, such as needles necessary for insulin injections, wheelchairs for severely ill patients, 84 disinfectants for disinfection, etc. Although they are not drugs, but in the patient treatment, rehabilitation process is a necessary supplies, has the same important role as drugs; Another part of health products can play a preventive role, such as health food, is a clinically proven product, to improve the health of patients have a clear effect. Health products and pharmaceutical products complement each other and play an important role in public health.
As an important part of the medical insurance fixed-point organization, the medical insurance fixed-point pharmacy can not only provide customers with the necessary drugs and related pharmaceutical professional services, but also meet the diversified needs of customers in health and the requirements of convenience of life, which has been widely appreciated and recognized by the insured.
The operation of non-drugs by retail pharmacies is carried out within the limits permitted by national laws and regulations, such as obtaining various pre-licensing and business licenses issued by the industrial and commercial departments in accordance with the law, that is, having the legal right to operate all kinds of commodities licensed in the Business License. At present, national laws and administrative regulations do not set prohibited conditions for the sale of non-drug goods in retail pharmacies, and some are still products that the state encourages to be operated by retail pharmacies. However, in recent years, some parts of the medical insurance operation departments in the medical insurance access barriers to abandon non-drug operation as one of the conditions for medical insurance access, which is administrative means to interfere with the operation of retail pharmacies autonomy, in violation of the "law without prohibition provisions can be done" legal principle, lack of approval basis.
take infant formula milk powder as an example. In recent years, in the context of frequent food safety incidents, infant formula milk powder as infants and young children in addition to breast milk, the most important "rations", its quality and safety directly related to the next generation of healthy growth, related to the well-being of hundreds of millions of families and the future of the nation, particularly attention. The CPC Central Committee and the State Council have always attached great importance to the quality and safety of infant formula milk powder, Premier Li Keqiang and Vice Premier Wang Yang have made important instructions on the quality and safety of infant formula milk powder. On May 31, 2013, Premier Li Keqiang presided over the 10th executive meeting of the State Council to study the deployment and further strengthen the quality and safety of infant formula milk powder, which proposed that "the quality of infant milk powder should be regulated in accordance with strict drug management measures". In June 2013, the State Council forwarded the Opinions on Further Strengthening the Quality and Safety of Infant Formula Milk Powder jointly formulated by nine ministries, including the State Administration of Food and Drug Administration and the Ministry of Industry and Information Technology. On December 18, 2013, the State Administration of Food and Drug Administration issued a notice on further strengthening the supervision and management of the sale of infant formula milk powder, a notice on the implementation of the pilot sale of infant formula milk powder in pharmacies, and unified arrangements and deployment of the pilot work on the sale of infant formula milk powder in pharmacy counters. The State Administration of Food and Drug Administration hit this series of "combination punch", intended to strengthen infant formula milk powder in the circulation of supervision and management, but also for the vast number of consumers to buy infant formula milk powder to provide more choices. Compared with shopping malls, supermarkets, mother and child stores and other traditional sales channels, pharmacy management is more standardized, strict, infant formula milk powder in pharmacy sales can obtain better system and quality assurance.
In more than a year, all over the country have developed a pharmacy counters to sell infant formula milk powder pilot work programme, but the overall speed of progress is not fast, for many reasons, but the fundamental reason lies in some places to ensure the safety of health insurance funds, the provision of medical insurance fixed-point pharmacies may not sell non-drug products, under this prohibition, infant formula milk powder can not be displayed in pharmacies, sales.
such as Fujian Province regulations, provincial health insurance fixed-point pharmacies are not allowed to display drugs other than drugs, including infant formula milk powder, violations of the provisions will be suspended or even disqualified from health insurance fixed-point and other severe penalties. Jiangsu Province stipulates that medical insurance fixed-point pharmacies shall not sell non-medical insurance-covered food, clothing, toiletries and other commodities, and may not sell infant formula milk powder without authorization, otherwise they will be investigated and punished in accordance with the law. Hunan Xiangxi Autonomous Prefecture, Huaihua Lingling, Chenxi and other places, Fuyang Xinyi, Wugang, Dongkou and other places to provide that medical insurance fixed-point pharmacies are not allowed to include the sale of infant formula milk powder, including non-drug products, once found on display to terminate the fixed-point agreement of medical insurance. Other parts of the country, such as Xiamen, Chengdu and other places, also restrict the scope of operation of medical insurance fixed-point pharmacies, only non-medical fixed-point pharmacies can be approved for pilot sales of infant formula milk powder.
The introduction of the pharmacy counter sales of infant formula milk powder policy in the local medical insurance-related policy restrictions, so that infant formula milk powder into pharmacies nationwide promotion work stalled, the relevant authorities through the circulation link to control the quality of infant formula milk powder, to boost consumer confidence in the domestic market is difficult to achieve in the short term. In addition, the prohibition of medical insurance fixed-point pharmacies display, sales of infant formula milk powder, depriving consumers from the management of more standardized, strict pharmacy channels to buy infant formula milk powder rights and interests, contrary to the State Council and the State Administration of Food and Drug Administration, ministry of industry and information technology and other nine ministries of the decision, is a concrete manifestation of local disorder.
health insurance department is worried about the problem of health insurance card over-range swipe, can be solved by means of real-time monitoring of the network, increasing the cost of illegal violations, strengthening industry self-discipline and consumer supervision.
in order to better play the role of health insurance fixed-point pharmacies, to provide customers with more health products and services. It is suggested that the Ministry of Human Resources and Social Security issue a document to unify and clarify the unreasonable provisions of the local medical insurance operating departments to abolish the restrictions on the placement and operation of medical insurance pharmacies, and no longer give up the operation of non-drugs as a condition for access to medical insurance fixed-point pharmacies, so that enterprises can decide on their own products according to the needs of the operation. For the possible
to liberalize the scope of operation of fixed-point pharmacies for medical insurance, allowing medical insurance pharmacies to operate health and related products in accordance with the law, will help to meet the health needs of insured personnel, so that the benefit of insured personnel. Liberalizing the sales scope of medical insurance fixed-point pharmacies and implementing effective supervision of fixed-point pharmacies will help to better meet the health needs of the insured, promote the improvement of the health level of the insured, so that basic medical insurance can better serve the vast number of insured personnel, and make greater contributions to the improvement of the health level of the whole population. (China Net)