It is related to the "life -saving money" of 85 million Jiangsu people!Jiangsu Legislative Medical Security System

Medical security is a livelihood project that is related to the health and well -being of the people in the province. For more than 20 years, medical insurance work has been led by policy documents, lack of institutional fairness, and the phenomenon of fragmentation of policy is serious. On the morning of July 26, the thirty -first session of the Standing Committee of the 13th Provincial People's Congress reviewed the "Jiangsu Provincial Medical Security Regulations (draft)", which will be ruled by the medical security system through legislation.

Focus 1: All people participate in insurance

It is intended to unify the province's medical insurance treatment and enjoy the waiting period of no more than two months

"At present, the number of insureds in the province exceeds 80 million, the two -fixed institutions' more than 45,000, the annual income of the medical insurance fund exceeds 200 billion, and the expenditure exceeds 180 billion yuan. Zhou Ying, director of the Medical Security Bureau, said that the "Regulations (Draft)" not only should be guaranteed, guaranteed basic, fair and moderate as basic content, but also focused on building a multi -level medical security system to meet the needs of the people's diversified medical security and solve the people based on the people. The masses are anxious about participating in insurance, medical treatment, and reimbursement. For example, the waiting period of the province's treatment and enjoyment of the province does not exceed two months; the life of urban and rural residents' medical insurance payment can be combined with the basic medical insurance payment period of the employee's basic medical insurance payment by replenishment or conversion;

"The province's basic medical insurance participation rate is maintained at more than 98.5%all year round, and there are foundations and conditions to implement insurance participation in the people." Institutional design, guide the masses to basic medical insurance "shall guarantee all the insurance and pay the payment."

Focus 2: Payment fee rate

There are different payment rates for employees' basic medical insurance payment? Suggestion is gradually unified

At present, the payment rate of the unit in Suzhou, Wuxi, Lianyungang, and Suqian City is 7%, the payment rate of the unit in salt city is 8%, and the payment rate of the unit in Xuzhou and Zhenjiang City is 9%. "Inaccessible policies in the regional interval and unevenness are not conducive to the promotion of provincial -level provincial -level overall planning in the future." The Social Committee of the Provincial People's Congress suggested that the regulations clearly promote the gradual unification of basic medical insurance fees for employees in the province.

The Social Committee also suggested that the establishment of a dynamic adjustment mechanism for fundraising standards has enabled it to link with the disposable income of urban and rural residents. Government subsidies must not be lower than the minimum standards stipulated by the state and provincial. At the same time, in the legislation, it is clear that the employer's payment time and full requirements are required, and the employer shall be required to inform the employees themselves in the details of the monthly medical insurance premiums.

Focus 3: Medical Insurance Medicine

It is recommended to increase Chinese medicine ratio and incorporate psychotherapy medicine into medical insurance

Medical Security Medical Management is the focus of this legislation. For the first time, the relevant parties related to medical management related to medical insurance are stipulated. Sunshine procurement system, the rights and obligations of both parties in the concentrated purchase of purchases, and the management of medical service price management are regulated and clear.

Combined with the actual situation of Jiangsu, the Social Committee of the Provincial People's Congress further proposed that as a province of Chinese medicine, the proportion of the number of medicines for the number of medicines for the total medicines of the hospital in Jiangsu 3rd Hospital reached less than 20%. The proportion of Zhongcheng medicine varieties accounted for less than 30%of the total number of drugs used in the hospital. It is recommended to increase support for the development of traditional Chinese medicine in the draft regulations and increase the proportion of Chinese medicine in public hospitals.

In addition, the cost of psychological disease treatment is generally high and must be treated continuously, which has a heavier economic burden on patients' families. It is recommended to add relevant regulations in the draft regulations, incorporate psychotherapy medicines into the medical insurance category, and regulate it.

Focus 4: long protection, rare disease

Take the lead

Establishing a long -term nursing insurance system is an important measure to actively respond to the risk of population aging and solve the daily care of disabled dementia and long -term nursing problems. At present, Jiangsu has nine districts and cities to implement long -term care insurance systems.

The reporter noticed that at the institutional level, the draft for the first time clearly made the fundraising mechanism and functional positioning of the long -term care insurance system. The Provincial People's Congress Social Committee believes that it can also focus on the relevant standards and management systems such as further clarifying the scope of insurance participation and guarantee, continuous improvement of diversified funding mechanisms, improving scientific and reasonable treatment policies, improving treatment payment and other aspects, innovation management and service mechanism mechanisms, etc. Terms, comprehensively implement and further improve the regulations of the long -term danger system.

It is worth noting that Jiangsu also took the lead in establishing a rare medical drug guarantee mechanism and writing into a draft. The rare medical drug guarantee funds were intended to be included in the management of provincial financial and social security households, and strived to reduce the burden on patients.

Focus 5: Seek medical treatment in different places

It is recommended to fully cancel the medical treatment restrictions from long -lived in the other place

In recent years, our province has done a lot of innovation in medical treatment. The direct settlement of medical insurance for medical expenses in different places has been greatly improved. Optimizing the hospitalization and hospitalization system of different places have clearly written the draft. However, problems such as complicated and approval procedures, difficult cost settlement, inconvenience to the elderly, and fewer issues such as the elderly, and fewer net -scale pharmaceutical institutions have troubled many people who live in other places.

The Provincial People's Congress Social Committee suggested that the record procedures for simplifying the filing of long -standing people, comprehensive cancellation of medical treatment restrictions on the place of medical treatment, expanding the number of people with multiple places for long -lived, and increasing the number of fixed -point pharmaceutical institutions in the network. Increase relevant clauses and better provide convenient services for medical groups in different places. Focus 6: Medical Insurance Fund

Comprehensively regulate the power and responsibilities of all parties, keep the masses and save money

Medical security covers the whole people and involves multiple subjects. The management chain is long and difficult. Especially as the process of population aging is significantly accelerated, the pressure on the revenue and expenditure of medical security funds is increasing. The safety and integrity of the medical insurance fund is severe. "In the process of legislation, we focused on the use of the people's medical treatment and saving money to keep the safety of funding, strengthening medical management as the focus, comprehensively regulating the responsibilities of all parties, and focusing on improving the targetedness and operability of legislation. "Zhou Ying said.

How to achieve the balance of payments of social insurance funds? According to the relevant provisions of the "Social Insurance Law of the People's Republic of China", the Social Committee of the Provincial People's Congress also put forward targeted suggestions: When the people's government in the regional people's government insufficient payment of basic medical insurance funds, they can use the level of fundraising level, adjusting treatment policies, and subsidies. Ensure the steady operation of basic medical insurance funds, and further improve the level of safety and stable operation of medical insurance funds. Yangtze Evening News/Zi Niu Journalist Shi Xiaolei

Edit: Qin Xiaoyi

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