The Medical Insurance Bureau is in charge of medical insurance, and the Health Bureau is in charge of hospitals and health centers. Hospitals are supervised and managed by health administrative departments, and local hospitals are managed by local health bureaus at all levels. The administrative department of health refers to the department in charge of medical and health administration in governments at all levels, such as the Ministry of Health and the health departments of provinces, autonomous regions and cities and counties. The health administrative department is responsible for the policy and environmental work in medical and health care, and the specific law enforcement and business work are carried out by subordinate institutions, including the Health Supervision Bureau (institute) responsible for administrative law enforcement. Of course, the county-level medical insurance bureau is in charge of county-level hospitals. As long as it is within the administrative jurisdiction of this county, all hospitals, including private ones, are under the management of the medical insurance bureau, because they are the competent medical units of the county government, but they are serious public departments.

At present, the main responsibilities of the Medical Security Bureau include: 1. To draft laws and regulations, policies, plans and standards for medical security systems such as medical insurance, maternity insurance and medical assistance, formulate departmental rules and organize their implementation; 2, organize the formulation and implementation of medical insurance fund supervision and management measures, establish and improve the medical insurance fund safety prevention and control mechanism, and promote the reform of medical insurance fund payment methods. 3, organize the formulation of drugs, medical consumables prices and medical service items, medical service facilities charges and other policies.

legal basis: legal basis: Social Insurance Law of the People's Republic of China

Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance to protect citizens' right to get material help from the state and society in case of old age, illness, industrial injury, unemployment and maternity.

article 26 the treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Article 28 Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards, and emergency and rescue shall be paid from the basic medical insurance fund in accordance with state regulations.