The scope of medical insurance fund payment shall be formulated by the administrative department of medical insurance in the State Council according to law. The people's governments of provinces, autonomous regions and municipalities directly under the Central Government shall, in accordance with the authority and procedures prescribed by the state, supplement the specific items and standards paid by the medical security fund within their respective administrative areas, and report them to the administrative department of medical security of the State Council for the record.
The people's governments at or above the county level and their medical security administrative departments shall solicit opinions in writing, hold symposiums, listen to the opinions of deputies to the National People's Congress, members of the Chinese People's Political Consultative Conference and representatives of insured persons on the use of medical security funds, unblock social supervision channels, and encourage and support all sectors of society to participate in the supervision of the use of medical security funds.
Medical institutions, pharmaceutical business units (hereinafter referred to as pharmaceutical institutions) and other units and medical and health industry associations shall strengthen industry self-discipline, standardize medical service behavior, promote industry norms and self-discipline, and guide the rational use of medical security funds according to law.
Legal basis:
Regulations on the Supervision and Administration of the Use of Medical Insurance Funds Article 1 In order to strengthen the supervision and administration of the use of medical insurance funds, ensure the safety of funds, promote the effective use of funds and safeguard the legitimate rights and interests of citizens' medical insurance, these regulations are formulated in accordance with the Social Insurance Law of People's Republic of China (PRC) and other relevant laws.
Article 2 These Regulations shall apply to the use, supervision and management of basic medical insurance (including maternity insurance) funds, medical assistance funds and other medical insurance funds in People's Republic of China (PRC).
Article 3 The use of medical insurance funds shall be centered on people's health, and the level of protection shall be commensurate with the level of economic and social development, and the principles of legality, safety, openness and convenience shall be followed.
Article 4 The supervision and management of the use of medical insurance funds shall combine government supervision, social supervision, industry self-discipline and personal integrity.
Article 5 The people's governments at or above the county level shall strengthen their leadership over the supervision and management of the use of medical insurance funds, establish and improve the supervision and management mechanism and law enforcement system of the use of medical insurance funds, strengthen the capacity building of the supervision and management of the use of medical insurance funds, and provide guarantee for the supervision and management of the use of medical insurance funds.