First of all, in the process of legislation, we always adhere to the value orientation centered on people's health. First, it embodies "for the people" in the legislative purpose. Efforts will be made to strengthen the supervision and management 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. Second, it reflects the "convenience" of using medical insurance funds and enjoying medical insurance handling services. It is required to establish and improve a unified national medical security management system and provide standardized and standardized medical security services. Third, it embodies the "benefiting the people" in providing medical services. Designated medical institutions shall provide reasonable and necessary medical services in accordance with regulations and safeguard citizens' health rights and interests.
Secondly, it is the core content to weave the cage of the medical security fund supervision system and prevent the people's "life-saving money" from becoming "Tang monk meat". The first is to clarify the responsibilities of relevant entities in the use of funds. The second is to stipulate the construction of a supervision system that combines administrative supervision, social supervision and industry self-discipline. Third, the supervision and cooperation mechanism of medical insurance, health, Chinese medicine, market supervision, finance, auditing, public security and other departments has been arranged and established. Fourth, it puts forward requirements for strengthening the management of medical insurance agreements. The fifth is to standardize the form of supervision. Sixth, the measures and procedures for supervision and inspection are stipulated.
Third, focus on strengthening legal responsibility. Increase the punishment for illegal acts and improve the deterrent power of the law. The "Regulations" refine the corresponding legal responsibilities for the illegal acts of medical insurance agencies, designated medical institutions and insured individuals, and stipulate severe punishment measures for fraudulent insurance.
Legal basis:
Regulations on the supervision and administration of the use of medical insurance funds
Article 1 In order to strengthen the supervision and management 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).