Background: Establishing and improving the financial security mechanism for employee medical insurance outpatient clinics is a clear task arrangement proposed by the country and our province in deepening the reform of the medical security system.

The employee medical insurance system was established in 1999 and implements a model that combines overall funds and personal accounts. "The overall fund covers inpatient and outpatient chronic diseases and special diseases (hereinafter collectively referred to as outpatient chronic diseases), and individual accounts cover outpatient minor illnesses."

The personal accounts of employee medical insurance have played an active role in promoting the transition from the publicly funded labor insurance medical system to the social medical insurance system.

With the development of the economy and society, the people's demand for medical security continues to increase, and limitations such as insufficient personal account protection functions and poor economic efficiency have gradually become apparent.

On April 13, 2021, the General Office of the State Council issued the "Guiding Opinions", requiring all provincial people's governments to make overall arrangements, make scientific decisions, and issue implementation measures in a timely manner in accordance with the requirements of the "Guiding Opinions."

In accordance with the work deployment, our province comprehensively benchmarked and compared the national "Guiding Opinions" and carefully sorted out the province's establishment and improvement of the financial security mechanism for employee medical insurance outpatient services item by item. On the basis of summarizing practical experience, extensively listening to opinions, and repeated research and demonstration

, the Provincial Government Office issued the "Implementation Opinions".