Chapter I General Provisions Article 1 In order to strengthen the supervision and management of social medical insurance, ensure the safety of medical insurance funds, standardize the behaviors of designated medical institutions, designated retail pharmacies (hereinafter referred to as designated medical institutions), employers and insured persons, and safeguard their legitimate rights and interests, According to Article 2 of People's Republic of China (PRC) Labor Contract Law, People's Republic of China (PRC) Social Insurance Law, Labor Security Supervision Regulations and Regulations on the Supervision and Administration of the Use of Medical Insurance Funds, the social medical insurance mentioned in these Provisions includes basic medical insurance for urban workers, basic medical insurance for urban and rural residents, overall medical care for serious and serious diseases of urban workers and supplementary medical insurance for serious diseases of urban and rural residents (hereinafter referred to as medical insurance); The medical insurance fund as mentioned in these Provisions includes the basic medical insurance fund for urban workers in this Municipality, the pooling fund for medical expenses for serious and serious diseases of urban workers, the basic medical insurance fund for urban and rural residents, and the supplementary medical insurance premium for serious illness of urban and rural residents. Article 3 These Provisions shall apply to the collection, collection, management, payment and treatment of medical insurance funds within the overall planning area of this Municipality, as well as related supervision and management work. Article 4 The supervision and management of medical insurance shall follow the principles of legality, safety, openness and convenience, and shall combine government supervision, social supervision, industry self-discipline and personal trustworthiness.

The medical insurance fund shall be earmarked for special purposes, and no organization or individual may occupy or misappropriate it. Chapter II Supervisory Duties Article 5 The municipal, county (city) district people's governments shall strengthen their leadership over the administrative supervision and management of medical insurance, establish and improve the supervision and management mechanism and law enforcement system for the use of medical insurance funds, strengthen the capacity building for 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. Article 6 The municipal medical security administrative department is the administrative department in charge of medical insurance in this Municipality, and is responsible for the supervision and management of medical insurance in this Municipality in accordance with regulations. County (city) district medical security administrative department is responsible for the supervision and management of medical insurance within their respective administrative areas.

The administrative department of medical security may entrust an organization that meets the statutory conditions according to law to supervise and inspect the acts of designated medical institutions, employers and insured persons in violation of medical insurance laws, regulations and rules.

The administrative department of medical security may entrust a third-party institution to undertake the transactional part of medical insurance handling and audit through the way of government purchasing services. Article 7 Medical insurance agencies shall establish and improve business, financial, safety and risk management systems, strictly implement the financial system of medical insurance funds, strengthen internal control management, be responsible for service agreement management, cost monitoring, fund allocation, treatment review and payment, regularly disclose the income and expenditure and balance of medical insurance funds to the public, and accept social supervision. Article 8 The tax authorities shall mainly perform the following duties:

(1) To be responsible for the collection and payment of medical insurance premiums in this Municipality, collect medical insurance premiums in full and on time according to the amount payable approved by the medical insurance agency, and pay them into the state treasury in time according to the regulations;

(II) To provide the medical insurance agencies with the payment warehousing information of the insured units, urban workers and urban and rural residents, and establish an information sharing mechanism and an arrears reconciliation mechanism with the medical insurance agencies;

(three) responsible for medical insurance. Article 9 The financial department shall mainly perform the following duties:

(a) responsible for the implementation of the government's financial subsidy policy for medical insurance and other special medical funds;

(two) the implementation of medical insurance fund special account management, to ensure the preservation and appreciation of the fund;

(three) to review the annual budget and final accounts report of the medical insurance fund prepared by the medical insurance agency, and allocate the medical insurance fund to the medical insurance agency in full and on time;

(four) to supervise and inspect the financial accounting system and special account management of medical insurance agencies;

(five) to supervise the implementation and adjustment of the medical insurance fund budget;

(six) to supervise and inspect the compliance of medical insurance fund banks with relevant laws and regulations. Tenth other relevant administrative departments mainly perform the following duties:

(1) The administrative department of health is responsible for supervising and inspecting the compliance of designated medical institutions with health management laws and regulations, investigating and dealing with illegal acts in the process of medical service according to law, reporting in time and cooperating with the administrative department of medical security to investigate and deal with illegal acts of medical insurance;

(2) The market supervision and management department is responsible for supervising and managing the drug quality of drug retail enterprises according to law, investigating and dealing with illegal acts in the process of drug business according to law, promptly reporting and cooperating with the administrative department of medical security to investigate and deal with illegal acts of medical insurance;

(three) the audit department is responsible for auditing and supervising the income and expenditure, management and maintenance and appreciation of the medical insurance fund according to law; Problems found in the extended audit of designated medical institutions, insured units and insured persons shall be reported to relevant departments in a timely manner;

(four) the public security organs shall be responsible for investigating and dealing with illegal and criminal activities of defrauding medical insurance funds according to law, and timely handling cases transferred by the administrative department of medical security and case clues reported by citizens, legal persons and other organizations according to law.