For the purpose of defrauding the medical insurance fund, if an individual cheats the medical insurance fund by giving the medical insurance certificate to others for use, repeatedly enjoying the medical insurance benefits, or reselling drugs by taking advantage of the opportunity to enjoy the medical insurance benefits, the online settlement of medical expenses will be suspended for 3 to 12 months, and a fine of more than 2 times and less than 5 times the amount defrauded will be imposed.
In this regard, netizens said, "Support strike hard and don't let some people have an opportunity! I hope that tax evasion can also have such strict disciplinary standards! " "There must be heavy penalties for this. Does everyone have social security now? "
The Regulations on the Supervision and Administration of the Use of Medical Insurance Funds shall come into force on May 1 year:
The Regulations on the Supervision and Administration of the Use of Medical Insurance Funds came into effect in May 1 year. On April 28th, the Information Office of the Provincial Government held a press conference on the supervision of medical insurance funds in Gansu Province.
According to reports, the Regulations on the Supervision and Administration of the Use of Medical Insurance Funds is the first special administrative regulation in the field of medical insurance since the establishment of the new China medical insurance system for more than 20 years, which provides a basic basis for effectively implementing fund supervision and maintaining the safety of medical insurance funds, and is an important symbol that the management of medical insurance funds in China has begun to enter the legal track.
The "Regulations" highlight the construction of medical insurance service mechanism and internal control system, standardize the relationship and behavior of medical insurance agencies, designated medical institutions, insured persons and other related responsible subjects, which is an important organizational guarantee for implementing the medical insurance system and maintaining the safety of funds, and also provides a concrete basis for the regulatory authorities to perform their duties according to law;
The legal consequences of all participants in the field of medical insurance were clarified, and those who defrauded the medical insurance fund were ordered to return by the administrative department of medical insurance, and were fined 2 times to 5 times (including 5 times). At the same time, the supervision and punishment are specified and divided in detail, so that the supervisors can carry out their work according to the law.
In addition, the Regulations also stipulate that medical insurance, medical and health care, Chinese medicine, market supervision and management, finance, auditing, public security and other departments should work together to establish mechanisms such as communication and coordination and case transfer, and do a good job in the supervision and management of the use of medical insurance funds.