the medical insurance bureau is managed by the local human resources and social security bureau. The medical insurance bureau (National Medical Insurance Bureau) is the state administrative organ, and the medical insurance bureau (National Medical Insurance Bureau) is subordinate to the local human resources and social security bureau. The Medical Insurance Bureau (National Medical Insurance Bureau) is responsible for accepting the approval, payment, management and other daily affairs of the basic medical insurance, industrial injury insurance, maternity insurance and the medical expenses pooling fund for retired cadres, and providing corresponding management services for employers, employees and retired cadres who participate in the basic medical insurance, industrial injury insurance and maternity insurance. (According to the inquiry on March 9, 224) As of 216, in terms of unifying the basic medical insurance management system, 32 provinces, autonomous regions and municipalities and 17 provinces across the country are clearly managed by the human and social departments, and 9 of them have fully realized the system integration; Of the 333 prefecture-level administrative regions in China (excluding 4 municipalities directly under the Central Government and Corps), 174 of 176 have unified management systems, and 18 of them have fully realized system integration.