(Summit 8th ordinary meeting of the People's Government of the Nin summer Autonomous Region, 2 July 2013, considered the adoption of Decree No. 55 of 6 July 2013, No. 55 of the People's Government Ordinance No. 55 of 6 July 2013, which came into force on 1 September 2013)

Article 1 establishes this approach in accordance with the provisions of the laws and regulations of the People's Republic of China Social Insurance Act, in order to regulate basic health insurance services, preserve the security of the basic health insurance fund, guarantee the basic medical rights of the insured person.

This approach applies to the supervision of medical institutions, medical services in retail pharmacies, and the supervision of the insured person for medical and basic health insurance coverage.

The scheme refers to medical institutions, retail pharmacies and retail pharmacies that enter into basic health-care agreements with basic health insurance agencies.

This approach refers to persons who receive basic health insurance treatment in accordance with the provision for payment of basic medical insurance expenses.

Article 3. The Social Insurance Administration is responsible for the supervision of basic health insurance services, and its health insurance surveillance agencies are entrusted with the task of monitoring basic health insurance services.

Authorities such as development reform, finance, audit, health, food medicine surveillance, material prices should be monitored within their respective mandates.

Article IV medical institutions should strictly implement the provisions of the directory of basic health insurance medicines in national and autonomous areas, the directory of the medical treatment project, the scope of the medical facility and the standard catalogue of medical supplies, and implement basic health-care agreements to provide reasonable and necessary medical services to members.

Article 5 The retail pharmacies should comply with drug price provisions and basic health insurance policies, implement basic health insurance services agreements, and provide the insured person with out-of- and non-providing pharmaceuticals.

Article 6. The basic health insurance agency should implement the basic health insurance service agreement, open procedures for the establishment of sound operations, finance, security and risk management systems.

The basic health insurance agency should indicate at least once a year the primary indicator information, such as the proportion of hospitalized expenses and growth rates that fall within the scope of the payment of the basic health insurance fund, the average rate of hospitalization payments, non-fundamental health insurance costs.

Article 7. Business insurance institutions and financial institutions that are paid for the settlement of basic health insurance costs should be provided in strict compliance with the agreement to facilitate, expedited and weekly services such as medical institutions, retail pharmacies and practitioners.

Article 8. The insured person shall be faithful to comply with the basic health insurance legislation and policy provisions.

Article 9

(i) Provision of material such as false disease diagnosis certificates, illnesses, prescriptions and medical instruments to deceive the expenditure of the basic health insurance fund;

(ii) Allow non-partisans to be trained on behalf of the insured person;

(iii) Allow the use of the basic health insurance fund to cover medical expenses that should be paid by the insured person;

(iv) Allow the use of basic health insurance vouchers to purchase medicines or non-medical supplies paid by the non-fundamental health insurance fund;

(v) Excellence and conversion of non-medical insurance payments projects to health insurance projects;

(vi) Exclusive or distributive charges;

(vii) Changes in the accounts of the Personal Health Insurance Fund for insured persons through the fraudulent purchase of medicines;

(viii) No major equipment inspection, valuable medicines or other unnecessary medical services are required in accordance with the disease;

(ix) The transfer of medical insurance services terminals to non-agreed service units or the use of health insurance personal accounts funds by non-agreement service units;

(x) Provide information on the payment of basic health insurance funds for false vouchers;

(xi) Other acts of fraud in the payment of the basic health insurance fund.

Article 10

(i) To make the basic medical certificate available to others or medical institutions;

(ii) The use of basic health insurance vouchers by others;

(iii) Forfeiture, adaptive diseases, prescriptions, disease diagnosis certificates and medical bills;

(iv) Other acts of fraud in the treatment of basic health insurance.

Article 11. The user unit should comply with the basic health insurance laws and regulations and the relevant provisions, and shall not give false medical certificates to the insured person to help the insured person to invoke basic health insurance treatment.

Article 12 The Social Insurance Administration should conduct real-time monitoring of medical institutions, medical treatment services in retail pharmacies, and attendance officers on information such as medical and basic health insurance coverage coverage.

Article 13 Medical institutions, retail pharmacies should strengthen information production, promote information management in such areas as Epidemiology, the directory of medicines, therapeutic projects, and guarantee interconnection between their information systems and the basic health insurance management system, the basic health insurance monitoring information system.

Medical institutions, retail pharmacies and basic health insurance institutions should be informed, in a timely and accurate manner, of relevant information, such as treatment and cost-recovery, in basic health insurance information systems.

Article 14. Any unit and individual shall be entitled to report and complain on violations of the provisions of the basic health insurance. The social security administration should conduct prompt investigations and write the results to the reportingers, the complainants.

Article 15. The Social Insurance Administration, inter alia, conducts investigations into alleged violations of basic health insurance provisions by medical institutions, retail pharmacies, basic health insurance institutions and insured persons, through real-time monitoring and receipt of complaints.

When the Social Insurance Administration investigates the alleged violation of the provisions of the basic health insurance, effective law enforcement documents should be presented and the following measures could be taken:

(i) Access, record, replication and management-related information on the income and expenditure of the Basic Health Insurance Fund, which may be transferred, concealed or lost;

(ii) To ask units and individuals related to investigation matters to provide clarifications and information on matters related to investigations;

(iii) To put an end to and be responsible for decepting the basic health insurance fund or treatment.

Article 16, when the Social Insurance Administration conducts investigations, experts may be invited to make professional opinions on alleged violations of basic health insurance provisions by medical institutions, retail pharmacies, basic health insurance institutions and insured persons.

Article 17 Medical institutions, retail pharmacies, basic health insurance institutions and persons insured against the findings of the social insurance administration which determines that they violate the basic health insurance provisions, may apply, either orally or in writing, for re-identification by the social security administration.

The Social Insurance Administration shall organize, within ten working days of the date of receipt of the party's application, the relevant parties, the custodians and experts to determine the findings on the facts, the basis, the analysis of information and the evidence.

Units and individuals determine that their conclusions are incompatible with the basic health insurance provisions and may apply to administrative review or administrative proceedings in accordance with the law.

Article 18 of the Social Insurance Administration responds to medical institutions, retail pharmacies, basic health insurance institutions and their practitioners, and those involved in the insurance should be made public to society.

Article 19 The Social Insurance Administration should incorporate medical institutions, retail pharmacies and their practitioners in the implementation of basic health insurance services agreements, compliance with basic health insurance provisions into good faith systems management.

Article 20 The financial sector, the auditing authority should enhance oversight of the management and use of the basic health insurance fund.

Article 21 Medical institutions, retail pharmacies, basic health insurance agencies violate one of the provisions of article 9 of this scheme by deceiving the expenditure of the basic health insurance fund, which is transferred by the Social Insurance Administration to the basic health insurance fund, which is charged with a fine of more than five times the amount.

Medical institutions, retail pharmacies have pre-empted offences and suspend the implementation of service agreements for more than three months; in exceptional circumstances, the lifting of service agreements; the direct responsible supervisors and other direct responsibilities have the qualifications of the executive branch and the discharge of their operational qualifications by law.

In violation of article 10 of this scheme, the insured person is charged with the treatment of the basic health insurance, which is transferred by the Social Insurance Administration to the basic health insurance pension, and is charged with a fine of more than five times the amount.

Article 23, in violation of article 11 of this approach, provides for a false testimony to the insured person, helps the insured person to invoke the treatment of the basic health insurance, which is warned by the social security administration and, in the event of serious circumstances, criticized.

Section 24 of the Social Insurance Administration and the Health Insurance Monitoring Agency and its staff misuse their duties, provocative fraud, play a role in the supervision of basic health insurance services, and dispose of them in accordance with the law by the competent and other direct responsibilities.

Article 25

Article 26