(Act No. 49 of 3 February 2012 No. 49 of the Decree No. 49 of the Government of the People's Republic of 12 March 2012)

Chapter I General

Article 1, in order to regulate basic health insurance relations, preserve the legitimate right of citizens to participate in basic health insurance and to enjoy basic health insurance treatment, establishes this provision in line with the Social Insurance Act of the People's Republic of China and relevant national provisions.

The basic health insurance system adheres to a wide range of coverage, basic, multi-tier and sustainable approaches and, in accordance with the principle that the level of security is adapted to the level of economic and social development, establishes funding standards based on financial conditions, user units and personal economic affordability, integrated urban and rural areas and across the city, and progressively the transformation of the basic health insurance system for workers and residents.

Article 3. User units and their employees and retirees in the city's administration and the urban and rural residents shall participate in the basic health insurance in accordance with this provision. Basic health insurance includes basic health insurance for workers and basic health insurance for the population.

Agencies, groups, enterprise units, civil service units, non-commercial units, other organizations and individual businessmen with employed workers (representatives) and their employees and retirees should participate in the basic health insurance of the workforce.

Students, children, rural and urban unemployed residents should participate in basic health insurance for the population.

Individuals of unemployed businesses, non-time practitioners who do not take part in the basic health insurance of the workforce and other flexible workers may choose to participate in the basic health insurance of the employee or the basic health insurance of the population.

Article IV. Governments of municipalities and districts should incorporate the basic health insurance cause into national economic and social development planning and provide the necessary financial support.

People's governments in all districts should organize user units and residents within the current administration to participate in basic health insurance under the law.

Article 5 Ministries such as finance, health, education, prices, food medicine regulation, audit, civil affairs, business and public safety are responsible for basic health insurance within their respective responsibilities.

Article 6. The municipal health insurance agency is responsible for the registration of basic health insurance, the collection of insurance premiums, the record of personal rights and the payment of insurance, and provides operational guidance to health insurance services such as targeted medical institutions, targeted pharmacies.

Article 7.

Article 8

Any organization or person has the right to report, complain about violations of basic health insurance laws, regulations and regulations.

Article 9. The health insurance agencies shall make regular public information on the participation in health insurance and the income, expenditure, balances and benefits of the health insurance fund available to society.

Chapter II

Article 10 shall pay basic medical insurance expenses in accordance with the prescribed standards.

Article 11.2 per cent of the employee's average monthly salary is paid on a monthly basis in accordance with the basic medical insurance fee, and the person's unit pays the basic medical insurance expenses in accordance with the non-contributory base and 10 per cent of the employee's personal contributions.

The full payment of basic medical insurance expenses by the worker and the portion of the basic medical insurance payments paid from the user unit is included in the personal accounts. The principals and interest in the personal accounts are owned by the individual, and interest in the personal accounts takes into account the interest earned on the bank during the same period.

Article 12. The average monthly salary of the worker himself for the previous year is higher than the average monthly salary of 30 per cent for the previous year's employees, and the average monthly salary of the current occupier is 30 per cent for the year. The average monthly salary of the employee was less than 60 per cent of the average monthly salary for the previous year's employees, and 60 per cent of the average monthly salary for the current occupants had been paid for basic health insurance.

The average monthly salary of the worker cannot be determined in the previous year, and the average monthly salary of the employees in the current city is the base for the payment of basic health insurance payments.

Article 13 presents difficulties in the payment of the royalties under article 11 of this provision, with the approval of the General Assembly of the Employer or the Staff Union, which may reduce the proportion of contributions in accordance with the relevant provisions without establishing an individual account.

Individual commercial and industrial workers who are not employed, non-time practitioners who are not in the hands of the owner's units and other flexible employed persons may pay basic health insurance fees in accordance with the relevant provisions and do not establish an individual account.

Article 14. Students, children and adult residents pay basic health insurance fees according to the prescribed standards. The criteria for the payment of the adult population are set out in different files and are freely chosen to pay. The Government provides adequate grants for personal contributions in accordance with the prescribed criteria.

Responsibilities, access to low-insecution and special hardship family personnel are guaranteed in accordance with the required file, and individuals are not paid and are fully funded by the Government.

Residents should pay the basic health insurance fees for the next year by September to the end of December each year.

Article 15. Grants for the participation of the population in basic health insurance are shared by the municipalities and district governments.

Article 16 provides a corresponding adjustment to the payment criteria for basic health insurance and the Government's subsidy standards, based on the level of economic and social development. The Urban Human Resources and Social Security Administration has developed adaptation programmes with the relevant sectors, such as the city's finance, to be followed by the approval of the Government.

Chapter III Basic health insurance treatment

Article 17 Employers received basic health insurance treatment from the paying period. In the event of the mandatory retirement age, workers paid their basic health insurance expenses for a cumulative period of 25 years, over 20 years for women and for five years for the actual pay period, and continue to receive basic health insurance benefits after retirement; and inadequate to the above-mentioned period, the basic health insurance treatment may be enjoyed after the payment of a lump-sum unit and individuals at the time of retirement.

Individuals of unemployed businesses, non-time practitioners who are not insured by the user's units, and other flexible employment personnel receive basic health insurance treatment for six months from contributions.

Students enrolled in the facility, children's access to basic health insurance treatment for the period from September to August of the same year, and other residents received the period from January to December of the contributory year.

The medical costs incurred by the insured persons, such as inpatient (cruit) medical treatment, are in compliance with the national and present market directory of basic health insurance medicines, the directory of the medical treatment project and the directory of the medical services facility (hereinafter referred to as coverage) and are paid from the basic health insurance fund.

Article 19 Medical expenses within the reimbursed medical expenses incurred in the hospitalization of the insured person are determined according to the level of the hospital and the number of hospitalizations. Over two years of hospitalization for the insured person, from the second inpatient treatment, is a worker and a retired person, and the payment rate is implemented by 30 per cent and is no longer a payment standard.

Article 20 Proportions such as the percentage of hospitalization payments for the basic health insurance of the employee are duly taken into account for the retirees, and the proportion of the population's basic medical insurance reimbursement is set at the hospital level and the level of contributions.

Article 21 provides for the implementation of the highest standards of hospitalization for basic health insurance. Employers and retirees apply the same highest payment criteria in hospitalization at all levels, with the highest rate of residential inpatient payments established in accordance with the hospital level and the level of payment.

In the context of reimbursements by workers and retirees, the proportion of reimbursements is determined at the hospital level. The rate of medical reimbursement is determined at the level of contribution at the level of hospital (including the Community Health Services Centre).

Article 23, who are insured with a defined range of diseases, may apply for the treatment of beds in the family, for example, with higher age and inaction, and for inpatient medical costs.

The insured person has a specific illness with a defined scope, and the basic health insurance treatment standards are determined in accordance with the higher (neigh) general disease standards.

Article 24 Medical expenses incurred by insured persons in the form of communicable diseases are fully covered by the Basic Medical Insurance Fund. Appropriate care is given to other communicable diseases.

Article 25 The Urban Human Resources and Social Security Administration has developed adaptation programmes with the relevant sectors, such as the city's finance, to be followed by the approval of the Government.

Chapter IV

Article 26 Generic health insurance fees are levied throughout the city. The Medical Insurance Agency is responsible for specific work on the collection of basic health insurance fees.

Article 27 Registration of residents in basic health insurance is registered by the Medical Insurance Service, according to the following provisions:

(i) Students at all levels of schools, nursery institutions, children, who are in charge of attendance by schools, childcare agencies and health insurance agencies;

(ii) The status of persons with low-insecution treatment, special hardship family personnel, and the target of excellence, confirmed by the civil affairs sector, and transmits them to the health insurance institutions for registration by health insurance agencies;

(iii) Responsibilities of persons with disabilities are confirmed by the Disabled Persons' Federation and are transmitted to health-care institutions for registration by health insurance agencies;

(iv) Removal spouses and widows are confirmed by the management of the Ministry of the Interior, and are transferred to the Medical Insurance Service for details and are registered by the Medical Insurance Agency;

(v) Rural residents are registered with village units and other residents in the town, in the street labour security services, respectively.

Article 28 Students enrolled in the facility and basic health insurance payments paid by children are received by schools, childcare institutions. The rural population is received by the Village People's Committee.

In accordance with article 29, the Medical Insurance Agency pays medical expenses in full and on time, in accordance with the overall amount of advance payments, sickness payments, project payments, terminal payments or negotiated payment.

Article 33 The State and the city have special provisions for pre-emptive mattress payments.

Chapter V

Article 31 should establish a sound operating, financial, security and risk management system.

The health insurance agencies collect relevant data through operational and statistical surveys, which should be made available in a timely and real manner.

Street, commune labour security services and their communities, village labour security agencies are responsible for organizing residential resource surveys, participating in the registration of authorized mattresses and paying medical expenses.

In accordance with the needs of the management services, the Medical Insurance Service may enter into a service agreement with the targeted medical institutions and the pharmacies to regulate medical services.

Article 33 quantified medical institutions, targeted pharmacies should clarify health insurance institutions, identify basic health insurance-specific (part-time) staff responsible for the basic health insurance management and services of the unit.

Article 34 quantified medical institutions should give priority to the provision of medical services to the insured person within the prescribed catalogue of essential medical insurance medicines, the directory of the medical treatment project, and the directory of the medical facility. In the provision of self-cost medicines, medical supplies and medical treatment projects to patients in care, the consent of the insured person should be sought in advance, and medical costs should be provided.

Article XV pharmacies should establish a regulatory system that is adapted to basic health insurance; ensures the quality and quantity of basic health insurance medicines and provide reasonable drug counselling services for those involved.

Article 36 Human resources and social security administration in the city have established a sound basic health insurance service, a pharmacist's directory management system to monitor the implementation of basic health insurance policies by service doctors, pharmacists.

The basic health insurance service medical doctors, pharmacists' specific management approach was developed by the Urban Human Resources and Social Security Administration with the municipalities' health, food medicine regulation.

Article 337, which is disputed between the Medical Insurance Service and the targeted medical institutions, the targeted pharmacies, can apply for mediation to the health insurance settlement dispute management agencies or to the People's Court.

Article 338 establishes a basic health insurance information system for the urban human resources and social security administration to perform functions such as registration of contributions, treatment networking payments, web-based real-time monitoring.

The health insurance agencies use the basic health insurance information system for payment of insurance treatment, and should ensure that all-day and no-fault days are settled with targeted medical institutions.

The targeted medical institutions should establish a sound unit information management system that will be shared in a timely manner in order to reach out to (c) medical treatment, inpatient and medical insurance agencies.

The pharmacies should put in place a sound unit information management system to achieve a real-time sharing of coverage and information with the IMS.

In article 39, the insured person should have his own social security card to buy the medicines.

In the case of a special case, the insured person may be entrusted with the purchase of a pharmacies by a targeted medical institution or by a targeted pharmacies, and the trustee should present his or her identity certificate.

Article 40 may choose to opt for medical treatment, purchase of medicines by targeted medical institutions within the scope of the provision, or buy-in medicines from the targeted pharmacies. Medical institutions should provide external purchasers for those who choose to purchase medicines at the pharmacies.

Article 40 Human resources and social security in the city will establish a basic health insurance integrity system with the relevant administration.

Chapter VI Basic health insurance funds

Article 42

(i) Basic health insurance payments paid by a person's unit and a participant;

(ii) Government grants;

(iii) Social contributions;

(iv) lauruna;

(v) Interest;

(vi) Other funds.

Article 43, which was raised by the Basic Health Insurance Fund for the year, is based on the bank's life-saving interest rate; the last year's surplus fund takes the interest rate of bank deposits on the basis of the three-month period; and the deposit funds deposited into the social security financial exclusive recipient to obtain savings on the interest rate of deposit over three years.

Article 44 states that the basic health insurance is integrated throughout the city and that the basic health insurance fund is integrated into the management of the financial exclusive family and is deposited with banks that have assumed the operation of the health insurance.

The basic health insurance fund includes the Basic Health Insurance Fund for Employers and the Basic Health Insurance Fund for Residents, which are charged separately, accounted for separately and implement a unified national accounting system.

Article 42 Budgets and draft accounts for the basic health insurance fund are prepared by the municipal health insurance agency, which is reviewed by the urban human resources and the social security administration, reviewed by the municipal financial sector and reported to the Government of the city after approval.

The heads of the 46th districts' Government and targeted medical institutions, targeted pharmacies should strengthen the management supervision of targeted medical institutions, targeted pharmacies, and ensure due medical needs and maintain the operation of the basic health insurance fund.

The targeted medical institutions, targeted pharmacies should strengthen the education management of their patriots, pharmacists and staff, regulate the treatment and provide reasonable and necessary medical services for those involved in the care.

Article 47 Human resources and social security administration should strengthen monitoring of the payments of the health insurance institutions and the basic health insurance fund, establish the pre-accounting system, the financial accounting system and the internal audit system of the basic health insurance fund, and the management of the financial sector responsible for the financial specialized agencies of the basic health insurance fund, as well as audit supervision by the audit department of the basic health insurance fund in accordance with the law.

Chapter VII Legal responsibility

The Human Resources and Social Security Administration should strengthen monitoring of compliance with basic health insurance laws, regulations and regulations.

The National Human Resources and Social Security Administration can entrust the health insurance supervision inspectorate with the specific implementation of administrative law enforcement, such as the basic health insurance inspection.

The executive branch, such as human resources and social security, health, food medicine regulation, is required to establish mechanisms for the detection, investigation, identification of communication coordination and information-sharing of violations of basic health insurance.

Article 49 quantified medical institutions have one of the following acts, deceived the expenditure of the basic health insurance fund, which was recovered by a human and social security administration to receive a medical insurance pay of more than five times the amount; the dismissal of service agreements by the health insurance agencies; the competent and other direct responsibilities that are directly responsible are eligible for operationalization and the legal suspension of their duties by the health, food medicine control sector:

(i) Restructuring, transgender-insecutors to record their consultations;

(ii) In-patient treatment of insured persons who are not in accordance with the conditions of hospitalization or intentional extension of the duration of hospitalization, processing of false inpatients and inpatient hospitalization;

(iii) Those who are not in compliance with the registration conditions of a specific disease will be registered in order to treat specific diseases and treat them by means such as forged, transgender-related evidence;

(iv) Fering, transforming, selling, transferring or maintaining specialized instruments for basic health insurance without specified time limits;

(v) Refer to the basic medical insurance cost of filka machines, for example, for medical treatment in the rental medical clinic, or for the use of a medical doctor, pharmacists, etc.;

(vi) Beiling the use of the social security card to the basic health insurance fund;

(vii) Reimbursement of charges and distributing fees.

The Human Resources and Social Security Administration should be informed of the same-level health administration for the imposition of pre-implementation medical institutions.

The Medical Insurance Agency was removed from service agreements with the targeted medical institutions and should be informed of the same-tiered health administration and will release the targeted medical institutions of the service agreement to the society in a timely manner.

Article 50 has one of the following acts in the pharmacies to deceive the expenditure of the basic health insurance fund, which was recovered by the human resources and the social security administration to obtain a fine of up to five times; the dismissal of service agreements by health insurance institutions; the eligibility of competent and other direct responsible personnel directly responsible for the operation, and the release of their operational qualifications by the food drug control authorities:

(i) Unless the requisitioning agency has a clear variety, specifications, agents, dose in the sale of medicines or the manufacture, conversion and outdoor purchasers;

(ii) The replacement of non-fundamental health-care medicines or other items for the sale of basic health insurance medicines, or forfeiture, commutation and medical treatment;

(iii) Beiling the use of the social security card to the basic health insurance fund;

(iv) Fering, transforming, selling, transferring or maintaining specialized instruments for basic health insurance without specified time limits;

(v) The actual amount of medicines is incompatible with the number of votes and declarations;

(vi) The use of the pharmacist to declare medical fees on behalf of the pharmacies or to rent or contractors to the non-settlement pharmacies.

Article 50 quantify medical institutions, pharmacists and pharmacists have one of the following acts, which are warned by the urban human resources and the social security administration to correct orders, and in serious circumstances, are removed from basic health insurance services, pharmacists, pharmacists and supervisors directly responsible for violations of this provision:

(i) Constraints, changing medical instruments or medical certificates, or distributing falsely, overstatement of basic health insurance-related materials;

(ii) Transform non-basic health insurance medicines or other items into basic health insurance medicines or replace non-basic medical treatment projects and service facilities with basic health insurance payments projects;

(iii) In order to treat the insured person as the starting drug provider or the purchase of a pharmacies, the collusion of the insured person does not receive a pharmacies for the purpose of converting cash or for a price securities;

(iv) Inadequate access to medical treatment measures such as precious medicines and large inspections, without illness;

(v) deliberately disperse subsidiaries, ultraphases and repeat medicines.

Article 52 includes one of the following acts by the insured person to deceive the expenditure of the basic health insurance fund, which is transferred by a human resources and social security administration to the medical insurance fund, and to receive a fine of up to five times the amount:

(i) The use of social security cards by other persons to purchase medicines or to transfer their social security cards to others;

(ii) Is the social security card to be used by a targeted medical institution or a targeted pharmacies;

(iii) Forfeiture, conversion claims, etc.;

(iv) The sale of basic health insurance medicines.

Article 53 provides for an act under article 52, which may be adjusted by the urban human resources and the social security administration for medical expenses for more than one month. During the adjustment of medical costs, basic health insurance treatment continued and medical costs were reimbursed in full manner.

Article 54 of the Human Resources and Social Security Administration, the Medical Insurance Service and its staff misuse their duties, play negligence, provocative fraud, disposes of the law to the competent and other persons directly responsible for direct responsibility, and liability should be borne in the event of loss to the user's units or individuals.

Chapter VIII

Article 55

Article 56 establishes a system of medical assistance for workers. Employers and retirees should pay relief payments in accordance with the prescribed criteria and receive the corresponding treatment.

Article 57 establishes a basic health insurance scheme for accidental injury, with the participation of the insured person in medical, disability and death due to accidental injury, which is paid in accordance with the prescribed standards.

Article 58