Shandong Province New Rural Cooperation Medical System For Assigning Responsibility For Violations Of Measures

Original Language Title: 山东省新型农村合作医疗违法违纪行为责任追究办法

Read the untranslated law here: http://www.chinalaw.gov.cn/article/fgkd/xfg/dfzfgz/201110/20111000351864.shtml

Shandong province new rural cooperation medical system for assigning responsibility for violations of measures

    (March 31, 2011 96th meeting consideration of the people's Government of Shandong province by Shandong provincial government order No. 235, published April 1, 2011 as of May 1, 2011) first in order to promptly investigate and deal with violations of new rural cooperative medical and guarantee the smooth implementation of new-style rural cooperative medical care system, safeguard farmers ' legitimate rights and interests of participating in new rural cooperative medical, according to the relevant laws and regulations, combined with the facts of the province, these measures are formulated.

    Article people's Governments and relevant departments at all levels, the new rural cooperative medical scheme (hereinafter referred to as the new type of rural cooperative) management and handling agencies, medical institutions and their staff and participating in new rural cooperative medical service farmers (hereinafter referred to as participating farmers) violation of the provisions of the new rural cooperative medical system, in accordance with these measures of accountability.

Ncms for assigning responsibility for violations of article III should adhere to fair, equitable, fault and responsibility to adapt, the principle of combining education with punishment.

The new IICA violating process, and its violation of nature of hazard levels, plot and adapt, the facts are clear and irrefutable evidence and qualitative accurate, appropriate, complete the procedures, programs, legal.

    Ncms violations suspected of a crime shall be transferred to judicial organs for criminal responsibility shall be investigated according to law.

    Article people's Governments and relevant departments at all levels, the new type of rural cooperative management, designated medical institutions and agencies shall establish a sound system to ensure ncms work carried out.

Five citizens, legal persons and other organizations on violations of the provisions of the new rural cooperative medical system has a complaint, report or complaint rights.

Receive complaints and accusations, complaints departments, agencies, and belongs to the Department, agency mandates, should be handled in a timely manner, and will result in a 60 days inform the complaints, exposures, an accused person; does not belong to the Department, agency mandates, shall, within 5 working days to transfer the related departments, agencies, and inform the complaints and accusations, the complainant.

    Violation of the provisions of the preceding paragraph, by the higher authorities or supervisory organs shall be ordered to correct serious, are directly responsible for the charge and the other persons given a warning, demerit-recording or demerit.

Sixth levels of people's Governments and relevant departments and their staff, one of the following acts, by the higher authorities or supervisory organs shall be ordered to correct, directly in charge of personnel and other persons to give warning, demerit, demerit are serious, demotion, or dismissal; the circumstances are especially serious, expelled:

(A) contrary to the wishes of farmers, forcing farmers to participate in the new rural cooperative;

(B) refused to comply with the conditions of farmers in new rural cooperative;

(C) violation of rules changes new compensation for rural cooperative;

(D) is not allocated pursuant to the provisions of the new rural cooperative medical assistance fund, affecting the normal operation of ncms;

(E) fabricating, falsifying, concealing the new collection of statistical data and related information;

(F) intercept or misappropriate the new type of rural cooperative funds;

(VII) failing to perform their supervisory duties, the adverse consequences;

    (VIII) other acts that violate the provisions of the new rural cooperative medical system.

VII article new agricultural collection management and handling institutions and staff has following behavior one of of, by superior competent sector or monitored organ ordered corrected, on directly is responsible for of competent personnel and other directly responsibility personnel give warning, and demerit, and remember than disposition; plot serious of, give downgraded or dismissed disposition; plot special serious of, give fired disposition; caused new agricultural collection Fund loss of, by County above government health administrative sector with Treasury door be recovered:

(A) in violation of regulations, procedures for reimbursement or disbursement of funds;

(B) delayed or detained for participating farmers a new type of rural cooperative documents issued;

(C) widens or narrows the scope of the contravention;

(D) raise or lower compensation ratio of the contravention;

(E) failing to allocate designated medical institutions to advance the time frame of the compensation fee;

(Vi) not in accordance with the time limits reimbursement of participants ' medical costs;

(VII) failing to perform regulatory, auditing responsibilities, resulting in loss of new rural cooperative medical fund;

(VIII) fabricating, falsifying, concealing the new collection of statistical data and related information;

(I) issuing false certificates;

(J) the misappropriation, swindle or instigating, inspired, co-opt others misappropriation, swindle of the new rural cooperative medical fund;

(11) the violation caused participants ' information errors affecting the participants ' claims;

    (12) other acts that violate the provisions of the new rural cooperative medical system.

Eight new rural cooperative medical institution, one of the following acts, by the people's Governments above the county level health administrative departments shall issue a warning in serious cases, revocation of new rural cooperative medical institution eligibility:

(A) not to verify participants ' identities, resulting in loss of new rural cooperative medical fund;

(B) not in accordance with the provisions of the new rural cooperative medical reimbursement drug list and treatment projects or failed to meet the duty of disclosure;

(C) is not in accordance with the standards of admission or discharge patients admitted;

(D) failing to timely referrals and certain consequences;

(E) violating the provisions to expand or narrow the scope of compensation;

(F) raise or lower compensation ratio of the contravention;

(VII) not in accordance with the time limits reimbursement of participants ' medical costs;

(VIII) under the management of prescription and medical care standards, regular, increasing participants ' fees;

(IX) fabricating, falsifying, concealing the new collection of statistical data and related information;

(J) issuing false certificates;

(11) the forge, alter, damage, loss of participants ' medical records and other archive material;

(12) cheat or incite, instigate or acted in collusion with others to defraud the new type of rural cooperative funds;

(13)-related subjects, the Super scope clinic activities and participating in new rural cooperative medical claims;

(14) the violation of regulations, increased drug prices and medical costs to participate in the new rural cooperative medical claims;

    (15) other acts that violate the provisions of the new rural cooperative medical system. New type of rural cooperative medical institution staff, of the acts listed in the preceding paragraph, belongs to the national staff, and monitored by the competent authority or authorities according to the circumstances, to managers directly responsible and other persons directly responsible for warning, demerit, demerit, demotion, dismissal, discharge disposition; belong to non-State agents, by the health administrative departments under the people's Governments above the county level the seriousness of

    Managers directly responsible and other persons directly responsible for warning or fined not more than 500 Yuan more than 1000 causing loss of new rural cooperative medical Fund, the people's Governments above the county level health Administrative Department in conjunction with the financial sector recover.

    Article the new type of rural cooperative medical institutions who, in violation of the People's Republic of China medical practitioners Act, the handling of medical accidents Ordinance and other laws and regulations, concealing, forging or destroying without authorization medical documents and related information, the health administration departments at or above the county level shall be given a warning or suspension of practice in serious cases, may revoke a practising certificate.

Article tenth of participating farmers, one of the following acts, granted by the Department of the people's Governments above the county level health of less than 500 Yuan fines; resulting in loss of new rural cooperative medical Fund, the people's Governments above the county level health Administrative Department in conjunction with the financial sector recover:

(A) provide for others or borrowed new cooperative documents, obtaining of new rural cooperative medical fund;

(B) falsification of medical documents, certificates, bills, and obtaining of new rural cooperative medical fund;

(C) the concealment, destruction of evidence and interfere with the new type of rural cooperative violations;

    (D) other acts that violate the provisions of the new rural cooperative medical system.

11th the new rural cooperative medical system, any of the following circumstances, it shall be given a heavier treatment:

(A) committed repeatedly or refuses to correct the violation;

(B) the force, incite, instigate or acted in collusion with others to violate the provisions of the new rural cooperative medical system;

(C) the falsification, concealment, destruction of evidence;

    (Iv) other harsh handling cases according to law.

12th the new rural cooperative medical system, any of the following circumstances may be given a lighter or mitigated:

(A) the initiative to eliminate or mitigate ncms violation consequences;

(B) the fact of voluntarily confesses the new rural cooperative medical system, or report or expose others to violate the truth of the new rural cooperative medical system;

(C) the coercive implementation of the new rural cooperative medical violations by others;

(Iv) other lighter or mitigated according to law.

    Violations of minor and correct, causes no harmful consequences may be exempted from processing.

    13th on serious new violation, given by a higher administrative authority informed.

    14th article II herein other than the citizens, legal persons and other organizations, in violation of relevant provisions of the new rural cooperative medical system, in accordance with the measures of the relevant regulations.

    15th laws and regulations for the new type of rural cooperative discipline provisions of accountability from its provisions. 16th article of the rules take effect on May 1, 2011, December 20, 2005, issued by the General Office of the people's Government of Shandong province forward provincial Department of supervision of four departments on new rural cooperative medical system in violation of administrative sanctions (for trial implementation) notice (Lu Zheng ban FA [2005]96) repealed simultaneously.