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Administrative Measures For The Rural Cooperative Medical Insurance In Suzhou

Original Language Title: 苏州市农村合作医疗保险管理办法

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(Prelease No. 34 of 10 May 2003 of the People's Government Order No. 34) adopted at the 6th ordinary meeting of the Government of Sus State on 30 April 2003)

Chapter I General
Article 1 provides for the establishment and improvement of the rural cooperative health insurance system, the preservation of the physical and mental health of rural residents, the realization of health care for all, the promotion of rural economic development and social stability, the development of this approach in line with the People's Republic of China Agriculture Act, the Central, the State Department's decision to further strengthen rural health and the Rural Primary Health Regulations in the Province of Southern Sudan.
The second approach refers to the introduction of a government organization that leads, integrates rural residents into the protection, collective support, financial support, and integrates the health mutual assistance system, which is the primary health care.
Article 3 requires that all levels of government and units and individuals associated with rural cooperative health insurance be subject to this approach within the city's administration.
Article IV. Governments at all levels and sectors such as health, finance, civil affairs, labour guarantees, reform and development, rural economic management should integrate rural cooperative health insurance into social development planning and workplans, and target management, fair functioning, democratic oversight.
Article 5 is responsible for the implementation and supervision of this approach in the city, the district level (zone).
The introduction of a rural cooperative health insurance was accompanied by the progressive introduction of a rural social health insurance.
Article 7. All levels of the people and the relevant sectors shall be held accountable by law for the units and individuals that have made significant achievements in the area of rural cooperation in health insurance.
Chapter II
Article 8. Municipal, district-level (zone), town (farm) is established by the Ministry of the same-level people or its agency, with the leadership and health, finance, labour guarantees, rural economic management, audit, civil affairs, etc. and the Rural Cooperation Health Insurance Management Committee, composed of representatives of the insured population (hereinafter referred to as a co-location), responsible for the organization, coordination, management and supervision of the health insurance for rural cooperation.
The Office of the Committee for the Coordination of Medical Management (hereinafter referred to as the Co-Charge) of the Municipal, District (Parliament) has been established under the Collaborative Medical Management Service (hereinafter referred to as co-located) to assume the day-to-day work of the CCM.
Article 9
(i) The CCM is responsible for policy development, planning coordination, operational guidance;
(ii) The CMS at the district level (zone) is responsible for the development of implementation rules and the organization of implementation;
(iii) The town (the street) will be implemented in a specific manner.
Article 10 is based in the health administration and is not in principle increased.
The agencies in the United Nations have been set up by the agencies, such as the establishment, health, finance, in accordance with local realities, and their requirements are included in the budget, which is addressed by the same level of finance, and cannot be drawn from the Rural Cooperation Health Insurance Fund.
Article 11
(i) Timely access to basic medical guarantees for rural residents in the Territory, health needs prevention and health services;
(ii) Coordinate and implement health insurance campaigns and specific implementation in the relevant sectors, units and units to increase the sense of insurance and mutual assistance among rural residents;
(iii) Develop rural cooperative health planning, annual plans and programmes based on local practice;
(iv) To report on a regular basis to the same-level and high-level authorities and to make observations and proposals to guide the implementation of the health insurance for rural cooperation;
(v) The mobilization, management and security of the Fund for Rural Cooperation;
(vi) Approval and approval of the medical insurance costs of the insured person, regular publication of the accounts, acceptance of the supervision and audit of the insured person and the relevant sectors;
(vii) Oversight of the use of medicines, inspections and fees for health-care institutions responsible for implementing the health insurance operation in rural areas;
(viii) To guide rural doctors to enter into family health services contracts with residents;
(ix) Other matters to be delivered by the same CM and the superior authorities.
Chapter III Rights and obligations of the insured person
Article 12
(i) The rural population of the basic health insurance coverage of non- Town workers;
(ii) Spatient residents of the non-nationalized city where they are certified for more than two years and are engaged in the production of the farming sector in rural areas;
(iii) Any other resident authorized by the Government of the People's Government or by the Consular Office at the district level.
Article 13
(i) To receive free or favourable health medical examinations, health counselling, health education and health-care services provided by cooperative medical authorities within the jurisdiction;
(ii) Reimbursement for medical expenses within the scope of the provision;
(iii) The right to be informed, the right to recommend, the right to choose and monitor health insurance in rural areas.
Article 14.
(i) Compliance with this approach and the local application rules;
(ii) Compliance with the management of the rural cooperative health insurance administration and compliance with the relevant regulations;
(iii) Timely and in full payment of participation costs;
(iv) Other relevant obligations.
Chapter IV Functioning of the Fund
Article 15. The Rural Cooperation Health Insurance Fund consists of insurance and social contributions. The insurance costs include the payment of personal contributions by the insured person, the support of the Village People's Committee (communication Council) or the unit of the insured person (owner) and the financial support of three funds.
At the district level (zone), town finance funds are included in the financial budget according to the number of occupants in the occupancy, which has been enacted for a period of three years to meet the criteria of not less than $20 per year, with the financial support of the district (zone) not less than $10 per year. The city's finances have provided funds annually in the budget for special grants to rural special hardship and townships.
The villagers' councils (communication councils) have been included in their annual plans and made public statements. The unit of the insured person (owner) shall pay a proportion of insurance payments to those who participate in the rural cooperative health insurance, which are not less than the level paid by local individuals.
The insured person pays more than 1 per cent of the per capita income of local farmers over three years after the issuance of the scheme. The obligation of the rural population to pay for participation in cooperative health insurance against disease risks cannot be seen as increasing the burden of farmers.
Article 16 imposes buoys on the payment of insurance charges. The district-level (zone) co-location can be restructured in accordance with the annual realities, with the approval of the Royal People's Government.
Article 17 imposes an inter-year advance, one year's first-time, first-commissioned insurance system, with individuals taking part in the payment of a unit.
Article 18 Rural Cooperation Health Insurance Funds are administered by district (zone) co-location, co-ordinated management, the introduction of financial exclusive stores, the exclusive use of funds, and the strict appropriation. The financial sector should grant policy preferences to ensure value added to the Fund.
Article 19 Reimbursement: Parts of Individual Payments, Entreprenemental Commissions (communication Council) and units (ownership) have been consolidated by the Urban Economic Management Organization (SECO) to the special accounts of the Rural Cooperation Insurance Fund, which are coordinated by sectors such as health, geo taxes, business, civil affairs, education, etc.; and financial support at all levels is allocated directly directly to the funds for rural cooperation.
Article 20, when the insured person pays the royalties, the units charged shall be granted receipts, notices and the contract for the contract. The contract shall include provisions on the treatment, the procedures and methods of the release, the coverage of the reports, the closure criteria, the duration of the insurance and the matters of concern.
Article 21, the Rural Cooperation Health Insurance Fund is divided into three parts of the household or individual health care account, the integrated medical treatment of diseases, and medical assistance funds. The annual average monthly rate of health care is not less than 50 per cent of the per capita fund; the annual per capita rate of medical assistance is not less than 5 per cent of the per capita fund; the household health account is used to prevent health care and the payment of medical fees.
The second article does not take place within the time period of the insurance, with the free access to a health medical examination.
Article 23 establishes the scope and criteria for the release of the rural cooperative health insurance and should be guided by the following principles:
(i) Science is reasonable in order to arrive at a flat and basic balance;
(ii) The insured person shall bear a proportion of medical costs;
(iii) Funding for major medicines;
(iv) The specific circumstances of the medical treatment, except for emergency medical treatment;
(v) Clearly do not belong to the health insurance coverage of rural cooperation.
Article 24 encourages rural doctors to engage in basic medical services within the framework of the health insurance for rural cooperation. Local Governments, villagers' councils (community councils) may entrust public health services projects within the scope of the provision to rural doctors. The old-age insurance of rural doctors can be implemented in the light of the relevant provisions of the urban feed-up insurance.
Article 25 The communes (zones) co-located with the town ( Street) should publish regular financial accounts and work on specific implementation of the health insurance and receive oversight audits in the social and professional sectors.
Chapter V Medical assistance
Article 26 Medical assistance for rural cooperative health insurance targets rural residents identified by the Civil Affairs Department, with the lowest living safety line.
Article 27 provides that rural medical assistance can be used as follows:
(i) Funding for their participation in local rural cooperative health insurance;
(ii) To grant a certain portion of the cost of medical care to the patients;
(iii) preferential services provided by health-care institutions.
The second eighteenth Rural Medical Relief Fund consists of funds from rural cooperative health insurance funds and social contributions at all levels, and medical assistance funds are subject to financial pools, separate accounts, special funds and regular publication.
The twenty-ninth approach to the management of health insurance in rural areas is developed by the Municipal Health Administration with sectors such as civil affairs, finance, rural economic management, and organized by the Government of the city.
Annex VI
Article 33 The Government of the People's Republic of the Region, the Sus State Industrial Parks Committee may establish the rules in accordance with this approach.
Article 31 of this approach was implemented effective 1 July 2003. The approach to the management of rural cooperation in the Sus State of 6 November 1995 was also repealed.