(Adopted by the 19th Standing Committee of the People's Government of the Tibetan Autonomous Region on 1 November 2012, No. 116 of the People's Government Order No. 116 of 26 November 2012.

Chapter I General

Article 1 provides for the improvement of the medical system in the pastoralist areas and the improvement of the level of medical safeguards for agricultural pastoralists, which is based on the relevant provisions of the State and self-government zones, in the context of the self-government area.

Article 2

Article 3 Medical systems in agricultural pasture areas are government-led, based on free medical treatment, funds from government, collective, personal and social channels, and the introduction of a basic health-care security system for agricultural pastoralists, combined with the Family Accounts and the Medical Risk Fund.

Article IV provides for the principle of voluntary payment, fair access, non-FNF and guarantees of affordability.

Article 5 Governments at all levels should incorporate the establishment and improvement of the medical system for agricultural pastoral areas into local national economic and social development planning as an important component of the establishment of a social security system for agricultural pastoral areas and to continuously improve the mechanisms for commercial insurance for artisanal diseases.

Article 6. The Government of the people at the district level should strengthen the construction and talent development of grass-roots health-care institutions in the pastoralist area, increase the level of health services and ensure the treatment of grass-roots health personnel; strengthen the health information development in the pastoralist area, form the interconnected health management information system between the health-care agencies, the targeted medical institutions and the relevant departments, and address the cost of compensation for the pastoral health fund on the basis of the progressive promotion of the self-agnoders' medical treatment “Akato”.

Chapter II Organizational management

Article 7. Self-governance zones, land (markets) have been established by health, finance, programming, human resources and social security, development and reform, civil affairs, audit, inspection, advocacy, radio movie television, education, agricultural pasture, poverty reduction, food medicine surveillance, population family planning, gynaecology, gynaecology and disability-related medical coordination groups, responsible for organizing, inspecting, mentoring and coordinating the medical work of pastoralist areas. Its day-to-day management is vested in the self-government zone and in the sanitary administration.

Article 8

Article 9. Health administration authorities and communes (communes, districts) are responsible for specific work by the National Government's Agency for Medical Management in the Zangger area. The funding and work requirements of the Medical Management Service are included in the same-level financial budget and cannot be extracted from the Medical Fund.

Article 10

(i) Promotion of health policies in agricultural pastoral areas;

(ii) Develop work programmes, work systems and work processes and organize implementation in accordance with this approach;

(iii) Organizing health funds;

(iv) Managing the medical fund for pastoral areas (markets, areas);

(v) Nuclear medical documents;

(vi) Reimbursement of medical expenses in full and on time, as required;

(vii) To collect, collate, analyse and report on the health management and operation of agricultural pastoral areas;

(viii) Collection and declaration of relevant information on the supplementary medical commercial insurance for pastoralists;

(ix) Reimbursement for medical expenses for pastoralists eligible for medical assistance or related certificates;

(x) Oversight, inspection and assessment of the work of the medical management institutions in the town;

(xi) Medical management of the top-level government and other agricultural pastoral areas arranged by the relevant departments.

Article 11

(i) Promotion of health policies in agricultural pastoral areas;

(ii) Organizing the implementation of the programme of work and work systems developed by the district (market, district) medical management agencies;

(iii) Mobilization of pastoralists (communes) to participate in medical financing and to register registration and documentation;

(iv) To raise the costs of the family's personalities and to submit to the district (markets, areas) medical management agencies on time;

(v) Managing the Family Accounts Fund for Agricultural Shepherds;

(vi) Oversight of the quality and cost of health services in the communes (communes) and village health rooms, and promote their continuous improvement in conditions of service and the enhancement of service capacity, level and quality;

(vii) A public indication of the compensation of pastoral medicines;

(viii) Statistical reports on the treatment of pastoralists in the town (communes) and on the reimbursement for hospitalization;

(ix) The People's Government and its relevant departments and districts (markets, districts) Medical Management Service.

Chapter III Medical Fund management

Article 12

The main sources of the medical fund for the pastoral area include:

(i) The provision of free medical specialization funds for national arrangements and new types of rural cooperation medical benefits;

(ii) The provision of free medical care for the self-government zone, the land (market), the district (communes, districts) and the Government's financial arrangements;

(iii) Individuals are voluntarily financed annually;

(iv) Civil administration authorities in the district (markets, districts) fund individuals who meet medical assistance;

(v) Contributions from business units, social groups and individuals;

(vi) Interests arising from the Medical Fund of the Faroi Region;

(vii) Other sources.

Article 14.

In the year when newborns were born, a medical policy for agricultural pastoral areas was automatically enjoyed by parents, which could be voluntarily financed by the provision of funding from individuals since the second year.

In accordance with the conditions of medical assistance, the personal payment is made by the administrative authorities of the district (commune, district).

The Family Medical Accounts Bill is compiled by the administrative authorities of the autonomous district.

Article 15 Removals of pastoral families and the transfer of medical safeguards to the relocated district (market, district) medical management agencies. Farmal families are transferred to their families, and their family accounts fund balances are returned by communes (communes) medical management agencies.

Article 16 Medical Funds for agricultural pastoral areas are divided into three categories of the Integrated Fund, the Family Accounts Fund and the Medical Risk Fund. The proportion and purpose are:

(i) Integrated Fund for Diseases. A total of 60-70 per cent of the agricultural pastoral health fund is used for reimbursements for hospitalization costs and special medical expenses for pastoralists.

(ii) The Family Accounts Fund. A total of 28-38 per cent of the agricultural pastoral health fund is provided for reimbursements for medical and health medical examinations for farmers.

The self-government sector policy provides for voluntary transfers of home-based households that are voluntarily funded by the self-government sector policy, from 28 to 38 per cent of the total medical fund for the pastoral area to their family accounts, personal funding exceeds the standards set in the self-government sector policy and goes beyond the full part of their referral to the household accounts; and for farmers who do not receive personal funding, only 28-3 per cent of the total provision for free medical and cooperative medical assistance from the household funds and 8 per cent referrals to the household accounts.

(iii) Medical risk funds. A total of 2 per cent of the agricultural pastoral health fund was used to compensate the Fund for emergency funds in the event of an unusual increase in the number of diseases during the year. The Risk Fund has not been used for five consecutive years and has not been relocated since sixth years and the proportion of funds has been transferred to the Integrated Disease Fund in full. The Medical Risk Fund was established by districts (markets, districts). Using the Risk Fund, a written request was made by the district (commune, district) medical clinic for approval by the Leading Group for the Medical Management of the Shepherd (Central).

The proportion of the Fund for Epidemiology and the Family Accounts Fund in all regions (communes) is specific to the extent specified in the self-government area, and according to local practice, the sanitary administrative authorities of the self-government area are determined.

Article 17 provides for the integrated management of district (communes, districts) health funds in the pastoralist area, and the Integrated Fund for Dispatient Family Accounts and the Medical Risk Fund are administered by the district (market, district) medical management agency. The Integrated Disease Fund and the Medical Risk Fund are administered by the district (communes, districts) Medical Management Service, which is co-managed by district (communes, districts) medical management units, and the Family Accounts Fund is administered by the district (communes, districts) medical management agencies.

Article 18 Medical funds in the pastoral area adhere to the principle of management of “exclusive stores, earmarked funds, income and expenditure separation, and management separation”. Any unit or individual shall not borrow, interdiction, misappropriation and expropriation of the medical fund for agricultural pastoral areas.

Funds for agricultural pastoral medicines at all levels of financial arrangements should be included in financial advances and accounts. In accordance with the accounting system and the financial system, district, communes (communes), communes (communes), communes (communes) have financial accounting of the Fund's income and expenditure and the establishment of sound financial accounting archives and regulations to regulate financial accounting management.

Chapter IV Use of the Medical Fund

Article 20 shall be used by the Medical Fund in accordance with the principle of payment, balance of payments, a slight balance, and in an open, fair, timely and user-friendly manner. The Medical Fund has savings and has been used for the next year.

Article 21 states (communes, communes), communes (communes) medical management agencies should establish an early warning system for the operation of the Fund and increase efficiency in use in accordance with the principles used by the Fund.

Article 22 provides the following medical treatment:

(i) Access to free medical and new forms of rural cooperation in national and autonomous areas;

(ii) Access to basic health care services;

(iii) Reimbursement for medical expenses as prescribed.

Article 23 Bondists write off or reimbursed in their household accounts fund for medical treatment fees at all targeted medical institutions.

Article 24 provides that farmers, at all levels, write or reimburse for the hospitalization costs incurred by medical establishments for medical care, in accordance with the Family Medical Account and the valid ballots for medical expenses. Until integrated localities (markets), self-governance sector levels are in place, the integrated health fund is inadequate in all districts (markets, districts) and can be redeployed within 10 percentage points, with the consent of the local (market) health administration authorities.

(i) In the commune (communes) targeted medical institutions paying 90 per cent of the inpatient expenses incurred in medical care, and 70 per cent of the unpaid collection of personal funding.

(ii) In the district (communes, districts) targeted medical institutions to pay 85 per cent of the collection or reimbursement for personal funding; and

(iii) Reimbursement of 70 per cent of the Fund's Integrated Disease Fund in respect of hospitalization costs incurred by medical institutions (market) and above; and 50 per cent of unpaid personal funding.

Article 25

Article 26 Patients of farmers are inpatiently treated in the integrated area, when the home is paid by their families only for personal self-payments, the reimbursement portion is paid by the hospital, and the funds paid by the medical management agency at the place of the patient's household are settled or settled on a regular basis.

In the second article, the cost of hospitalization was paid by the farmers' mattress. Reimbursement for medical management at the place of the household are carried out by an effective vote, documentation and related medical certificate. The medical management service is responsible for reimbursement for up to three months.

(i) Agricultural pastoralists, in addition to integrated areas, to visit their families, to travel, etc., have been inpatient in the event of illness and, after the arrival of the compound, have been informed of the institution of the Integrated Regional Agency for the Medical Management of Agritorial Aggregations;

(ii) Medical treatment needs to be transferred to targeted medical institutions outside the integrated area.

Article 28 provides that health administration authorities at all levels should conduct pilots to improve the level of major diseases and special medical safeguards for pastoralists. A 70 per cent of the special medical fees included in the reimbursements are reimbursed for. The cost of special medical treatment is combined with the hospitalized medical costs into the annual maximum reimbursement rate. The directory of major diseases and special diseases is developed and published by the administrative authorities of the self-government region.

The cost of treatment for major diseases is included in the coverage of reimbursements to the Medical Fund.

Medical rehabilitation projects for treatment are integrated into basic medical safeguards and are implemented in accordance with local reimbursement standards.

In accordance with article 29, the cost of hospitalization and treatment of newborns at all targeted medical institutions, is fully reimbursed in the Epidemiology Fund, as evidenced by the Family Medical Accounts Bill, the district (markets, district) medical referral facility, and the effective statement of medical costs.

Agricultural mothers receive poisoning from their families, free of the medical costs they incurred, and are reimbursed on a regular basis by targeted medical institutions for effective grounds free of medical fees, for example, registration of births and for signature by the parties.

Article 31 provides for the introduction of a policy of incentives for mother-to-child transmission in the self-governance area, which is funded by the district (communes, districts) medical management agencies in the Epidemiology Fund.

Article 31 gives up to 50 per cent of the household account's own fund each year from its home account to the uniform management of schools by the Medical Management Service, the medical expenses paid by the school from the funds administered by the school, with savings available for the next year. Inpatient costs are certified by schools, the Family Medical Accounts Bill and the effective tickets for medical expenses, and are reimbursed by the Office of Medical Management in the place of its household (market, district). The children of pastoralists who attend high schools are reimbursed for medical expenses at home.

Article 32 ADB's Family Accounts Fund was saving over the year and continues to be used in the next year. The Family Accounts Fund of the Faroe Patriotics was used and the medical agencies were paid by individuals at all levels.

Article XXIII (markets, districts), communes (communes), communes (communes) medical management agencies should strictly enforce the provision for medical reimbursement for agricultural pastoral areas, strictly vetting the various documents and vouchers, and prevent the use of means such as forfeiture of the relevant material.

Article XIV Scope of non-reimbursable medical expenses:

(i) Medical costs of alcohol abuse, fighting and drug abuse;

(ii) Medical costs incurred in suicide, self-immobilization (other than psychiatric);

(iii) Medical costs, such as transport accidents, medical accidents, should be borne by third parties;

(iv) Medical expenses incurred in non-fundamental medical needs, such as the United States of America or the United States of America;

(v) Expenditures for the purchase of medicines, nutrition, health products;

(vi) Recruitment, admission, medical examination, transportation costs (other than delivery of maternity inpatient delivery and rescue);

(vii) Medical costs to be paid by the work injury insurance fund;

(viii) Medical costs incurred in non-scheduled medical institutions;

(ix) Medical costs incurred outside the country.

Medical expenses should be borne by third parties in accordance with the law, but it is not possible to determine third-persons, which are reimbursed by the Fund for Agricultural Shelter.

Chapter V

Article XV provides for a targeted medical facility for agricultural pastures. Public health institutions are targeted at all levels. Reservations, public security police medical institutions and non-public medical institutions are requested to serve as a targeted medical institution, which is reviewed and evaluated by the sanitary administrative authorities at the location (market) in accordance with the relevant provisions of the national and self-government zones, and incorporated into targeted medical institutions after the approval of the health administration authorities of the self-government area. The list of targeted medical institutions is regularly published in society.

The Agency for the Medical Management of the Faroi Region should, in accordance with the management needs, enter into a service agreement with targeted medical institutions to clarify the rights obligations of both parties. Health administration authorities at all levels should strengthen the regulation of the services of targeted medical institutions.

The communes (communes, communes), communes (communes) should establish a commune health service system. The sanitary administrative authorities in the district (markets, districts) should organize medical institutions to conduct regular medical examinations for agricultural pastoralists and to develop regulatory e-health files in district (communes, districts), communes (communes).

Article 37 medical institutions at all levels should provide for the implementation of the referral system, which should have the following conditions:

(i) Disadvantaged diagnosis, invalid treatment, absence of a condition of treatment or severe stress, and the need for further screening and treatment by targeted medical institutions at the superior level;

(ii) Approval of consent by district (market, district) medical management agencies.

In particular reasons such as the acuteness, risk, re-reference, the urgent need for medical treatment at the referral hospitals, the district, communes, communes (communes), communes (communes), etc., should be given prompt referrals, without delay and inform the district (markets, districts) medical management agencies that conduct ex post facto clearances.

Article 338 medical institutions and medical personnel should strictly observe occupational ethics norms, strictly implement the standards, protocols and fees for the operation of medical technology, as a result of sickness treatment, and ensure the registration, access to medicines, and the payment of tickets.

There is a prohibition on the self-creation of fees by targeted medical institutions and medical personnel to increase charges, beyond patients' illness needs to be inspected, used medicines, treated.

Article 39 (markets, districts), communes (communes), communes (communes), medical management agencies and targeted medical institutions should place promotional columns and bulletins in a clear place, as well as advocacy and public indications, reimbursement processes and medical reimbursements, directory of therapeutic projects and their fees standards.

Chapter VI Medical management oversight

Article 40 departments such as health, finance, audit should monitor the implementation of this approach and the use of funds and report to the same-level people's Government. The main elements of the monitoring inspection include the implementation of free medical specialization funds, the mobilization, management and expenditure of the Medical Fund, medical services, drug management, etc.

Issues identified in the course of medical supervision in the pastoralist areas should be corrected or processed in a timely manner.

Article 40 states (communes, districts), communes (communes) medical management agencies should report on the payments and use of the medical fund to the district (communes, areas), communes (communes) in a quarterly or semi-annual manner.

Article 42 states (communes, districts) medical management agencies should establish a medical fund reimbursement system that provides regular indications of the specific income and expenditure of the medical fund, the management and the benefits of pastoralists and guarantees the right of farmers to participate, inform and monitor.

Farmers have the right to monitor the use of the medical fund for agricultural pastoral areas and have the right to make observations and recommendations to all levels of medical management, as well as to carry out inspections of violations of the agricultural pastoral medical system.

Article 43 thirteenthly, price administrations should enhance the management and supervision of medical medicines, medical services prices and control prices fairly.

Chapter VII Legal responsibility

Article 44 Medical management agencies and their staff have one of the following cases, which are being rectified by the executive order of the health administration; in serious circumstances, administrative disposition by the competent authorities of the direct head and the person directly responsible; and liability under the law for the loss of medical funds, pastoral property.

(i) No medical fund to be raised in accordance with the provisions;

(ii) No cost of medical reimbursement for agricultural pastoral areas in accordance with prescribed standards, requirements and deadlines;

(iii) Other acts under this approach.

Article 42 provides false testimony by targeted medical institutions to provide conditions for the vetting of medical funds and a fine of 1000 dollars for medical institutions and to hold medical institutions directly responsible for the responsibility of supervisors and other persons directly responsible.

Article 46 quantified medical institutions take various means to deceive the costs of the medical fund for agricultural pastoral areas, which is charged by the health administration to the funds for which they were receptive, with a fine of up to $50 million, and the medical management agency, in accordance with its agreement on release of targeted medical services, and to hold accountable the responsible and other directly responsible personnel.

Article 47 does not provide medical services in accordance with the agreement on customary medical services in the pastoral area or conduct unreasonable inspections, treatment, pharmacies and fees, which are being converted by the health administration; and refuses to change, the medical management agencies are not able to carry out a medical treatment agreement with them.

Article 48 accounts, misappropriation, interception of the medical funds of the agricultural pastoral area, or expenditure other than reimbursement for medical funds, shall be charged by the health administration authorities to recover; proceeds derived from the law and forfeiture of proceeds of the conflict; and treatment of direct responsible personnel and other persons of direct responsibility in accordance with the relevant laws, regulations. The transfer of the judiciary is criminalized by law.

Chapter VIII

Article 49 can be established in accordance with this approach by the local (commune) office (the people's Government).

Article 50 of this approach is implemented effective 1 January 2013. The provisional approach to health management in the Tibetan Autonomous Region, issued by the Government of the people of the Tibetan Autonomous Region on 30 November 2006 (No. 75 of the People's Government Order No. 75 of the Tibetan Autonomous Region).