Li Keqiang presided over an executive meeting of the State Council to review and approve the "14th Five-Year Plan" National Medical Security Plan

Premier Li Keqiang of the State Council presided over an executive meeting of the State Council on September 15 to deliberate and approve the "14th Five-Year" National Medical Security Plan, deploy and improve the medical insurance system to better meet the needs of the people for medical drugs; pass the "Groundwater Management Regulations (Draft)" to strengthen Conservation and protection of groundwater resources
.

 

The meeting pointed out that universal medical insurance is a basic system to protect people's health
.
Following the deployment of the Party Central Committee and the State Council, since the new round of medical reform, China has built the world’s largest basic medical insurance network covering all people.
During the 13th Five-Year Plan period, basic medical insurance covered 1.
36 billion people, with the coverage rate stabilizing above 95%.
Significant progress has been made in the reform and development of the medical insurance industry, which has played an important role in alleviating the unpleasant and expensive medical treatment, improving people's livelihood and well-being, and maintaining social harmony and stability
.
During the "14th Five-Year Plan" period, it is necessary to deepen the reform of the medical insurance system, do our best, and do what we can.
The medical insurance must adhere to the basic concept of insurance throughout, gradually improve the level, and achieve sustainability
.
The first is to improve the multi-level medical insurance system and optimize medical insurance assistance policies by classification
.
We will implement the universal insurance plan, promote the participation of employees and urban and rural residents in their permanent residence and place of employment, and relax the restrictions on the insured household registration of flexible employees
.
Steadily increase the reimbursement of basic medical insurance for outpatient clinics, and improve the outpatient medication protection for hypertension and diabetes of urban and rural residents
.
Strengthen the connection between critical illness insurance and basic medical insurance to improve protection capabilities
.
Improve the relief mechanism for major diseases of the people in need
.
Improve the medical treatment fee exemption mechanism for special groups and specific diseases in the case of sudden and major epidemics
.
Support the development of commercial health insurance and enrich insurance products for the elderly
.
Steadily establish a long-term care insurance system
.
Improve maternity insurance policies
.
The second is to establish a mechanism for mutual adaptation between the basic medical system and the basic medical insurance system
.
Improve the medical insurance payment policy, promote the development of hierarchical diagnosis and treatment, medical consortium, etc.
, include qualified primary medical institutions into the scope of medical insurance designated points, promote the improvement of the service level of primary medical institutions, reduce "small illnesses" and excessive medical treatment, and improve the efficiency of medical insurance funds.

.
The third is to promote the coordinated reform of medical insurance and medicine
.
Continue to implement national organization drugsCentralized procurement of high-value medical consumables, expand the scope of centralized procurement of high-value medical consumables, and curb the falsely high prices of medicines and medical consumables
.
In time, drugs with high clinical value and obvious benefits for patients will be included in the scope of medical insurance payment, and the scope of basic medical insurance drugs will be basically unified in the country next year
.
The fourth is to improve the service level of medical insurance management
.
Establish a medical insurance service network covering provinces, cities, counties and villages
.
Promote cross-provincial administration of basic medical insurance enrollment registration and continuous transfer, and realize online settlement of hospitalization and outpatient expenses in different places across the country
.
The fifth is to strengthen the supervision of medical insurance funds
.
Strictly implement responsibilities, improve the departmental linkage mechanism, and comprehensively use system monitoring and on-site inspections to achieve full supervision
.
Introduce third-party forces such as commercial insurance institutions to enhance the professionalism of supervision
.
Give full play to the role of social supervision
.
Timely and publicly report the use of medical insurance funds and identify problems, and severely crack down on fraudulent insurance fraud
.

 

　　The meeting passed the "Groundwater Management Regulations (Draft)"
.
The draft stresses adhere to water conservation priority, clearly establish the total amount of groundwater abstraction control and water level control system, determine a reasonable increase groundwater water resources tax standards
.
The draft clarifies the supervisory responsibilities of departments and localities
.
Requires delimitation of prohibited mining areas and restricted mining areas
.
It is stipulated that the use of groundwater in prohibited mining areas is prohibited except in special circumstances, and the new use of groundwater in restricted mining areas is prohibited, and conduct that pollutes or may pollute groundwater is prohibited
.
The draft clearly stipulates the strict punishment of violations of laws and regulations
.

 

　　The meeting also studied other matters
.

　　Premier Li Keqiang of the State Council presided over an executive meeting of the State Council on September 15 to deliberate and approve the "14th Five-Year" National Medical Security Plan, deploy and improve the medical insurance system to better meet the needs of the people for medical drugs; pass the "Groundwater Management Regulations (Draft)" to strengthen Conservation and protection of groundwater resources
.

 

　　The meeting pointed out that universal medical insurance is a basic system to protect people's health
.
Following the deployment of the Party Central Committee and the State Council, since the new round of medical reform, China has built the world’s largest basic medical insurance network covering all people.
During the 13th Five-Year Plan period, basic medical insurance covered 1.
36 billion people, with the coverage rate stabilizing above 95%.
Significant progress has been made in the reform and development of the medical insurance industry, which has played an important role in alleviating the unpleasant and expensive medical treatment, improving people's livelihood and well-being, and maintaining social harmony and stability
.
During the "14th Five-Year Plan" period, it is necessary to deepen the reform of the medical insurance system, do our best, and do what we can.
The medical insurance must adhere to the basic concept of insurance throughout, gradually improve the level, and achieve sustainability
.
The first is to improve the multi-level medical insurance system and optimize medical insurance assistance policies by classification
.
We will implement the universal insurance plan, promote the participation of employees and urban and rural residents in their permanent residence and place of employment, and relax the restrictions on the insured household registration of flexible employees
.
Steadily increase the reimbursement of basic medical insurance for outpatient clinics, and improve the outpatient medication protection for hypertension and diabetes of urban and rural residents
.
Strengthen the connection between critical illness insurance and basic medical insurance to improve protection capabilities
.
Improve the relief mechanism for major diseases of the people in need
.
Improve the medical treatment fee exemption mechanism for special groups and specific diseases in the case of sudden and major epidemics
.
Support the development of commercial health insurance and enrich insurance products for the elderly
.
Steadily establish a long-term care insurance system
.
Improve maternity insurance policies
.
The second is to establish a mechanism for mutual adaptation between the basic medical system and the basic medical insurance system
.
Improve the medical insurance payment policy, promote the development of hierarchical diagnosis and treatment, medical consortium, etc.
, include qualified primary medical institutions into the scope of medical insurance designated points, promote the improvement of the service level of primary medical institutions, reduce "small illnesses" and excessive medical treatment, and improve the efficiency of medical insurance funds.

.
The third is to promote the coordinated reform of medical insurance and medicine
.
Continue to implement national organization drugsCentralized procurement of high-value medical consumables, expand the scope of centralized procurement of high-value medical consumables, and curb the falsely high prices of medicines and medical consumables
.
In time, drugs with high clinical value and obvious benefits for patients will be included in the scope of medical insurance payment, and the scope of basic medical insurance drugs will be basically unified in the country next year
.
The fourth is to improve the service level of medical insurance management
.
Establish a medical insurance service network covering provinces, cities, counties and villages
.
Promote cross-provincial administration of basic medical insurance enrollment registration and continuous transfer, and realize online settlement of hospitalization and outpatient expenses in different places across the country
.
The fifth is to strengthen the supervision of medical insurance funds
.
Strictly implement responsibilities, improve the departmental linkage mechanism, and comprehensively use system monitoring and on-site inspections to achieve full supervision
.
Introduce third-party forces such as commercial insurance institutions to enhance the professionalism of supervision
.
Give full play to the role of social supervision
.
Timely and publicly report the use of medical insurance funds and identify problems, and severely crack down on fraudulent insurance fraud
.

 

　　The meeting passed the "Groundwater Management Regulations (Draft)"
.
The draft stresses adhere to water conservation priority, clearly establish the total amount of groundwater abstraction control and water level control system, determine a reasonable increase groundwater water resources tax standards
.
The draft clarifies the supervisory responsibilities of departments and localities
.
Requires delimitation of prohibited mining areas and restricted mining areas
.
It is stipulated that the use of groundwater in prohibited mining areas is prohibited except in special circumstances, and the new use of groundwater in restricted mining areas is prohibited, and conduct that pollutes or may pollute groundwater is prohibited
.
The draft clearly stipulates the strict punishment of violations of laws and regulations
.

 

　　The meeting also studied other matters
.