中英对照2021医疗保障基金使用监督管理条例.docx

RegulationontheSupervisionand/AdministrationoftheUseofHealthcareSecurityFundsDocumentNumber：OrderNo.735oftheStateCouncilofthePeople'sRepublicofChinaAreaofLaw:FundsHealthCare1.evelofAuthority：AdministrativeRegulationsIssuingAuthority：StateCouncilDateIssued：01-15-2021EffectiveDate:05-01-2021Status:EffectiveOrderoftheStateCouncilofthePeople'sRepublicofChina(No.735)TheRegulationontheSupen,isionandAdministrationoftheUseofHealthcareSecurityFunds,asadoptedatthe117tlexecutivemeetingoftheStateCouncilonDecember9,2020,isherebyissued,andshallcomeintoforceonMay1,2021.Premier:LiKeqiangJanuary15,2021RegulationontheSupervisionandAdministrationoftheUseofHealthcareSecurityFundsChapterIGeneralProvisions中华人民共和国国务院令（第735号）医疗保障基金使用监督管理条例已经2020年12月9日国务院第117次常务会议通过，现予公布，自2021年5月1日起施行。总理李克强2021年1月15日医疗保障基金使用监督管理条例第一章总则Article 1 ThisRegulationisdevelopedinaccordancewith第一条为了加强医疗保障基金使用监督管理，保theprovisionsoftheSocialInsuranceLawofthePeople'sRepublicofChinaandotherapplicablelawsforthepurposesofstrengtheningthesupervisionandadministrationoftheuseOfhealthcaresecurityfunds,guaranteeingthesecurityoffunds,enhancingtheefficientuseoffunds,andprotectingcitizens'lawfulrightsandinterestsintermsofhealthcaresecurity.Article 2 ThisRegulationshallapplytotheuseofhealthcaresecurityfundssuchasfundsforbasicmedicalinsurance(includingmaternityinsurance),andmedicalassistancefundswithintheterritoryofthePeople'sRepublicofChinaandthesupervisionandadministrationthereof.Article 3 Theuseofhealthcaresecurityfundsshallcenteronthepeople'shealth,guaranteethatthesecurityleveliscommensuratewiththelevelofeconomicandsocialdevelopment,andfollowtheprinciplesoflegality,security,opennessandconvenienceforthepeople.Article 4 Thesupervisionandadministrationoftheuseofhealthcaresecurityfundsshallintegrategovernmentregulation,socialsupervision,industryself-regulationandpersonalintegrity.Article 5 Thepeople'sgovernmentatorabovethecountylevelshallstrengthentheleadershipofthesupen,isionandadministrationoftheuseofhealthcaresecurityfunds,establishandimprovethemechanismforthesupen,isionandadministrationoftheuseofhealthcaresecurityfundsandfund障基金安全，促进基金有效使用，维护公民医疗保障合法权益，根据中华人民共和国社会保险法和其他有关法律规定，制定本条例。第二条本条例适用于中华人民共和国境内基本医疗保险（含生育保险）基金、医疗救助基金等医疗保障基金使用及其监督管理。第三条医疗保障基金使用坚持以人民健康为中心，保障水平与经济社会发展水平相适应，遵循合法、安全、公开、便民的原则。第四条医疗保障基金使用监督管理实行政府监管、社会监督、行业自律和个人守信相结合。第五条县级以上人民政府应当加强对医疗保障基金使用监督管理工作的领导，建立健全医疗保障基金使用监督管理机制和基金监督管理执法体制，加强医疗保障基金使用监督管理能力建设，为医疗保障基金使用监督管理工作提供保障。supervisionandadministrationlawenforcementsystem,strengthentheconstructionofcapabilityforthesupen,isionandadministrationoftheuseofhealthcaresecurityfunds,andprovideguaranteeforthesupervisionandadministrationoftheuseofhealthcaresecurityfunds.第六条 国务院医疗保障行政部门主管全国的医疗保障基金使用监督管理工作。国务院其他有关部门在各自 职责范围内负责有关的医疗保障基金使用监督管理工作。Article 6 ThehealthcaresecurityadministrativedepartmentoftheStateCouncilshalltakechargeofthesupen,isionandadministrationoftheuseofhealthcaresecurityfundsnationwide.OtherrelevantdepartmentsoftheStateCouncilshallberesponsibleforthesupervisionandadministrationoftheuseofhealthcaresecurityfundswithinthescopeoftheirrespectiveduties.县级以上地方人民政府医疗保障行政部门负责本行政区域 的医疗保障基金使用监督管理工作。县级以上地方人民政 府其他有关部门在各自职责范围内负责有关的医疗保障基 金使用监督管理工作。Thehealthcaresecurityadministrativedepartmentofthelocalpeoplesgovernmentatorabovethecountylevelshallberesponsibleforthesupervisionandadministrationoftheuseofhealthcaresecurityfundswithinitsadministrativeregion.Otherrelevantdepartmentsofthelocalpeople'sgovernmentatorabovethecountylevelshallberesponsibleforthesupervisionandadministrationoftheuseofhealthcaresecurityfundswithinthescopeoftheirrespectiveduties.第七条国家鼓励和支持新闻媒体开展医疗保障法律、法规和医疗保障知识的公益宣传，并对医疗保障基金 使用行为进行舆论监督。有关医疗保障的宣传报道应当真 实、公正。Article 7 Thestateencouragesandsupportsnewsmedia'spublicityonhealthcaresecuritylawsandregulationsandhealthcaresecurityknowledgeforpublicinterest,andshalloverseetheuseOfhealthcaresecurityfundsbypublicopinions.Thehealthcaresecuritypublicityandreportsshallbetrueandimpartial.People'sgovernmentsatorabovethecountylevelandtheirhealthcaresecurityandotheradministrativedepartmentsshallsolicittheopinionsofdeputiestothepeople'scongress,CPPCCmembers,andrepresentativesoftheinsured,amongothers,ontheuseofhealthcaresecurityfundsbysuchmethodsassolicitingopinionsinwritingandholdingsymposiums,keepsocialsupervisionchannelsunimpeded,andencourageandsupporttheparticipationofallsectorsofsocietyinthesupervisionoftheuseofhealthcaresecurityfunds.Medicalinstitutionsanddrugdistributionentities(hereinaftercollectivelyreferredtoas“medicalinstitutions,)andotherentitiesaswellasmedicalandhealthindustryassociationsshallstrengthenindustryself-regulation,regulatemedicalservices,promoteindustrialstandardizationandself-regulation,anddirectthelawfulandreasonableuseofhealthcaresecurityfunds.ChapterIIUseofFundsArticle 8 Healthcaresecurityfundsshallbeusedwithinthescopeofpaymentprovidedforbythestate.ThescopeofpaymentOfhealthcaresecurityfundsshallbedeterminedbythehealthcaresecurityadmi