Ministry of Land and Resources Ministry of Housing and Urban-Rural Development
National Health and Family Planning Commission China Banking Regulatory Commission China Insurance Regulatory Commission
Implementation Opinions on Encouraging Private Capital to Participate in Development of the Elderly Care Service Industry
Source:
Portal of the Ministry of Civil Affairs Time. 2015-02-25 16:29
Minfa [2015] No. 33
Provinces, autonomous regions and municipalities directly under the Central Civil Affairs Bureau (Bureau), Development and Reform Commission, Education Department (Bureau), Department of Finance (Bureau), Department of Human Resources and Social Security (Bureau), Department of Land and Resources (Bureau), Department of Urban and Rural Development (Bureau), the Commission on Health and Family Planning, the Banking Supervision Bureau, the Office of the Superintendent of Insurance, the municipalities separately listed in the Plan Civil Affairs Bureau, Development and Reform Commission, Education Bureau, Finance Bureau, Human Resources and Social Security Bureau, Land and Resources Bureau, Housing and Urban-Rural Development Bureau, Health Bureau, Banking Supervision Bureau, Insurance Supervision Bureau, Civil Affairs Bureau, Development and Reform Commission, Education Bureau, Finance Bureau, Human Resources and Social Security Bureau, Land and Resources Bureau, Housing and Urban-Rural Development Bureau, Health Bureau of the Xinjiang Production and Construction Corps:
According to the Several Opinions of the State Council on Accelerating the Development of the Elderly Care Service Industry (State Council) Several Opinions of the State Council on Accelerating the Development of the Elderly Service Industry" (Guo Fa [2013] No. 35), in order to give full play to the decisive role of the market in the allocation of resources and better play the role of the government, and gradually make the social forces become the main body of the development of the elderly service industry, we now encourage the participation of private capital in the development of the elderly service industry, put forward the following views.
I. Encourage private capital to participate in home and community-based elderly care services
Encourage private capital to organize or operate day care centers for the elderly, activity centers for the elderly and other elderly care facilities in urban communities, for the elderly in need, especially for the elderly, empty nesters, living alone, living in difficult conditions, to provide centralized dining, nursing, bathing, health, recreation, and door-to-door care services, etc. The program also provides assistance in the registration of information on the elderly and the assessment of their physical conditions. Home and community-based elderly care service organizations that meet the conditions for registration as private non-enterprise units can be registered as private non-enterprise units in accordance with the law, while other organizations can be registered as enterprises in accordance with the law.
Through the government's purchase of services, coordination and guidance, assessment and certification, etc., private capital is encouraged to organize domestic service enterprises, home-based senior care service professional organizations or enterprises, door-to-door for the elderly to provide meals, bath, cleaning, emergency, medical assistance and other customized services. Actively guiding qualified home-based elderly care service enterprises to implement large-scale, networked and branded operations, increase and expand their outlets, and improve the accessibility of elderly care services. Supporting community home care service outlets to introduce social organizations and home economics, education, property services and other enterprises to set up or operate various forms of senior care service projects. Professional home care agencies are encouraged to provide business guidance and personnel training to community-based senior care service organizations.
Promoting the construction of senior care service informationization, and gradually realizing the dynamic management of information on the elderly. Support the use of the Internet, Internet of Things, cloud computing and other technical means of private capital, docking elderly service demand and various types of social subjects service supply, the development of telemedicine services for the elderly institutions, the development of the elderly e-commerce for the elderly to provide emergency calls, housekeeping appointments, health consulting, goods on behalf of the purchase of goods, services, such as payment service projects. Conditional places, can be home for the elderly free configuration "a key to pass" and other electronic call equipment.
Second, encourage private capital to participate in institutional elderly services
Support the adoption of shareholding system, joint-stock cooperative system, PPP (government and private capital cooperation) and other modes of construction or development of elderly institutions.
Encourage social forces to organize large-scale, chained nursing institutions, encourage nursing institutions across the region to join forces, resources **** enjoy, develop cross-location interactive nursing, and promote the formation of a number of highly competitive nursing institutions.
Supporting institutions, enterprises and public institutions to transform their resorts, training centers, guest houses and sanatoriums into senior care institutions, and supporting private capital to integrate and renovate enterprise plants, commercial facilities and other available social resources for senior care services.
Encouragement of government investment in senior care institutions, especially the new institutions, on the basis of clear property rights, through public bidding, contracting, joint ventures, joint ventures, cooperation, etc., to social forces to operate, and to achieve the marketization of the operating mechanism. Conditional places, can be carried out steadily to provide operational services specifically for the community of public institutions for the elderly into enterprises or social organizations to improve the corporate governance structure of the pilot work.
Encouragement through the government to purchase services to support the private elderly institutions to receive urban and rural people in special hardship or the government to assume responsibility for the care of other elderly.
Third, support private capital to participate in the development of the elderly industry
Encourage and guide private capital to expand the characteristics of the elderly culture and entertainment, education, sports and fitness, leisure and tourism, health services, spiritual comfort, legal rights and other services, and to strengthen professional services for the disabled elderly.
Supporting enterprises to develop safe and effective rehabilitation aids, food and drugs, clothing and apparel, and other products and services for the elderly, guiding shopping malls, supermarkets and wholesale markets to set up special counters for the elderly, and encouraging conditional areas to establish a street or a professional trading market for elderly products. Encourage existing e-commerce platforms to improve their service functions and increase the number of goods and services adapted to the consumption needs and characteristics of the elderly.
Encourage private capital to participate in the construction of senior citizen apartments and residential service facilities for the elderly, as well as the renovation of existing homes for the elderly. In accordance with the "Urban Residential Planning and Design Code", "the elderly residential building design standards" and other construction standards for the planning and construction of elderly residential areas and senior citizen apartments project, its supporting the independent registration of the conditions of the elderly institutions in accordance with the provisions of the corresponding support policies.
Supporting the development of leading enterprises, especially the development of home care service enterprises, to cultivate a number of leading enterprises with strong driving force and high visibility of the senior care service industry brand, to form a number of industrial clusters with a long industrial chain, covering a wide range of areas, and significant economic and social benefits.
Guiding and regulating commercial banks, insurance companies, securities companies and other financial institutions to develop financial management, credit, insurance and other products suitable for the elderly.
Fourth, promote the integrated development of medical care
Support the conditions of the elderly institutions within the medical institutions or signed an agreement with the medical and health institutions, to provide high-quality and convenient medical and health services for the elderly. Health planning and administrative departments at all levels should give strong support to the establishment of nursing institutions, medical clinics, nursing stations and other medical institutions, and actively facilitate; set up in accordance with the provisions of the approval and registration of practice.
Pension institutions within the medical institutions in line with the basic medical insurance for employees, urban residents of basic medical insurance and the new rural cooperative medical care designated medical institutions, according to the provisions of the application to be included in the designated scope. In the designated medical institutions incurred in line with the provisions of the medical rehabilitation program costs, can be included in the basic medical insurance payment scope in accordance with the provisions.
Supporting and developing the construction of nursing care institutions. Private capital investment in nursing care institutions, financial subsidies and other policies to be tilted.
The medical institutions and their medical and nursing staff within the nursing institutions should be included in the unified guidance of the administrative departments of health planning and health care, and be treated equally with other medical institutions in terms of qualification, title evaluation, technical access and recommendation of excellence.
Strengthening the training of physicians, licensed nurses, and management personnel in nursing institutions, and strengthening the talent guarantee for the integrated development of medical care. Physicians and practicing nurses are encouraged to provide services in nursing homes and medical institutions.
Promoting medical and health care resources into the community and residents' homes, and strengthening cooperation between home and community-based elderly care facilities and primary medical and health care institutions.
V. Improvement of investment and financing policies
Increase the financial investment in the development of elderly services. Conditional areas, can set up special support funds. Make full use of the various types of financial funds to support the development of the service industry, explore the establishment of industrial funds, PPP and other modes to support the development of socialized elderly service industry for the general public, leading to increased investment in social capital. Through the central infrastructure investment and other existing funding channels, the social needs of the elderly project with good prospects for project development to be appropriate support.
The Ministry of Civil Affairs lottery public welfare funds and local governments at all levels for social welfare undertakings, the lottery public welfare funds, more than 50% of the funds to support the development of the elderly service industry, and with the increase in the elderly population gradually increase the proportion of investment. Among them, the funds to support the development of private pension services shall not be less than 30%.
Private non-profit elderly institutions should be held for donations, the institution enjoys the legal person property rights over its assets, the donor (organizer) does not have the ownership of the donated property. For the organizers did not donate and give the organization in the form of leasing the use of fixed assets, as well as borrowing to invest in the organization's operating liquidity, allowing it to charge no higher than the fair market level of rent and interest. The industry management department and registration authority shall disclose their related transactions and carry out the necessary supervision.
Privately-run non-profit pension institutions should be liquidated in accordance with the law after the closure of the institution, and its remaining assets shall be co-ordinated by the civil affairs department and incorporated into the local government's special fund for pension development in the form of donations. Original donations have value-added, agreed by the decision-making body of the pension institutions and audited in line with the provisions of the donor (organizer) can be given a one-time incentive.
Encourage financial institutions to accelerate the innovation of financial products and services through financial interest subsidies, subsidized investment, risk compensation, etc.
Promote the implementation of health and senior care service projects. Research on securitization products based on assets of the senior care service industry, and steadily promote direct or indirect investment in the senior care service industry by financial institutions.
Broaden the scope of credit mortgage collateral, allowing private senior care institutions to use the right to use the land acquired in return for payment, property rights and other fixed assets such as clear property rights for mortgage loans, the real estate registration agency should be given to handle the mortgage registration formalities.
Sixth, the implementation of tax incentives
Private elderly institutions to provide nursing services are exempt from business tax. No value-added tax and business tax will be levied on the transfer of real estate and land use rights involved in the process of asset reorganization of nursing institutions.
Further implementing the national tax incentives to support small and micro-enterprises, qualified small and micro-profit senior care service enterprises will be given VAT, business tax and income tax incentives in accordance with relevant regulations.
Domestic service enterprises are exempted from business tax on home care services such as elderly care provided by staffed domestic helpers in accordance with the regulations within the validity period of the policy.
Private welfare and non-profit elderly care organizations that meet the requirements are exempted from enterprise income tax on the income they earn as stipulated.
Private welfare and non-profit institutions are exempted from property tax and urban land use tax on their own property and land. The farmland occupation tax is exempted for the places in the approved private nursing homes that are specially designed to provide life care for the elderly.
Deductions are allowed for donations made by enterprises, public institutions, social organizations, and individuals through public welfare social organizations or people's governments and their departments at or above the county level, for public welfare undertakings stipulated in the Chinese People's Republic of China Donation for Public Welfare Undertakings Law, for the portion of the total annual profit not exceeding 12% in accordance with the relevant regulations. Donations to welfare and non-profit private elderly care institutions by individuals through non-profit social organizations and government departments are allowed to be fully deducted before payment of individual income tax.
The construction of private non-profit senior care institutions is exempted from relevant administrative fees, and the construction of for-profit senior care institutions is reduced by half of relevant administrative fees.
VII. Strengthening Talent Assurance
Supporting vocational colleges and universities to set up points of specialization related to elderly care services, expanding the scale of talent training; accelerating the development of specialized undergraduate education in elderly care services, and actively developing postgraduate education in elderly care services, and cultivating specialists in gerontology, population and family, population management, geriatrics, orthopedics and injuries of traditional Chinese medicine, rehabilitation, nursing care, nutrition, psychology, and social work, among other fields. It is also expanding the channels for training talents, opening up channels for the training and development of technical and skilled talents, and promoting the "3+2" and five-year system for the training of middle- and high-vocational integrated talents in suitable specialties other than medical specialties. Preparing and implementing the National Development Plan for Elderly Education (2015-2020). It will give full play to the role of open universities, carry out continuing education and distance education, and further improve the overall quality of elderly service practitioners.
Relying on vocational colleges and nursing institutions, it has strengthened the training of nursing care personnel, and subsidized eligible practitioners who participate in vocational training and vocational skills appraisal for nursing care in accordance with regulations.
Allow qualified physicians to carry out multi-practice in private elderly care institutions. Encourage private nursing institutions to introduce social work personnel. The professional and technical personnel employed in private nursing institutions to implement the same licensing, registration and assessment policies as public institutions.
To do a good job of elderly caregiver wage guide price release, guidance to private nursing institutions and organizations to reasonably determine the elderly caregiver labor compensation. Elderly institutions and organizations should pay social insurance premiums in full in accordance with the law, and social insurance subsidies will be given to elderly institutions that absorb employment of persons with employment difficulties in accordance with the regulations. Persons with employment difficulties who engage in home-based elderly care services in the form of flexible employment are entitled to social insurance subsidies for flexible employment in accordance with the regulations. Actively improve the working conditions of elderly caregivers, and strengthen labor protection and occupational protection.
VIII. Promote the standardized and orderly participation of private capital
Establish and improve the working mechanism led by the government, led by the civil affairs, the participation of the relevant departments, and give full play to the role of the various types of elderly care services have been set up deliberative and coordinating institutions, strengthen policy coordination, regularly analyze the problem, *** with the research to encourage the participation of private capital in the development of elderly care services to promote the initiative.
Departments of civil affairs should effectively fulfill their duties of supervision and management, industry standardization, and business guidance, and timely preparation of development plans for the elderly service industry. Development and reform departments should incorporate the elderly service industry into economic and social development planning, support the construction of elderly service system. Housing and urban-rural construction departments should formulate standards for the construction of elderly service facilities, organize the preparation of special planning for elderly service facilities, and guide the orderly construction of elderly service facilities. Other relevant departments should play their respective roles, in accordance with the division of responsibilities, and do a good job in encouraging private capital to participate in the development of senior care services.
Implement the relevant policies and regulations of the senior care service industry, establish an open, transparent and standardized system of access, withdrawal and supervision of the senior care service industry, and create a market environment of equal participation and fair competition. All areas of senior care services that are not explicitly prohibited by laws and regulations should be opened up to private capital.
Speed up the formulation and improvement of standards related to senior care services, establish a sound system of standards for senior care services, and continuously improve the standardization and standardization of senior care services. Strengthen the tracking, monitoring and services for private capital entering the senior care service industry.
Cultivating and developing senior care service industry associations, giving full play to their roles in industry self-regulation, supervision and evaluation, and communication and coordination, and promoting the formation of a management mechanism that combines the government, social organizations, and senior care service entities.
Nine, to protect the land demand
Private capital investment in senior care service facilities required for construction land, applicable to the national provisions of the land supply and development and utilization policies of senior care service facilities, land resource management departments should be in accordance with the "Office of the Ministry of Land and Resources on the issuance of & lt; senior care service facilities land guidance & gt; the notice" (land resource hall hair [2014] No. 11) The relevant provisions, and actively do a good job of land use services.
Ministry of Civil Affairs, Development and Reform Commission, Ministry of Education, Ministry of Finance, Ministry of Human Resources, Ministry of Social Security, Ministry of Land and Resources, Ministry of Housing and Urban-Rural Development, Ministry of Health and Family Planning Commission, China Banking Regulatory Commission, China Insurance Regulatory Commission
February 3, 2015