Measures for the Implementation of Publicly-Funded Medical Prevention for State Employees

Article 1 These Measures are formulated in accordance with the Directives of the State Council of the Central People's Government on the Implementation of Publicly-Funded Preventive Medical Treatment for State Employees of the People's Government at All Levels, Parties, Organizations, and Affiliated Institutions throughout the Nation. Article 2 The scope of persons entitled to preventive medical treatment at public expense is as follows:

(1) Staff members of the people's governments at all levels of the country, parties and organizations on the establishment;

(2) Staff members of cultural, educational, health, and economic construction institutions at all levels of the country;

(3) Staff members of the taskforces approved by the State Council of the Central People's Government;

(4) Persons in the countryside who have received long-term pensions for revolutionary invalids;

(5) Persons in the countryside who have received long-term pensions for revolutionary invalids; and (d) Revolutionary disabled soldiers in the countryside who have received long-term pension and revolutionary disabled soldiers living in honorably discharged military hospitals and schools.

The personnel in the establishment referred to in item (1) of this article shall be limited to the posts stipulated in the Decision on Adjustment of Institutions and Tightening of Establishment, No. 53 of the Political and Financial Affairs Department of the State Council, dated May 3, 1952; and the prevention of publicly-funded medical care for the staff at the village (township) level shall be dealt with only when the county treasury has been established.

The persons listed in item (2) of this article refer to those who are paid from the state budget; those who are not paid from the state budget shall be dealt with separately by the institutions in charge of them; those who are entitled to the medical preventive treatment provided for in the regulations on labor insurance shall be dealt with in accordance with the provisions of the regulations.

Personnel under (1)(2)(3) of this Article include those who have not yet been assigned or are yet to be assigned to work due to transfer or redundancy. Article 3 The people's governments at all levels (except for those below the level of special administrative office) shall organize the Publicly-funded Medical Preventive Treatment Implementation and Management Committee, whose tasks are as follows:

(1) Approving the amounts and grades of the personnel who are entitled to publicly-funded medical preventive treatment at the respective levels;

(2) Proposing and reviewing the budgets for publicly-funded medical treatment at the respective levels;

(3) Supervising the coordination of public medical preventive expenses for the various categories of the various levels;

(4) Ensuring that the public medical preventive treatment is provided in accordance with the regulations. (c) Supervising the coordination, unification and management of the use of publicly-funded preventive medical expenses at all levels;

(d) Supervising and organizing the public and private preventive medical institutions at all levels to carry out publicly-funded preventive medical work;

(e) Considering the plans for expansion and establishment of the preventive medical institutions at all levels;

(f) Deciding on and resolving other issues related to the principles of implementation of the publicly-funded preventive medical treatment at all levels. Article 4 The management committee for the implementation of publicly-funded medical prevention at all levels shall be organized by the people's governments at all levels by assigning a person in charge of each of the departments of health, personnel, labor, finance, education, and construction; a representative of the department of health shall be the chairman of the committee, and a representative of the department of personnel and finance shall be the vice-chairman of the committee. Article 5 Where the central government, large administrative regions, provinces (municipalities, administrative offices) of the city where the current should be designated one or more hospitals, specifically responsible for public medical prevention; and should try to organize sanatoriums to accommodate the recovery of patients, in order to accelerate the turnover of hospital beds.

The health administrative organs of the above cities should all set up publicly-funded medical prevention departments (sections) to unify the management of the city's publicly-funded medical prevention for those who are entitled to publicly-funded medical prevention.

The original health center or health section of each institution shall be gradually reduced or abolished after the implementation of the publicly-funded medical preventive measures. After the abolition, the public-funded medical preventive department (section) of each institution shall set up a separate health worker or health physician to guide the personnel of the institution in protecting their health and preventing diseases. Before the original health office (section) of each organ is abolished, it shall be under the unified leadership of the public-funded medical prevention office (section) of the respective place. Article VI commission, county (flag, city), district seat (small cities or towns), in addition to the original county health centers should first be added to the beds, and can be with the local joint diagnostic institutions or private hospitals, clinics, consultation and cooperation, in order to solve the current needs of the prevention of publicly-funded medical care. Article 7 regardless of large, medium and small cities, the public medical prevention matters are adopted regional responsibility system. The specific organization of the work shall be handled by the local health administrative organs. Public hospitals in the same city shall have the responsibility of assisting in accomplishing the task of prevention of publicly-funded medical care; their physicians shall have the obligation of consulting with the public in the case of difficult and serious diseases. Article 8 The people's governments at all levels shall include funds for publicly-funded medical prevention in their financial budgets, which shall be utilized by the health administrative organs at that level (prefectures and counties shall be approved for payment by the people's government in charge, and districts shall be unified by the people's governments of the counties). This money should be earmarked for special purposes and used at the disposal of the health administrative organs at that level, and shall not be distributed equally.

Wherever the units directly under the central authorities are located in the localities, the medical expenses of their personnel for publicly-funded medical treatment and prevention shall be allocated by the central authorities to the local health administrative organs for general and unified expenditure. Article 9 The local health administrative organs shall issue public medical treatment certificates to those who are entitled to public medical treatment, so that they can go to designated hospitals or outpatient clinics for treatment.

Any person who is entitled to publicly-funded preventive medical treatment and goes to another region to work on official business may be referred to designated hospitals or outpatient clinics by the local authorities in charge of publicly-funded preventive medical treatment on the basis of his or her medical license and travel documents, and he or she shall pay the medical fees according to the regulations and report to the authorities in charge of publicly-funded preventive medical treatment in his or her original region on the basis of the documents issued. Article 10 The local health administrative organs shall allocate the medical fees for publicly-funded preventive medicine according to the following proportions:

(1) 30% for outpatient medical equipment and health examinations;

(2) 70% for inpatient medical equipment and repair equipment.

The above costs do not include the costs of environmental sanitation and epidemic prevention equipment. Article 11 The local health administrative organs of the public medical preventive costs of income and expenditure, in addition to the financial budget system to the financial sector, and shall be reported to the Central Ministry of Health for inspection.