李(li)克強主持召(zhao)開國務院(yuan)常(chang)務會議 通過《地下(xia)水管理(li)條(tiao)例(li)(草案)》強化地下(xia)水資源(yuan)節(jie)約與保護
李克強(qiang)主持(chi)召開國務院常務會(hui)議 審議通過“十四(si)五”全(quan)民醫療保障規劃(hua) 部署健(jian)全(quan)醫保制度體系更(geng)好滿(man)足群(qun)眾就(jiu)醫用藥需(xu)求 通過《地(di)下水管(guan)理(li)條(tiao)例(草案)》強(qiang)化地(di)下水資(zi)源節約與保護
國務院總(zong)理李克強(qiang)(qiang)9月15日主持召(zhao)開國務院常務會(hui)議,審議通過“十四五”全民醫療(liao)保(bao)障規劃(hua),部署健全醫保(bao)制度體系,更好滿足群(qun)眾就醫用藥(yao)需求;通過《地下(xia)水管理條例(草案)》,強(qiang)(qiang)化地下(xia)水資源節約與(yu)保(bao)護(hu)。
會(hui)議指出(chu),全民(min)醫(yi)(yi)(yi)(yi)保(bao)(bao)(bao)(bao)是保(bao)(bao)(bao)(bao)障(zhang)人(ren)民(min)健(jian)(jian)康(kang)的(de)(de)一(yi)(yi)(yi)項基本(ben)(ben)(ben)制(zhi)(zhi)(zhi)(zhi)度。貫(guan)徹黨中央、國務(wu)院(yuan)部(bu)署(shu),新一(yi)(yi)(yi)輪(lun)醫(yi)(yi)(yi)(yi)改(gai)以來,我國已建成全世界最(zui)大(da)、覆(fu)(fu)蓋(gai)(gai)全民(min)的(de)(de)基本(ben)(ben)(ben)醫(yi)(yi)(yi)(yi)療(liao)(liao)(liao)保(bao)(bao)(bao)(bao)障(zhang)網,“十三(san)五(wu)”期間基本(ben)(ben)(ben)醫(yi)(yi)(yi)(yi)療(liao)(liao)(liao)保(bao)(bao)(bao)(bao)險(xian)覆(fu)(fu)蓋(gai)(gai)13.6億人(ren),覆(fu)(fu)蓋(gai)(gai)率穩(wen)(wen)定在(zai)95%以上,醫(yi)(yi)(yi)(yi)保(bao)(bao)(bao)(bao)事業(ye)(ye)改(gai)革(ge)發展(zhan)又取得重(zhong)要進展(zhan),為(wei)(wei)緩(huan)解群眾看(kan)病(bing)(bing)難看(kan)病(bing)(bing)貴、增進民(min)生福祉、維護(hu)社會(hui)和(he)(he)諧(xie)穩(wen)(wen)定發揮了重(zhong)要作(zuo)用(yong)(yong)(yong)(yong)(yong)(yong)。“十四五(wu)”時期,要深入(ru)推(tui)(tui)進醫(yi)(yi)(yi)(yi)保(bao)(bao)(bao)(bao)制(zhi)(zhi)(zhi)(zhi)度改(gai)革(ge),盡力(li)而為(wei)(wei)、量(liang)力(li)而行,醫(yi)(yi)(yi)(yi)療(liao)(liao)(liao)保(bao)(bao)(bao)(bao)障(zhang)要堅持(chi)把保(bao)(bao)(bao)(bao)基本(ben)(ben)(ben)理念貫(guan)穿始終(zhong),逐步提(ti)高水(shui)(shui)平(ping),做到可持(chi)續。一(yi)(yi)(yi)是健(jian)(jian)全多層(ceng)次醫(yi)(yi)(yi)(yi)保(bao)(bao)(bao)(bao)制(zhi)(zhi)(zhi)(zhi)度體(ti)(ti)(ti)系,分(fen)類優(you)化醫(yi)(yi)(yi)(yi)保(bao)(bao)(bao)(bao)幫扶政策(ce)。落實(shi)全民(min)參(can)保(bao)(bao)(bao)(bao)計劃,推(tui)(tui)進職工和(he)(he)城(cheng)(cheng)鄉居民(min)在(zai)常(chang)住地(di)(di)、就(jiu)業(ye)(ye)地(di)(di)參(can)保(bao)(bao)(bao)(bao),放開靈活就(jiu)業(ye)(ye)人(ren)員參(can)保(bao)(bao)(bao)(bao)戶籍(ji)限制(zhi)(zhi)(zhi)(zhi)。穩(wen)(wen)步提(ti)高基本(ben)(ben)(ben)醫(yi)(yi)(yi)(yi)保(bao)(bao)(bao)(bao)門診(zhen)(zhen)報銷待(dai)遇,完(wan)(wan)善城(cheng)(cheng)鄉居民(min)高血壓、糖尿病(bing)(bing)門診(zhen)(zhen)用(yong)(yong)(yong)(yong)(yong)(yong)藥(yao)(yao)保(bao)(bao)(bao)(bao)障(zhang)。加(jia)強(qiang)大(da)病(bing)(bing)保(bao)(bao)(bao)(bao)險(xian)與(yu)基本(ben)(ben)(ben)醫(yi)(yi)(yi)(yi)保(bao)(bao)(bao)(bao)銜接(jie),提(ti)高保(bao)(bao)(bao)(bao)障(zhang)能力(li)。完(wan)(wan)善困難群眾重(zhong)大(da)疾病(bing)(bing)救助機制(zhi)(zhi)(zhi)(zhi)。健(jian)(jian)全突(tu)發重(zhong)大(da)疫情下的(de)(de)先(xian)救治、后(hou)收費(fei)(fei)和(he)(he)針對特殊群體(ti)(ti)(ti)、特定疾病(bing)(bing)的(de)(de)醫(yi)(yi)(yi)(yi)藥(yao)(yao)費(fei)(fei)豁免機制(zhi)(zhi)(zhi)(zhi)。支(zhi)持(chi)商業(ye)(ye)健(jian)(jian)康(kang)保(bao)(bao)(bao)(bao)險(xian)發展(zhan),豐富(fu)面向老年人(ren)等(deng)(deng)的(de)(de)保(bao)(bao)(bao)(bao)險(xian)產品(pin)。穩(wen)(wen)步建立長期護(hu)理保(bao)(bao)(bao)(bao)險(xian)制(zhi)(zhi)(zhi)(zhi)度。完(wan)(wan)善生育(yu)保(bao)(bao)(bao)(bao)險(xian)政策(ce)。二是建立基本(ben)(ben)(ben)醫(yi)(yi)(yi)(yi)療(liao)(liao)(liao)體(ti)(ti)(ti)系、基本(ben)(ben)(ben)醫(yi)(yi)(yi)(yi)保(bao)(bao)(bao)(bao)制(zhi)(zhi)(zhi)(zhi)度相互適應的(de)(de)機制(zhi)(zhi)(zhi)(zhi)。完(wan)(wan)善醫(yi)(yi)(yi)(yi)保(bao)(bao)(bao)(bao)支(zhi)付(fu)政策(ce),推(tui)(tui)動分(fen)級診(zhen)(zhen)療(liao)(liao)(liao)、醫(yi)(yi)(yi)(yi)聯體(ti)(ti)(ti)等(deng)(deng)發展(zhan),將符合條件(jian)的(de)(de)基層(ceng)醫(yi)(yi)(yi)(yi)療(liao)(liao)(liao)機構納入(ru)醫(yi)(yi)(yi)(yi)保(bao)(bao)(bao)(bao)定點范(fan)圍(wei),促進提(ti)高基層(ceng)醫(yi)(yi)(yi)(yi)療(liao)(liao)(liao)機構服(fu)務(wu)水(shui)(shui)平(ping),減少“小病(bing)(bing)大(da)治”、過度醫(yi)(yi)(yi)(yi)療(liao)(liao)(liao),提(ti)高醫(yi)(yi)(yi)(yi)保(bao)(bao)(bao)(bao)資金(jin)使(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)效(xiao)能。三(san)是推(tui)(tui)進醫(yi)(yi)(yi)(yi)保(bao)(bao)(bao)(bao)與(yu)醫(yi)(yi)(yi)(yi)藥(yao)(yao)協(xie)同改(gai)革(ge)。繼續實(shi)施國家組織(zhi)藥(yao)(yao)品(pin)集中帶量(liang)采(cai)購(gou),擴大(da)高值醫(yi)(yi)(yi)(yi)用(yong)(yong)(yong)(yong)(yong)(yong)耗材集中帶量(liang)采(cai)購(gou)范(fan)圍(wei),遏制(zhi)(zhi)(zhi)(zhi)藥(yao)(yao)品(pin)、醫(yi)(yi)(yi)(yi)用(yong)(yong)(yong)(yong)(yong)(yong)耗材價(jia)格虛高。及時將臨(lin)床(chuang)價(jia)值高、患者獲益明顯的(de)(de)藥(yao)(yao)品(pin)納入(ru)醫(yi)(yi)(yi)(yi)保(bao)(bao)(bao)(bao)支(zhi)付(fu)范(fan)圍(wei),明年實(shi)現(xian)全國基本(ben)(ben)(ben)醫(yi)(yi)(yi)(yi)保(bao)(bao)(bao)(bao)用(yong)(yong)(yong)(yong)(yong)(yong)藥(yao)(yao)范(fan)圍(wei)基本(ben)(ben)(ben)統(tong)一(yi)(yi)(yi)。四是提(ti)升(sheng)醫(yi)(yi)(yi)(yi)保(bao)(bao)(bao)(bao)經辦服(fu)務(wu)水(shui)(shui)平(ping)。建立覆(fu)(fu)蓋(gai)(gai)省(sheng)市縣鄉村的(de)(de)醫(yi)(yi)(yi)(yi)保(bao)(bao)(bao)(bao)服(fu)務(wu)網絡。推(tui)(tui)進基本(ben)(ben)(ben)醫(yi)(yi)(yi)(yi)保(bao)(bao)(bao)(bao)參(can)保(bao)(bao)(bao)(bao)登(deng)記和(he)(he)接(jie)續轉移等(deng)(deng)跨省(sheng)通(tong)辦,在(zai)全國實(shi)現(xian)異地(di)(di)就(jiu)醫(yi)(yi)(yi)(yi)住院(yuan)、門診(zhen)(zhen)費(fei)(fei)用(yong)(yong)(yong)(yong)(yong)(yong)線(xian)上結算。五(wu)是加(jia)強(qiang)醫(yi)(yi)(yi)(yi)保(bao)(bao)(bao)(bao)基金(jin)監(jian)(jian)管。嚴格落實(shi)責(ze)任,完(wan)(wan)善部(bu)門聯動機制(zhi)(zhi)(zhi)(zhi),綜合運用(yong)(yong)(yong)(yong)(yong)(yong)系統(tong)監(jian)(jian)控、現(xian)場檢查等(deng)(deng)方(fang)(fang)式(shi)實(shi)現(xian)監(jian)(jian)管全覆(fu)(fu)蓋(gai)(gai)。引(yin)入(ru)商業(ye)(ye)保(bao)(bao)(bao)(bao)險(xian)機構等(deng)(deng)第三(san)方(fang)(fang)力(li)量(liang)提(ti)升(sheng)監(jian)(jian)管專業(ye)(ye)性。更有效(xiao)發揮社會(hui)監(jian)(jian)督作(zuo)用(yong)(yong)(yong)(yong)(yong)(yong)。及時公開通(tong)報醫(yi)(yi)(yi)(yi)保(bao)(bao)(bao)(bao)基金(jin)使(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)情況及查出(chu)問題,嚴厲打(da)擊欺詐騙保(bao)(bao)(bao)(bao)行為(wei)(wei)。
會議通過《地下(xia)水(shui)(shui)(shui)管理條例(li)(草(cao)(cao)案)》。草(cao)(cao)案強調堅持節水(shui)(shui)(shui)優(you)先,明(ming)確(que)建立地下(xia)水(shui)(shui)(shui)取(qu)(qu)水(shui)(shui)(shui)總量控制(zhi)和(he)水(shui)(shui)(shui)位(wei)控制(zhi)制(zhi)度,確(que)定(ding)合理提(ti)高地下(xia)水(shui)(shui)(shui)水(shui)(shui)(shui)資源稅費(fei)標準。草(cao)(cao)案明(ming)確(que)了部門(men)和(he)地方監管職責。要求劃定(ding)禁止(zhi)(zhi)(zhi)開采區(qu)和(he)限制(zhi)開采區(qu)。規(gui)定(ding)除(chu)特殊情形外禁止(zhi)(zhi)(zhi)取(qu)(qu)用禁止(zhi)(zhi)(zhi)開采區(qu)地下(xia)水(shui)(shui)(shui),禁止(zhi)(zhi)(zhi)在(zai)限制(zhi)開采區(qu)新增取(qu)(qu)用地下(xia)水(shui)(shui)(shui),禁止(zhi)(zhi)(zhi)污染(ran)或者可能污染(ran)地下(xia)水(shui)(shui)(shui)的行為。草(cao)(cao)案對嚴格(ge)懲處違法違規(gui)等(deng)行為作(zuo)出(chu)明(ming)確(que)規(gui)定(ding)。
會議還研(yan)究了其他事項。