Sang nay (24.10), tiep tuc Ky hop thu 8, Quoc hoi khoa XV, Bo truong Bo Y te Dao Hong Lan thua uy quyen cua Thu tuong Chinh phu trinh bay to trinh ve du an Luat sua doi, bo sung mot so dieu cua Luat Bao hiem y te.
Theo Bo truong Dao Hong Lan, du an luat the hien ro tinh than cai cach hanh chinh, thu tuc kham benh, chua benh, giam ho so giay to, tang cuong ung dung cong nghe thong tin, phan cap, phan quyen toi da, tao thuan loi cho nguoi dan, co quan, to chuc.
Ve noi dung cua du thao luat, sua doi, bo sung doi tuong tham gia, trach nhiem dong bao hiem y te de khac phuc bat cap va dong bo voi Luat Bao hiem xa hoi; cap nhat cac doi tuong da thuc hien on dinh tai cac luat, nghi dinh.
Bo sung mot so doi tuong can duoc Nha nuoc ho tro de tang bao phu bao hiem y te toan dan; sua doi trach nhiem, phuong thuc, thoi han dong, trach nhiem lap danh sach dong bao hiem y te, thoi han the co gia tri su dung; bo sung hanh vi cham dong, tron dong bao hiem y te.
Sua doi quy dinh ve kham benh, chua benh dung tuyen va khong dung tuyen (thong tuyen) duoc cap nhat theo cap chuyen mon ky thuat cua Luat Kham benh, chua benh nam 2023.
Bo thu tuc chuyen tuyen doi voi mot so truong hop benh hiem, benh hiem ngheo... duoc len thang cap chuyen mon cao de giam thu tuc, tao thuan loi, giam chi tien tui cho nguoi dan, tiet kiem chi phi cho quy.
Sua doi quy dinh ve dang ky kham benh, chua benh bao hiem y te ban dau va chuyen nguoi benh giua cac co so kham benh, chua benh bao hiem y te.
Bo sung quy dinh trach nhiem cua Bo Y te ve ra soat va cap nhat thuong xuyen phac do dieu tri de bao dam thuan tien trong kham benh, chua benh va thanh toan bao hiem y te.
Bo sung quy dinh kiem toan nha nuoc kiem toan Bao cao quyet toan chi to chuc va hoat dong bao hiem y te cua co quan bao hiem xa hoi hang nam de dong bo voi Luat Bao hiem xa hoi.
Sua doi, bo sung quy dinh ve van chuyen nguoi benh, mot so pham vi quyen loi ve dieu tri lac, tat khuc xa cua mat cho nguoi duoi 18 tuoi. Quy dinh truong hop mac benh man tinh chuyen ve cap thap hon duoc su dung thuoc nhu cap cao hon va dieu chinh ti le huong bao hiem y te trong mot so truong hop de phat huy vai tro cua y te co so.
Cap nhat quy dinh ve ban hanh nguyen tac, tieu chi xay dung danh muc thuoc thuoc pham vi duoc huong cua nguoi tham gia bao hiem y te hien dang duoc quy dinh bang van ban hanh chinh de bao dam tinh quy pham, minh bach, cong khai, kip thoi cap nhat.
Bo sung co che thanh toan dieu chuyen thuoc trong truong hop da mua sam theo cac quy dinh thuan tien nhat cua Luat Dau thau moi nhung van thieu thuoc nham khac phuc tinh trang thieu thuoc va bao dam quyen loi cua nguoi tham gia bao hiem y te, khong de nguoi benh phai tu mua va duoc bao dam quyen loi.
Cap nhat co che thanh toan chi phi dich vu can lam sang duoc chuyen den co so khac du dieu kien thuc hien dang duoc quy dinh tai nghi dinh cua Chinh phu.
Bo sung hinh thuc thanh toan chi phi kham benh, chua benh dac thu doi voi luc luong vu trang va nhan dan o khu vuc bien gioi, cac xa dac biet kho khan, bien dao.
Dieu chinh giam 1% ti le chi phi quan ly quy bao hiem y te tu 5% con 4% de tang chi truc tiep cho kham benh, chua benh tu 90% len 91% tu dau nam, tiet kiem thu tuc, thoi gian phan bo, dieu chinh kinh phi.