UY BAN NHAN DANHUY~N VINHTUO'NG

CONG HOA xA HOI CHU NGHIA VI~T NAMD<)cl~p- T\f do- H:;tnhphuc

S6: f09 IKH-UBND Vinn Tuong, ngay e!:b thang 5 ndm 2015

KEHO~CHTri~n khai thirc hi~n Lu~t sira d6i, b6 sung mQts6 di~uciia Lu~t Bao hi~m y t~ tren dja bim huyen Vinh Tuong

Can cir Luat Bao hiem Y tS ngay 14/1112008 va Luat sua d6i, b6 sung mots6 diSu cua Luat Bao hiem Y tS ngay 13/612014;

Can cir Nghi dinh s6 105/NI)-CP ngay 15/1112014 cua Chinh phu guydinh chi tist va huang dfin thi hanh mot s6 diSu cua Luat Bao hiSm Y t~;

Thirc hien Cong dien c6 0 lIC£)- TTg ngay 0110112015 cua Thu tu6ngChinh phu; KS hoach s6 12391KH-UBND ngay 12/3/2015 cua UBND tinh VinhPhuc vS viec triSn khai thi hanh Luat sua d6i, b6 sung mot s6 diSu cua Luat Baohiern Y tS.

UBND huyen Vinh Tirong ban hanh KS hoach trien khai thuc hien LuatSua d6i, b6 sung mot s6 diSu cua Luat Bao hiSm y tS tren dia ban huyen, cu th~nhu sau:

I. MVC ntcn, YEU cAul-;-M1}c-dich,------- "--------

Phan cong nhiem vu cu thS cho cac nganh, cac c~P t6 chirc trien khai thihanh Luat Sua d6i, b6 sung mot s6 diSu cua Luat Bao hiSm y tS (sau ddy goi tAtfa Ludt BHYT) bao dam tinh kip thai, dfty du, thong nhat, hieu qua, dap irng yeucftu thirc tiSn;

Tuyen truyen, ph6 bien cac nQi dung cua Luat BHYT va cac van banhuang d~n thirc hien nh~m nang cao nhan thirc cua cac cap, cac nganh, don vi,t6 chirc va nguoi dan vS vi tri, vai tro cua chinh sach BHYT;

PhM triSn ty l~ ngiroi dan tham gia BHYT tren dia ban huyen dat tY l~75% trong nam 2015 va 100% dSn nam 2020.

2. Yell cAllXac dinh cu thS noi dung cong viec, ch~t hrong, thai han hoan thanh va

trach nhiem cua cac ca quan, don vi co lien quan trong viec trien khai thi hanhLu~tBHYT.

Trong qua trinh thuc hien phai bao dam SlJ phoi hop chat che gifra cac caquan, don vi lien quan va thuc hien dfty du noi dung huang d~n va kip thai thaogo nhirng kho khan, virong mac nay sinh trong qua trinh t6 chirc thuc hien LuatBHYT.

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II. QI DU G THl/C HI~N

1. Cong tac tuyen tr'uyen, ph8 bi~n Lu~t BHYT va cac van ban hurmgd~n thuc hi~n Lu~t

1.1. N9i dung, hinlt thtrcT6 chirc tuyen truyen, ph6 bien Luat BHYT va cac van ban huang d~n thi

hanh voi nQi dung va hinh thirc phong phu, phu hop voi tirng d6i nrong C1,l thS,dam bao nang cao nhan thirc, hiSu biSt cua nhan dan, nguoi dirng d~u co quan,t6 chirc, don vi, dia phirong, nh~t la nhtrng nguoi tnrc tiSp lam cong tac thamrmru quan ly nha mroc v~ BHYT va t6 chirc tlnrc hien chinh sach BHYT.

1.2. ThiJi gian

Thirc hien thuong xuyen, lien tuc; mo cac dot cao diSm tuyen truyen, ph6bi~n sau rong cac quy dinh cua phap luat v~ BHYT, dac biet van dip ky niemNgay bao hi@my tS Vi~t Nam (ngay 0117 hang ndm),

1.3. BO'n vj chu triPhong Y tS chu tri phoi hop voi Bao hiSm xa hQi huyen, cac co quan, don

vi, doanh nghiep, UBND cac xa, thi tdn t6 chirc chirc pho biSn Luat BHYT vacac van ban huang d~n thi hanh cho d6i tirong cong chirc, vien chirc, nguoi laodong trong co quan, don vi va nhan dan thuoc dia ban quan ly.

Phong VH&TT: Huang d~n cac co quan tuyen truyen danh thai hrongphu hop ph6 biSn Luat BHYT va cac van ban huang d~n thi hanh tren cacphuong tien thong tin dai Chung.

---~'--- 2. T8 clurc hQi ngh] tri~n khai, t~p hufin v~ Lu~t BHYT -

2.1. T8 chirc H9i ngh] triin khai tfli huy~n- NQidung: TriSn khai Luat BHYT va cac van ban huang d~ thirc hi~nLuat;- Thanh phan: Lanh dao, can bQ chuyen man cua Phong Y tS, BHXH

huyen, Trung tam Y tS huyen; dai dien cac co sa kham benh, chfra benh BHYTcong l~p va nr nhan tren dia ban huyen;

- Co quan chu tri: Phong Y tS.- Co quan phoi hop: Bao hiSm xa hQi huyen va cac don vi lien quan.- Thai gian thuc hien: Trong quy 2 narn 2015.2.2. T8 chicc t~p hu8n- NQi dung: T6 chirc, phoi hop t6 chirc cac lap b6i du5ng nghiep V1,l phap

luat v~ Bao hiSm y tS.- Thanh phan: Can bQ, cong chirc, vien clnrc lam cong tac tham muu quan

ly nha nuoc tai Phong Y tS, BHXH huyen; cac can bQ thirc hien chinh sachBHYT tai cac phong, ban, nganh, cac co sa y tS, cac co quan, don vi lien quantren dia ban huyen,

- Dan vi chu tri: Phong Y tS, Phong Tu phap, BHXH huyen.

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- Thai gian thirc hien: Trong quy 2 nam 2015.3. HU'Ongdfin tA chtrc thuc hi~n theo quy djnh ciia Lu~t Bao hi~m Y t~

Phong Y tS chu tri, phoi hop voi BHXH huyen va cac don vi lien quan t6chirc huang d~n cac ca quan, don vi, doanh nghiep, cac xa, thi tr~n tren dia banthuc hien dung cac quy dinh cua Luat BHYT.

4. Dam bao nguBn h!c, kinh phi tA chirc thuc hi~n Bao hi~m y t~

Bao hiSm xa h<)ihuyen b6 tri nguon lire, nang cao ch~t luong can b9 dS t6clnrc trien khai thirc hien d~y du, kip thai, co hieu qua chinh sach, phap luat v~BHYT tren dia ban.

Dam bao kinh phi dong BHYT cho cac d6i tuong duoc ngan sach nhanuoc dong then quy dinh cua Luat BHYT. Ra soat, lap danh sach dS nghi h6 trokinh phi tir ngan sach tinh cho nguoi tham gia mua the BHYT then guy dinh t?iNgh] quyet s6 163/20141NQ-HDND ngay 22112/2014 cua HBND tinh v~ viech6 tro kinh phi dS thirc hien 19 trinh tiSn toi BHYT toan dan tren dia ban tinhgiai doan 2015-2020.

5. Tri~n khai cac giai phap nang cao chfit lU'gng djch VI} kharn b~nh,chfra b~nh tai cac CO' sO'y t~ tren dia ban huy~n

Phong Y tS tham rmru voi UBND huyen cac giai phap chi dao cac co sakham benh, chtra benh nang cao tinh thk thai d9 phuc vu nguoi benh, trinh d9chuyen mon cua can b<)y tS; phat triSn cac dich vu ky thuat then phan tuyen quydinh cua B9 Y tS; cai each fuu tuc hanh chinh, dam bao quyen 19'icua nguoi co

--------,-t11e 13TIYT then quy aillh-:-C11ud9ng dS xu~t thvc hien t6t cong tac kliam b~nn,chfra benh cho nguoi ngheo, gia dinh chinh sach tren dia ban.

6. Ph at tri~n dBi tU'gng tham gia BHYT tren dja ban huyenBao hiem xa hoi huyen chu tri, phdi hop voi cac nganh lien quan can cir

Quyet dinh s6 3521/QD-UBND ngay 01/12/2014 cua UBND tinh Vinh Phuc v~viec ban hanh DS an thuc hien 19 trinh tiSn toi BHYT toan dan tren dia ban tinhVinh Phuc giai doan 2014-2015 va 2020, cac van ban lien quan chu dong thamrmru voi UBND huyen van ban chi dao, huang d~n dS t6 chirc thirc hien nh~mdat cac chi tieu theo 19trinh tiSn toi BHYT toan dan.

7. Cdng tac thanh tra, ki~m traTang cuong cong tac thanh tra, kiSm tra viec trien khai thirc hien chinh

sach phap lu~t vS BHYT, kham benh, chfra benh sir dung kinh phi BHYT; kienquyet xu ly nghiem nhtrng t~p thS, ca nhan vi pham quy djnh cua phap luat tronglinh V\IC nay.

8. Khen thmrng, ky Iu~tT6 chirc khen thuong kip thai nhirng t~p the, ca nhan thirc hien t6t kS

hoach nay; co hinh thirc phe binh d6i voi nhirng co quan, don vi, nguoi dungd~u ca quan, don vi khong hoan thanh chi tieu ty l~ nguoi dan tham gia BHYT

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theo quy dinh tai Quyet dinh s6 3521/QB-UBND ngay 01112/2014 cua UBNDtinh Vinh Phuc.

Xu ly nghiem nhtrng t~p thS, ca nhan vi pham chinh sach phap luat vSBHYT hoac co hanh vi gian Ian, t11,lCloi quy BHYT.

III. KINH PHi HO TRQThirc hien dung theo quy dinh hien hanh cua BHXH Vi~t Nam, Nghi

quyet s6 163/20141NQ-HBND ngay 22112/2014 cua HBND tinh Vinh Phuc vacac van ban khac con hieu hrc co lien quan.

IV. TO CHUC THT/C HItN1. Phong Y t~Chu tri, phoi hop voi cac co quan, don vi lien quan tham rmru voi UBND

huyen ban hanh cac van ban chi dao, huang d§n thuc hien Luat BHYT kip thai,dung quy dinh. Chu dong theo doi viec thirc hien KS hoach nay, dinh kY hang narnbao cao UBND huyen kSt qua thirc hien KS hoach,

Ph6i hop voi BHXH huyen, cac co quan, don vi lien quan t6 chirc l6ngghep tuyen truyen, t~p hufin Luat BHYT, cac van ban huang d~n thirc hien Luat;chinh sach h6 tro kinh phi mua the BHYT cua tinh; chu dong cung cfip thong tincho cac co quan truyen thong dS tuyen truyen chinh sach, phap lu~t vS BHYT.

Chi dao thuc hien d6ng be>cac giai phap nang cao chfit hrong kham benh,chira benh BHYT; tang cuong ling dung cong nghe thong tin; cai each thu tuchanh chinh trong kham b~nh, chira benh BHYT; cai tiSn quy trinh kham, chira

-- -b~nh BHYT; dam bao quy@n loi cfut nguaCco the BHYT khi di kham, chira benh.

Ph6i hop voi cac co quan, don vi lien quan, UBND cac xa, thi trfin d~yrnanh cong tac thanh tra, kiSm tra viec thirc hien cac quy dinh cua phap lu~t vSBHYT. ThlJc hien nghiem Chi thi s6 06/CT-BYT ngay 13/6/2014 cua Be>tnrongBe>Y tS vS viec tang cuong cong tac thanh tra, kiSm tra phong chong hanh vigian l~n, true loi quy BHYT tai cac co so kham benh, chfra benh. Barn bao congkhai minh bach trong quan ly va su dung quy BHYT.

2. Bao hi~m xa h<}ihuyenPh6i hop voi Phong Y ts va cac co quan, don vi lien quan tang ctrong

cong tac tuyen truyen, t~p huan chinh sach phap lu~t vS BHYT;

Tham rmru voi UBND huyen xay dung kS hoach va triSn khai thirc hiencac giai phap tang s6 ngiroi tham gia BHYT, nhfit la s6 nguoi tham gia theo hinhthirc he>gia dinh tren dia ban huyen; t6 chirc cac Dai ly thu BHYT thuan loi vahieu qua;

Ph6i hop voi cac co so kham benh, chfra benh thuc hien cai each thu tuchanh chinh trong kham, chfra benh; tuyen truyen, giai thich va huang d§n ngiroico the BHYT thirc hien quyen va trach nhiem khi di kham, chfra benh BHYT;

Quan ly, sir dung Quy bao hiSm y tS theo quy dinh cua phap luat;

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Ph6i hop voi Phong Lao dong - Thuong binh va Xa hoi, cac ca quan, donvi lien quan huang d~n quan 1;' thu, d.p the BHYT, cung c~p m~u bieu, phanmem tin h9C cho UBND cac xii, thi tran d~ l~p danh sach nguoi tham gia BHYTthen quy dinh cua Luat BHYT; ra soat, kiem tra danh sach nguoi tham giaBHYT tnroc khi in, c~p the BHYT, khong d~ xay ra tinh trang trung the;

T6 chirc kiem tra, giam sat viec thirc hien BHYT; dong thai phoi hop voicac nganh chirc nang lien quan thuc hien t6t cong tac kiem tra, xu 1;' vi phamphap luat vS BHYT;

Chu tri, ph6i hop voi Phong Y tS dS xuat Bao hi~m xii h9i tinh va Sa Y t~d~ sua d6i, b6 sung nhtrng b~t c~p trong qua trinh thirc hien Luat BHYT.

3. Phong Lao dQng - Thuong binh va Xa hQiPh6i hQ'P voi BHXH huyen huang d~n UBND cac xii, th] tn1n l?p danh

sach cac d6i nrong tham gia BHYT thuoc dien quan 1;' then quy dinh;

Chu tri ph6i hop voi Phong TC- KH, BHXH huyen va cac ca quan, don V!lien quan trien khai thirc hien h6 tro rmrc dong BHYT d6i voi cac d6i tirongtheoquy dinh cua Luat BHYT.

Chu tri, phoi hop voi Lien dean lao dong huyen, Bao hiem xii h9i huyenva cac nganh clnrc nang lien quan t6 chirc thanh tra, kiem tra viec trien khai thirchien chinh sach BHYT d6i voi cac d6i nrong thuoc pham vi quan 1;' va cacdoanh nghiep dong tren dia ban huyen,

4. Phong Tai chinh - K~ hoach-----·---=C:c:-h~u-tr~i-, p-h:--6ihgp cac ca quan, don vi lien quan l~p dir toan kinh phi h6 tro

mua the BHYT hang nam cho cac d6i tuong duoc h6 tro then quy dinh.

Huang d~n viec l~p, quan 1;', sir dung va thanh, quyet toan kinh phiBHYT then quy dinh cua phap luat; phdi hop voi Phong Y tS, BHXH huyen vacac ca quan lien quan t6 chirc thanh tra, kiem tra, giam sat viec su dung kinh phikham, chfra benh bang BHYT.

5. Phong Giao due va Dao taoPh6i hop voi BHXH huyen, cac ca quan lien quan tang cuong tuyen

truyen, van dong hoc sinh tham gia BHYT.

Chiu trach nhiem phat trien chi tieu ty l~ h9C sinh tham gia BHYT tren diaban huyen then 19 trinh tien toi bao hiem y tS toan dan dii dS ra.

Ph6i hop Phong Y tS cung c6 va phat trien mang hroi y tS tnrong hoc,dam bao nhan lire, ca sa v~t ch~t de thuc hien cham soc sire khoe ban d~u choh9C sinh; sir dung dung muc dich, co hieu qua kinh phi cham soc sire khoe band~u duoc cap,

Thanh tra, kiem tra viec thuc hien quy dinh cua phap luat vS trach nhierntham gia BHYT cua cac d6i nrong do Phong quan 1;'.

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6. Phong Ttr phapPh6i hop voi Phong Y tS, BHXH huyen t6 chirc tuyen truyen cac van ban

phap lu?t vS Iinh V\1C BHYT cho can bQ, nhan vien nganh y tS, nganh BHXH vacac ca quan, don vi, doanh nghiep, cac xa, thi trk tren dia ban huyen;

Chi dao h~ thong Tu phap cac xa, thi tr§n tham muu voi UBND cling c§pthuc hien tuyen truyen ph6 biSn chinh sach phap luat BHYT trong KS hoachtuyen truyen chung tai dia phuang.

7. Phong VH&TT; Dai Truyen thanh; Trung tam VH-TT; CBng thdntin giao ti~p di~n tlr huy~n

Ph6i hop voi BHXH huyen, Phong Y tS, cac ca quan, don vi, cac xa, thitrk dAy manh cong tac tuyen truyen, ph6 biSn chinh sach BHYT dSn moi t~ngl6p nhan dan b~ng cac hinh thirc, cac kenh thong tin, dS nang cao nhan thuc,thuc d~y nguoi dan tham gia BHYT.

8. D~ nghi Ban Tuyen giao, Uy ban MTTQ Vi~t Nam huyen va cacHQi, doan th~

Ph6i hop voi nganh Y ts, BHXH va cac nganh lien quan thirong xuyen t6chirc tuyen truyen, ph6 biSn chinh sach, chS dQ BHYT toan dan; v?n dQng doanvien, hoi vien tich cue tham gia BHYT; n~m b~t du IU?n vS triSn khai cong vi~cnay a ca sa dS kip thai diSu chinh trong lanh dao, chi dao ."

9. Lien doan Lao dgng huyenChi dao h~ thong cong doan ca sa true thuoc thirc hien chirc nang bao v~

quySn loicua nguoi lac dQng trong viec dong BHYT d~y du va dung quy dinhcua phap luat; phoi hop voi cac nganh lien quan t6 chirc thanh tra, kiem tra,giam sat cac don vi sir dung lac dong ch§p hanh phap Iuat vS BHYT;

Ph6i hop voi BHXH huyen, Trung tam phat trien Cum Cong nghiep, cacnganh lien quan thee doi s6 hrong lac dQng tham gia BHYT; don d6c cac doanhnghiep thuc hien dung chinh sach phap luat vS BHYT.

10. UBND cac xii, th] tr~nDAy rnanh cong tac tuyen truyen chinh sach phap lu~t vS BHYT; quan

tam he>tro kinh phi thirc hien cong tac tuyen truyen tren dia ban;

Chi dao don vi, t6 clnrc co lien quan tren dia ban thirc hien quan ly, sirdung quy BHYT cua dia phuang dung thee quy dinh cua phap luat; thuc hien t6tcong tac quan ly nha mroc vS kham benh, chfra benh BHYT va cham soc sirekhoe ban d~u cho nhan dan tren dia ban.

Ph6i hop voi cac nganh chirc nang t6 ~huc thanh tra, kiern tra d6ng thaichu dong giai quyet cac khiSu nai, t6 cao lien quan dSn Iinh V\IC BHYT tren diaban quan lY.

Giao chi tieu ty l~ nguoi dan tham gia BHYT cho cac then, xorn, t6 danph6 hang nam; quan ly, chi dao dS phat triSn ty l~ nguoi dan tham gia BHYT

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dam bao dat lQ trinh BHYT toan dan; lap danh sach cac d6i tUQTIgtham giaBHYT theo quy dinh.

11. Doanh nghi~p tren dia ban huy~nThirc hien nghiem chinh sach phap lu~t vS BHYT; thuc hien va bao cao trich

nop BHYT d~y du, kip thai cho nguoi lao dQng dung quy dinh cua phap luat.

12. Cac co quan, don vi khac tren dia ban huyenCan cir chirc nang, nhiem vu, t6 chirc tuyen truyen, pho biSn chinh sach

phap luat vS BHYT cho can bQ, nguoi dan duoc biet va triSn khai thirc hien c6hieu qua KS hoach nay.

Tren ca sa KS hoach nay, cac ca quan, don vi, doanh nghiep va UBNDcac xa, thi tr~n trong pham vi nhiem vu cua minh, chu dong phdi hop voi cacdon vi lien quan trien khai thirc hien KS hoach theo nhiem vu QUQ'cphancong; trong qua trinh thuc hien, neu c6 kho khan, virorig m~c kip thai phananh vS UBND huyen (qua Phong Y ti, Baa hidm xd hoi huyen) dS xem xet,quyet dinh'/.~

Nui nhiin:- UBND tinh;- So' Y tS; BHXH tinh;- IT Huyen uy;- CT, cac PCT UBND huyen;- CPVP;CVTH; - --- Cac phong, ban, nganh, dean thS cua huyen;- Cac co quan, don vi dong tren dia ban;- UBND cac xii, thi tran;- Cong IT-GT di~n ill huyen;-LuuVTV Nguy~n Th] Nhung

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