Question What is the scope of the 9 yuan per capita subsidy newly included in the basic public health project?
Since the state included 19 items such as endemic disease prevention and control into basic public health service projects in 2019, many grassroots units have some unclearities about the implementation subject, management responsibilities, and funding expenditure of these projects.
To clarify the implementation, manager and funds for freshly included in the project, let’s learn about the relevant policies.
01 The State regards the implementation subject, management responsibilities and fund management of newly entered projects.
The Ministry of Finance and four other ministries and commissions "Notice on Issuing the Management Measures for the Issuance of Five Subsidy Funds in Basic Public Health Services" (Caishe [2019] No. 113). Article 6 Provincial financial departments should work with the health and health departments to reasonably determine the content of basic public health service projects in the region and the quantity and regional standards of various services in the region based on the basic public health service projects, tasks and national basic standards determined by the state, and combine the disease spectrum, prevention and control work needs, economic and social development level and financial affordability of the region, and reasonably determine the content of basic public health service projects in the region and the quantity and regional standards of various services. The regional standards shall be submitted to the superiors in advance for filing in accordance with procedures, and the funds required to be higher than the national basic standards shall be borne by themselves. Article 7 According to the requirements of the "Reform Plan" document, the newly allocated projects to be included in basic public health services shall be independently arranged by each province in based on local actual conditions. The funds are not limited to the use of primary medical and health institutions, and are mainly used for subsidies, work funds and capacity building expenditures.
02 Henan Province has clarified the implementation entities, management responsibilities and fund management of newly included projects.
The "Notice on Issuing the Management Measures for the Management of Five Subsidy Funds in Henan Province, including Basic Public Health Services" (YucaiShe [2019] No. 123), requiring all municipalities and cities to independently arrange the basic public health service projects newly included in . The funds are mainly used for demand subsidies, work funds and capacity building and other expenditures. However, the detailed accounts are not specific and operational. There is no detailed explanation of what the demanding party subsidy, work funding accounts, and capacity building content is, resulting in the grassroots financial personnel not understanding and dare not list expenditures.
03 What is the demanding party subsidy, work funds, capacity building
The so-called "demand party subsidy" is, for medical activities, hospitals are the "suppliers" for medical services, and patients are the "demand parties" for receiving medical services. The "needed" financial subsidy means that the finance department pays the bill for the patients, reimburse or pays medical expenses for the patients, or the finance department will provide residents with medical insurance subsidies.
Learn the reference materials, "Implementation Plan for the 2020 Central Subsidy for Lu'an Public Health Special Fund to Prevent the Mother-to-Child Transmission of AIDS, Syphilis and Hepatitis B"
According to the project funding usage standards and requirements, the specific arrangements are as follows:
(I) Subsidy for the required party
1. Free testing. The three test funds for pregnant women, including HIV, syphilis, hepatitis B, and other tests have been distributed to all counties (districts) for HIV, syphilis and hepatitis B tests required by pregnant women and children.
2. Cost of serological testing of hepatitis B immunoglobulin storage, injection and hepatitis B exposure children after immunization.
3. Tests related to the application of anti-HIV drugs. It is used for related CD4 detection, viral load detection and routine detection before and after the application of antiviral drugs for pregnant women with AIDS. Subsidy standard: Tests related to the application of anti-HIV drugs: 50 yuan/person × 4 times.
4. Relevant subsidies for infected pregnant women and babies. Subsidy objects and standards: (1) Subsidy for hospitalization and delivery for pregnant women infected with HIV (1,000 yuan/partum maternity), subsidy for termination of pregnancy (300 yuan/pregnant women), formula milk powder for infants born from pregnant women infected with HIV (3,000 yuan/child); (2) Standardized treatment of syphilis for pregnant women infected with syphilis and subsidy for congenital syphilis for children born (100 yuan/person for syphilis, 20 yuan/person for preventive treatment of children born with syphilis, 150 yuan/person for congenital syphilis).
(Note that the needy party subsidies, the fund management unit can pay special funds based on the hospital inspection and inspection fee invoice and the list of inspectors; hospitals that provide medical services can directly make medical income based on the list of medical services provided and the bank receipt.)
(II) Work subsidies
1. Subsidies for testing and consultation for pregnant women and pregnant women. This fund has been distributed to all counties (districts) for medical staff subsidies for maternal and child health institutions at all levels to engage in testing and consultation. Specific standards: 2 yuan for consultation, 3 yuan for testing.
2. Subsidies for follow-up management of pregnant women and babies with HIV and syphilis infection. Specific standards: (1) A subsidy of 1,000 yuan for a pair of HIV-infected pregnant women and babies is completed for each follow-up, a subsidy of 60 yuan per time for HIV-infected pregnant women and babies is completed for blood collection and sample transportation, and a subsidy of 30 yuan per time for early diagnosis and testing of babies born to HIV-infected mothers and babies is completed for each follow-up, blood collection and management of 800 yuan.
3. Subsidies for publicity and education related activities. The province has directly allocated it to be used for publicity and education activities carried out by various counties (districts).
4. County (district) level technical guidance funds. The province has directly allocated it for technical guidance, business supervision and assessment of maternal and infant occlusion in counties and villages.
5. Subsidy for designated delivery hospitals for pregnant women with HIV infection.
(III) Capacity building
1. Training funds. Used for county (district) level personnel training and rural personnel maternal and infant blocking business training.
2. Data information system equipment and maintenance, isolation and protection equipment and supplies. It is used for the purchase, maintenance and update of information equipment and isolation protective equipment and supplies in each county (district), and the organization, analysis and utilization of data.
04 Shanxi Province has clarified the scope of subsidy expenditure for newly-entered projects
Article 13 According to the content of the "Newly-entered Basic Public Health Service Related Work Standards (2019 Edition)" (hereinafter referred to as the "Work Standards"), the scope of subsidy expenditure for maternal and child health, elderly health services and other projects:
(I) Endopathy, occupational diseases, major diseases and health hazard factors, human and avian influenza, SARS prevention and control, and plague prevention and control projects, the main tasks are related disease prevention, monitoring, detection and management. expenditure scope mainly includes : travel expenses, special materials expenses, equipment purchase and maintenance, conference expenses, training expenses, printing expenses, labor expenses, other transportation expenses, entrusted business expenses, other goods and services expenses, etc., related to project work.
(II) two cancer screening, neonatal disease screening in poor areas , national free pre-pregnancy eugenic health examination project, the main tasks are related disease examinations, follow-up of suspicious cases, personnel training, health education and social publicity. expenditure scope mainly includes : special material fees, conference fees, training fees, labor fees, travel fees, printing fees, entrusted business fees, other transportation fees, other goods and services expenses, etc., related to project work.
(III) Basic contraceptive services, nutrition improvement for children in poor areas, and folic acid supplementation to prevent neural tube defects. The main tasks are to carry out free basic contraceptive surgery, purchase of contraceptive medicines, nutrition packages, folic acid and other project materials, as well as material transportation, storage site rental, storage equipment purchase, and training and publicity and guidance. expenditure scope mainly includes : purchase and maintenance of special equipment, special material fees, rental fees, labor fees, training fees, travel fees, printing fees, other transportation fees, other expenses related to project work.
(IV) The National Health Emergency Team Operation and Maintenance and Support Management Project mainly supports the annual training and drills, operation and maintenance of vehicle equipment, normal use and daily management of various national health emergency teams. expenditure scope mainly includes : travel expenses, training expenses, other transportation expenses, special materials expenses, other goods and services expenses, etc., related to the project work.
(V) The national random supervision and random inspection project, the main tasks are public health, infectious disease prevention and control, occupational health, medical and health supervision and law enforcement, as well as related testing, personnel training, information construction, etc. expenditure scope mainly includes : conference fees, travel expenses, special materials fees, special equipment purchases, training fees, other transportation expenses, other goods and services expenses, etc., related to project work.
(VI) Food safety standards tracking and evaluation project, the main task is to collect, summarize, analyze the problems and opinions and suggestions of food industry organizations, producers and operators, and related inspections, scientific research institutions in the implementation of food safety standards, promptly answer questions in the implementation of standards, promote the effective implementation of standards, and ensure the food safety and nutritional health of the people. expenditure scope mainly includes: conference fees, office fees, travel fees, training fees, consultation fees, labor fees, other goods and services expenditures, etc., related to project work.
(VII) Health literacy promotion project, the main task is to vigorously promote the three-year campaign for health promotion in poor areas, carry out the construction of health promotion places such as health promotion counties (cities, districts), health promotion hospitals, develop health science popularization materials, carry out health education for key areas and key groups, carry out tobacco epidemic monitoring for key groups. expenditure scope mainly should include: conference fees, training fees, printing fees, travel fees, office fees, labor fees, other goods and services expenses, etc., related to project work.
(8) The integrated service project of elderly health and medical care, the main task is to provide integrated medical care services for the elderly aged 65 and above and provide health assessment and health services for disabled elderly people over 65 years old. The work tasks of the population monitoring project are mainly to collect and verify the basic population information of all the people in the jurisdiction in combination with daily health services, register population information, and assist in the entry and update of information. Based on the feedback from superiors and the population change information shared by the department, timely verification and confirmation and registration will be completed, and the basic information of the population of all people will be entered or updated. expenditure scope mainly includes conference fees, labor fees, office fees, travel fees, entrusted business fees, training fees, other goods and services expenses, etc., related to project work.
(9) Health and health project supervision and management project, the main task is to carry out project operation monitoring, performance appraisal, effect evaluation and other work, as well as training and experience exchange. expenditure scope mainly includes conference fees, training fees, travel fees, labor fees, entrusted work expenses, other goods and services expenses, etc., related to project work.
(other provinces are only used for reference materials)
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(Statement, this article is only the author's understanding of the documents related to the superior, and may be different from the regulations of other provinces and cities. It is only used for learning reference.)
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