杭州市国家公务员医疗补助暂行办法
浙江省杭州市劳动局 杭州市财政局 杭州市人事局 杭州
杭州市人民政府办公厅批转市劳动局等部门关于杭州市国家公务员医疗补助暂行办法的通知
杭政办〔2001〕17号
各区、县（市）人民政府，市政府各部门、各直属单位：
市政府同意市劳动局、人事局、财政局和地税局拟定的《杭州市国家公务员医疗补助暂行办法》，现予批转，请遵照执行。
杭州市人民政府办公厅
二ＯＯ一年八月二十九日
杭州市国家公务员医疗补助暂行办法
杭州市劳动局 杭州市财政局
杭州市人事局 杭州市地方税务局
（二ＯＯ一年八月七日）
根据国务院办公厅《关于实行国家公务员医疗补助的意见》（国办发〔2000〕37号）和省政府办公厅《关于浙江省公务员医疗补助的实施意见》（浙政办发〔2001〕14号）的有关规定，为保障杭州市市、区公务员的合理医疗需求，做好公务员医疗补助的管理工作，制定本暂行办法。
一、补助原则
公务员医疗补助应遵循以下原则：
（一）在参加基本医疗保险的基础上，对国家公务员实行医疗补助。
（二）医疗补助的水平要与经济发展水平和我市各级财政的负担能力相适应。
（三）保证原有医疗保障水平不降低，并随经济的发展有所提高。
二、适用范围
本办法适用于杭州市市、区机关、事业单位的工作人员：
（一）符合《国家公务员暂行条例》和《国家公务员制度实施方案》规定的国家行政机关工作人员和退休（退职）人员。
（二）经批准列入依照国家公务员制度管理的事业单位的工作人员和退休（退职）人员。
（三）经批准列入参照国家公务员制度管理的党群机关，人大、政协机关，各民主党派和工商联机关以及列入参照国家公务员管理的其他单位的机关工作人员和退休（退职）人员。
（四）审判机关、检察机关的工作人员和退休（退职）人员。
三、管理部门
劳动保障行政部门和财政部门是市、区公务员医疗补助的行政管理部门，市、区医疗保险经办机构是公务员医疗补助的经办机构。
人事、卫生、审计、药品监督等部门应当按照各自的职责，协同做好市、区公务员医疗补助的管理工作。
四、经费来源和使用
按规定需要的市、区公务员医疗补助经费，由同级财政部门列入当年财政预算，按月核拨给同级医疗保险经办机构。
公务员医疗补助经费主要用于：
（一）普通门诊医疗补助：用于补助超过一定数额的符合基本医疗保险有关规定的普通门诊医疗费用。
参保人员发生的普通门诊医疗费用，首先在个人当年帐户中支付，个人当年帐户资金不足支付部分，由公务员医疗补助经费和公务员个人按比例分担，在职人员由公务员医疗补助经费支付80％，个人负担20％；退休（退职）人员由公务员医疗补助经费支付85％，个人负担15％；建国前参加革命工作的老工人，由公务员医疗补助经费支付95％，个人负担5％。
在不同等级医疗机构就诊时发生的医疗费用中由个人负担的部分医疗费，按照《杭州市城镇职工基本医疗保险暂行规定》第三十五条执行。
一个年度内，按比例由个人负担部分普通门诊医疗费用，在职人员超过1500元以上部分，退休（退职）人员超过1200元以上部分，由用人单位给予补助，其中在职人员补助90％，退休（退职）人员补助95％。
（二）住院和规定病种门诊医疗补助：用于补助符合基本医疗保险有关规定的起付标准以下的医疗费用。
起付标准以下的医疗费用，首先在个人当年帐户中支付，个人当年帐户资金不足支付部分，由公务员医疗补助经费和公务员个人按比例分担，在职人员由公务员医疗补助经费支付80％，个人负担20％；退休（退职）人员由公务员医疗补助经费支付85％，个人负担15％；建国前参加革命工作的老工人，由公务员医疗补助经费支付95％，个人负担5％。
在不同等级医疗机构就诊时发生的医疗费用中由个人负担的部分医疗费，按照《杭州市城镇职工基本医疗保险暂行规定》第三十五条执行。
一个年度内，个人负担以下三项住院和规定病种门诊医疗费用之和，在职人员最高为1000元，退休（退职）人员最高为800元，超过部分由用人单位给予补助：
1、按规定比例由个人负担的基本医疗保险统筹基金起付标准以下的医疗费用；
2、按规定比例由个人负担的基本医疗保险统筹基金起付标准以上部分医疗费用；
3、按规定比例由个人负担的重大疾病医疗补助范围内的医疗费用。
（三）医疗照顾人员补助：用于补助按省、市有关部门规定享受医疗照顾的人员，在门诊、住院时发生的属医疗照顾范围的医疗费用。
（四）工伤和生育补助：未纳入工伤、生育保险参保范围的公务员补助享受人员，因工伤及工伤旧病复发和计划生育手术及计划生育手术后遗症治疗发生的医疗费，按基本医疗保险规定由个人负担的部分，符合工伤和生育保险支付范围的，由公务员医疗补助解决。
用人单位对在职、退休（退职）人员门诊、住院医疗经费的补助，在“职工福利基金”或“预算外资金”中列支。
五、经费结算
（一）公务员在定点医疗机构、定点零售药店发生的住院和规定病种门诊以及普通门诊中应由公务员医疗补助经费支付的部分医疗费用，先由定点医疗机构和定点零售药店按月向市医疗保险经办机构结算，再由市医疗保险经办机构向有关区医疗保险经办机构结算。公务员个人负担的部分医疗费用，由定点医疗机构和定点零售药店直接向公务员收取。
市、区医疗保险经办机构应当对定点医疗机构、定点药店申请拨付的医疗费用进行审核，不符合规定的医疗费用，不予支付。
（二）应由公务员医疗补助解决的工伤和计划生育医疗费，由个人按基本医疗保险的有关规定向定点医疗机构支付后，持病历、医疗费收据和相关证明向有关医疗保险经办机构报销。
（三）长期驻外地工作或居住外地的公务员，在驻地或居住地附近医疗机构发生属于公务员医疗补助经费支付范围的医疗费用，先由个人或单位垫付，定期向有关医疗保险经办机构报销。
六、经费管理与监督
公务员医疗补助经费专款专用、单独建帐、单独管理，与基本医疗保险基金分开核算。公务员医疗补助经费的管理工作要与基本医疗保险制度相衔接，以方便公务员就诊就医。
医疗保险经办机构负责公务员医疗补助的经办工作，要严格执行有关规章制度，建立健全公务员医疗补助经费的各项内部管理制度和审计制度。劳动保障行政部门要加强对医疗保险经办机构的指导与监督管理；财政部门要加强对医疗补助经费的财务管理，监督检查医疗补助经费的征收工作，加强财政专户管理，保证公务员医疗补助经费及时、足额到位；审计部门要加强对公务员医疗补助经费的审计。
用人单位要切实加强管理，指定专职或兼职管理人员，负责公务员医疗费用报销等审核和管理工作。
七、其他单位的医疗补助
纳入综合预算管理的事业单位参照实行公务员医疗补助办法，其应由单位和个人缴纳的部分基本医疗保险费和公务员医疗补助经费由市财政代扣后划转医保经办机构。
未纳入综合预算管理的事业单位，凡原参加自缴级公费医疗的，可纳入参照公务员医疗补助范围，经费由单位自筹，其应由单位和个人缴纳部分基本医疗保险费和公务员医疗补助经费均由地税局征缴后，划拨给医保经办机构。其中已改制的科研院所、转制的控股公司、企业化管理的事业单位，暂定参照公务员补助时间为5年。
八、其它
（一）本暂行办法由市劳动保障行政部门会同市财政部门负责解释。
（二）各县（市）可结合本地实际参照执行。
（三）本暂行办法和《杭州市城镇职工基本医疗保险暂行规定》同时实施。
艾滋病监测管理的若干规定(附英文)(已废止)
卫生部 公安部/国家教育委员会等
艾滋病监测管理的若干规定(附英文)
1988年1月14日，卫生部/外交部/公安部/国家教委/国家旅游局/中国民航/外国专家局
第一条 为预防艾滋病从国外传入或者在我国发生和流行，保障人民身体健康，制定本规定。
第二条 本规定所指艾滋病监测管理的对象是：
（一）艾滋病病人；
（二）艾滋病病毒感染者；
（三）疑似艾滋病病人及与第（一）项、第（二）项所指人员有密切接触者；
（四）被艾滋病病毒污染或可能造成艾滋病传播的血液和血液制品、毒株、生物组织、动物及其他物品。
第三条 各级卫生行政部门主管辖区内的艾滋病监测管理工作。
公安、外事、海关、旅游、教育、航空、铁路、交通等有关部门及企业、事业单位和群众团体，应协助卫生行政部门采取措施，防止艾滋病传播。
第四条 所有入境人员在入境时，必须如实填写健康申明卡，并交国境卫生检疫机关查验。
第五条 来中国定居或居留一年（或来华留学一学年）以上的外国人，在申请入境签证时，须交验所在国公立医院或经过所在国公证机关公证的私立医院的艾滋病血清学检查证明，并经中国驻外使、领馆认证，证明自签发之日起六个月内有效。
由于条件限制，未在本国进行艾滋病血清学检查的外国人，须在入境后二十天内到指定的卫生专业机构接受检查。
第六条 属本规定第二条第（一）项、第（二）项所指的外国人不准入境。
属本规定不准入境但已到达我国国境口岸的外国人，应当随原交通工具或所在国交通工具尽快离境，必要时由我民航、铁路、交通部门安排其离境，离境前由国境卫生检疫机关采取隔离措施。
第七条 外国人在中国居留期间，如被发现属本规定第二条第（一）项、第（二）项所指人员，当地卫生行政部门可提请公安部门令其立即出境。
第八条 定居国外的中国公民和在国外居留一年以上的中国公民（含在外国轮船上工作的中国海员），回国定居或居留一年以上的，须在回国后二个月内到指定的卫生专业机构接受检查。
第九条 严禁任何单位和个人从国外进口或带入本规定第二条第（四）项所指物品，如确需进口，须报经卫生部审查批准。
第十条 艾滋病的毒株由卫生部指定的单位保存、使用，未经卫生部批准，任何单位和个人不得自行在国内交换、传递和使用。
第十一条 血液和血液制品必须进行艾滋病病毒抗体监测。
禁止艾滋病病毒感染者献人体组织、器官、血液和精液。
第十二条 各省、自治区、直辖市卫生行政部门应当组织开展艾滋病监测工作。监测工作的主要内容是：
（一）疫情收集、整理、分析；
（二）重点人群的血清学检查；
（三）流行病学因素调查、分析。
第十三条 进行艾滋病血清学检查，必须使用一次性注射器，其他治疗器材应严格消毒，杜绝医源性感染。
第十四条 艾滋病为国家规定的报告传染病。
第十五条 民政、公安、司法行政等部门在执行公务时，发现有可能传播艾滋病者，应立即送卫生部门进行艾滋病检查。
第十六条 医疗单位要密切注意就诊病人，发现疑似艾滋病病人，应当立即诊断、报告和处理。
第十七条 从事预防、医疗和保健工作的人员确诊或疑诊艾滋病病人和感染者后，应立即向当地卫生防疫机构报告。卫生防疫机构在接到报告后，于十二小时内向上级卫生行政部门报告疫情。
其他人员发现疑似艾滋病病人，就近向预防、医疗和保健机构报告。
任何单位和个人不得隐瞒、延迟疫情上报。
第十八条 有关单位和个人在接受卫生行政部门派出人员的调查时，有义务提供关于艾滋病发生、传播、转归等方面的情况和资料，并保证情况的真实与完整。
第十九条 卫生行政部门对上报的疫情应当立即进行核实，上报材料必须附有经指定的卫生专业机构出具的诊断证明书。
第二十条 全国艾滋病疫情由卫生部公布。
第二十一条 任何单位和个人不得歧视艾滋病病人、病毒感染者及其家属。不得将病人和感染者的姓名、住址等有关情况公布或传播。
第二十二条 任何单位和个人，必须执行卫生部门为预防和控制艾滋病流行所采取的预防措施。
第二十三条 卫生、医疗和保健机构发现本规定第二条第（一）项所指人员时，应立即采取隔离措施，并送其到卫生行政部门指定的医疗单位治疗。
第二十四条 卫生、医疗和保健机构发现本规定第二条第（二）项、第（三）项所指人员时，应当根据预防的需要，对其实施以下部分或全部措施：
（一）留验；
（二）限制活动范围；
（三）医学观察；
（四）定期或不定期访视。
第二十五条 艾滋病病人或艾滋病病毒感染者的尸体必须就地火化。
第二十六条 对艾滋病病人或感染者的分泌物、排泄物及其所接触过可能造成污染的用品和环境，卫生防疫机构应监督指导有关单位或个人进行消毒，必要时由卫生防疫机构实施消毒。
第二十七条 卫生、医疗和保健机构实施本规定第二十三条、第二十四条规定的措施时，公安等有关部门应给予协助。
第二十八条 对违反本规定，有下列行为之一的单位或个人，由卫生行政部门给予五十元以上、三千元以下罚款，并强制采取预防、治疗和消毒措施：
（一）隐瞒病情不申报，逃避查验的；
（二）已知系艾滋病病人或感染者，有传播艾滋病行为的；
（三）瞒报携带本规定第二条第（四）项物品入境的；
（四）拒绝执行本规定第二十三条、第二十四条、第二十五条、第二十六条为预防和控制艾滋病流行所采取的措施的。
第二十九条 对违反本规定，引起艾滋病传播，或者有引起艾滋病传播严重危险的，由司法机关依法追究刑事责任。
第三十条 本规定用语的含义：
（一）“艾滋病”是指获得性免疫缺陷综合症；
（二）“艾滋病病人”是指艾滋病病毒抗体阳性，临床上出现条件性感染或恶性肿瘤者；
（三）“艾滋病病毒感染者”是指艾滋病病毒抗体阳性，无症状或尚不能诊断为艾滋病病人者；
（四）“外国人”是指依照《中华人民共和国国籍法》的规定，不具有中国国籍的人。
第三十一条 实施预防、治疗、检查措施时，按规定收取费用。
第三十二条 本规定由卫生部负责解释。
第三十三条 本规定自发布之日起实施。
PROVISIONS FOR THE MONITORING AND CONTROL OF AIDS
e State Bureau of Foreign Expert Affairs on January 14, 1988)
Important Notice: (注意事项)
英文本源自中华人民共和国务院法制局编译, 中国法制出版社出版的《中华人民
共和国涉外法规汇编》(1991年7月版).
当发生歧意时, 应以法律法规颁布单位发布的中文原文为准.
This English document is coming from the "LAWS AND REGULATIONS OF THE
PEOPLE'S REPUBLIC OF CHINA GOVERNING FOREIGN-RELATED MATTERS" (1991.7)
which is compiled by the Brueau of Legislative Affairs of the State
Council of the People's Republic of China, and is published by the China
Legal System Publishing House.
In case of discrepancy, the original version in Chinese shall prevail.
Whole Document (法规全文)
PROVISIONS FOR THE MONITORING AND CONTROL OF AIDS
(Approved by the State Council on December 26, 1987, and promul-
gated jointly by the Ministry of Public Health, the Ministry of Foreign
Affairs, the Ministry of Public Security, the State Education Commission,
the National Tourism Administration, the Civil Aviation Administration of
China and the State Bureau of Foreign Expert Affairs on January 14, 1988)
Article 1
These Provisions are formulated in order to prevent AIDS from entering,
occurring and spreading in China so as to safeguard the health of the
Chinese people.
Article 2
The objects subject to the monitoring and control of AIDS as defined in
these provisions are:
(1) victims of AIDS;
(2) carriers of the AIDS virus;
(3) suspects of AIDS and those who have close contact with persons as
defined in Items (1) and (2) of this Article;
(4) blood, hemoproducts, toxicostrain, biological tissue, animals and
other articles that have been contaminated by the AIDS virus or may cause
the spreading of AIDS.
Article 3
The health administrative departments at all levels shall be in charge of
AIDS monitoring and control within their respective jurisdiction.
The public security organs, foreign affairs offices, Customs
establishments, tourist agencies, education departments, aviation, railway
and other transportation units as well as all the enterprises,
institutions and social organizations shall help the health administrative
departments in taking precautionary measures against the spread of AIDS.
Article 4
Upon arrival, any passenger who enters China shall fill in a health
declaration card truthfully, and submit it to the health quarantine organ
for inspection.
Article 5
When applying for entry visa, any foreign national who plans to settle
down in China or stay (or study) in China for one year or longer is
required to furnish the AIDS Serological Examination Certificate issued by
a public hospital or by a private hospital notarized by the notary office
in the country of origin and the said certificate must be authenticated by
the Chinese Embassy or consulate in that country. The certificate shall
remain valid for six months as of the date of issue.
Foreign nationals who fail to undergo AIDS serological examination in
their home countries for lack of necessary conditions, must go to a
designated professional health organ for the examination within 20 days
after entry.
Article 6
Those foreign nationals who belong to the categories as defined in Items
(1) and (2) of Article 2 in these Provisions shall be barred from entering
China.
Those who are not allowed to enter China but have already arrived at a
China border port, must leave the border as soon as possible by the same
means of transport or a means of transport of the country where they
reside. If necessary, China civil air, railways or other transportation
departments shall make arrangements for their departure. Before they leave
the border, they must be placed in isolation by the health quarantine
organ at the border port.
Article 7
Any foreign nationals who stay in China and are found to be objects as
defined in Items (1) and (2) of article 2 in these Provisions, the local
health administrative department may request the public security organ to
order them to leave China without delay.
Article 8
Chinese citizens who have settled down abroad or have stayed abroad for
over one year (including those Chinese seamen working on foreign vessels)
and who intend to resettle down in China or stay in China for over one
year are required to go to a designated professional health organ for
physical check up within two months after they return to China.
Article 9
All units and persons are strictly prohibited from importing or carrying
in any articles as defined in Item (4) of Article 2 in these Provisions.
In the case of necessity, an application must be made to the Ministry of
Public Health for examination and approval.
Article 10
The AIDS virus strain shall be kept and used by the units designated by
the Ministry of Public Health. Without permission by the Ministry of
Public Health, no unit or person shall be allowed to exchange, pass on or
use the virus strain within China.
Article 11
Blood and hemoproducts must undergo AIDS antibody virus monitoring.
Carriers of AIDS virus are forbidden to donate their tissue, organs, blood
and seminal fluid.
Article 12
The health administrative departments in all the provinces, autonomous
regions and municipalities directly under the Central Government shall
organize the monitoring of AIDS. The monitoring work shall mainly cover
the following fields:
(1) collecting, processing and analyzing information of AIDS incidence;
(2) carrying out serological examination among the target groups of
people;
(3) making a survey and analysis of epidemiological factors.
Article 13
When conducting AIDS serological examination, any syringe used must be
disposable. Other medical equipment must be thoroughly disinfected so as
to guard against iatrogenic infection.
Article 14
As prescribed by the State, AIDS is an infectious disease that must be
reported.
Article 15
When carrying out their official duties, if the civil administration
organ, the public security organ and the judicial organs find any persons
susceptible to the spread of AIDS, they must be sent right away to the
health department to undergo AIDS examination.
Article 16
Medical units must keep close watch for AIDS cases among the visiting
patients. If any suspect of AIDS is found, the case must be diagnosed,
treated and reported without delay.
Article 17
Medical workers or health workers of preventive medicine or medical
treatment shall, after making a definite diagnosis of an AIDS case or
deciding on a case of AIDS suspect or a case of AIDS carrier, immediately
report the case to the local health and epidemic prevention organ. The
latter must report the case to the health administrative department at a
higher level within twelve hours.
If any other people find any suspect of AIDS, it is required that they
report the case immediately to the local prevention, medical or health
organ.
No unit or person may conceal the case from or delay the report of the
case to the organs concerned.
Article 18
When a health administrative department sends its officers to make an
investigation of AIDS, the units or persons concerned are duty-bound to
provide detailed information about the occurrence, spreading, metastasis
of the disease and guarantee that the information is true and complete.
Article 19
The health administrative department must verify the reported information
without delay. The material reported must include a diagnosis issued by a
designated professional health organ.
Article 20
The nationwide information about AIDS incidence shall be released by the
Ministry of Public Health.
Article 21
No unit or person may discriminate against AIDS victims, AIDS virus
carriers or their relatives. No information about the victims such as
their names, addresses, etc. shall be made public.
Article 22
Every unit or person must follow the precautionary measures taken by the
health department for the purpose of preventing and checking the incidence
of AIDS.
Article 23
When a hygiene organ, medical treatment organ or health organ has found a
person who belongs to the category of people defined in Item (1) of
Article 2 of these Provisions, it must place the person in isolation and
send him/her to a hospital designated by the health administrative
department for medical treatment.
Article 24
When a hygiene organ, medical treatment organ or health organ has found a
person who belongs to the category of people defined in Item (2) or (3) of
Article 2 of these Provisions, some or all of the following measures must
be taken according to the prevention requirements:
(1) detention for physical check up;
(2) restriction on movement;
(3) medical observation;
(4) regular or irregular medical visits.
Article 25
The dead body of an AIDS victim or an AIDS virus carrier must be cremated
locally.
Article 26
The units or individuals concerned shall, under the supervision and
guidance of the health and prevention organ, exercise disinfection to the
secretion, excretion of AIDS victims or AIDS virus carriers, and the
articles and places, which they have come into contact with and which
might have been contaminated. If necessary, the disinfection shall be
conducted by the health and prevention organ itself.
Article 27
When the hygiene, medical treatment or health organs perform their duties
as stipulated in Articles 23 and 24 of these Provisions, the public
security organs and other units concerned shall offer assistance.
Article 28
Any unit or person that has committed any one of the following acts in
violation of the Provisions shall be punished by the health administrative
department in the form of a fine of no less than RMB 50 and no more than
RMB 3,000 and shall be forced to take precaution, treatment and
disinfection measures:
(1) conceal the case of AIDS and evade examination;
(2) spread AIDS with awareness that there exist AIDS cases or AIDS virus
carriers;
(3) withhold from declaring articles brought in at the time of entry as
defined in Item (4) of Article 2 of these Provisions;
(4) refuse to carry out the precaution and control measures against the
spread of AIDS as defined in Articles 23, 24, 25 and 26 of these
Provisions.
Article 29
For any violation of these Provisions that has resulted in the spread of
AIDS or the danger of spreading AIDS, criminal responsibility shall be
investigated by the judicial organs according to law.
Article 30
For the purpose of these Provisions, the definitions of the following
terms are:
(1) "AIDS" means acquired immunity deficiency syndrome.
(2) "AIDS victim" means a person whose reaction to AIDS virus antibody is
positive and clinically a conditioned infection or malignant tumour is
diagnosed.
(3) "AIDS virus carrier" means a person whose reaction to AIDS virus
antibody is positive but with no symptoms of AIDS or without enough
symptoms to be diagnosed as AIDS victim.
(4) "foreign national" means a person who does not have Chinese
nationality as defined in "The Nationality Law of the People's Republic of
China."
Article 31
A fee shall be charged, according to relevant regulations, for the service
of taking prevention measures and giving medical treatment or examination.
Article 32
The right to interpret these Provisions resides in the Ministry of Public
Health.
Article 33
These Provisions shall go into effect as of the date of promulgation.
