Medical network on January 4 - on January 3, chongqing two votes files officially announced, officially announced in 2017 as the first two votes file area, chongqing in the file open in the first business day of the month are both bear, and kai - 24 provinces in 2016 under the position after the execution of two votes, chongqing officially released version file, seems to have the countdown state documents issued preheating paving - blue, parker state version of the official documents of two votes will be announced within a week!
▍ chongqing announced two votes
Yesterday, chongqing two votes policy officially announced, the nine departments jointly drafted by the chongqing "about print and distribute of chongqing city public medical institutions and drug procurement projects (trial)" two votes "notice, on December 2, 2016 for advice leaked, was the industry widely regarded as" the closest country version of "strong policy blowing and version of the preheating.
Controlled yesterday formally in "two votes" chongqing version of the file, than for advice is not much changes - because of the special status, chongqing medicine by chongqing "two votes" without doubt to strengthen the drug delivery in the role of the circulation of the new system - "chongqing drug delivery to be completed before the end of May 2017 YaoXie transaction information to the traceability system and medical intelligent logistics system construction of public information service platform." File is clear.
And combined with the establish and improve the regulation of cross-sectoral, cross-regional joint response and collaboration mechanism, encourage enterprises to supervise each other between report, according to the problems found clues, timely organization to carry out the "two votes" special supervision and inspection. Make full use of the drug by YaoXie trading information full traceability system to carry out the "two votes" regulation, by trace drug flow problem found clues, the existence of abnormal alert medical institutions and enterprises such as supervision measures.
Not only that, the file with particular emphasis on, to increase the penalties for violation of the stipulations of the "two votes".
According to the file, in violation of drug supervision and administration and tax administration and other relevant provisions, relevant departments to give severe punishment, if the circumstances are serious handed over to the judicial department in accordance with the law. To provide false materials, deliberately avoiding the city of two votes to the relevant provisions of the pharmaceutical production and circulation enterprises, according to the relevant provisions of the drug trade supervision evaluation method, interview, warning, dishonest list, suspended, cancelled by serious processing, in the form of membership and that means being kicked out of the public hospitals in chongqing market.
To cable is lax, has made no medical institution to be criticized, until it shall be investigated for relevant personnel responsibility "and a series of regulations, will probably make drug firms face tougher in chongqing" two votes "test.
▍ "two votes" national edition to announce them next week
So far, already has 24 provinces and municipalities to two votes, actively encourage public hospital comprehensive reform pilot cities to implement the "two votes", and has been in anhui, hunan province of the implementation opinions issued two votes are clear will introduce two votes in 2017.
The last working day in 2016, CCTV news broadcast reports, central comprehensively deepen reform leading group 31 times meeting, the CPC central committee general secretary and state President and central military commission, chairman of the central comprehensively deepen reform leading group leader xi jinping delivered an important speech at the meeting.
Meeting examined and approved the "on further reform and improve the pharmaceutical production circulation use policy several opinions, emphasizes the implementation of the drug circulation reform of" two votes ", purify the drug circulation and solve problems.
This specification high speech and tone, almost heralded the "two votes" pharmaceutical market in 2017 will trigger a series of changes.
Over the past 2016 years, in fact, almost can be referred to as the pharmaceutical industry in "two votes", a series of national policies issued to the end from the beginning of the year.
In April, 2016, issued by the general office of the state council of the deepening medical and health system reform in 2016 key task ", explicitly mentioned: "to encourage and guide the provincial cross-regional joint procurement, in the comprehensive reform pilot provinces can encourage certain regional belt joint procurement volume...... comprehensive reform pilot provinces throughout the province to implement the" two votes "... summarizes the practice and experience of perfecting the reform of sanming city, fujian province in anhui, fujian, and other "to promote the comprehensive reform pilot provinces.
Later, published by the general office of the state council "about the deepening medical and health system reform in 2016 key task of notice, require comprehensive reform pilot provinces throughout the province to implement the" two votes ", actively encourage public hospital comprehensive reform pilot cities to implement the "two votes".
On May 12, "about determining the fourth batch of national pilot cities and reform of public hospitals announcement concerning the work requirements," cancel drug addition, straighten out the medical service price, to promote the medicine apart, implementation of "two votes" in the field of drug circulation.
On July 19, who's planning commission "about the printing correct unhealthy tendencies in pharmaceutical sales and medical services in 2016 special governance work points to notice and then ask the two votes -" in comprehensive reform pilot provinces and cities public hospital comprehensive reform pilot area of medicines and chemical reagents, consumables procurement practice "two votes", namely the production enterprise to open an invoice of enterprises and circulation enterprises to open an invoice of medical institutions."
On September 18, who planning commission "about to do a good job of 2016 public hospitals at the county level comprehensive reform of circular stressed that in the public hospital drug procurement execution" two votes ".
November 18, the deepening medical and health system reform leading group of the state council on further promoting the deepening medical and health system reform experiences of the several opinions with the whole paragraph to strengthen "two votes" - public hospital drug procurement gradually implement the "two votes". Around to adjust measures to local conditions, gradually implementing public medical institutions and drug purchase "two votes" (production enterprise to open an invoice of enterprises and circulation enterprises to open an invoice) of medical institutions, encourage other medical institutions to implement the "two votes", reduce the drug circulation of the intermediate links, improve circulation enterprises concentration, hit "money laundering", lower drug prices artificially high, purifying the circulation environment. By integrating pharmaceutical trading enterprises, warehousing and transportation resources, speed up the development of pharmaceutical logistics, encourage regional drug distribution of urban and rural integration, to promote the "two votes" to provide basic conditions. Build system of commercial bribery enterprise blacklist, rake-off of commercial bribery of pharmaceutical production and circulation enterprises, cancel the qualification of suppliers.
Policy on the frequency of release and file expression change, the expert inside course of study to the blue parker said that in 2016 the last business day of December (30), central comprehensively deepen reform leading group meeting examined and approved the use policy "on further reform and improve the pharmaceutical production circulation of several opinions is the pharmaceutical industry in 2016 of a" big policy ", the judgment will be announced in early 2017, in the name of the state council, is likely to be "countries do hair" level of files.
The expert thinks, about "to improve the medicines and chemical reagents, supplies, medical equipment procurement mechanism, carry out drug distribution reform of" two votes ", reduce the circulation, purifying the circulation environment, regulation problems "this content is just file a paragraph of content, the policy of" two votes "is a more specific policy of" small ", it should be issued in the name of the nine ministries (bureau) of the state council released, is expected to big policy and small (two votes) estimates will be announced at the same time.
He warns broad drug firms at the same time, to prepare for two votes brought about a series of changes and challenges, and in the long run, the change of market structure and part of the enterprise will be inevitable.
The attached:
Chongqing public medical institutions and drug procurement projects (trial) "two votes"
According to the general office of the state council "about the deepening medical and health system reform in 2016 key task of notice, we will deepen reform of the medical and health system of the state council leading group on the further promotion of deepening medical and health system reform experiences of the several opinions, the chongqing municipal people's government on the deepening medical and health system comprehensive reform pilot program issued by the chongqing notice requirements, to do a good job in public medical institutions and drug procurement work" two votes ", combining the reality of our city, formulate the implementation plan.
First, the overall goals
According to the CPC central committee and the state council and the CPC municipal committee and municipal government on major policy decisions, we will deepen reform of the medical and health system to carry out "two votes" for the gripper, continue to deepen reform of drug circulation and standardize the order of drug circulation, the compression of the intermediate links, reduce the inflated prices, ensure drug supply. To crack down on money laundering "ticket", the illegal behavior of tax evasion and other drug distribution, purify the drug circulation environment, ensure drug safety for the people.
Second, the definition of "two votes"
(a) "two votes" refers to a pharmaceutical production enterprise to open a sales invoice of enterprises and circulation enterprises to the public medical institutions to open a sales invoice.
(2) the pharmaceutical production enterprise of the integration of trade and industry or group of enterprises to establish only sales of the enterprises wholly owned or holding (group) pharmaceutical trading enterprises, can be regarded as production enterprises; And domestic general agent or directly from the outside of the drug production enterprises as the agent of imported drugs, can be regarded as production enterprises; Pharmaceutical marketing authorisation holder compliance entrust responsible for selling the drug production enterprises or enterprise, can be regarded as production enterprise. The above situation across the country only a business enterprise or general agent.
(3) the drug circulation group head office, branch, a wholly owned or holding subsidiaries within the enterprise transfers between drug is not seen as a vote, but allowed to allocate time.
(4) encourage public medical institution and pharmaceutical producing enterprises to settle payment directly by chongqing medicine exchange settlement platform, pharmaceutical production enterprises and circulation enterprises and settlement distribution costs.
Three, implementation time and scope
(a) all public medical institutions in the city (including grass-roots medical institutions, village clinic drug bought by towns and townships) drug purchase full implementation of the "two votes". In order to guarantee the effective supply of the drug at the grass-roots level, the villages and towns (street) and the following according to the actual situation of grassroots medical and health institutions can increase one vote. Encourage forces individual hospitals, private hospitals, clinics and other medical institutions to implement the "two votes".
(2) on December 31, 2016 started the implementation of the "two votes". On May 31, 2017 for the transition. Transition period, the production enterprises should take full consideration of factors such as the original distribution channels of medical institutions, to determine the level of commercial agency relationship in our city, on April 1 in chongqing medicine exchange platform for updates, sign and public pledge at the same time; As a production enterprise of enterprise group and medicine circulation enterprises should provide related proof materials, signed and public pledge; Drugs management enterprise shall properly handle the inventory does not conform to the stipulations of the "two votes" drugs; Medical institutions in the former production enterprise level business agency relationship has not yet been determined, temporary channels according to the original purchasing drugs, on April 1st according to the usage of drug purchase timely adjusting and optimizing distribution channels; Districts and counties shall be fully assessed grassroots medical institutions and drug distribution security situation in this region, is really necessary, the increase a ticket shall be fixed through open selection management enterprises and for the record. June 1, 2017, the city all public medical institutions to full implementation of the "two votes".
(3) in the event of natural disasters, major outbreaks, major events and the patient (rob) save the special circumstances, such as in need of urgent purchasing drugs can be special treatment. Narcotic drugs and psychotropic drugs of category I and special management of drug management is still in accordance with the current regulations of the state.
Fourth, the relevant provisions
(a) pharmaceutical production enterprise is the first responsible person to ensure drug quality and supply. Pharmaceutical producing enterprises can be delivered directly or entrust a delivery ability of medicine circulation enterprises distribution. Pharmaceutical producing enterprises must be at the location of the manufacturing enterprise tax department to receive the invoice. Pharmaceutical production, circulation enterprises in taxable behavior to declare pay taxes in accordance with the relevant provisions of the tax law, in drug sales, must through the new VAT invoice management system to issue special VAT invoices or ordinary VAT invoices (hereinafter generally referred to as the "invoice"), should be listed on the invoice for the sale of drugs generic names, specifications, model, unit, quantity, unit price, amount, etc., not all listed shall be through the new value-added tax invoice management system of the list of selling goods or providing taxable services (hereinafter referred to as "sales list"), and build the special invoice seal supply enterprises, what drug should also be attached sales outbound order, including generic names, types, specifications, batch number, validity period, manufacturer, date of purchase units, delivery, sales, outbound date and the amount of sales, purchase of the invoice (including sales list, similarly hereinafter), annul name shall be just and selling outbound order, payment flow direction, the amount is consistent.
(2) buy drugs, medicine circulation enterprises should take the initiative to ask for bill to the production enterprise. When receiving the acceptance, should verify the invoice, the supplier selling outbound order type, quantity and the actual purchase drugs, check in and establish purchase drugs acceptance record, do vote, the bill and cargo. On the invoice is not in conformity with the relevant provisions of the state and the plan calls for, or ticket, content is not consistent between the goods, not check incoming. Drug distribution in purchasing invoices and related note, should be kept in accordance with relevant regulations. Drug circulation enterprises will drug sales to the public medical institutions, stamped with the seal of the original enterprise must be provided by the production enterprise of buying and selling invoice copy.
(3) the public medical institutions should choose whole network system, good reputation for quality and delivery ability of medicine circulation enterprises to carry out the distribution work. The number distribution should be reasonable control. Set up the mechanism of evolution of dynamic management, improve the distribution concentration, promote the integration of medicine circulation market optimization.
(4) public medical institution and pharmaceutical production, circulation enterprises to purchase and sale contract, must will implement the "two votes" write the terms of the contract. Public medical institutions in inbound acceptance drugs, it must be identified ticket is consistent, books, and the goods shall be put in storage, use, not only have to ask for its circulation in the distribution of drugs to, validation, invoices, also should be required to circulation enterprises, issue the purchase invoice provided by the production enterprise with the seal of photocopy or scanning electronic version (the copy of the same batch number of drug purchase invoice provide at least one), two invoice production enterprise name, batch number and other relevant content to confirm each other, as a public medical institution payment vouchers, included in the financial records management.
(5) chongqing medicine to be completed before the end of May 2017 YaoXie trading information to the traceability system and medical intelligent logistics public information service platform system construction. Public medical institutions at all levels and its drug distribution enterprises in the city before the end of December 2017 and partial connectivity, the system implemented by batch number query in production enterprises and enterprises, trading enterprises and between enterprises, trading enterprises and medical institutions of the pharmaceutical information flow. At the same time, to encourage and promote the drug production enterprises and between enterprises, through the exchange platform for drug transaction and payment.
(6) to support the construction of national, regional pharmaceutical logistics park and distribution center, encourage with qualification of the third party logistics enterprises entrusted by distribution. According to the principle of distance, linkage between urban and rural areas, encourage support regional drug distribution of urban and rural integration.
Five, the supervision and management
(a) joint health family planning department will be responsible for relevant departments to carry out "two votes" supervision and management, promoting the implementation of the "two votes", strengthen the management of drug purchase and to carry out "two votes" public medical institutions supervision and inspection; The food and drug supervision and administration departments to strengthen supervision and administration of pharmaceutical production enterprise, in accordance with the law to crack down on all forms of illegal behavior; The tax authorities to strengthen tax bill management, intensify tax evasion behavior auditing, use of pharmaceutical production enterprise bills, check, found the problem in a timely manner is investigated; Business departments should further strengthen the drug circulation enterprise management, to build distribution ability level evaluation system; Financial sector to the "two votes" electronic information traceability supervision system construction for funding; Prices and in the industrial and commercial departments to crack down on drug distribution monopoly, unfair competition, and consumers' legal rights violations. Other relevant departments should strengthen coordination, according to the division of responsibility, initiative, to take on responsibilities, cooperate closely, make regulatory cohesion, form the joint effort, conscientiously do a good job in "two votes" the implementation of the work.
(2) to strengthen the supervision and inspection of the implementation "two votes". Establish and improve the regulation of cross-sectoral, cross-regional joint response and collaboration mechanism, encourage enterprises to supervise each other between report, according to the problems found clues, timely organization to carry out the "two votes" special supervision and inspection. Make full use of the drug by YaoXie trading information full traceability system to carry out the "two votes" regulation, by trace drug flow problem found clues, the existence of abnormal alert medical institutions and enterprises.
(3) increase in violation of the provisions of the "two votes" penalties. In violation of drug supervision and administration and tax administration and other relevant provisions, relevant departments to give severe punishment, if the circumstances are serious handed over to the judicial department in accordance with the law. To provide false materials, deliberately avoiding the city of the relevant provisions of the "two votes" medicine production and circulation enterprises, according to the relevant provisions of the drug trade supervision evaluation way, take the interview, warning, dishonest list, suspended from trading, cancel the medicine in the form of exchange membership and serious processing. To rope in lax, has no medical institutions to criticized, until the responsibility shall be investigated for relevant personnel.
Six, safeguard measures
(a) districts and counties, departments should attach great importance to the "two votes", earnestly implement the CPC municipal committee and municipal government major policy decisions, fully aware of the significance of implementation of the "two votes", standing about politics, the height of the overall situation, the people's livelihood, highlight the focus, carefully organize the implementation, to ensure smooth implementation of the "two votes" work.
(2) of the districts and counties and departments to ensure the people to see the doctor as the goal, to build health benign drug market circulation order, positive for the implementation of the "two votes" create favorable conditions. To break local protection, speeds up the clean-up and abolished in enterprise registration, drug purchase, cross-regional operation, choice of distributors, chain operation, as well as the unreasonable policies and regulations, reduce the administrative intervention for drug purchase.
(3) through various media, districts and counties, departments should strengthen implementation of the "two votes" propaganda work, adhere to the correct public opinion direction, questions in a timely manner, the proper response to social concern, to promote the "two votes" build good public opinion atmosphere, and in a timely manner on the policy to promote the process of the new situation, new problems.
(4) the health to family planning departments at various levels shall put forward "two votes" work into the content of the examination for medical institutions, to promote the full implementation of the "two votes" work.
Seven, the state has new rules on "two votes", timely revised.
Cc: reform of the state council, the national health and family planning commission, the municipal government.
Office of health and family planning committee of chongqing city
Issued by December 30, 2016 |
