Joint Circular No. 03/2006/TTLT-BYT-BTC-BLDTBXH supplements the Joint Circular No. 14/TTLB dated September 30, 1995 of the Ministry of Health, Ministry of Finance, Ministry of Labor, Invalids and Social Affairs, and the Government Price Control Agency guiding the implementation of partial hospital fee collection.

CIRCULAR

Supplementing Circular Jointly Issued No. 14/TTLB dated September 30, 1995 of

the Ministry of Health - Ministry of Finance - Ministry of Labor, Invalids and Social Affairs - Government Price Control Board

guiding the implementation of partial hospital fees collection

____________________________

Pursuant to Decree No. 95-CP dated August 27, 1994 of the Government on the collection of partial hospital fees and Decree No. 33/CP dated May 23, 1995 of the Government amending Point 1, Article 6 of Decree No. 95-CP dated August 27, 1994 of the Government on the collection of partial hospital fees;

Pending the issuance of new hospital fee policies by the Government; to ensure the rights of patients, healthcare facilities, and to unify management, the Ministry of Health - Ministry of Finance - Ministry of Labor, Invalids and Social Affairs supplement certain contents of Circular Jointly Issued No. 14/TTLB dated September 30, 1995 of the Ministry of Health - Ministry of Finance - Ministry of Labor, Invalids and Social Affairs - Government Price Control Board guiding the implementation of partial hospital fees collection as follows:

1. Temporarily promulgating with this Circular a framework of partial hospital fees for some medical services arising from 1995 to date but not yet specified in the framework of partial hospital fees issued together with Circular Jointly Issued No. 14/TTLB dated September 30, 1995 of the Ministry of Health - Ministry of Finance - Ministry of Labor, Invalids and Social Affairs - Government Price Control Board guiding the implementation of partial hospital fees collection.

2. The framework of partial hospital fees for these medical services does not include costs of various types of drugs, radioactive substances used in diagnosis and treatment of cancer, special consumable materials, and replacement materials.

3. Based on the framework of partial hospital fees for medical services promulgated with this Circular and Circular Jointly Issued No. 14/TTLB dated September 30, 1995 of the Ministry of Health - Ministry of Finance - Ministry of Labor, Invalids and Social Affairs - Government Price Control Board guiding the implementation of partial hospital fees collection; taking into account the economic and social conditions of the locality; the Chairman of the People's Committee of provinces and centrally-administered cities shall decide the level of partial hospital fees collection for healthcare facilities under their management; the Minister of Health shall decide the level of partial hospital fees collection for healthcare facilities directly under the Ministry of Health and other ministries and sectors.

4. The Ministry of Health shall be responsible for issuing a list of drug types, radioactive substances used in diagnosis and treatment of cancer, consumable materials, and replacement materials, and guiding the implementation of charges for these drugs, radioactive substances, consumable materials, and replacement materials according to the purchase price of healthcare facilities and the actual quantity used by patients.

5. The level of partial hospital fees for each medical service at healthcare facilities decided by competent authorities and the actual costs of drugs, radioactive substances used in diagnosis and treatment of cancer, replacement materials, and special consumable materials as stipulated in Point 4 that patients have used during diagnosis and treatment (including both outpatient and inpatient treatment) serve as the basis for hospital fee settlement for patient groups, including those with health insurance cards.

6. The Social Insurance Agency shall be responsible for settling examination and treatment costs for individuals with health insurance cards according to the provisions of Point 5 of this Circular and according to the provisions of Circular Jointly Issued No. 21/2005/TTLT-BYT-BTC dated July 27, 2005 of the Ministry of Health - Ministry of Finance guiding the implementation of mandatory health insurance and Circular Jointly Issued No. 22/2005/TTLT-BYT-BTC dated August 24, 2005 of the Ministry of Health - Ministry of Finance guiding the implementation of voluntary health insurance.

The settlement of costs for high-tech medical services and large costs promulgated together with Decision No. 36/2005/QĐ-BYT dated October 31, 2005 of the Minister of Health includes: the prices of medical services already decided by competent authorities and costs of various types of replacement materials and special consumable materials as stipulated in Point 4 of this Circular.

This Circular takes effect fifteen days after its publication in the Official Gazette. Any previous regulations contrary to this Circular are hereby abolished.

In the course of implementation, if there are difficulties or obstacles, please report them to the joint ministries for consideration and resolution./.