Decree No. 92/2011/ND-CP dated October 17, 2011 of the Government defining on administrative sanctions in the field of health insurance

THE GOVERNMENT -------	THE SOCIALIST REPUBLIC OF VIETNAM Independence– Freedom – Happiness ---------------
No.: 92/2011/ND-CP	Hanoi, October 17, 2011

DECREE

DEFINING ON ADMINISTRATIVE SANCTIONS IN THE FIELD OF HEALTH INSURANCE

THE GOVERMENT

Pursuant to the Law on Governmental Organization dated December 25, 2001;

Pursuant to the Law on Health Insurance dated November 14, 2008;

Pursuant to Ordinance No.44/2002/PL-UBTVQH10 dated July 02, 2002 of the National Assembly Standing Committee on Handling of Administrative Violations, Ordinance No.04/2008/UBTVQH12 dated April 02, 2008 of the National Assembly Standing Committee amending and supplementing some Articles of Ordinance No.44/2002/PL-UBTVQH10 dated July 02, 2002 of the National Assembly Standing Committee on Handling of administrative Violations;

At the proposal of the Minister of Health,

DECREES:

Chapter 1.

GENERAL PROVISIONS

Article 1. Scope of governing

1. This Decree provides for the administrative violations, forms, and levels of sanction, remedies, competence to sanction administrative violations in the field of health insurance (HI).

2. Act of administrative violation on HI is an act committed intentionally or unintentionally by individuals, agencies and organizations (hereinafter referred to as individuals and organizations) the violations of the provisions of law on HI that are not crimes and as prescribed by law, must be handled for administrative violations.

3. The administrative violations in the field of HI, include:

a) Violation of regulations on payment for HI premium and collection of HI premium;

b) Violation of regulations on the grant, re-grant, renewal of card and use of HI card;

c) Violation of regulations on organization of HI medical examination, treatment, HI appraisal;

d) Violation of regulations on management and use of HI;

đ) Violation of regulations on report, provision for information and data on HI;

e) Violation of regulations on inspection, examination, obstruction of state management activities on HI.

Article 2. Interpretation of terms

1. Abuse of health services means the appointment and use of drugs, chemicals, medical materials, technical services and other health services in medical examination and treatment in excess of the necessary level compared to the provisions of medical technical expertise damaging the patients with HI cards, HI fund, and establishments of medical examination and treatment.