建设部 对外贸易经济合作部


中华人民共和国建设部
中华人民共和国对外贸易经济合作部
令

第114号


《外商投资建设工程设计企业管理规定》已经2002年9月9日建设部第63次常务会议和2002年9月17日对外贸易经济合作部第10次部长办公会议审议通过，现予发布，自2002年12月1日起施行。



建设部部长 汪光焘
对外贸易经济合作部部长 石广生
二○○二年九月二十七日



外商投资建设工程设计企业管理规定


第一条 为进一步扩大对外开放,规范对外商投资建设工程设计企业的管理,根据《中华人民共和国建筑法》、《中华人民共和国中外合资经营企业法》、《中华人民共和国中外合作经营企业法》、《中华人民共和国外资企业法》、《建设工程质量管理条例》、《建设工程勘察设计管理条例》等法律、行政法规,制定本规定。

第二条 在中华人民共和国境内设立外商投资建设工程设计企业,申请建设工程设计企业资质,实施对外商投资建设工程设计企业监督管理,适用本规定。

本规定所称外商投资建设工程设计企业,是指根据中国法律、法规的规定,在中华人民共和国境内投资设立的外资建设工程设计企业、中外合资经营建设工程设计企业以及中外合作经营建设工程设计企业。

第三条 外国投资者在中华人民共和国境内设立外商投资建设工程设计企业,并从事建设工程设计活动,应当依法取得对外贸易经济行政主管部门颁发的外商投资企业批准证书,在国家工商行政管理总局或者其授权的地方工商行政管理局注册登记,并取得建设行政主管部门颁发的建设工程设计企业资质证书。

第四条 外商投资建设工程设计企业在中华人民共和国境内从事建设工程设计活动,应当遵守中国的法律、法规、规章。

外商投资建设工程设计企业在中华人民共和国境内的合法经营活动及合法权益受中国法律、法规、规章的保护。

第五条 国务院对外贸易经济合作行政主管部门负责外商投资建设工程设计企业设立的管理工作；国务院建设行政主管部门负责外商投资建设工程设计企业资质的管理工作。

省、自治区、直辖市人民政府对外贸易经济行政主管部门在授权范围内负责外商投资建设工程设计企业设立的管理工作；省、自治区、直辖市人民政府建设行政主管部门按照本规定负责本行政区域内的外商投资建设工程设计企业资质的管理工作。

第六条 外商投资建设工程设计企业设立与资质的申请和审批,实行分级、分类管理。

申请设立建筑工程设计甲级资质及其他建设工程设计甲、乙级资质外商投资建设工程设计企业的,其设立由国务院对外贸易经济行政主管部门审批,其资质由国务院建设行政主管部门审批；申请设立建筑工程设乙级资质、其他建设工程设计丙级及以下等级资质外商投资建设工程设计企业的,其设立由省、自治区、直辖市人民政府对外贸易经济行政主管部门审批,其资质由省、自治区、直辖市人民政府建设行政主管部门审批。

第七条 设立外商投资建设工程设计企业,申请建筑工程设计甲级资质及其他建设工程设计甲、乙级资质的程序：

(一)申请者向拟设立企业所在地的省、自治区、直辖市人民政府对外贸易经济行政主管部门提出设立申请。

(二)省、自治区、直辖市人民政府对外贸易经济行政主管部门在受理申请之日起30日内完成初审；初审同意后,报国务院对外贸易经济行政主管部门。

(三)国务院对外贸易经济行政主管部门在收到初审材料之日起10日内将申请材料送国务院建设行政主管部门征求意见。国务院建设行政主管部门在收到征求意见函之日起30日内提出意见。国务院对外贸易经济行政主管部门在收到国务院建设行政主管部门书面意见之日起30日内作出批准或者不批准的书面决定。予以批准的,发给外商投资企业批准证书；不予批准的,书面说明理由。

(四)取得外商投资企业批准证书的,应当在30日内到登记主管机关办理企业登记注册。

(五)取得企业法人营业执照后,申请建设工程设计企业资质的,按照建设工程设计企业资质管理规定办理。

第八条 设立外商投资建设工程设计企业,申请建筑工程乙级资质和其他建设工程设计丙级及以下等级资质的程序,由各省、自治区、直辖市人民政府建设行政主管部门和对外贸易经济行政主管部门,结合本地区实际情况,参照本规定第七条以及建设工程设计企业资质管理规定执行。

省、自治区、直辖市人民政府建设行政主管部门审批的外商投资建设工程设计企业资质,应当在批准之日起30日内报国务院建设行政主管部门备案。

第九条 外商投资建设工程设计企业申请晋升资质等级或者申请增加其他建设工程设计企业资质,应当依照有关规定到建设行政主管部门办理相关手续。

第十条 申请设立外商投资建设工程设计企业应当向对外贸易经济行政主管部门提交下列资料：

(一)投资方法定代表人签署的外商投资建设工程设计企业设立申请书；

(二)投资方编制或者认可的可行性研究报告；

(三)投资方法定代表人签署的外商投资建设工程设计企业合同和章程(其中,设立外资建设工程设计企业只需提供章程)；

(四)企业名称预先核准通知书；

(五)投资方所在国或者地区从事建设工程设计的企业注册登记证明、银行资信证明；

(六)投资方拟派出的董事长、董事会成员、经理、程技术负责人等任职文件及证明文件；

(七)经注册会计师或者会计师事务所审计的投资方最近三年的资产负债表和损益表。

第十一条 申请外商投资建设工程设计企业资质应当向建设行政主管部门提交下列资料：

(一)外商投资建设工程设计企业资质申报表；

(二)外商投资企业批准证书；

(三)企业法人营业执照；

(四)外方投资者所在国或者地区从事建设工程设计的企业注册登记证明、银行资信证明；

(五)外国服务提供者所在国或者地区的个人执业资格证明以及由所在国或者地区政府主管部门或者行业学会、协会、公证机构出具的个人、企业建设工程设计业绩、信誉证明；

(六)建设工程设计企业资质管理规定要求提供的其他资料。

第十二条 本规定中要求申请者提交的资料应当使用中文,证明文件原件是外文的,应当提供中文译本。

第十三条 外商投资建设工程设计企业的外方投资者及外国服务提供者应当是在其本国从事建设工程设计的企业或者注册建筑师、注册工程师。

第十四条 中外合资经营建设工程设计企业、中外合作经营建设工程设计企业中方合营者的出资总额不得低于注册资本的2596。

第十五条 外商投资建设工程设计企业申请建设工程设计企业资质,应当符合建设工程设计企业资质分级标准要求的条件。

外资建设工程设计企业申请建设工程设计企业资质,其取得中国注册建筑师、注册工程师资格的外国服务提供者人数应当各不少于资质分级标准规定的注册执业人员总数的1/4;具有相关专业设计经历的外国服务提供者人数应当不少于资质分级标准规定的技术骨干总人数的1/4。

中外合资经营、中外合作经营建设工程设计企业申请建设工程设计企业资质,其取得中国注册建筑师、注册工程师资格的外国服务提供者人数应当各不少于资质分级标准规定的注册执业人员总数的1/8;具有相关专业设计经历的外国服务提供者人数应当不少于资质分级标准规定的技术骨干总人数的1/8。

第十六条 外商投资建设工程设计企业中,外国服务提供者在中国注册的建筑师、工程师及技术骨干,每人每年在中华人民共和国境内累计居住时间应当不少于6个月。

第十七条 外商投资建设工程设计企业在中国境内从事建设工程设计活动,违反《中华人民共和国建筑法机《建设工程质量管理条例》、《建设工程勘察设计管理条例》、《建设工程勘察设计企业资质管理规定》等有关法律、法规、规章的,依照有关规定处罚。

第十八条 香港特别行政区、澳门特别行政区和台湾地区的投资者在其他省、自治区、直辖市内投资设立建设工程设计企业,从事建设工程设计活动,参照本规定执行。法律、法规、国务院另有规定的除外。

第十九条 受理设立外资建设工程设计企业申请的时间由国务院建设行政主管部门和国务院对外贸易经济行政主管部门决定。

第二十条 本规定由国务院建设行政主管部门和国务院对外贸易经济行政主管部门按照各自职责负责解释。

第二十一条 本规定自2002年12月1日起施行,《成立中外合营工程设计机构审批管理规定》(建设〔1992〕180号)同时废止。

Regulations on Administration of Foreign-Invested Construction and Engineering Design Enterprises



The Ministry of Construction of the People’s Republic of China
The Ministry of Foreign Trade and Economic Cooperation of the People’s Republic of China


Decree No. 114


Regulations on Administration of Foreign-Invested Construction and Engineering Design Enterprises approved respectively at the 63rd Executive Meeting of the Ministry of Construction on 9 September 2002 and at the 10th Ministerial Meeting of the Ministry of Foreign Trade and Economic Cooperation on 17 September 2002 are now issued and shall come into force on 1 December 2002.




Minister of the Ministry of Construction: Wang Guangtao
Minister of the Ministry of Foreign Trade and Economic Cooperation: Shi Guangsheng


27 September 2002


　

Regulations on Administration of Foreign-Invested Construction and Engineering Design Enterprises


Article 1 These Regulations hereof are formulated in order to further the opening up to the outside and standardise the administration of foreign-invested construction and engineering design enterprises in accordance with such laws and regulations as the Construction Law of the People’s Republic of China, the Law of the People’s Republic of China on Sino-Foreign Equity Joint Ventures, the Law of the People’s Republic of China on Sino-Foreign Cooperative Joint Ventures, the Law of the People’s Republic of China on Wholly Foreign-Owned Enterprises, the Regulations on Administration of Construction Engineering Quality and the Regulations on Administration of Reconnoitring and Designing of Construction Projects.


Article 2 These Regulations shall apply to the establishment of foreign-invested construction and engineering design enterprises within the territory of the People’s Republic of China, the application for construction and engineering design enterprise qualifications and the administration and supervision of the foreign-invested construction and engineering design enterprises.


The term ‘foreign-invested construction and engineering design enterprise’ mentioned in these Regulations refers to a wholly foreign-owned construction and engineering design enterprise, or a Sino-foreign equity construction and engineering design joint venture or a Sino-foreign cooperatively construction and engineering design enterprise established within the territory of the People’s Republic of China in accordance with Chinese laws and regulations.


Article 3 A foreign investor, which intends to establish a foreign-invested construction and engineering design enterprise within the territory of the People’s Republic of China and carry out construction and engineering design business shall, in accordance with laws, obtain the foreign-invested enterprise approval certificate from the relevant foreign trade and economic cooperation administration department and register with the State Administration of Industry and Commerce or its authorised administration of industry and commerce at local levels, and also obtain the qualification certificate of construction and engineering design enterprise from the relevant construction administration department.


Article 4 Foreign-invested construction and engineering design enterprises shall abide by the laws, regulations and rules of the People’s Republic of China when carrying out construction and engineering design activities within the territory of the People’s Republic of China.


The lawful operation of foreign-invested construction and engineering design enterprises and their legal rights and interests within the territory of the People’s Republic of China shall be protected by Chinese laws, regulations and rules.


Article 5 The foreign trade and economic cooperation administration department of the State Council shall be responsible for the administration of establishing foreign-invested construction and engineering design enterprises. The construction administration department of the State Council shall be responsible for the administration of the qualifications of foreign-invested construction and engineering design enterprises.


The foreign trade and economic cooperation administration departments of the people’s government of provinces, autonomous regions or directly administered municipalities shall be responsible for the administration of establishment of foreign-invested construction and engineering design enterprises within their authorized jurisdiction ; the construction administration departments of the people’s government of provinces, autonomous regions or directly administered municipalities shall, in accordance with these regulations, be responsible for the administration of the qualifications of the foreign-invested construction and engineering design enterprises within their administrative region.


Article 6 The application for and the examination and approval of the establishment of a foreign-invested construction and engineering design enterprise and the qualifications shall be managed by a grading and categorization system.


Where an applicant is to apply for Grade A qualifications for construction and engineering design or other Grade A or Grade B qualifications for construction and engineering design, the establishment of the foreign-invested construction and engineering design enterprise shall be examined and approved by the foreign trade and economic cooperation administration department of the State Council and its qualifications shall be examined and approved by the construction administration department of the State Council. Where an applicant is to apply for Grade B qualifications for construction and engineering design or other Grade C or lower qualifications for construction and engineering design, the establishment of the foreign-invested construction and engineering design enterprise shall be examined and approved by the foreign trade and economic cooperation administration department of the people’s government of the province, the autonomous region or the directly administered municipality and its qualifications shall be examined and approved by the construction administration department of the people’s government of the province, the autonomous region or the directly administered municipality.


Article 7 The procedures for the establishment of a foreign-invested construction and engineering design enterprise and the application for construction and engineering design qualifications or other Grade A or B engineering design qualifications shall be:


(1) The applicant shall submit an application to the foreign trade and economic cooperation administration department of the people’s government of the province, the autonomous region or the directly administered municipality where the proposed foreign-invested construction and engineering design enterprise is to be established.


(2) The foreign trade and economic cooperation administration department of the people’s government of the province, or the autonomous region or the directly administered municipality shall complete the preliminary examination within 30 days of receiving the application, and shall, if it grants the preliminary approval, submit the application to the foreign trade and economic cooperation administration department of the State Council for further approval.


(3) Within 10 days of receiving the application for further approval, the foreign trade and economic cooperation administration department of the State Council shall forward the application to the construction administrative department of the State Council for review and comments. The construction administration department of the State Council shall provide its opinion in writing within 30 days of receiving the request. Within 30 days of receiving the response, the foreign trade and economic cooperation administration department of the State Council shall decide whether or not to approve the application and express such a decision in written form. If the application is approved, a foreign-invested enterprise certificate shall be granted; if the application is not approved, reasons for the disapproval shall be given in written form.


(4) Within 30 days of receiving the approval certificate, the applicant shall carry out enterprise registration with the relevant registration department.


(5) After obtaining business license for the legal entity, if the foreign-invested construction and engineering design enterprise is to apply for the construction and engineering design enterprise qualifications, the application shall be carried out in accordance with the Regulations on Administration of Construction and Engineering Design Enterprise Qualifications.


Article 8 The procedures for the establishment of a construction and engineering design enterprise and the application for Grade B qualifications and Grade C or lower qualifications for engineering design shall be administered by the construction administration department and the foreign trade and economic cooperation administration department of the people’s government of the province, or the autonomous region or the directly administered municipality based on local conditions with reference to Article 7 of these Regulations and Regulations on Administration of Construction and Engineering Design Enterprise Qualifications.


Examination and approval of the qualifications of foreign-invested construction and engineering design enterprises by the construction administration departments of the People’s government of provinces, autonomous regions or directly administered municipalities shall be put on file with the construction administration department of the State Council within 30 days after the approval is given.


Article 9 The application by a foreign-invested construction and engineering design enterprise to upgrade its qualifications or to add additional engineering qualifications shall be made to the relevant construction administration department in accordance with relevant regulations.


Article 10 An applicant which intends to establish a foreign-invested construction and engineering design enterprise shall submit the following documents to the relevant foreign trade and economic cooperation administration department:


(1) Application forms to establish a foreign-invested construction and engineering design enterprise signed by the investor’s legal representative;


(2) The feasibility study report prepared or accepted by the investor;


(3) The contract for establishment of foreign-invested construction and engineering design enterprise and the articles of association signed by the investor’s legal representative (only the the articles of association are required for the establishment of a wholly foreign-owned construction and engineering design enterprise);


(4) The notification of pre-verification of the name of the enterprise;


(5) Documentary evidence of legal entity registration of the investor to carry out construction and engineering design in its home country or region and its bank credential letter;


(6) Appointment letters and documentary evidence of the investor’s designated chairman and members of the board of directors, managers and technical managers etc.; and


(7) Balance sheets and profit and loss accounts of the investor over the past three years audited by a certified accountant or an accounting firm.


Article 11 The applicant applying for foreign-invested construction and engineering design enterprise qualifications shall submit the following documents to the relevant construction administration department:


(1) Application forms for the qualifications for a foreign-invested construction and engineering design enterprise;


(2) The approval certificate for the establishment of the foreign-invested construction and engineering design enterprise;


(3) The business license for the legal entity;


(4) Documentary evidence of legal entity registration of the investor to carry out construction and engineering design in its home country or region and its bank credential letter;


(5) Professional qualification certificate issued by his home country or region and the individual or enterprise construction and engineering design track record and documentary evidence of its reputation issued by the relevant governmental department or professional institution, association or notary public; and


(6) Other documents as required by Regulations on Administration of Construction and Engineering Design Enterprise Qualifications.


Article 12 All materials required to be submitted by an applicant under these Regulations shall be in Chinese. If the original documentary evidence is in a foreign language, a Chinese translation shall be provided.


Article 13 The foreign investor or the foreign service provider of a foreign-invested construction and engineering design enterprise shall be an enterprise engaged in construction and engineering design or a certified architect or a certified engineer in his or her home country.


Article 14 The total capital contribution of the Chinese party to a Sin-foreign equity construction and engineering design joint venture or a Sino-foreign cooperatively construction and engineering design joint venture shall not be less than 25% of the registered capital.


Article 15 The criteria of grading of qualifications of foreign-invested construction and engineering design enterprises shall be in accordance with the requirements of grading of qualifications of construction and engineering design enterprise issued by the construction administration department of the State Council.


Where a wholly foreign-owned construction and engineering design enterprise applies for the construction and engineering design enterprise qualifications, its foreign service providers who have been qualified as certified architects or certified engineers in China shall not be less than 1/4 of the total certified professionals required under the qualification grading criteria, and the foreign service providers who have the relevant design experience shall not be less than 1/4 of the total key technical personnel required under the qualification grading criteria.


Where a Sin-foreign equity construction and engineering design joint venture or a Sino-foreign cooperatively managed construction and engineering design enterprise applies for the construction and engineering design enterprise qualifications, its foreign service providers who have been qualified as certified architects or certified engineers in China shall not be less than 1/8 of the total registered professionals required under the qualification grading criteria, and its foreign service providers who have the relevant design experience shall not be less than 1/8 of the total key technical staff required under the qualification grading criteria.


Article 16 Each of the architects and engineers certified in China and the key technical personnel of the foreign service provider in a foreign-invested construction and engineering design enterprise shall reside within the territory of the People’s Republic of China for no less than a cumulative period of 6 months each year.


Article 17 Where a foreign-invested construction and engineering design enterprise carrying out construction and engineering design activities within the territory of the People’s Republic of China violates the Construction Law of the People’s Republic of China, Regulations on Administration of Construction Engineering Quality, Regulations on Administration of Prospecting and Designing of Construction Projects and Regulations on Administration of Construction Engineering Prospecting Design Enterprise Qualifications and other relevant laws, regulations and rules, it shall be penalized in accordance with relevant provisions.


Article 18 Investors from Hong Kong Special Administrative Region, Macao Special Administrative Region or Taiwan shall establish construction and engineering design enterprises and carry out businesses in other provinces, autonomous regions or directly administered municipalities in accordance with these Regulations, unless it is otherwise provided by laws, regulations and the State Council.


Article 19 The timing for accepting and processing the application for establishment of foreign-invested construction and engineering design enterprises shall be determined by the construction administration department of the State Council and the foreign trade and economic cooperation administration department of the State Council.


Article 20 The construction administration department of the State Council and the foreign trade and economic cooperation administration department of the State Council shall be responsible for interpreting these Regulations in accordance with their functions.


Article 21 These Regulations shall go into force on 1 December 2002. Regulations on Administration of Establishment of Sino-Foreign Project Design Joint Venture (File No. 180, 1992) shall be repealed at the same time.




河南省焦作市人民政府办公室


焦作市人民政府办公室关于印发焦作市城镇基本医疗保险和生育保险市级统筹实施办法的通知

焦政办〔2011〕100号


各县（市）区人民政府，焦作新区管委会，市人民政府各部门，有关单位：
《焦作市城镇基本医疗保险和生育保险市级统筹实施办法》已经市政府同意，现印发给你们，请认真组织实施。



二○一一年九月三十日


焦作市城镇基本医疗保险
和生育保险市级统筹实施办法

第一章 总 则
第一条 为进一步完善城镇基本医疗保险、城镇职工生育保险制度，提高城镇基本医疗保险和职工生育保险统筹层次，增强基金抗风险能力，根据《河南省人民政府关于推进城镇基本医疗保险和生育保险市级统筹工作的意见》(豫政〔2011〕50号)和《河南省人民政府办公厅关于印发河南省医药卫生体制五项重点改革2011年度实施方案的通知》（豫政办〔2011〕26号）精神，结合我市实际，制定本办法。
第二条 城镇基本医疗保险和职工生育保险市级统筹的基本原则是：统一城镇基本医疗保险和职工生育保险政策，增强制度公平性；在基金分级管理的基础上，建立市级风险调剂金，增强保障能力；统一经办流程，提升服务能力；统一信息管理，方便参保人员就医；强化政府责任，促进制度可持续发展。
第二章 城镇职工基本医疗保险
第三条 城镇职工基本医疗保险的缴费基数。用人单位以上年度单位职工工资总额为缴费基数，职工以本人上年度工资收入为缴费基数。全市职工基本医疗保险采用单缴费基数缴费，即在职职工缴纳基本医疗保险费，符合医疗保险政策规定的退休人员不缴纳基本医疗保险费（包括单位缴费部分）。参保职工工资收入低于焦作市上年度在岗职工平均工资60%的，按照60%核定基数；高于焦作市上年度在岗职工平均工资300%的，按照300%核定基数。
第四条 城镇职工基本医疗保险用人单位的缴费比例统一调整为用人单位在职职工上年度工资总额的7%，在职职工缴费比例仍为本人工资收入的2%。取消《焦作市人民政府办公室关于转发焦作市困难企业参加基本医疗保障实施意见通知》（焦政办〔2003〕51号）中关于征收退休人员基本医疗保险风险调剂金的规定。
第五条 城镇职工基本医疗保险个人账户划账基数和比例统一为：用人单位在职人员以个人缴费基数作为个人账户划账基数；用人单位退休人员以本单位在职职工平均缴费基数作为个人账户划账基数；关闭破产企业退休人员以全市上年度在岗职工平均工资的60%为基数作为个人账户划账基数。个人账户划账比例统一按在职人员45岁以下3.1%、45岁以上3.5%划拨，退休人员按3.7%的比例划拨。
第六条 参保城镇职工发生医疗费用且由城镇职工基本医疗保险统筹基金支付的，其起付标准、统筹基金支付比例统一为：一级医疗机构200元、85%（退休人员为90%）；二级医疗机构600元、80%（退休人员为85%）；三级医疗机构800元、75%(退休人员为80%)；经批准转统筹区外定点医疗机构800元、65%（退休人员为75%）。
第七条 城镇职工基本医疗保险药品目录按《河南省基本医疗保险药品目录2010年版》执行；基本医疗保险诊疗项目、医疗服务设施范围及支付标准按我市现行文件规定执行；门诊重症慢性病病种范围及待遇标准按我市现行文件规定执行。
第八条 城镇职工基本医疗保险统筹基金最高支付限额为6万元。
第九条 城镇职工大额补充医疗保险费筹资标准、支付比例和最高支付限额按我市现行文件规定执行。
第十条 符合医保政策规定已办理医保退休手续的退休人员，单位欠缴医疗保险费期间其应享受的由统筹基金支付的医疗保险待遇不受影响。
第十一条 失业人员在领取失业金期间，参加城镇职工基本医疗保险，享受基本医疗保险待遇。其基本医疗保险费以当地上年度在岗职工平均工资的60%为基数计算，按照《中华人民共和国社会保险法》的规定从征缴的失业保险金中直接划入医疗保险经办机构的账户（包括单位缴费的7%和个人缴费的2%），失业人员个人不缴费，并从参加医保当月起，按规定享受相应的住院和门诊待遇。
第三章 城镇居民基本医疗保险
第十二条 城镇居民基本医疗保险统一按照我市现行文件规定执行。
第四章 城镇职工生育保险
第十三条 城镇职工生育保险费由用人单位缴纳，职工个人不缴费。用人单位应当以本单位上年度职工月平均工资总额(有雇工的个人工商户以市区上年度在岗职工月平均工资)的0.8%缴纳生育保险费。国家机关和其他由财政负担工资的用人单位，生育保险缴费比例为本单位上年度职工月平均工资总额的0.5%。
第十四条 女职工因生育所发生的医疗费，由生育保险基金按以下限额标准支付：
（一）产前检查(围产保健)：200元/例；
（二）正常分娩：1200元/例；
（三）异常分娩(包括臀位助产、臀位牵引、胎头吸引器助产、产钳助产)：1400元/例；
（四）剖宫产：3000元/例；
（五）剖宫产的同时做其他相关妇产科手术：3600元/例。
第十五条 符合规定的女职工因生育引起并发症的医疗费用，在产假期间由生育保险基金支付；产假期满后需继续治疗的费用，按照基本医疗保险规定办理。
第十六条 职工实施下列计划生育手术发生的医疗费用由生育保险基金据实支付。计划生育手术具体包括：
（一）放置或取出宫腔内节育器；
（二）实施输精(卵)管绝育手术；
（三）符合国家和省计划生育规定，实施输（精）卵管绝育手术后又实施复通手术；
（四）人工终止妊娠（非医学需要选择性别的人工终止妊娠的除外）。
第十七条 生育、计划生育手术医疗费用中不符合我市基本医疗保险药品目录、诊疗目录和医疗服务设施项目的费用，生育保险基金不予支付。计划生育部门已统一支付计划生育检查费、手术费的，生育保险基金不再支付。
第十八条 城镇职工生育保险其他相关事项均按照《河南省职工生育保险办法》（河南省人民政府令第115号）的规定执行。
第五章 风险调剂金管理
第十九条 城镇职工基本医疗保险、城镇居民基本医疗保险和城镇职工生育保险市级统筹采取建立市级风险调剂基金制度。
第二十条 市级风险调剂金从市本级及县（市）区基金中分别提取，提取比例暂定为当年实际征收保险费的10%。
第二十一条 市级风险调剂金在市本级及各县（市）区当期基金支付不足、使用累计结余后仍出现缺口时调剂使用。调剂最高额度原则上不超过市直及各县（市）区各自上缴调剂金累计结余的2倍，经调剂后仍不能弥补基金缺口的，由同级财政予以补贴。
第二十二条 市级风险调剂金纳入市社会保障基金财政专户管理，实行分别列账、单独核算。市级风险调剂金的具体使用管理办法由市人力资源社会保障局会同市财政局另行制定。
第二十三条 建立城镇基本医疗保险、生育保险工作目标责任制。各县（市）区政府要增强社会保险责任，积极采取有效措施，确保完成市下达的年度扩面征缴任务，凡未完成扩面征缴任务基金出现缺口的，市级风险调剂金不予调剂，由当地政府负责解决。对三项保险合计收入征收超额完成目标总任务的，各级政府按超征收数额的5%给予经办机构经费补助，补助经费由经办机构按照用款项目列入每年部门预算安排。
第六章 经办流程管理
第二十四条 全市实行统一的基本医疗保险和生育保险业务经办规程和管理制度，统一医疗费用结算方式、统一就医管理办法。
第二十五条 参保人员住院发生的医疗费用，统筹基金支付部分，由参保地医疗保险经办机构与定点医疗机构结算。定点医疗机构对参保人员住院期间发生的医疗费用实行即时结算。
第二十六条 统一定点医疗机构、定点零售药店的准入退出机制和考核管理办法，建立“两定”单位互认机制，实现标准化管理。
第二十七条 参保人员可在全市范围内选择定点医疗机构就医治疗。需往统筹区外医疗机构住院治疗的，应经二级甲等或以上定点医疗机构或传染病、精神病、结核病等专科定点医疗机构办理转诊手续，并到参保地医疗保险经办机构办理备案手续。
第二十八条 异地居住人员可在居住地选择1—3家就医治疗的定点医疗机构，并向参保地医疗保险经办机构备案。
第二十九条 参保人员在我市医保异地就医即时结算协作区以外旅游、探亲、出差等外出期间突发疾病需紧急住院治疗的，可就近选择当地的基本医疗保险定点医疗机构治疗，其发生的符合规定的医疗费用由个人全额垫付。出院后60天内，凭原始发票、急诊证明、病历复印件、长期医嘱和临时医嘱复印件、医疗费用汇总明细等材料到参保地医疗保险经办机构办理结算手续。其住院费用按本市三级定点医疗机构支付标准结算。
第七章 信息系统管理
第三十条 整合现有的医保信息资源，依托“金保工程”的实施，使用全市统一的应用软件，建立统一的信息管理系统，建立全市集中的数据库，实现数据集中管理、系统互通、资源共享，在全市范围内实现参保人员在所有“两定单位”就医购药“一卡通”和实现即时结算。
第八章 附则
第三十一条 城镇基本医疗保险、生育保险待遇调整应根据我市经济发展水平、基金结余规模和上级规定，由人社行政部门适时调整。
第三十二条 本《办法》自2011年10月1日起施行。