| IVOD_ID |
152009 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Clip/1M/152009 |
| 日期 |
2024-05-02 |
| 會議資料.會議代碼 |
委員會-11-1-26-14 |
| 會議資料.會議代碼:str |
第11屆第1會期社會福利及衛生環境委員會第14次全體委員會議 |
| 會議資料.屆 |
11 |
| 會議資料.會期 |
1 |
| 會議資料.會次 |
14 |
| 會議資料.種類 |
委員會 |
| 會議資料.委員會代碼[0] |
26 |
| 會議資料.委員會代碼:str[0] |
社會福利及衛生環境委員會 |
| 會議資料.標題 |
第11屆第1會期社會福利及衛生環境委員會第14次全體委員會議 |
| 影片種類 |
Clip |
| 開始時間 |
2024-05-02T09:36:06+08:00 |
| 結束時間 |
2024-05-02T09:45:27+08:00 |
| 影片長度 |
00:09:21 |
| 支援功能[0] |
ai-transcript |
| video_url |
https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/6f015fe8e6787db146ae50626cc43dc7d575e50b9cd8685a55be169921a0a717ed97af83b71729ba5ea18f28b6918d91.mp4/playlist.m3u8 |
| 委員名稱 |
林月琴 |
| 委員發言時間 |
09:36:06 - 09:45:27 |
| 會議時間 |
2024-05-02T09:00:00+08:00 |
| 會議名稱 |
立法院第11屆第1會期社會福利及衛生環境委員會第14次全體委員會議（事由：審查
一、委員王育敏等19人擬具「全民健康保險法第六十二條條文修正草案」案。
二、委員蘇清泉等28人擬具「全民健康保險法第六十二條條文修正草案」案。
三、國民黨黨團擬具「全民健康保險法第六十二條條文修正草案」案。
【以上議案，如經復議則不予審查】） |
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有請部長。好,請部長。 |
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16.448 |
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39.815 |
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部長,針對我們的健保的保費費率大概在民國99年第一次調漲之後最近一次調漲是110年所以想請問部長健保從106年就開始赤字今年要動之我們的調節非預期風險跟其他非預期政策改變所需經費要8億的預算 |
| transcript.whisperx[2].start |
43.116 |
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53.07 |
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厲注在全民健保基金240億元才不調漲,可是以預算的去填補健保赤字是最好的方法嗎? |
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用這個預算去填補這個赤字的話當然不是一個好的方法不過之前的話我們在去年做這個貶值的這個等於是補足是009這樣子的一個機制是真的是COVID之後 |
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那本來是公務預算在支應的這些COVID醫療費用轉移到健保區,所以會產生這一個衝擊,那這個部分的話是有原因的。 |
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可是據我所知事實上現在很多項目也都健保都要去做支付不過如果這樣的預算我比較擔心因為我來自是社福團體比較擔心的會不會衛福部主管的身障老人跟兒童的各項社會福利預算會造成排擠因為他們都是等著要備服務可是沒有經費的話 |
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127.056 |
| transcript.whisperx[6].text |
|
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這個部分的話是這樣子,如果以健保本身來講的話,因為它是保費的結構,那如果不去特別去談到這個公務預算的話,那基本上不會排擠到社府的預算。但是如果說必須要公務預算進來的話,那當然會有可能有排擠的這個效果。不過以去年跟今年,240億的公務預算抑制是去年,那今年是210億。 |
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這樣的進來的他的這個範圍他的規模大概還不至於還不至於但是如果說以今天的提案的那一個的話那是一年700億或者是1150億那個就會有影響所以儘管112年編列113年的預算避掉了一些預算排擠的效應如果明年的預算要在今年編列的話 |
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bicyn 要怎麼去避免?因為今天要談的是62條,就是我們的排擠社會預算的一些效應。 |
| transcript.whisperx[10].start |
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這個部分的話當然就是會等下委員也可以問主席總書,但是預算編列大概是這樣子,我們現在就要編概算了,明年的概算。如果說這個法通過的話,如果它是通過的是1.1億元,那我們明年就要編1,150億的公務預算進來。 |
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所以這就是我很擔心,如果編到這樣的話,會不會排擠到我們很關心的社會福利預算?當然最後是主席總署這邊可能會有更詳細的一個說明。因為底層的社會問題要解決,真的要靠經費預算。 |
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231.105 |
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bicyn Kwan-hung, |
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244.514 |
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247.096 |
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bicyn Kwan-yong 則擬具 |
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267.415 |
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284.684 |
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|
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285.043 |
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304.889 |
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� |
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317.548 |
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bicyn 美典事實上是0.95元或是還是1元的話都將破壞現行壓縮每點價格的彈性所造成的效果就是天花板就要被掀開來 |
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341.442 |
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|
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356.561 |
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|
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356.869 |
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376.613 |
| transcript.whisperx[19].text |
|
| transcript.whisperx[20].start |
378.439 |
| transcript.whisperx[20].end |
394.599 |
| transcript.whisperx[20].text |
|
| transcript.whisperx[21].start |
394.787 |
| transcript.whisperx[21].end |
421.886 |
| transcript.whisperx[21].text |
|
| transcript.whisperx[22].start |
422.534 |
| transcript.whisperx[22].end |
451.578 |
| transcript.whisperx[22].text |
|
| transcript.whisperx[23].start |
451.94 |
| transcript.whisperx[23].end |
476.865 |
| transcript.whisperx[23].text |
因為對他們來講那的確剛剛前面委員有提到可是所以就想問醫事團體這樣提可是事實上相對的也有其他的團體像醫療改革跟健保監督團體表示反對所以如果貿然打破天花板的話民眾的這個保費勢必要翻漲的話那過去有沒有進行先去做溝通 |
| transcript.whisperx[24].start |
478.265 |
| transcript.whisperx[24].end |
492.934 |
| transcript.whisperx[24].text |
我跟委員報告,這裡面還有兩個小細節,如果說保障一點議員的話,有兩個小細節會造成以後的風險會越來越高。第一個就是支付標準要不要調。 |
| transcript.whisperx[25].start |
494.304 |
| transcript.whisperx[25].end |
519.769 |
| transcript.whisperx[25].text |
netesure 標準就我做這樣服務的話那調支付標準就是單價提高如果1.1元的話單每一個你的服務量都沒有變但是支付標準一提高的話那就會更加提高但是現在支付標準還是存在了一些不合理或者是說需要去做調整比方說兒科的支付標準應該要增加那這個部分的話如果說 |
| transcript.whisperx[26].start |
521.462 |
| transcript.whisperx[26].end |
545.131 |
| transcript.whisperx[26].text |
一點議員的話,我們1100億就丟進去了之後的話,這個支付標準幾乎就不要動了。不太可能還有足夠的錢再來調整這個。所以部長應該也同意,應該要聽聽其他人的聲音,不是只有一單一的,否則的話也會造成,就像我剛剛擔憂的,社福團體或者是民眾他們的壓迫感,甚至有些人本來就健保費繳不出來的話, |
| transcript.whisperx[27].start |
546.591 |
| transcript.whisperx[27].end |
546.871 |
| transcript.whisperx[27].text |
二、國民黨黨團擬具 |