| IVOD_ID |
16711 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Full/1M/16711 |
| 日期 |
2025-05-28 |
| 會議資料.會議代碼 |
委員會-11-3-26-14 |
| 會議資料.會議代碼:str |
第11屆第3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 |
3 |
| 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3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 |
Full |
| 開始時間 |
2025-05-28T08:29:59+08:00 |
| 結束時間 |
2025-05-28T17:21:00+08:00 |
| 影片長度 |
08:51:01 |
| 支援功能[0] |
ai-transcript |
| video_url |
https://h264media01.ly.gov.tw:443/vod_1/_definst_/mp4:1M/bfaf9b39ac01a685dabd91bd523f6fd09b5fa2f296a93534a12e9ca99aa835c0e2e8b29d13ee4ed85ea18f28b6918d91.mp4/playlist.m3u8 |
| 會議時間 |
2025-05-28T09:00:00+08:00 |
| 會議名稱 |
立法院第11屆第3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：一、處理114年度中央政府總預算決議有關衛生福利部主管預算凍結報告案64案(含報告事項51案及討論事項13案)。
二、審查
（一）行政院函請審議「兒童托育服務法草案」案。
（二）委員林月琴等16人擬具「兒童托育服務法草案」案。
（三）委員何欣純等16人擬具「兒童托育服務法草案」案。
（四）委員王育敏等24人擬具「兒童托育服務法草案」案。
（五）委員邱若華等16人擬具「兒童托育服務法草案」案。
（六）委員黃捷等21人擬具「兒童托育服務法草案」案。
（七）委員蔡易餘等17人擬具「兒童托育服務法草案」案。
（八）委員李坤城等22人擬具「兒童托育服務法草案」案。
（九）委員陳培瑜等19人擬具「兒童托育服務法草案」案。
（十）委員郭昱晴等21人擬具「兒童托育服務法草案」案。
（十一）委員陳素月等16人擬具「兒童托育服務法草案」案。
（十二）委員鄭天財SraKacaw等18人擬具「兒童托育服務法草案」案。
（十三）委員王美惠等19人擬具「兒童托育服務法草案」案。
（十四）委員林淑芬等25人擬具「兒童托育服務法草案」案。
（十五）委員王正旭等18人擬具「兒童托育服務法草案」案。
（十六）委員吳沛憶等18人擬具「兒童托育服務法草案」案。
三、
（一）繼續審查委員王育敏等18人擬具「病人自主權利法部分條文修正草案」案。
（二）繼續審查委員劉建國等16人擬具「病人自主權利法部分條文修正草案」案。
（三）繼續審查委員邱志偉等19人擬具「病人自主權利法第八條、第九條及第十五條條文修正草案」案。
（四）審查委員李柏毅等16人擬具「病人自主權利法第九條條文修正草案」案。
（五）審查委員羅廷瑋等16人擬具「病人自主權利法增訂第十六條之一條文草案」案。
【第一案及第二案，綜合詢答】
【二、第（一）、（六）及（七）案，如經復議則不予審查；第（八）至（十六）案，如未經各黨團簽署不復議同意書，則不予審查】
【三、（四）及（五）案，如經復議，則不予審查】
【5月28日及29日二天一次會】） |
| 委員名稱 |
完整會議 |
| 委員發言時間 |
08:29:59 - 17:21:00 |
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| transcript.whisperx[0].start |
1794.588 |
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1809.144 |
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好部長報告委員會出席委員人數已足法定人數請主席宣布開會好現在開會請議事委員宣讀上次會議議事錄 |
| transcript.whisperx[1].start |
1810.339 |
| transcript.whisperx[1].end |
1817.004 |
| transcript.whisperx[1].text |
立法院第十一屆第三會期社會福利及衛生環境委員會第十三次全體委員會議議事錄時間114年5月26日星期一9時至12時44分地點群閑樓801會議室出席委員陳委員趙姿等14人列席委員張委員齊凱等2人 |
| transcript.whisperx[2].start |
1827.992 |
| transcript.whisperx[2].end |
1852.03 |
| transcript.whisperx[2].text |
列席官員環境部部長彭啟明等相關人員主席劉兆吉委員建國報告事項宣讀上次會議議事錄決定確定報告事項處理環境部韓衛114年度中央政府總預算決議分別檢送該部主管預算凍結書面報告案134案決定一均同意動之並提報院會二第一案通過附帶決議一項 |
| transcript.whisperx[3].start |
1853.591 |
| transcript.whisperx[3].end |
1870.419 |
| transcript.whisperx[3].text |
討論事項處理環境部韓衛一百一十四年度中央政府總預算決議分別檢送該部主管預算凍結專案報告案八案本日會議由環境部部長報告後委員陳昭志等十四人提出質詢均經環境部部長及各相關主管等即席答覆 |
| transcript.whisperx[4].start |
1870.899 |
| transcript.whisperx[4].end |
1872.08 |
| transcript.whisperx[4].text |
請問委員會上次議事錄有無錯誤或遺漏之處 |
| transcript.whisperx[5].start |
1896.189 |
| transcript.whisperx[5].end |
1917.012 |
| transcript.whisperx[5].text |
沒有那我們就意思就確定那本會議整為第一處理114年度中央政府總預算局有關於衛生福利部主管預算凍結報告案64案含報告事項51案及討論事項13案第二審查行政院含請審議委員分別凝聚兒童托育服務法草案計16案第三 |
| transcript.whisperx[6].start |
1918.373 |
| transcript.whisperx[6].end |
1939.965 |
| transcript.whisperx[6].text |
繼續審查委員分別凝聚必然自主權力法不問條文修正草案計五案討論事項第一案及第二案我們採綜合詢答現在介紹在場的委員及列席的官員我們第一位是林淑琳委員第二位王振旭王委員 |
| transcript.whisperx[7].start |
1950.334 |
| transcript.whisperx[7].end |
1976.735 |
| transcript.whisperx[7].text |
第三位是我們王玉敏王委員再來是我們蘇清泉蘇昭維再來是陳清輝陳委員好謝謝那介紹官員衛生福利部部長邱太元謝謝部長辛苦好謝謝還有我們政務次政務次長呂健德呂次長呂次也辛苦謝謝會計處處長張玉珍 |
| transcript.whisperx[8].start |
1981.186 |
| transcript.whisperx[8].end |
1993.858 |
| transcript.whisperx[8].text |
社家署代理署長周道鈞莊貴市的市長廖坤富社會救助及事公司市長蘇昭如保護服務司司長張秀 |
| transcript.whisperx[9].start |
2001.349 |
| transcript.whisperx[9].end |
2025.296 |
| transcript.whisperx[9].text |
我看你們記不記得,好,謝謝不是,我剛去記住了,我剛去記住了以及健康招募司司長蔡淑鳳好,謝謝醫事司司長劉業平口腔健康司司長張英明謝謝中醫藥師司長兼國家中醫藥研究所所長蘇益璋謝謝 |
| transcript.whisperx[10].start |
2029.003 |
| transcript.whisperx[10].end |
2039.35 |
| transcript.whisperx[10].text |
長期照顧師師長祝健方謝謝心理健康師代理師長鄭淑欣謝謝社會保險師代理師長陳真慧謝謝還有祕書署的處長許朝成謝謝人事處處長尹翠玲好謝謝統計處處長李秋晏謝謝資訊處紀監監處長李建章 |
| transcript.whisperx[11].start |
2058.064 |
| transcript.whisperx[11].end |
2075.108 |
| transcript.whisperx[11].text |
法規會參事陳信成護署醫療及社會福利機構管理委員會執行長林慶豐國際合作組參事兼主任施金水科技發展組紀監劉明勳全民健康保險爭議審議會代理執行秘書楊樹梅國健署署長吳釗均 |
| transcript.whisperx[12].start |
2084.756 |
| transcript.whisperx[12].end |
2111.592 |
| transcript.whisperx[12].text |
謝謝 疾管署署長 莊仁祥好 食品藥管理署署長 江志剛中央健保署署長 施崇良國家衛生研究院副院長 許惠恆謝謝行政院主計總署 公務處預算處檢任視察 陳淑萍謝謝內政部副政事 檢任視察 蘇志門好 謝謝還有警政署科長 陳孟欣國土署管理署 |
| transcript.whisperx[13].start |
2113.539 |
| transcript.whisperx[13].end |
2130.063 |
| transcript.whisperx[13].text |
國土管理署科長陳雅芳謝謝還有消防署專門委員郭真君謝謝還有財政部國有財政署副署長吳角梅謝謝負稅署科長蔡旭毅還有國庫署科長洪培銘謝謝教育部國民及學員教育署副署長許立堅謝謝 |
| transcript.whisperx[14].start |
2140.263 |
| transcript.whisperx[14].end |
2146.652 |
| transcript.whisperx[14].text |
華為部參事 汪蘭君經濟部人事處 專門委員 紀佳玲勞動部勞動扶持退休師 專門委員 楊梅雲條件及就業評審師 專門委員 李怡萱 |
| transcript.whisperx[15].start |
2158.117 |
| transcript.whisperx[15].end |
2180.568 |
| transcript.whisperx[15].text |
好有看到 謝謝金融監督管理委員會保險局專門委員吳祁華謝謝原住民委員會社會福利處副處長董敬芬謝謝教育部專門委員馬格福格福杜坦利茂謝謝有來吧教育行政院人事行政總署 |
| transcript.whisperx[16].start |
2189.267 |
| transcript.whisperx[16].end |
2192.573 |
| transcript.whisperx[16].text |
給予福利處專門委員陳費芬 個人資料保護委員會準備處組長林益成現在處理報告事項計51案 請一併宣讀 |
| transcript.whisperx[17].start |
2202.7 |
| transcript.whisperx[17].end |
2214.962 |
| transcript.whisperx[17].text |
報告事項 處理衛生福利部行為114年度中央政府總預算決議分別檢送該部主管預算凍結報告案51案1.衛生福利部2-14及新增決議118第二幕科技業務預算凍結案2.衛生福利部15-17及新增決議123第三幕社會保險業務預算凍結案3.衛生福利部18第4幕社會救助業務預算凍結案 |
| transcript.whisperx[18].start |
2228.225 |
| transcript.whisperx[18].end |
2235.009 |
| transcript.whisperx[18].text |
4.衛生福利部19及20及第5目社工及社區發展業務預算凍結案5.衛生福利部21、22及新增決議133第6目保護服務業務預算凍結案6.衛生福利部49至53第10目護理及健康照護業務預算凍結案7.衛生福利部54第11目中醫藥業務預算凍結案 |
| transcript.whisperx[19].start |
2251.218 |
| transcript.whisperx[19].end |
2251.739 |
| transcript.whisperx[19].text |
8.衛生福利部58第13目 國際衛生業務預算凍結案9. |
| transcript.whisperx[20].start |
2251.739 |
| transcript.whisperx[20].end |
2252.66 |
| transcript.whisperx[20].text |
衛生福利部59第14目 衛生福利資訊業務預算凍結案10. |
| transcript.whisperx[21].start |
2252.66 |
| transcript.whisperx[21].end |
2253.621 |
| transcript.whisperx[21].text |
衛生福利部60及61第15目 醫院營運業務預算凍結案11. |
| transcript.whisperx[22].start |
2253.621 |
| transcript.whisperx[22].end |
2254.922 |
| transcript.whisperx[22].text |
疾病管制署1及2第一目 科技業務預算凍結案 |
| transcript.whisperx[23].start |
2271.46 |
| transcript.whisperx[23].end |
2291.309 |
| transcript.whisperx[23].text |
十二 疾病管制署三至七第三目防疫業務預算凍結案十三食品藥物管理署一至九預算凍結案十四食品藥物管理署十至二十四及新增決議二六六預算凍結案十五食品藥物管理署二十五至三十八預算凍結案十六中央健康保險署一 |
| transcript.whisperx[24].start |
2292.009 |
| transcript.whisperx[24].end |
2309.745 |
| transcript.whisperx[24].text |
預算凍結案 十七中央健康保險署二至六第一目科技業務預算凍結案 十八中央健康保險署七第二目一般行政預算凍結案 十九國民健康署預算凍結三百萬元 二十國民健康署第三目國民健康業務預算凍結一百萬元 |
| transcript.whisperx[25].start |
2311.807 |
| transcript.whisperx[25].end |
2335.396 |
| transcript.whisperx[25].text |
二十一國民健康署第三目國民健康業務預算凍結一百萬元二十二國民健康署第三目向下成人及中老年保健預算凍結一百萬元二十三國民健康署第三目向下成人及中老年保健預算凍結五千萬元第二十四案至第二十六案均為國民健康署第三目向下我國少子女化對策計畫二十四 |
| transcript.whisperx[26].start |
2337.397 |
| transcript.whisperx[26].end |
2357.658 |
| transcript.whisperx[26].text |
動節一百萬元二十五動節五十萬元二十六動節五十萬元二十七國民健康署第三目向下提高國家重要癌症篩檢預算動節三千萬元二十八社會及家庭署預算動節一百萬元二十九科技業務預算動節十萬元三十科技業務向下數位身心障礙證明規劃 |
| transcript.whisperx[27].start |
2359.299 |
| transcript.whisperx[27].end |
2366.923 |
| transcript.whisperx[27].text |
計全國身心障礙福利資訊整合平台系統改版計劃預算凍結30萬元31社會福利服務業務預算凍結200萬元32社會福利服務業務向下推展老人福利服務預算凍結500萬元33科目同32向下委辦費預算凍結10%34社會福利 |
| transcript.whisperx[28].start |
2383.132 |
| transcript.whisperx[28].end |
2410.15 |
| transcript.whisperx[28].text |
服務業務向下推展身心障礙者福利服務預算凍結100萬元35社會福利服務業務向下推展兒童及少年福利服務預算凍結50萬元36社會福利服務業務向下推展家庭支持服務之委辦費預算凍結50%第37案至第46案科目均為社會福利服務業務向下我國少子女化對策計劃37凍結200萬元 |
| transcript.whisperx[29].start |
2413.072 |
| transcript.whisperx[29].end |
2415.495 |
| transcript.whisperx[29].text |
第38案至第44案均各凍結100萬元 |
| transcript.whisperx[30].start |
2417.873 |
| transcript.whisperx[30].end |
2418.053 |
| transcript.whisperx[30].text |
45.凍結10萬元46. |
| transcript.whisperx[31].start |
2418.053 |
| transcript.whisperx[31].end |
2418.614 |
| transcript.whisperx[31].text |
柯木桐第38案凍結100萬元47. |
| transcript.whisperx[32].start |
2418.614 |
| transcript.whisperx[32].end |
2420.255 |
| transcript.whisperx[32].text |
社會福利服務業務向下強化社會安全網預算凍結200萬元48. |
| transcript.whisperx[33].start |
2420.255 |
| transcript.whisperx[33].end |
2421.015 |
| transcript.whisperx[33].text |
柯木桐第47案凍結200萬元49. |
| transcript.whisperx[34].start |
2421.015 |
| transcript.whisperx[34].end |
2421.676 |
| transcript.whisperx[34].text |
國家中醫藥研究所預算凍結案50. |
| transcript.whisperx[35].start |
2421.676 |
| transcript.whisperx[35].end |
2423.717 |
| transcript.whisperx[35].text |
國家中醫藥研究所一般行政向下基本行政工作維持之水電費預算凍結案 |
| transcript.whisperx[36].start |
2443.692 |
| transcript.whisperx[36].end |
2468.309 |
| transcript.whisperx[36].text |
五十一 國家中醫藥研究所研究及實驗向下藥物研究與實驗預算凍結案 宣讀完畢好 有關衛福部主管預算凍結報告案第五十一案有依好 如果沒有依 那我們就做以下的決定有要說嗎好好 |
| transcript.whisperx[37].start |
2477.327 |
| transcript.whisperx[37].end |
2480.811 |
| transcript.whisperx[37].text |
各位大家好為什麼有意義其實是 |
| transcript.whisperx[38].start |
2483.803 |
| transcript.whisperx[38].end |
2512.165 |
| transcript.whisperx[38].text |
因為對於衛福部的作為有很多的行政上的作為還有政策上的疑慮我們都有很多意見而這個意見在提案的過程我一直講凍結預算不是我們的目的它是一個手段這個手段是為了要求行政部門要做得更好那我們現在在這裡因為很多的因素所以大家都 |
| transcript.whisperx[39].start |
2513.406 |
| transcript.whisperx[39].end |
2536.26 |
| transcript.whisperx[39].text |
大家都知道心照不宣啦全部都全數解凍那立法院自己把所有的預算全數解凍以後呢我們失去了任何的手段和工具來要求行政部門因為現在在這裡真的是要在標準的告別回家那我舉一個例子 |
| transcript.whisperx[40].start |
2537.817 |
| transcript.whisperx[40].end |
2559.08 |
| transcript.whisperx[40].text |
舉一個例子,譬如說食藥署在食安的把關上面其實都做得,靠一個高人是不夠的啦那我諮詢過的,譬如說蝦皮的平台他們的問題這麼多,中國有毒的食品長驅直入 |
| transcript.whisperx[41].start |
2560.407 |
| transcript.whisperx[41].end |
2584.48 |
| transcript.whisperx[41].text |
第一个他们在网路平台上政府的作为都没有办法有作为第二个在网路平台买了以后卖家要寄到买家的手上请问他的商品是不是其实都做透过海关除非他走私啦我不知道啦他从边境就运输到台湾再从台湾发货给买的人 |
| transcript.whisperx[42].start |
2585.581 |
| transcript.whisperx[42].end |
2605.404 |
| transcript.whisperx[42].text |
所以在食藥署上面有兩關沒有把關邊境沒有把關中國有毒的食品長驅直入邊境失去了作用然後網路上這樣子不肖的商人有毒的食品光明正大 |
| transcript.whisperx[43].start |
2607.707 |
| transcript.whisperx[43].end |
2612.232 |
| transcript.whisperx[43].text |
這個台灣好像沒進步一樣我要質詢你要下架一週過幾週再一個禮拜繼續上架繼續賣這個台灣這樣子的現象 |
| transcript.whisperx[44].start |
2618.507 |
| transcript.whisperx[44].end |
2646.24 |
| transcript.whisperx[44].text |
然後要求食藥署要有作為那我要講說啊還有蝦皮的平台上很多家的廠商他是冒用跟產品實際的產品不符的檢驗合格證而實際的商品他的中文標示來源批號完全不相符違規的使用舊證或是偽造文件但是呢蝦皮只要你給我證我就放水 |
| transcript.whisperx[45].start |
2646.94 |
| transcript.whisperx[45].end |
2661.341 |
| transcript.whisperx[45].text |
現在是這樣應付禁護的事實上他們的違規商品都沒有任何的審核就上架所以食品的安全的把關完全失靈那蝦皮的客服很很很蝦啦 |
| transcript.whisperx[46].start |
2662.482 |
| transcript.whisperx[46].end |
2676.949 |
| transcript.whisperx[46].text |
蝦皮的客服很瞎啦然後有人重複從系統裡面一直申訴一直檢舉都不理沒有實際作為蝦皮的客服最後跟他們說向第三番公正單位提出報告後他們才願意調查 |
| transcript.whisperx[47].start |
2679.071 |
| transcript.whisperx[47].end |
2696.224 |
| transcript.whisperx[47].text |
所以蝦皮還講說我們只有商城店鋪才有正品保證意思是說一般的賣家販售的食品如果違規僅供退貨隨便你要不要退貨其他我無法保障商品的來源或食品的安全 |
| transcript.whisperx[48].start |
2697.475 |
| transcript.whisperx[48].end |
2700.477 |
| transcript.whisperx[48].text |
我現在要跟大家講是說蝦皮靠什麼蝦皮靠什麼獲利的你嗎你知道嗎其實是廣告費不是行政上抽幾個管理費買賣抽成不是他大多數都是靠廣告費而他的盈利重點的廣告費啊 |
| transcript.whisperx[49].start |
2717.269 |
| transcript.whisperx[49].end |
2744.791 |
| transcript.whisperx[49].text |
賣家這些把中國有毒食品長驅直入上架的賣家他支付廣告費還可以增加商品的曝光度吸引更多的買家他提升他的銷售量和營收蝦皮他就廣告付更多所以蝦皮在這種邏輯之下他怎麼可能會嚴格把關商品的合法化和他有毒與否 |
| transcript.whisperx[50].start |
2745.692 |
| transcript.whisperx[50].end |
2768.059 |
| transcript.whisperx[50].text |
然後食藥署總是那種業者自律的態度阿給我們說他沒辦法給我們說他沒辦法所以在這種狀況裡面我們就只有透過凍結預算來要求他想方設法而今天大家在這裡就講了一句說有沒有意見沒有意見通過好我有意見啊我有意見啊 |
| transcript.whisperx[51].start |
2772.537 |
| transcript.whisperx[51].end |
2781.102 |
| transcript.whisperx[51].text |
可是呢 今年的預算到現在 誰敢有意見啊 誰敢有意見 誰敢繼續有意見啊人民的立委 人民的立委來這裡告別回家 我也想要再撇幾下 兩撇都可以撇 怎麼可以 |
| transcript.whisperx[52].start |
2795.984 |
| transcript.whisperx[52].end |
2809.689 |
| transcript.whisperx[52].text |
然後在這裡行政部門就斥定了我們不敢有意見不能有意見一定要全部都通過那我請問你人民的食品安全誰要來把關我減劣預算不是目的我也不像藍白一樣可是我每一個減劣我沒有減劣我連減劣都凍結而已 |
| transcript.whisperx[53].start |
2819.434 |
| transcript.whisperx[53].end |
2843.725 |
| transcript.whisperx[53].text |
我只有凍結咧我不像國民黨和民眾黨在那裡砍預算砍得亂七八糟我是正正很認真的很正經的要為食品的安全把關可是今天在這裡逼到我們都只能夠好沒意見其實我有意見啊所以在這裡我不知道怎麼堅持我的意見但是我必須要講出來我必須要講出來今天預算讓你們過了 |
| transcript.whisperx[54].start |
2849.326 |
| transcript.whisperx[54].end |
2870.135 |
| transcript.whisperx[54].text |
他還要插人 你要理我們 鳥我們嗎食藥署我們這麼多年來不知道署長你一個高人很高 你黑名人都沒完你也沒完 從馬英九時代到小英時代到現在所有食品安全出問題的我說中國有毒食品長期植入的都沒有變過 |
| transcript.whisperx[55].start |
2872.383 |
| transcript.whisperx[55].end |
2888.972 |
| transcript.whisperx[55].text |
好多年了都是這樣子馬英九時代也這樣子 小英時代也這樣子我們現在也是這樣子一個署長很有能力啦下面的人全部都是同一群人 滾石不相胎啦這個道理你們懂嗎從沒換過 職務從沒調整過 |
| transcript.whisperx[56].start |
2892.794 |
| transcript.whisperx[56].end |
2902.764 |
| transcript.whisperx[56].text |
連警察都知道,一個地方不可以讓他站太久整個食藥署六個五個,是怎樣?大家在那邊站很久了,都被輸掉,你比較大啦所以說實話,你的作為不是顯示你個人多有能力你的作為要展現在你對你的署裡面的管理 |
| transcript.whisperx[57].start |
2914.011 |
| transcript.whisperx[57].end |
2930.835 |
| transcript.whisperx[57].text |
你的書裡面管理手段作為要讓人家看得見我們才會有信心而到目前為止光是有毒的中國食品在蝦皮上不斷的賣人手一包家家戶戶都有諮詢完了沒在怕蝦皮繼續賣這樣我們現在要怎麼處理 |
| transcript.whisperx[58].start |
2942.117 |
| transcript.whisperx[58].end |
2952.339 |
| transcript.whisperx[58].text |
那個 林委員 不好意思 我在說200到20分啦基本上是這樣啦 我覺得無論怎樣 咱心災以上 要改動以上 一定有咱每一個委員會主張啦你這個地方不會因為 什麼情形說不能去凍結 不能去散射 都可以啦現在要解凍 如果針對每個人你有意見 我們可以抽出來出來先過 後來再討論 |
| transcript.whisperx[59].start |
2967.622 |
| transcript.whisperx[59].end |
2991.95 |
| transcript.whisperx[59].text |
你現在是要叫我承擔所有的政治責任是嗎沒有沒有沒有人要叫你承擔什麼政治責任啊現在沒有解凍就有辦法了沒有啦你都看錯了我告訴你我凍結不是我沒辦法解凍我也不是非堅持不可但是你現在跟我說要怎麼叫他們做事情叫他們把問題改善我現在要看到我不是要凍結你為什麼我要看到是把問題解決啊 |
| transcript.whisperx[60].start |
2993.65 |
| transcript.whisperx[60].end |
3014.129 |
| transcript.whisperx[60].text |
我要看到問題被解決如此而已如果你解決問題了我還需要在這裡凍結你預算嗎而這個問題是真的這樣子耶衛福部食藥署最核心的問題有毒的中國食品 長驅植物 家家戶戶都有而政府沒有能力 利有未待雙手一攤我們現在人民沒辦法 |
| transcript.whisperx[61].start |
3017.541 |
| transcript.whisperx[61].end |
3024.814 |
| transcript.whisperx[61].text |
好 謝謝委員會先告一下好不好這個室內的CO2已經高過環境部來的時間的時候現在已經1200多了處理一下那個沖汙是不是打開一下 |
| transcript.whisperx[62].start |
3030.453 |
| transcript.whisperx[62].end |
3055.762 |
| transcript.whisperx[62].text |
已經一千兩百多了這對大家都不好 這第一件事情第二件事情 各位如果針對現在是處理報告案等一下我們還有討論的八案各位如果對報告案有51案有其他意見可以抽出來那我們等一下要來做討論那如果行政部門說明不清楚那我們還可以擇期來做討論我想在這個地方對每一個委員都可以有努力表達對預算 |
| transcript.whisperx[63].start |
3057.382 |
| transcript.whisperx[63].end |
3065.267 |
| transcript.whisperx[63].text |
這樣的看法跟要求好 謝謝那我再請教一下有關衛福部主管預算凍結報告案紀復10案有依我剛才說了你也叫書長說他要怎麼做啊不是啊 你說的時候書長都站著啦沒關係 我不叫他站起來喔他就很生意站起來他站起來沒辦法站起來因為你那個食藥署就加了一群老人而已來他要說什麼你就說他就對了來 那個老人 |
| transcript.whisperx[64].start |
3086.852 |
| transcript.whisperx[64].end |
3111.124 |
| transcript.whisperx[64].text |
好啦 好啦 黑咖他也有多少個黑咖不是沒有黑咖他一個人很棒的 黑咖的人黑咖有一些也退休了 你看過去以前在山區青山都那一份那些人 幾乎差不多都退掉了來 署長你簡單回應一下剛剛林委員這樣的一個期待跟要求 好不好 簡單麥克風給他好不好 我先麥克風給他 好 |
| transcript.whisperx[65].start |
3118.682 |
| transcript.whisperx[65].end |
3139.143 |
| transcript.whisperx[65].text |
謝謝委員的指導委員上一次在這邊蝦皮現場我們的新疆紙片核桃我感同身受其實我們回去的時候不只是在食品在藥品 衣材 化妝品我們面臨同樣問題所以在我們如何去確立它的違法 |
| transcript.whisperx[66].start |
3139.924 |
| transcript.whisperx[66].end |
3164.453 |
| transcript.whisperx[66].text |
我們做了一件事情我們現在是用人工智慧導入去做掃掃之後發現平台做了另外一次道高一尺 謀高一丈他們去防止我們的爬蟲去掃提供他的關鍵字下台之後沒有幾天他又上來了這件事情其實不只是食藥署不只是我們單一產是整個新興網路的一個販售的系統 |
| transcript.whisperx[67].start |
3165.313 |
| transcript.whisperx[67].end |
3193.484 |
| transcript.whisperx[67].text |
我有決心也有信心我希望能夠也跟台灣的台灣NICS共同來建置新的一個法架構執行之下讓我有棒子我相信一定可以把我們接下來食品安全我們的藥品衣裝等等甚至有些賣我們的管制藥品在網路上賣就是毒品的史蒂諾斯我都看到了我們同仁也跟我們報告他們很認真的在做我相信我會想到很 |
| transcript.whisperx[68].start |
3194.824 |
| transcript.whisperx[68].end |
3211.209 |
| transcript.whisperx[68].text |
完整的方法來做下一個階段更完備的保障食品藥品以及衣裝化妝品的安全能夠保障國人的安全我希望給我一點點機會跟時間我會努力把它做好的謝謝委員的指導 謝謝要修法嗎 |
| transcript.whisperx[69].start |
3212.926 |
| transcript.whisperx[69].end |
3224.873 |
| transcript.whisperx[69].text |
我會研議之後第一個跟委員部報告因為這部分我還算是可以進一步去了解的因為如果沒有蘿蔔跟棒子可是你的棒子沒有用沒有棒子的話沒有辦法 |
| transcript.whisperx[70].start |
3226.212 |
| transcript.whisperx[70].end |
3248.413 |
| transcript.whisperx[70].text |
我其實看過是有一部分是應該要有動到修法的層次的那我讓我有一點點時間讓我進一步研議這個因為法治的部分我沒有辦法一下就把時間拉齊這個要一點點時間讓我去研議我沒辦法確確三個月還六個月因為在半年內我可以提出一定的國家人說三年過兩年不可能 |
| transcript.whisperx[71].start |
3249.804 |
| transcript.whisperx[71].end |
3273.915 |
| transcript.whisperx[71].text |
好 那就半年內我把我們的能夠研議的一個整個方向跟大院這邊以及委員這邊做進一步的說明跟報告 以上半年內啦 半年內我們還遇得到啦半年內 好基本上半年內我們都還活著 好 謝謝喔謝謝 謝謝委員 謝謝好好努力喔 半年內 一百八十天而已也精力的搞好 這首歌你說 |
| transcript.whisperx[72].start |
3275.771 |
| transcript.whisperx[72].end |
3296.021 |
| transcript.whisperx[72].text |
好,這樣我們對這議案有什麼其他的意見沒有無異那我們就均同意動之並提報院會好謝謝那接下來我們進行程序是請這個提案委員來說明提案料子每位委員兩分鐘那第一位請王育民王委員好 |
| transcript.whisperx[73].start |
3304.131 |
| transcript.whisperx[73].end |
3307.435 |
| transcript.whisperx[73].text |
謝謝主席今天排兒童托育服務專法的審查那兒童托育服務專法呢本席在去年就已經提出來那為什麼要提出兒童托育服務專法主要是我們希望讓0到2歲 |
| transcript.whisperx[74].start |
3320.19 |
| transcript.whisperx[74].end |
3336.176 |
| transcript.whisperx[74].text |
這一個階段的孩子他無論是在居家照顧或者是在機構照顧或者是在公共托育家園互助式托育等地方所受到的照顧都可以透過立法得到更完善的一個保護 |
| transcript.whisperx[75].start |
3337.156 |
| transcript.whisperx[75].end |
3360.941 |
| transcript.whisperx[75].text |
而這樣子的一個保護我們有必要把它另訂專法然後把以前的一些相關辦法都提升到這個法律的位階那我提出來的版本有幾個重點第一個就是強調弱勢優先的精神那我想CRC裡面已經有特別強調就是不歧視原則而且弱勢 |
| transcript.whisperx[76].start |
3361.801 |
| transcript.whisperx[76].end |
3383.639 |
| transcript.whisperx[76].text |
照顧優先所以呢我也把這樣的精神定在這樣的一個辦法裡面第二個是我們都知道現在的兩歲零到二歲滿兩歲之後那他這個現在兩歲專班不足所以呢孩子其實面臨到很大的困難他沒有辦法被收拖所以在我的版本裡面呢我也 |
| transcript.whisperx[77].start |
3384.46 |
| transcript.whisperx[77].end |
3389.865 |
| transcript.whisperx[77].text |
特別提出來就是除了零到二歲的收託原來的規定之外可以讓他延長就是你在保母或者是在托嬰機構可以彈性延長到三歲那可以去緩衝現在很多的父母親沒有辦法在孩子兩歲滿直接就進到幼兒園 |
| transcript.whisperx[78].start |
3404.681 |
| transcript.whisperx[78].end |
3421.307 |
| transcript.whisperx[78].text |
這樣子的一個困境第三個很重要的是吹哨者保護條款之前我們看到在幼兒園發生的這樣的一個毛俊生他的這樣的一個性侵的一個案件那就可以看到說如果在機構裡面沒有這些相關的 |
| transcript.whisperx[79].start |
3424.848 |
| transcript.whisperx[79].end |
3431.213 |
| transcript.whisperx[79].text |
工作人員勇於提出檢舉的話那事實上這個孩子可能遭受到這樣的一個性侵或者是被偷拍的傷害是沒有辦法及早被發現的所以吹哨者保護條款非常重要我也納入了我的版本那最後是監管員的部分我想這個部分是大家有共識的希望除了現在的0到2歲的機構裡面 |
| transcript.whisperx[80].start |
3451.667 |
| transcript.whisperx[80].end |
3473.906 |
| transcript.whisperx[80].text |
他可以要保留這一些影像資料之外那將來透過監管員的設施可以確保這些影像不會任意被刪除而且可以保存我想透過這樣的一個兒童托育服務專法的一個訂定我們可以針對0到2歲的孩子給予他們一個更完整的權益的保障以上 謝謝 |
| transcript.whisperx[81].start |
3477.264 |
| transcript.whisperx[81].end |
3481.63 |
| transcript.whisperx[81].text |
好 謝謝王遠德提案說明 接下來請何清淳委員來做提案說明 |
| transcript.whisperx[82].start |
3490.49 |
| transcript.whisperx[82].end |
3509.651 |
| transcript.whisperx[82].text |
好 謝謝趙偉那我們今天排審這個兒童托育服務法非常感謝趙偉我想看看安安社會關注到現行幼兒的照顧及教育的問題那其中未滿兩歲的兒童是由衛福部來主管依照兒童及少年福利及權益保障法及其相關的法規規範 |
| transcript.whisperx[83].start |
3512.254 |
| transcript.whisperx[83].end |
3540.237 |
| transcript.whisperx[83].text |
兩歲以上未滿六歲的兒童歸教育部主管依幼兒教育及照顧法還有其他的相關法規來提供教育及照顧兼具資教保服務但是相較於兩歲以下對不起 相較之下兩歲到六歲的兒童教保服務現在一定有專法但是0到2歲未有專法所以為了保護未滿二歲的幼兒受託及家長的權益確實有必要了 |
| transcript.whisperx[84].start |
3540.737 |
| transcript.whisperx[84].end |
3555.202 |
| transcript.whisperx[84].text |
及其必要來制定這個托育的專法以明確的來規範不管是輔導或是管理機制那除了凱凱案之外我想大家都知道最近台中的豐原的托嬰中心發現了發生了這個不當對待嬰幼兒的事件那前幾天 |
| transcript.whisperx[85].start |
3559.984 |
| transcript.whisperx[85].end |
3579.274 |
| transcript.whisperx[85].text |
台中市政府發出所謂裁罰史上最重的處分誠信的托育人員對14名幼童反覆施以不當及施虐的行為惡性重大裁罰最重60萬元並公告姓名30年內禁止從事任何托育相關工作但是我要問的是這樣夠嗎 |
| transcript.whisperx[86].start |
3581.175 |
| transcript.whisperx[86].end |
3592.36 |
| transcript.whisperx[86].text |
大家應該共同 社會應該共同再來討論我們還可以做什麼那當然還有其他的另外兩位涉及不當對待的部分這兩位的托育人員也被 |
| transcript.whisperx[87].start |
3594.76 |
| transcript.whisperx[87].end |
3612.287 |
| transcript.whisperx[87].text |
財閥而且20年內不得從事任何托育的相關工作涉案的托嬰中心嚴重的管理疏失所以被財閥加重40萬元並勒令8月1號起停辦公告托嬰中心名稱及負責人姓名 |
| transcript.whisperx[88].start |
3613.607 |
| transcript.whisperx[88].end |
3632.372 |
| transcript.whisperx[88].text |
但是事件之後呢我們要問社會及父母們想要知道的是當孩子發生不當照顧被對待如此的這個嚴重的一個行為的時候受到那麼深的傷害那不管是在居家或是托嬰中心我們要如何在法規機制 |
| transcript.whisperx[89].start |
3634.032 |
| transcript.whisperx[89].end |
3654.521 |
| transcript.whisperx[89].text |
預防及早發現 發現之後導政 在導政之後又如何協助家長跟孩子受到政府及相關單位的關心跟協助我再提剛剛提到的這個台中的豐原拖音中心現在雖然台中市政府勒令這個拖音中心8月1號停辦 |
| transcript.whisperx[90].start |
3656.022 |
| transcript.whisperx[90].end |
3664.525 |
| transcript.whisperx[90].text |
還有現在不知道該怎麼處置的有10多位的幼童在等待轉介當中那我們也看到新聞報導裡面有家長表示現在豐原周遭的托育中心都滿根本沒有辦法轉介而必須轉到更 |
| transcript.whisperx[91].start |
3671.367 |
| transcript.whisperx[91].end |
3687.672 |
| transcript.whisperx[91].text |
遠的一個區域的這個托嬰中心面對這樣的狀況不管是過渡期或者是托嬰中心停辦之後的這個轉托銜接的時間如何縮短專人的諮詢協助媒合機制如何更有效率及優化 |
| transcript.whisperx[92].start |
3688.632 |
| transcript.whisperx[92].end |
3703.842 |
| transcript.whisperx[92].text |
都直接影響了這個父母家庭上班通勤接送還有呢我們要如何幫忙年輕的爸爸媽媽年輕家庭撐過去在這一次的立法行動裡面我希望社會大眾跟我們的同事們都能夠呢好好的來討論這個部分那現代社會 |
| transcript.whisperx[93].start |
3708.025 |
| transcript.whisperx[93].end |
3724.031 |
| transcript.whisperx[93].text |
對年輕父母都各自需要工作是雙薪家庭以及現在家庭的規模日益的核心化縮減的環境那政府除了要強化各項的托育補助育兒津貼更要持續的來協助打造良好的 |
| transcript.whisperx[94].start |
3724.431 |
| transcript.whisperx[94].end |
3751.723 |
| transcript.whisperx[94].text |
一個育兒環境我想全面的提升托育服務的品質並明確的規範托育了相關人員的資格義務更要強化托育機構的設立以及管理我想才能夠回應社會多元的需求也才能夠真正讓今天我們要排審兒童托育服務法真正立法之後呢能夠的執行能夠落實能夠真的打造一個更優質的托育環境謝謝 |
| transcript.whisperx[95].start |
3754.107 |
| transcript.whisperx[95].end |
3781.044 |
| transcript.whisperx[95].text |
好 謝謝核心組委員的提案說明那麼接續請王振旭委員來做提案說明林淑雲委員準備好來好 謝謝主席本席針對政院版兒童托育服務法草案提出版本的這個加強 |
| transcript.whisperx[96].start |
3782.745 |
| transcript.whisperx[96].end |
3810.173 |
| transcript.whisperx[96].text |
聚焦在三個面向第一錄影保存的定期追蹤檢查機制第二第一時間的家長調閱權及事後事發後地方政府的這個保存義務第三違法查詢平台的建設這些修正的出發點是希望在既有討論上進一步完善對兒童照顧安全的保障 |
| transcript.whisperx[97].start |
3810.993 |
| transcript.whisperx[97].end |
3825.39 |
| transcript.whisperx[97].text |
第一要強化地方主管機關對托育機構錄影設備保存及上傳的定期檢查機制我們之所以提出加強這個影像保存機制的建議是因為兒童在這個族群的特殊性 |
| transcript.whisperx[98].start |
3826.431 |
| transcript.whisperx[98].end |
3852.959 |
| transcript.whisperx[98].text |
相較於成人兒童在遭遇不當對待的時候往往難以清楚表達經歷的過程或者是情境在這樣的情況下監視錄影的這些影像往往成為唯一客觀可追溯的事證來源影像不僅是保護孩子的工具也有助於事實的還原、釐清責任對家長、托育機構與主管機關來說都是一種保護的作用 |
| transcript.whisperx[99].start |
3854.198 |
| transcript.whisperx[99].end |
3878.075 |
| transcript.whisperx[99].text |
近年及起這個重大案件中我們注意到一個共通的問題設備錄影未能正常的運作畫面會消失導致無法還原事實真相因此我們在第30條及第61條當中建議明確的規定地方主管機關應該要定期追蹤檢查影像設備的運作情形影像資料是否確實保存與上傳 |
| transcript.whisperx[100].start |
3879.115 |
| transcript.whisperx[100].end |
3898.127 |
| transcript.whisperx[100].text |
這樣的機制設計讓影像相關規定更具有實效錄影不是用來製造壓力而是要來保障保障雙方的權益保存事實的重要工具第二我們希望在影像保存的第一時間及事後花的這個嚴強保存裡面加強保障當孩子回到 |
| transcript.whisperx[101].start |
3899.068 |
| transcript.whisperx[101].end |
3926.713 |
| transcript.whisperx[101].text |
家中出現異常傷痕或者是情緒改變的時候此時能否在家長察覺的第一時間能夠調閱相關的錄影資料將成為釐清事實的重要依據因此我們建議在第30條當中明文賦予法定代理人在有具體懷疑的時候得依規定來提出申請經審查後調閱特定期間的這個畫面讓制度提供事實的支持 |
| transcript.whisperx[102].start |
3927.413 |
| transcript.whisperx[102].end |
3950.196 |
| transcript.whisperx[102].text |
與回應同時當案件涉及不當的這個對待兒童內建這些開啟調查的時候為了避免資料在關鍵時刻流失我們也這個建立明定地方主管機關應該要負責保存影像相關的影像自調查或法律程序結束後三個月為止隱私與兒童安全 |
| transcript.whisperx[103].start |
3951.337 |
| transcript.whisperx[103].end |
3975.062 |
| transcript.whisperx[103].text |
不是只能選擇一邊我們透過法定申請隱私保護條件及用途的限制讓制度能夠三贏家長可以相信制度孩子能夠獲得保護托育機構及人員也能夠還原真相保護自身的權益第三建立違規紀錄的公開查詢的平台我們在第72條補強 |
| transcript.whisperx[104].start |
3977.122 |
| transcript.whisperx[104].end |
4005.978 |
| transcript.whisperx[104].text |
要求中央主管機關建制違反兒童托育服務法查詢系統統整介入處分對象包括機構及托育人員違規的條文金額與日期讓所有家長在送托之前都可以清楚的辨識風險不會在資訊不對等之下做出不得不的選擇以上這些機制的設計希望可以讓托育成為孩子安心 |
| transcript.whisperx[105].start |
4006.778 |
| transcript.whisperx[105].end |
4011.302 |
| transcript.whisperx[105].text |
家長放心,也保護托育機構的權益環境以上報告 |
| transcript.whisperx[106].start |
4029.097 |
| transcript.whisperx[106].end |
4046.348 |
| transcript.whisperx[106].text |
現行的0到6歲的兒童教育及照顧事權分屬於衛福部和教育部其中未滿2歲的兒童由衛福部主管依照兒少權法相關法規以照顧及保育為主的托育服務 |
| transcript.whisperx[107].start |
4048.689 |
| transcript.whisperx[107].end |
4074.398 |
| transcript.whisperx[107].text |
這個也是教育部和衛福部這樣子事權分散所以兩歲以上未滿六歲的歸教育部那依兒照法及相關法規提供教育及照顧的兼具的教保服務所以這種狀況裡面兒少全法的法規還有這個兒童托育服務法裡面談到包括這個托育的方式有居家式和機構式但兒少全法對居家式的 |
| transcript.whisperx[108].start |
4075.659 |
| transcript.whisperx[108].end |
4094.199 |
| transcript.whisperx[108].text |
這個托育的管理只有第五條就含罰則一條這樣子輔導與管理機制其他都定於授權的條款授權的辦法所以我們其實認為這樣的授權應該要提升到法律的位階予以強化而在機構式的托育方面法規以托嬰為主 |
| transcript.whisperx[109].start |
4094.659 |
| transcript.whisperx[109].end |
4097.562 |
| transcript.whisperx[109].text |
並認為其屬兒童及少年福利機構的一環但事實上與跟那個非營利益性質設置的其他兒少福利機構屬性迥異不一樣兒少權法卻採取相同的輔導和管理機制顯然有調整的必要所以更何況在衛福部在106年期就由部門 |
| transcript.whisperx[110].start |
4117.359 |
| transcript.whisperx[110].end |
4137.111 |
| transcript.whisperx[110].text |
政府部門推動了社區公共托育家園的事辦計畫所以這個計畫是要引導各地方政府結合民間專業團體共同合作辦理有別於居家式和托嬰的機構式的這個第三種托育服務那事實上也有納管的必要 |
| transcript.whisperx[111].start |
4138.362 |
| transcript.whisperx[111].end |
4159.251 |
| transcript.whisperx[111].text |
所以有鑑於前述議題沒有辦法再靠著修正兒少權法就可以來處理那另外兩歲到未滿六歲的兒童所讀的這個教保服務機構也定有專法所以我們實在是必須要在另外定一個完善的托育服務法規以具建構輔導和管理的機制這樣子那我們的版本裡面事實上 |
| transcript.whisperx[112].start |
4164.893 |
| transcript.whisperx[112].end |
4176.821 |
| transcript.whisperx[112].text |
跟行政院版本有幾個不同那其實最大不同包括我們新增了違規祭典制要建立而且要落實有效的管理不適任人員一有安全衛生的問題馬上開罰而不是叫他改善然後我們也明訂了祭典制以後要有退場的機制要連動在一起 |
| transcript.whisperx[113].start |
4187.088 |
| transcript.whisperx[113].end |
4213.914 |
| transcript.whisperx[113].text |
那我們對於所謂現在的這個居家托育人員的勞動條件還有這個相關的保障我們一直認為說居家托育人員流動率太高在機構裡面流動率太高或者是居家的他的薪水條件太低在這種狀況裡面都不利於托育的品質所以我們要求中央 |
| transcript.whisperx[114].start |
4214.855 |
| transcript.whisperx[114].end |
4225.488 |
| transcript.whisperx[114].text |
中央要統籌去承擔居家托育人員的薪資的訂定還有居家托育的發展計畫而不是發任地方政府你們各自去訂你們的標準 收費標準可是同樣的托育照顧 勞動條件卻不一樣 |
| transcript.whisperx[115].start |
4231.876 |
| transcript.whisperx[115].end |
4239.039 |
| transcript.whisperx[115].text |
那甚至水準高低不一樣那品質也不一樣在這種狀況裡面我們的版本另外有一個是跟行政院的版本也不一樣的就是說我們居家托育的服務中心這個中心他的業務職長到底要做什麼應該是要做什麼他的業務職長不明所以我們缺乏法律條文那我們的版本希望明定他的業務職長要法治化而不是 |
| transcript.whisperx[116].start |
4261.168 |
| transcript.whisperx[116].end |
4264.791 |
| transcript.whisperx[116].text |
政府召之即來會之即去然後協助政府的角色絕對不是他的中心他的業務執掌要法電話另外我們對於這個罰則還有對於這個人員的資格和義務及托育服務的管理還有居家托育的要求跟這個要 |
| transcript.whisperx[117].start |
4284.58 |
| transcript.whisperx[117].end |
4301.412 |
| transcript.whisperx[117].text |
要照顧的人跟送托的人要簽訂書面契約辦理一般傷病及緊急事故應處理的一些基本保險等等我們的版本都有這樣的不同總而言之 也要總之就是希望我們第一個就是說事權給他統一進來這一部法律裡面而要符合這個社會的期待不及格的違規的一定要連動到處分而這個處分是有效的處分可以改進的處分 |
| transcript.whisperx[118].start |
4314.04 |
| transcript.whisperx[118].end |
4328.069 |
| transcript.whisperx[118].text |
讓我們的托育的品質改進而且可以更保障這個幼兒的這個受托的品質和他的安全喔 謝謝好 謝謝接下來請林月琴委員來做提示說明 請黃菊委員準備 |
| transcript.whisperx[119].start |
4338.287 |
| transcript.whisperx[119].end |
4349.188 |
| transcript.whisperx[119].text |
過去在我們的兒少權法裡面那我覺得訂定的針對於居家事實上在兒少權法在一百年訂的時候大概也 |
| transcript.whisperx[120].start |
4350.031 |
| transcript.whisperx[120].end |
4376.277 |
| transcript.whisperx[120].text |
只有5條是針對於居家保母那托嬰中心大概也只有4條可是我們相對於去看到2到6歲事實上是整個幼照法在管理總共訂了66條它的強度是比較強的可是相對於如果今天如果2到6歲要這麼多的強度這麼強的法規在做規管的時候為什麼托嬰中心0到2歲事實上是比較低齡的甚至居家保母 |
| transcript.whisperx[121].start |
4377.017 |
| transcript.whisperx[121].end |
4402.258 |
| transcript.whisperx[121].text |
又是在家比較封閉的反而只有5條4條在做規管所以的確托育服務專法有存在的必要性就是另立專法來否則幼照法66條 教保人員條例的話53條那加上政府因為少子化而更多的要讓家長送托到托嬰中心送托到居家保母的鼓勵的政策裡邊 |
| transcript.whisperx[122].start |
4403.086 |
| transcript.whisperx[122].end |
4416.856 |
| transcript.whisperx[122].text |
所以有准公甚至公共化的這樣子的一個要件可是也製造了一些問題也就是不當對待的事情頻傳所以勢必有一個專法來做歸管事實上是比較完備的 |
| transcript.whisperx[123].start |
4417.403 |
| transcript.whisperx[123].end |
4434.637 |
| transcript.whisperx[123].text |
所以我自己提出來的版本裡邊 大概有幾個重點也就是這次凱凱案可以看到如果一般性的保姆在做管理的時候居家托育服務中心的一個管 歸管的甚至管理輔導 |
| transcript.whisperx[124].start |
4435.465 |
| transcript.whisperx[124].end |
4460.762 |
| transcript.whisperx[124].text |
不會是有一個計畫來所以我們會希望在居福中心這一塊應該要納入在法律裡面去做管理另外一個是今天過去也是很常是一般安置跟景安跟我們的收出養的前端的過渡期的安置都放在一般性的居福中心管理的保姆所以我認為未來也要做分級管理那過去兒少全法49條講的15個樣態裡面 |
| transcript.whisperx[125].start |
4464.925 |
| transcript.whisperx[125].end |
4482.853 |
| transcript.whisperx[125].text |
總共15款的樣態裡面常常沒有辦法去處理家外不當對待而虐的問題所以在我的版本裡面我也會去強調要去把我們的不當對待體罰這些明列清楚所以比照幼照法的一些要件裡面 |
| transcript.whisperx[126].start |
4483.713 |
| transcript.whisperx[126].end |
4512.752 |
| transcript.whisperx[126].text |
去做強調為什麼因為我覺得今年年到兩歲事實上政府在鼓勵公共化或者是在催生要期待孩子送出來的越來越多尤其是因應雙薪家庭的話那真的要有一個專法來針對於我們年到兩歲的孩子真的讓家長可以放在保母家或托孕中心能夠安心事實上我們也期待事實上是在推動相關政策少子化政策的時候 |
| transcript.whisperx[127].start |
4513.835 |
| transcript.whisperx[127].end |
4523.265 |
| transcript.whisperx[127].text |
這個對應的政策應該要努力讓我們的孩子們真的在台灣這塊土地上能夠能生能養然後健康平安長大謝謝 |
| transcript.whisperx[128].start |
4535.591 |
| transcript.whisperx[128].end |
4560.303 |
| transcript.whisperx[128].text |
好 謝謝主席今天審查這個托育專法其實是社會各界都期待已久的一個專法那在我自己的版本裡面除了針對這個凱凱案其實大家之前也都在討論這個保姆的機制要如何精進所以在我的版本裡面有納入這個保姆違規祭典制就是把保姆的違規行為造成的危害程度應該要列不同的等級然後來祭典 |
| transcript.whisperx[129].start |
4561.543 |
| transcript.whisperx[129].end |
4582.24 |
| transcript.whisperx[129].text |
列為一到三點如果兩年內累計點數達六點就要暫停收託如果五年內又違規那暫停收託要打兩次如果又再違規然後遭記點的保姆就必須要面臨費政退場這樣子的結果那這個是其實很多委員的版本包括院版裡面也都有針對保姆記點制這樣子的討論 |
| transcript.whisperx[130].start |
4584.301 |
| transcript.whisperx[130].end |
4605.777 |
| transcript.whisperx[130].text |
那在我的版本裡面比較特別的是我因一個其實全台灣也常常在發生的就是藉口上市的托育機構的這件事情我有提出了一些修法那我講一下這個案例因為這個其實是在高雄發生的當時有一個托嬰機構的負責人他因為就是有涉及虐待兒童然後導致有非常多的嬰兒 |
| transcript.whisperx[131].start |
4607.398 |
| transcript.whisperx[131].end |
4626.276 |
| transcript.whisperx[131].text |
就是身上有瘀青甚至是給他發霉的奶嘴等等不當的情勢那當時我揭露之後我們高雄市的社會局當然有依法裁罰然後予以停業可是呢過了五年到了今年我又發現這個機構他們竟然用他丈夫的名義在原址重新開業 |
| transcript.whisperx[132].start |
4627.617 |
| transcript.whisperx[132].end |
4633.584 |
| transcript.whisperx[132].text |
那當然社會局其實也都知道這樣的情況但是沒有任何的法律可以讓他去不給這個機構他的開業的這個依據所以他還是開業了可是開業之後他還是又發生了虐因的事情 |
| transcript.whisperx[133].start |
4642.854 |
| transcript.whisperx[133].end |
4657.36 |
| transcript.whisperx[133].text |
所以像這樣的機制到底要如何去建立防範說他原址重新開業結果是用藉口上市甚至是找人頭讓他開機構這樣的事情發生所以我為了要杜絕這樣子的不肖業者我有提出幾個 |
| transcript.whisperx[134].start |
4658.52 |
| transcript.whisperx[134].end |
4678.575 |
| transcript.whisperx[134].text |
讓他們不要規避監管的一個方式一個是事前防度就是在事前你合可這個讓這個設立許可的時候地方政府有更大的審查權包括說他們有明確的事證足以證明雖然他是藉口上市但是他有危害兒童的權益之餘他就可以駁回這個申請這個是事前防度再來事中監管 |
| transcript.whisperx[135].start |
4681.977 |
| transcript.whisperx[135].end |
4706.686 |
| transcript.whisperx[135].text |
就是這樣子的機構很明顯已經是高風險的機構了包括說他原子重開包括說他的負責人的親屬或是他找各式各樣的人然後他已經是涉及虐童案了但是他還是這樣子借來重開那這樣子的機構主管機關你就應該要去多查核啊怎麼會又讓他發生虐因的事情呢這個都是要去揭露才可以保障家長的知情權 |
| transcript.whisperx[136].start |
4707.486 |
| transcript.whisperx[136].end |
4719.235 |
| transcript.whisperx[136].text |
第三個要事後懲處就是這個機構如果他明知或可得而知有虐童的記錄了像我剛剛講的這個例子然後甚至是他已經他還他已經被廢照了他已經這個機構被廢止了結果他還在繼續照顧兒童 |
| transcript.whisperx[137].start |
4724.239 |
| transcript.whisperx[137].end |
4747.149 |
| transcript.whisperx[137].text |
就算他不是正式的聘僱主管機關也有權要去廢止這個設立的許可才對就是讓他事後的這個懲處的機制可以更明確所以以上是我針對這種不肖業者建民重開的這種方式提出的一些建議也希望進行實質審查的時候衛福部可以給予明確的回應那如果可以的話我希望這樣的樣態必須要明確的處理 謝謝 |
| transcript.whisperx[138].start |
4752.467 |
| transcript.whisperx[138].end |
4758.519 |
| transcript.whisperx[138].text |
好謝謝黃議員的提案報告那接下來請邱部長就討論事項第一案第二案來進行報告及說明時間10分鐘謝謝請部長 |
| transcript.whisperx[139].start |
4765.424 |
| transcript.whisperx[139].end |
4793.229 |
| transcript.whisperx[139].text |
主席、各位委員先生、各位委員、理事先生今天當代第11屆第三會期社會福利及衛生環境委員會召開全體委員會議本部全邀列席報告深感榮幸持就中華民國114年度專政府總預算有關衛生福利部主管預算凍結案、六四案及審查兒童托育服務法草案提出專案報告敬請各位委員不吝會議執教本部 |
| transcript.whisperx[140].start |
4794.457 |
| transcript.whisperx[140].end |
4797.804 |
| transcript.whisperx[140].text |
主管114年度單位預算凍結案 |
| transcript.whisperx[141].start |
4800.426 |
| transcript.whisperx[141].end |
4825.644 |
| transcript.whisperx[141].text |
討論四項十三案 上述凍結案之辦理情況已彙集成書面資料並含修貴委員會及各委員辦公室 針對貴委員凍結本部之所屬業務會經常支出30%等本部結議以配合嚴格控管然而本部手邊內的預算需為維護全民健康與福祉整合社會福利及衛生醫療資源涵蓋 |
| transcript.whisperx[142].start |
4828.052 |
| transcript.whisperx[142].end |
4840.876 |
| transcript.whisperx[142].text |
福利、服務、長期照顧、社會安全、醫療照護、疫病防治、食品、藥物管理到健康促進等有關簽名福祉的議題各項經費變略進而推動業務手續談論未能及時獲得同意節度 |
| transcript.whisperx[143].start |
4847.238 |
| transcript.whisperx[143].end |
4873.439 |
| transcript.whisperx[143].text |
將影響這個全民健康政策推動及福利服務的提供基本業務運作下半年異恐面臨難以運作為因的風險進行會議支持准以解凍及凍置經費以利本部所使機關依既定之施政計畫及業務內容執行二、審查兒童特異服務法草案 |
| transcript.whisperx[144].start |
4876.598 |
| transcript.whisperx[144].end |
4904.053 |
| transcript.whisperx[144].text |
第一制定兒童托育服務法草案法條重點為保障兒童接受適齡適性之保育照顧確保兒童托育服務品質兼顧完善托育服務體系以促進兒童隨性健康發展原理據兒童托育服務法草案共六章七十八條其要點如下一提高居家托育法律業位階級職業資格明定居家托育專章 |
| transcript.whisperx[145].start |
4905.254 |
| transcript.whisperx[145].end |
4924.965 |
| transcript.whisperx[145].text |
並三屬僅需受訓即可職業規定 透過源頭把關 嚴謹篩選居家保姆 藉以提升專業服務品質二 強化特異機構透明度及管理規範 明定特異機構應將人員資格 收退人數 收退費項目等資訊更加公開透明 |
| transcript.whisperx[146].start |
4926.145 |
| transcript.whisperx[146].end |
4944.555 |
| transcript.whisperx[146].text |
規範施立托育機構消費採核制度二、三規範托育相關人員消極資格及強化不當對待照顧案件處理機制一定不得單院托育相關人員連線資料件建立事件調查及審理機制並規範應用網路儲存儲存監視資料及提高違法處罰的強度以保障 |
| transcript.whisperx[147].start |
4954.52 |
| transcript.whisperx[147].end |
4973.283 |
| transcript.whisperx[147].text |
送托兒童安全及家長權益 四 發展多元化托育型態並完備法治訂定社區護住室 部落護住室及職員職場護住室托育型態將公共托育家園入法管理 以完備法治化管理及 |
| transcript.whisperx[148].start |
4975.564 |
| transcript.whisperx[148].end |
4994.41 |
| transcript.whisperx[148].text |
5加速佈建公共拖曳支援放寬公有不動產以無損方式提供非營利性質法人使用應用學校場所辦理拖曳機構免利變更使用製造以利加速佈建支援2本部中整委員體驗版本就共通性意見檢討說明委員連任請等16人 |
| transcript.whisperx[149].start |
4998.291 |
| transcript.whisperx[149].end |
5012.384 |
| transcript.whisperx[149].text |
委員何欣晨等16人 委員邱若驊等16人 委員李昆城等22人委員郭益晴等21人 委員陳詩月等16人 委員林思芬等25人委員王正旭等18人提案 托育機構裝設監視錄影設備 委員關切 |
| transcript.whisperx[150].start |
5017.248 |
| transcript.whisperx[150].end |
5034.807 |
| transcript.whisperx[150].text |
托育機構監視錄影設備影音資料之管理上傳保存實現各資等議題行政版第30條規定托育機構攝錄影音資料至少保存30日並加密及傳送至地方政府監視之 |
| transcript.whisperx[151].start |
5038.33 |
| transcript.whisperx[151].end |
5052.058 |
| transcript.whisperx[151].text |
網際網路系統促成以毅力保存政績至於委員所提其他執行實務規定會在訂定涉嫌辦法時充分討論嚴厲以保護社區兒童安全及家長權益二 |
| transcript.whisperx[152].start |
5053.539 |
| transcript.whisperx[152].end |
5071.101 |
| transcript.whisperx[152].text |
委員林立群等16人、委員何欣淳等16人、委員王一鳴等24人、委員邱若驊等16人、委員陳培宇等19人、委員陳世瑞等16人、委員李文思文等25人提案托役機構訂定收退費金額委員所訂所提托役機構收退費 |
| transcript.whisperx[153].start |
5075.065 |
| transcript.whisperx[153].end |
5091.201 |
| transcript.whisperx[153].text |
採機構報地方政府備查會有中央訂定收退會項目用途及基準等議題考量現行私立推議機構收費退會項目需報地方政府核定實務執行並無困難為保障家長權利行政案版第27條採合訂基礎屬於現行做法 |
| transcript.whisperx[154].start |
5095.084 |
| transcript.whisperx[154].end |
5109.845 |
| transcript.whisperx[154].text |
為避免地方政府特意機構收費退費項目及用途不依行政案版第21條授權中央主管機關以公告方式定量特意機構收退費項目及用途以一般為一致性規範 |
| transcript.whisperx[155].start |
5112.257 |
| transcript.whisperx[155].end |
5125.93 |
| transcript.whisperx[155].text |
至於收退費及基準屬於地方政府全縣考量用地之以差異由地方政府訂定更具彈性3.委員林慧琴等16人 委員邱惠華等16人 委員何欣淳等16人 委員蔡穎等7人 |
| transcript.whisperx[156].start |
5128.345 |
| transcript.whisperx[156].end |
5146.242 |
| transcript.whisperx[156].text |
委員陳佩玉等19人、委員陳思悅等16人、委員王明慧等19人、委員李子文等25人、委員吳佩玉等18人所提強化托育相關人員管理及違法事件調查及審議機制委員所提一定年限不得擔任托育相關人員 |
| transcript.whisperx[157].start |
5147.743 |
| transcript.whisperx[157].end |
5167.672 |
| transcript.whisperx[157].text |
樣態、祭典等限制行政院版第38條至第42條以參考各界意見定名托育相關人員消極資格樣態可施前把關保護兒童安全自委員所提調查機制進行方式出院組成審議小組等執行性規定將於行政院版第14條訂定授權辦法時充分 |
| transcript.whisperx[158].start |
5172.429 |
| transcript.whisperx[158].end |
5190.83 |
| transcript.whisperx[158].text |
討論嚴厲 以上就委員提案溝通性意見報告至於委員所提的其他的條文的回應請參閱詳細資料 以上報告本部成大院各委員指教及監督在此敬致謝神 並請各位委員繼續以以支持 以上報告 |
| transcript.whisperx[159].start |
5195.722 |
| transcript.whisperx[159].end |
5220.881 |
| transcript.whisperx[159].text |
謝謝邱會長的報告那有關本市會議各項書面資料經列入記錄刊登公報現在開始審討做一下宣告第一本會委員宣討時間6加5分鐘列席委員4加1分鐘那10點半截止發言登記委員如有書面質詢請於3月前提出預期不受理那暫定10點半休息10分鐘本路不處理臨時提案那現在請登記第一位委員陳清輝委員來做發言 |
| transcript.whisperx[160].start |
5228.625 |
| transcript.whisperx[160].end |
5232.527 |
| transcript.whisperx[160].text |
謝謝主席還有各位官員的出席 想先請邱部長部長恭喜你在獄歸國我們有看到你帶團去WHO說各國力挺都紛紛的增加力道也加強了但在您出國的這個時期五大醫事團體有說到一個聲明因為面對現在台灣關稅進口的藥品還有醫材成本高漲 |
| transcript.whisperx[161].start |
5257.378 |
| transcript.whisperx[161].end |
5279.91 |
| transcript.whisperx[161].text |
長期的點值跟點數都是低落的醫護人力荒其實今年急診醫師已經離職66位那內部透露出來的訊息是還有40位在排隊離職的路上所以他們希望這個4100億有石崇良署長透露的200億可以再增加因為這個占比太低了不知道部長會不會幫忙協助爭取好我想增加 |
| transcript.whisperx[162].start |
5286.368 |
| transcript.whisperx[162].end |
5311.925 |
| transcript.whisperx[162].text |
健保的一個益處會由多元化來進行包括我們成長率我想成長率這個部分政府也支持那我們都提到最高然後有些比較屬於公共衛生的我們都移出來到由政府來補助這個其實都是很重要的那特別條例所以在今年你看我們可以成長到700多億 |
| transcript.whisperx[163].start |
5313.066 |
| transcript.whisperx[163].end |
5335.322 |
| transcript.whisperx[163].text |
其實大家只是想問說4100億這個200億是您訂出來覺得足夠的或者是您可以再協助爭取我想最重要是爭取那個穩定性穩定性就是成長率跟那個成長率這個是一直激起一直上去的嘛這個才是最重要的然後第二個就是那個 |
| transcript.whisperx[164].start |
5336.806 |
| transcript.whisperx[164].end |
5362.208 |
| transcript.whisperx[164].text |
不要就是有公共衛生或其他的或者是說像我們的罕病因為他需要的錢比較多所以我們公務預算多了20億這個部分我想政府一定在這個部分幫忙那至於說整個特別條例的預算要怎麼樣我想政府會考慮到國家的發展以及人民各方面的需求我們當然很願意希望能 |
| transcript.whisperx[165].start |
5362.668 |
| transcript.whisperx[165].end |
5380.668 |
| transcript.whisperx[165].text |
你會努力嗎會下一個我們來看一下健康台灣裡面有個目標是癌症的死亡人數要下降三分之一那我這邊給您一個數據112年癌症死亡人數是佔總死亡人數的四分之一所以 |
| transcript.whisperx[166].start |
5381.629 |
| transcript.whisperx[166].end |
5401.865 |
| transcript.whisperx[166].text |
當年的死亡人數是五萬多人你如果要讓癌症死亡人數下降三分之一表示大約你要讓一千七百多人免於死於癌症這件事情我想問說很多人覺得是有難度啦您覺得最大的挑戰是什麼只要講一句話就好了 |
| transcript.whisperx[167].start |
5403.393 |
| transcript.whisperx[167].end |
5426.341 |
| transcript.whisperx[167].text |
你說那個到達2030前對你覺得最大的挑戰是什麼如果要讓癌症死亡人數下降我覺得全民第一個全民早一點篩檢這是最重要的因為一旦發現任何風吹草動趕快處理那就幾乎都不用做後續的治療是最節省費用的好那我在這邊跟您說一下 |
| transcript.whisperx[168].start |
5427.541 |
| transcript.whisperx[168].end |
5433.944 |
| transcript.whisperx[168].text |
其實你有一個很大的挑戰是我們的能源政策因為5月17核電歸零之後呢我們發現5月22、5月23不管是燃煤或是燃氣的電廠就開始偷偷的發電甚至呢晚上是到達100%很多網民會掛在網路上看這個台電的網站 |
| transcript.whisperx[169].start |
5450.694 |
| transcript.whisperx[169].end |
5471.913 |
| transcript.whisperx[169].text |
但是剛講到這個癌症喔不管是肺癌或是其他癌症肺癌是在癌症十大死因一直都是第一名或是第二名連續40年以來每年有破萬人確診破萬人死於肺癌而且治療是要花最多的錢健保跟自費都是一樣而且它人數不斷地攀升 |
| transcript.whisperx[170].start |
5473.755 |
| transcript.whisperx[170].end |
5501.209 |
| transcript.whisperx[170].text |
所以它跟你的健康政策其實打架了你說要擴大篩檢沒錯可是空污是增加你篩檢出來癌症人數不是嗎非常感謝委員對人民的健康的一個關心那各種癌症它的成因基本上都是有多元化也每一種不太一樣那以惠亞來講其實有很多證據基礎是告訴我們它是多種原因的當然 |
| transcript.whisperx[171].start |
5501.909 |
| transcript.whisperx[171].end |
5519.81 |
| transcript.whisperx[171].text |
比較有危險性的 譬如說家族或者是那個抽煙 這個的確是比較明顯所以我們也在篩 我們政府也已經有在做篩檢好 沒關係 部長我先 其實我找出了過去十幾篇您的發言這個是其中一篇而已 |
| transcript.whisperx[172].start |
5520.35 |
| transcript.whisperx[172].end |
5539.55 |
| transcript.whisperx[172].text |
你知道空氣污染是造成罹患肺癌人數增加的原因這是過去您質詢薛瑞元次長的時候說的話你說不要嫌基因不好其實環境的危害當時就佔20%而且您還跟薛瑞元次長講了很多你說不只是肺癌其實就在科醫師的觀點來說 |
| transcript.whisperx[173].start |
5541.392 |
| transcript.whisperx[173].end |
5566.678 |
| transcript.whisperx[173].text |
心血管疾病也是空污造成的非常多而且你還告訴學院部長說你還說空氣污染不是造成罹患肺癌人數增加的原因嗎那你還講了一個你過去的學生的故事他從台大到斗六支援結果他發現這個長者是因為他以為誤以為台北的空氣不好所以他搬回斗六 |
| transcript.whisperx[174].start |
5567.458 |
| transcript.whisperx[174].end |
5585.987 |
| transcript.whisperx[174].text |
結果你的學生很傷心的告訴你說其實在中南部的空氣品質超級差的這個長者的決定是錯誤的你當時講了很多故事啊我十幾篇都可以找出來所以你難道還是不覺得我們的燃煤燃氣現在一下啪 漲到80% 漲到100%還不會對你的健康政策有影響嗎 |
| transcript.whisperx[175].start |
5591.308 |
| transcript.whisperx[175].end |
5619.52 |
| transcript.whisperx[175].text |
好 謝謝委員我想我們過去多年來衛環都一直很至重到那個就是當時環保署我們也常常在有有 你不只是問環保署你問衛福部都一樣都希望那個讓我們的整個空氣能夠更好我想這個部分是大家努力的那空氣如果 |
| transcript.whisperx[176].start |
5620.78 |
| transcript.whisperx[176].end |
5639.05 |
| transcript.whisperx[176].text |
比較不好那當然對健康各種不只癌症的問題啦對各種都是會有影響那我在這邊是具體它的影響的一個程度我們就是要科學化來分析所以我們也會有相關的計畫我現在調出科學化因為台大公衛的詹長權教授跟您也是非常熟識的嘛 |
| transcript.whisperx[177].start |
5639.65 |
| transcript.whisperx[177].end |
5666.469 |
| transcript.whisperx[177].text |
他跑到燃煤電廠的附近去看他就發現說這些PA2.5的擴散程度嚴重程度還有擴散的範圍都遠比其他的電廠還要高那他最近2024年又發表一個environmental research長達30年的PA2.5長期曝露會增加罹患肺腺癌的風險他已經校正完你剛講到的年紀 抽菸 癌症分歧 基因 性別等等這些他都已經校正完成了 |
| transcript.whisperx[178].start |
5667.785 |
| transcript.whisperx[178].end |
5693.826 |
| transcript.whisperx[178].text |
所以我是具體的建議部長你下次開健康委員會或者你下次開院會你下次有機會遇到賴總統 卓院長你是不是可以大膽的跟他們提出這個能源政策跟健康政策是違背的你不能一方面增加燃氣跟燃煤一方面又預期你的癌症死亡人數可以下降三分之一 |
| transcript.whisperx[179].start |
5694.909 |
| transcript.whisperx[179].end |
5716.455 |
| transcript.whisperx[179].text |
我們過去多年來的努力我們可以發現不管是衛福部或環保署、環境部其實在這方面的平衡裡面是做了非常多的努力因為國家的發展、人民的健康都是非常重要的這怎麼樣兩前其美創造雙永的局面 |
| transcript.whisperx[180].start |
5716.715 |
| transcript.whisperx[180].end |
5736.438 |
| transcript.whisperx[180].text |
所以您會提出來嗎所以您會提出來嗎未來的會議您會提出來嗎不管是中央政府或地方政府能夠大家合作該怎麼樣做是創造雙陽的局面這個一起來努力我相信對人民的健康以及對整個國家的發展都能夠面面俱到 |
| transcript.whisperx[181].start |
5736.778 |
| transcript.whisperx[181].end |
5765.993 |
| transcript.whisperx[181].text |
部長我先給你一個背景知識我們要達到綠能30%非常的困難這是一條漫漫長路所以燃煤跟燃氣勢必會在短期內增加這個是您必須要在會議中提出來給您的長官的這樣子好嗎好我想我們會跟環境部一起來努力那環境部前幾天講到說空汙有因為家庭主婦煮菜煎肉煎培根造成這點身為一個家醫科醫師您贊成嗎 |
| transcript.whisperx[182].start |
5771.138 |
| transcript.whisperx[182].end |
5787.145 |
| transcript.whisperx[182].text |
委員的意思是是說家庭主菜不是 環境部長的意思是說其實這個發電沒有對空污的影響有我們想像的這麼嚴重他認為更嚴重的還有煎肉跟煎培根 |
| transcript.whisperx[183].start |
5788.48 |
| transcript.whisperx[183].end |
5803.732 |
| transcript.whisperx[183].text |
這個也是有一些研究是這樣的研究所以我才說我們有其實有更多的會癌的專家在做研究那為什麼譬如說在空汙這個部分為什麼沒有 |
| transcript.whisperx[184].start |
5804.676 |
| transcript.whisperx[184].end |
5817.872 |
| transcript.whisperx[184].text |
沒有納入這個篩檢的一個條件裡面就是因為它的證據基礎還需要更多啦所以這個部分我想我們會會繼續 第一方面在研究的基礎方面我們會再繼續來現在國健署也有兩個計畫在做這方面 |
| transcript.whisperx[185].start |
5820.955 |
| transcript.whisperx[185].end |
5831.066 |
| transcript.whisperx[185].text |
從以前您十幾次的發言其實您都知道空污的嚴重程度啦所以我也希望您可以再更重視這件事情而且把它提出來這邊只是給你國衛院的數據還有一些民間基金會的統計 |
| transcript.whisperx[186].start |
5836.492 |
| transcript.whisperx[186].end |
5857.421 |
| transcript.whisperx[186].text |
國人外食的比例是節節在升高啦所以講到這些煮飯的習慣等等是不太合乎我們現在的趨勢那這點也是要讓您知道的背景知識不需要把空污怪罪給家庭主婦煮飯的習慣好下一個這個是我從基層許多的醫療院所遇到的問題 |
| transcript.whisperx[187].start |
5858.772 |
| transcript.whisperx[187].end |
5875.92 |
| transcript.whisperx[187].text |
您三月的時候開了一個這個新聞稿那那個時候很多懷孕的媽媽就非常的開心說你們推出了產後免費心理諮商五月上路坐月子起有兩次機會結果基層不管是媽媽或是基層的醫護人員告訴我說 |
| transcript.whisperx[188].start |
5876.84 |
| transcript.whisperx[188].end |
5896.754 |
| transcript.whisperx[188].text |
他們是有看了兩次診但做產後的照護並沒有得到專業的心理諮商或者是產後憂鬱 育兒焦慮他們有被衛教哺乳 看傷口 慢性病控制這些都有 因為是婦產科醫師來做但您也知道心理諮商就是另外一個專業這跟婦產科醫師的專業是不同的那這個心理諮商這樣子發稿可是掛羊頭賣狗肉 對嗎 |
| transcript.whisperx[189].start |
5904.6 |
| transcript.whisperx[189].end |
5925.159 |
| transcript.whisperx[189].text |
他們沒有獲得心理智商報告委員這個是媒體在報導上面沒有錯了失真沒有全部cover到其實這個是就是婦產科醫學會一直提出的所謂第四印旗的概念他不只他心理智商我們現在是用量表來做screen當然如果screen出來有問題趕快去連結心理的資料 |
| transcript.whisperx[190].start |
5928.041 |
| transcript.whisperx[190].end |
5947.889 |
| transcript.whisperx[190].text |
所以那只是一個screen其中我們還有更多包括他身體的各種狀況來部長我調出來給你看其實你那兩次做了什麼你做了生理量測疾病身體功能評估心理自評自評就是你剛剛講的那兩表產後生活型態還有未來的避孕下一胎準備等等 |
| transcript.whisperx[191].start |
5949.19 |
| transcript.whisperx[191].end |
5964.307 |
| transcript.whisperx[191].text |
你是製品啊 你是填一個量表啊你跟心理智商是沒有關係 你在做的是一個篩檢你做的只是一個Screaming所以最後這些孕產婦告訴我的是他們真的量表嚴重 又被轉介到了神行科的診 |
| transcript.whisperx[192].start |
5965.228 |
| transcript.whisperx[192].end |
5984.434 |
| transcript.whisperx[192].text |
但他們是需要心理諮商因為他們到這些身心科診以後呢他自己在哺乳嘛他其實並不想要透過藥物所以他希望轉為心理諮商來輔導他跟你之前公佈的新聞稿真的是差很多所以你要不要往那個方向去研擬我還是要澄清一下鮑威 |
| transcript.whisperx[193].start |
5986.335 |
| transcript.whisperx[193].end |
6010.827 |
| transcript.whisperx[193].text |
那個心理只有說那個服務項目是心理智商是錯誤的其他都有所以是記者寫錯了記者寫錯了其實心理健康就是用愛電話來擺表是做screen那我跟你講你這個表出了什麼問題來我們看一下這個產後憂鬱表總共有十項要填每一項都有分數喔 |
| transcript.whisperx[194].start |
6012.248 |
| transcript.whisperx[194].end |
6040.681 |
| transcript.whisperx[194].text |
你現在是基層診所要把這個表一項一項的數字key回去他才可以拿到這些補助第一時效性不夠及時你為什麼不幫大家做好一個大家掃碼就可以或者自己上網填寫你等於及時可以獲得這些孕產婦的資訊你馬上就可以抓到高風險的人第一是及時性第二一個一個人去做去key再把它key回去然後病人用手寫 |
| transcript.whisperx[195].start |
6041.961 |
| transcript.whisperx[195].end |
6058.398 |
| transcript.whisperx[195].text |
當然可能會有錯誤啊而且你既然想做質化或是量化的統計對你來說沒有任何幫助嘛所以你可不可以一個月延你出來那基層診所他不好意思再讓護理人員做這件事情了因為這個非常人力需求是非常大的 |
| transcript.whisperx[196].start |
6059.386 |
| transcript.whisperx[196].end |
6074.338 |
| transcript.whisperx[196].text |
那有一些可能自己有資源的醫療院所他自己串聯了他自己IT部門去把它串上去病人用手機填寫完自動把data再倒回去給你衛福部這個很好 可是不是每個人都有這個資源啊 |
| transcript.whisperx[197].start |
6076.492 |
| transcript.whisperx[197].end |
6102.851 |
| transcript.whisperx[197].text |
委員是婦產科的專家啦所以您最了解到在實際上操作層面的困難的問題我想我們這個會細心來調整那你可以一個月研擬看看嗎我們來了解一個好的政策出來總是要把它落地嘛落地的過程當中我們就要去一直改善好 我希望一個月可以研擬出來你可不可以把它電子化第二個就是你可不可以提供實質的心理智商好不好好 謝謝請健康署努力 |
| transcript.whisperx[198].start |
6103.872 |
| transcript.whisperx[198].end |
6125.897 |
| transcript.whisperx[198].text |
好,謝謝陳委員的宣達謝謝,謝謝委員謝謝部長委員在這邊宣告蘇勛賢召委宣達結束之後我們休息10分鐘接下來請王育民委員你鎖了就休息謝謝主席,我們是不是有請邱部長委員好 |
| transcript.whisperx[199].start |
6131.994 |
| transcript.whisperx[199].end |
6152.077 |
| transcript.whisperx[199].text |
部長好 部長你辛苦了這個世衛行動團我也跟著到前線去我可以看到其實包括部長次長還有出席的同仁大家都非常辛苦了在第一線為了台灣的醫療如何可以進到重返WHA大家其實是做了很多的努力 |
| transcript.whisperx[200].start |
6152.987 |
| transcript.whisperx[200].end |
6163.39 |
| transcript.whisperx[200].text |
雖然今年還是沒有辦法敲開這個大門不過這個未卜部同仁的用心我還是要給予肯定因為在第一線其實看得很清楚那但是回到國內你的挑戰其實蠻多的第一個我要先問大家最關注的現在疫情的問題事實上我在瑞士去訪問這個老人養護機構的時候他們其實也有表達瑞士的衛生部門已經提醒他們就是疫情即將在起 |
| transcript.whisperx[201].start |
6182.476 |
| transcript.whisperx[201].end |
6193.403 |
| transcript.whisperx[201].text |
所以也提醒大家做好各項的準備那回到台灣其實昨天疾管署剛發布的數據我想讓國人其實也開始擔心起來因為這樣的一個數據的攀升我覺得有點超乎疾管署原來的預期因為過去你們的預期可能預計到6月底可能是6到7萬但現在已經瞬間調高那個數字可能會高達20萬所以代表現在的疫情其實是來得又急又猛 |
| transcript.whisperx[202].start |
6211.354 |
| transcript.whisperx[202].end |
6230.496 |
| transcript.whisperx[202].text |
那在這樣的情況底下我要就教部長的是我們過去在防疫的措施我們會有很多不同的措施那第一個是大家關心的是我們相關的防疫的物資可不可以到位然後足不足夠的問題那現在是快篩大家其實都買不到 |
| transcript.whisperx[203].start |
6231.192 |
| transcript.whisperx[203].end |
6255.37 |
| transcript.whisperx[203].text |
那你什麼時候這個量能可以跟得上?這個部分部長是不是可以回應一下?好的 首先我還是謝謝委員對我們世衛行動團的努力給個肯定 我特別感謝我們這次世衛行動團的確各個都是一個當好幾個用 也很努力都是 |
| transcript.whisperx[204].start |
6256.491 |
| transcript.whisperx[204].end |
6280.159 |
| transcript.whisperx[204].text |
都是各部門的首長那最重要就是我們立委四島團的三位委員包括王一鳴委員、王正旭委員、劉淑敏委員真的非常用心不但陪著我們四位團打仗還做國會外交也跑到瑞士博恩去做很好的國會外交也去參觀相關的機構真的是重溫發揮我們立法委員到 |
| transcript.whisperx[205].start |
6281.859 |
| transcript.whisperx[205].end |
6292.647 |
| transcript.whisperx[205].text |
國外的一個國際的外交這個我們也非常感動特別王委員的努力王委員非常敬佩那至於在防疫方面我想 |
| transcript.whisperx[206].start |
6294.69 |
| transcript.whisperx[206].end |
6317.569 |
| transcript.whisperx[206].text |
在藥物跟疫苗方面 這個絕對十分充分 沒有問題現在是快篩 家用快篩的部分其實是這樣子 因為在還沒有疫情的時候它當然產線就不產 鋪路也會沒有那麼快但是一旦我們現在已經會發現這個疫情的時候 我們馬上啟動而且都必須要 譬如說 |
| transcript.whisperx[207].start |
6319.23 |
| transcript.whisperx[207].end |
6343.304 |
| transcript.whisperx[207].text |
機關署說的估計的一個量我們一定要廠商做超過這個量而且現在已經不但是量而已,而且鋪路也要鋪下去所以各位也許在前面一個禮拜在個別的社區藥局會比較難買得到但是因為他們沒有,因為他們本來就沒有在賣所以你們要鋪到個別的社區藥局比較困難所以重點我們先鋪兩個,一個是連鎖藥局 |
| transcript.whisperx[208].start |
6349.148 |
| transcript.whisperx[208].end |
6370.528 |
| transcript.whisperx[208].text |
另外就是有個超商,三大超商現在已經都暴露了,比如說萊爾富、全家還有韓世美都已經有貨了,現在嗎?像今天就會出了4萬,4萬出來,也許莊署長一直想要報告,我就想要做相關的 |
| transcript.whisperx[209].start |
6373.157 |
| transcript.whisperx[209].end |
6395.455 |
| transcript.whisperx[209].text |
我這邊跟委員說明一下因為民眾都很關心所以你清楚告訴大家哪一些通路現在買得到一定要先做一下謝謝委員的指導也讓我們這邊可以宣傳一下所以機關署跟我們食藥署通例其實5月9號的時候就接到相關訊息也跟廠商直接就面對面去談過那我覺得他們過去最近有廠商也銷毀了800萬劑是因為國企 |
| transcript.whisperx[210].start |
6398.337 |
| transcript.whisperx[210].end |
6421.937 |
| transcript.whisperx[210].text |
所以他們面對這一次的反應我們強力的希望之下呢動起來了那動起來的時間時效性上我們承認在可能這一個禮拜內大概到這個禮拜結束之前應該就進入趕上因為我們評過盤過有機關署這邊給我們資訊所以我們先建立了在我們的網路的第一頁裡面就有家用快摔點進去 |
| transcript.whisperx[211].start |
6423.493 |
| transcript.whisperx[211].end |
6448.966 |
| transcript.whisperx[211].text |
哪邊買得到現在地圖上面都有點進去之後呢我們其實會有我們現在的連鎖藥局以及我們的超商的部分點進去現在有通路那現在不見得每一間都鋪進去的因為鋪貨的部分是在通路的部分那我們也尊重他們鋪路的一個方式我們盡量希望能夠揭露他們所有民眾可以用這樣的途徑可以就近的先確定到底這一家有還是沒有第一件事情 |
| transcript.whisperx[212].start |
6449.226 |
| transcript.whisperx[212].end |
6476.441 |
| transcript.whisperx[212].text |
你上面有沒有顯示亮沒有 你的屏幕上有沒有顯示亮因為之前那個口罩屏幕他是會告訴大家有沒有亮因為民眾會有撲空的問題啊我們現在也請這個通路的不管是超商還是藥局的民所藥局能夠把亮的部分也能夠列進去所以在這個階段裡面他還沒有完全建置到那麼完整就可能要請各位民眾的時候要辛苦一下抱歉能夠把 |
| transcript.whisperx[213].start |
6476.861 |
| transcript.whisperx[213].end |
6490.776 |
| transcript.whisperx[213].text |
他們能夠在裡面可以自考可以諮詢可以確立我想在這個禮拜內我們的量其實我們就應該可以算這個禮拜有四萬份會上不是 今天而已不是這個禮拜今天就四萬那你現在每天量產多少他們報給我的量到六十幾萬份但是實際上我們看到的是還沒有到那麼的量一個禮拜 |
| transcript.whisperx[214].start |
6496.662 |
| transcript.whisperx[214].end |
6520.716 |
| transcript.whisperx[214].text |
一個禮拜有60萬 然後一天有4萬份嘛好 這個部分我是幫民眾問的因為現在很多人都是 一個人感染可能是全家都重所以他們很需要先確認自己是不是得到了COVID然後他可以尋求更好的治療所以這個部分我要求 這個快篩的部分就是一定要盡快到位 這個是目前我看到民眾的焦慮所以為民請命 |
| transcript.whisperx[215].start |
6521.736 |
| transcript.whisperx[215].end |
6526.36 |
| transcript.whisperx[215].text |
一定要盡快做到好不好 這個一定全力以赴 請民眾安心第二個就是說在公共衛生的宣導方面過去你們會運用很多電視的跑馬燈啊廣告啊 但是現在這波疫情已經在期了 看起來是來勢洶洶我現在還沒有看到你們在各大媒體 譬如說跑馬燈不斷的提醒大家 或者是公眾的這些捷運系統提醒大家 |
| transcript.whisperx[216].start |
6547.197 |
| transcript.whisperx[216].end |
6557.668 |
| transcript.whisperx[216].text |
戴好口罩這件事情現在已經變成是一個很重要的事情我覺得這事情你們還沒有做我希望可以做另外一個就是高風險的像這些長照機構過去我們是最擔心說這個來訪然後大家不戴口罩然後他可能本身已經有感染然後去了之後反而變成是機構的整個的群聚感染 |
| transcript.whisperx[217].start |
6568.88 |
| transcript.whisperx[217].end |
6595.84 |
| transcript.whisperx[217].text |
那這一塊的強化他的管制跟風險我也沒有看到你們有更進一步的強化措施因為昨天看到羅一鈞他只是說鼓勵大家戴口罩他只是鼓勵但是你們現在如果隨著疫情的升溫我覺得這一些高風險弱勢族群的優先保護你們應該要回到你們過去疫情時代有些必要的措施該採取的譬如說如果是長照機構都是老人他是不是一律要戴口罩去探視 |
| transcript.whisperx[218].start |
6596.56 |
| transcript.whisperx[218].end |
6624.21 |
| transcript.whisperx[218].text |
像這樣的一個措施你們什麼時候要啟動有沒有評估要啟動這個部分我們都有在做我想莊署長也利用這個機會跟大家現場好來署長你說那有關長照機構的部分那事實上我們在5月20號就是的時候再有發文就請他們去注重這個感染管制的一個部分那再來就是昨天我們事實上也有請這個衛生局跟長照機構就是說如果其實我們目前長照機構的這個 |
| transcript.whisperx[219].start |
6625.89 |
| transcript.whisperx[219].end |
6643.18 |
| transcript.whisperx[219].text |
接種率已經就第一劑的接種率有四成到七成是不同的這個潮濤機構的管理單位而言那我們有再請他們說針對這個部分再再去這個看是不是有可能打第二劑或第一劑還沒打完可以再繼續打這個部分都有在進行以上報告 |
| transcript.whisperx[220].start |
6643.84 |
| transcript.whisperx[220].end |
6670.128 |
| transcript.whisperx[220].text |
所以口罩部分沒有去探視的沒有要求要戴口罩我們剛剛說第一部分就是有關感染管制的部分的確在5月20號的時候有請他們去注意那口罩部分應該也是在這個裡面有在裡面去做提醒我希望這個部分不要鬆懈因為一鬆懈之後看起來這一次的傳染力還是高的所以應該就是要拿出這個比較 |
| transcript.whisperx[221].start |
6671.66 |
| transcript.whisperx[221].end |
6677.745 |
| transcript.whisperx[221].text |
嚴正一帶的這樣的一個態度 做好這一波的防疫 好不好 是的 是的好 那接下來我要問一下就是今天有關於兒童托育專法你們沒有入法的 但是我覺得很重要的條文喔第一個呢 就是催少者保護條款應該要入法 這個是在我的版本裡面喔我特別去提到的 那主要就是看到過去在幼兒園特別是之前發生這個毛俊生案喔 |
| transcript.whisperx[222].start |
6696.898 |
| transcript.whisperx[222].end |
6724.849 |
| transcript.whisperx[222].text |
他是從111年到112年連續的性侵跟偷拍多位孩童那就是因為他媽媽是園長然後裡面大家礙於壓力也沒有吹哨者也不敢舉報所以呢就是很晚才發現導致多名孩童受害那類似這樣的情況也有可能發生在0到2歲的機構當中所以因為在你們的版本我沒有看到任何吹哨者的保護條文但我的版本有我想問一下這個 |
| transcript.whisperx[223].start |
6726.249 |
| transcript.whisperx[223].end |
6751.21 |
| transcript.whisperx[223].text |
整個衛福部部長你的意見是如何?我想非常敬佩委員提出蠻多建議的啦那大概有幾乎都是在其他的條例或者其他的規定會做到啦我們一定都把它落實啦那至於剛剛有人提的吹哨者是不是我們請周代理市長回答一下 |
| transcript.whisperx[224].start |
6752.473 |
| transcript.whisperx[224].end |
6774.706 |
| transcript.whisperx[224].text |
跟委員報告,那有關這個吹哨者的部分目前確實在行政院版的條文裡面目前是還沒有訂的那這個後面在個別條文的時候我們可以來做一個討論那當然現在我們也會再去檢索一下目前已經有的那個現行的法律裡面其他通案性的對於吹哨者有一些保護的部分如果已經可以再適用的話也可以一併可以做一個參考 |
| transcript.whisperx[225].start |
6776.006 |
| transcript.whisperx[225].end |
6791.691 |
| transcript.whisperx[225].text |
我想這個部分是對於孩子的保護特別0到20歲他完全沒有語言表達能力這個部分更需要我們大人來做第二個部分是監管員的部分我也贊成這個整個監管員其實是可以做到但是在做到的過程當中同時我也聽到 |
| transcript.whisperx[226].start |
6795.113 |
| transcript.whisperx[226].end |
6806.911 |
| transcript.whisperx[226].text |
這個托育相關業者他們是有些反彈跟聲音然後那主要就是他們為了這個監管與的界階其實他很多的設備要更改第一個就是說他的費用你們有沒有去想到在這過程當中他們為了 |
| transcript.whisperx[227].start |
6810.155 |
| transcript.whisperx[227].end |
6834.108 |
| transcript.whisperx[227].text |
達成這個監管員的目標這當中政府是不是給予適當的一個補助另外一個就是溝通就是業者會覺得好像政府都把他們當賊看了就是但是他們在第一線他覺得他們也很辛苦啊他們多數其實是不想傷害孩子的但是我們整個保護機制是因為有少數他其實就是傷害了孩子所以我們才必須用這麼強制的手段但是我覺得 |
| transcript.whisperx[228].start |
6835.068 |
| transcript.whisperx[228].end |
6841.173 |
| transcript.whisperx[228].text |
這個整個中央政府地方政府跟業者其實是三位一體大家是共同要來推動這個保護孩子照顧孩子的工作的所以過程當中我也建議不要太讓業者覺得被汙名化或者是說 |
| transcript.whisperx[229].start |
6850.681 |
| transcript.whisperx[229].end |
6863.479 |
| transcript.whisperx[229].text |
有這種敵意就是整個社會上好像對他們產生極大不信任感跟敵意而是應該你們跟他可以有一個比較好的溝通那到底他的困難在哪裡我們理解他的困難我們提供資源然後往這個目標邁進我覺得這個才是合作夥伴 |
| transcript.whisperx[230].start |
6866.443 |
| transcript.whisperx[230].end |
6871.345 |
| transcript.whisperx[230].text |
因為其實第一線坦白講那個經營也沒有那麼的容易其實也是很辛苦的照顧工作那這個部分我希望這個要提醒部長你們在實施一個好的政策的時候溝通也是很重要資源到位也是很重要 |
| transcript.whisperx[231].start |
6881.59 |
| transcript.whisperx[231].end |
6885.593 |
| transcript.whisperx[231].text |
我比較贊成是從一個輔導的角度去共同達到這個目標而不是從可能有發生這樣的一個案例然後就對這個低限的這些照顧的業者就是產生標籤化或者是有產生敵意我覺得這樣子好像也不是一個好的對於整體照顧環境未來更好的方向 |
| transcript.whisperx[232].start |
6903.032 |
| transcript.whisperx[232].end |
6924.147 |
| transcript.whisperx[232].text |
好 謝謝委員這樣的指教 這個就好像醫病關係啦醫病關係不是對你的啦 是大家共同為了病人的健康在努力一樣 我們都是為了小孩子 為了讓家長安心我們自己都養過小孩 這疼命命對不對一個小孩子送出去那種 怎麼樣讓他 |
| transcript.whisperx[233].start |
6925.208 |
| transcript.whisperx[233].end |
6941.387 |
| transcript.whisperx[233].text |
安心我想照顧的人也很希望給家長安心所以不要自己或者是不要彼此任何汙名化而是大家共同來創造一個更文明更保護小孩的一個國家一個環境用這樣的理念來講 |
| transcript.whisperx[234].start |
6942.668 |
| transcript.whisperx[234].end |
6965.22 |
| transcript.whisperx[234].text |
任何做對這方面有幫助的都是光榮的事情但是有困難的話那我希望你們資源要到位好不好我們只有要求就是說業者當中需要的一些資訊協助設備協助你們應該要提供資源我們會了解困難來幫忙對我們就是攜手合作然後把孩子照顧好我想這個才是我們這一次修法的一個目的跟目標好不好好謝謝好謝謝謝謝謝謝王委員還有一些部長 |
| transcript.whisperx[235].start |
6971.84 |
| transcript.whisperx[235].end |
6992.358 |
| transcript.whisperx[235].text |
那接下來請 委員會這邊再重新宣告等王委員宣達結束之後 我們就休息十分鐘接下來請蘇星元召委 不好意思好 謝謝主席 我請部長來 我請部長 |
| transcript.whisperx[236].start |
6998.113 |
| transcript.whisperx[236].end |
7025.872 |
| transcript.whisperx[236].text |
部長辛苦了日內瓦我已經開過三次了那很難啦 又去駁恩又去堆每一個人都盡他的本分 做得非常好我看你我都有每天在跟人追蹤我又發LINE給你鼓勵第一個兒童托育服務法 這個把它整理出來 |
| transcript.whisperx[237].start |
7031.855 |
| transcript.whisperx[237].end |
7042.96 |
| transcript.whisperx[237].text |
提高居家托育未接保母職業的資格第二個就是違規祭典托育人員救責 |
| transcript.whisperx[238].start |
7045.076 |
| transcript.whisperx[238].end |
7057.823 |
| transcript.whisperx[238].text |
終身不得任用等等等等透明化的機構管理查帳、查核我這邊先打住我是覺得我們的脫衣人員待遇太多了 |
| transcript.whisperx[239].start |
7059.248 |
| transcript.whisperx[239].end |
7087.088 |
| transcript.whisperx[239].text |
要求一大堆,薪水這麼多,我一再的講那天在屏東農總也是一樣,那天找不到婦女人員,大家都拖拖有肩膊所以市總理就比較衰,大家都爛了結果真的是我們這些醫事相關人員、托育人員,我是覺得要寬列預算寬列很多預算,提高他們的待遇,才能去給他要求 |
| transcript.whisperx[240].start |
7088.243 |
| transcript.whisperx[240].end |
7110.832 |
| transcript.whisperx[240].text |
人家說不叫而殺,為之虐,那你這個薪水給太少,要吃飯才選問題啊要求幾大堆,還要給他公佈,還要給他終身不得任用每一個人都有他家裡的經濟因素,每一個人都有他的壓力所以我是覺得,讓這些人員能夠待遇好現在三三萬幾公尺要選我啦 |
| transcript.whisperx[241].start |
7112.593 |
| transcript.whisperx[241].end |
7129.22 |
| transcript.whisperx[241].text |
現在多少?稍微報告一下其實在這方面政府這些年來也在立法院的督促之下其實一直在努力往整個工作環境跟尊嚴當然有改善很多都有改善 |
| transcript.whisperx[242].start |
7132.361 |
| transcript.whisperx[242].end |
7148.305 |
| transcript.whisperx[242].text |
公文報告目前公托的部分原則上是在3萬8那準公托的部分一年之可以從3萬2到3萬9那目前那個薪資水準大體上和幼教是相當的你現在還把那個小孩子從15個減到12個嗎 |
| transcript.whisperx[243].start |
7152.796 |
| transcript.whisperx[243].end |
7165.064 |
| transcript.whisperx[243].text |
那是幼兒園因為跑到東港去跟我陳情說在這樣裡面一個人頭才補助多少錢那個都太少了啦他們希望大到兩千塊等等 |
| transcript.whisperx[244].start |
7171.332 |
| transcript.whisperx[244].end |
7191.54 |
| transcript.whisperx[244].text |
政府是一體的,我們會努力對啦,那個都要給他們,不然讓他們連機構都維持不下去,那是要怎麼做我一再的講,你健保金一年兩年三年,你寬了很多預算部長很厲害,市長也很厲害,你弄很多錢來你都把台北都站在那裡,議事人員 |
| transcript.whisperx[245].start |
7195.939 |
| transcript.whisperx[245].end |
7223.277 |
| transcript.whisperx[245].text |
讓你心情比較寬 讓你心情寬讓人家老了 老了 老了再多再多叫我白人醫生已經犧牲很久了繼續犧牲幾年 不用啦所以把醫事人員的心智能夠拉起來讓他們能安心的上班好 那第四個錄影三十天上雲端嘛要 這個是堅持要做 |
| transcript.whisperx[246].start |
7225.083 |
| transcript.whisperx[246].end |
7240.511 |
| transcript.whisperx[246].text |
還是他們是說儲存因為他很怕被那個機構說他很怕被有心人士就去網路抓下來然後就去做廣告做什麼的或是渲染這個是很要不得的喔很多喔這個你也無法可管 |
| transcript.whisperx[247].start |
7243.352 |
| transcript.whisperx[247].end |
7263.785 |
| transcript.whisperx[247].text |
這個是很嚴重,他們很擔心的就是這裡,電視都完全沒信心嘛完全沒信心,叫人放在雲端,讓他們自己隨時可以看這對那些從業人員是很大的一個侮辱,我是覺得這個要報告委員,這個就是我剛剛講的,我們共同如果為 |
| transcript.whisperx[248].start |
7265.367 |
| transcript.whisperx[248].end |
7279.879 |
| transcript.whisperx[248].text |
把孩子的健康共同來思考只要對孩子的安全照顧是好的不管你是托育機構的人員不管是家長大家共同往這個目標你就不會覺得有時候好像 |
| transcript.whisperx[249].start |
7281.72 |
| transcript.whisperx[249].end |
7291.767 |
| transcript.whisperx[249].text |
叫做動作什麼這樣我們醫生在診療的過程當中也常常一直被要求很多就包括健保署也給我們監督嘛對不對我們也覺得如果你想說讓製度可以完整 |
| transcript.whisperx[250].start |
7299.172 |
| transcript.whisperx[250].end |
7322.791 |
| transcript.whisperx[250].text |
路徑比較長的,能夠符合民眾的需求期望,也許我們這樣子心裡就會比較像醫療院所公共走道你有monitor,那當然那你說在病房裡面也有monitor,然後那些東西要上網,那得了啊所有醫護人員全部不幹啦 |
| transcript.whisperx[251].start |
7323.912 |
| transcript.whisperx[251].end |
7344.618 |
| transcript.whisperx[251].text |
那個是很糟糕的事情當然這不是馬上就可以隨便就可以查啦這還是有很嚴謹的就好像警察派出所在很多地方錄影他也不是隨便可以人家去看那個也是有特別原因但是那個是說將來萬一有什麼狀況的時候我也是希望預防醫學啦有一點點 |
| transcript.whisperx[252].start |
7351.893 |
| transcript.whisperx[252].end |
7379.273 |
| transcript.whisperx[252].text |
有在注意的時間我們就抽一下最後一個是那些場地啊學校有現在很多學校都都沒人選啊所以可以轉型是很好讓大家或是法人機構可以來使用好那下一個這個ACP這兩天很多人打電話來跟我討論那現在的重點就是說來下一張 |
| transcript.whisperx[253].start |
7381.147 |
| transcript.whisperx[253].end |
7385.689 |
| transcript.whisperx[253].text |
現在3千多元3千多元是輸入金所以簽署率很低那這個3千5是不是由政府來付 |
| transcript.whisperx[254].start |
7396.724 |
| transcript.whisperx[254].end |
7412.083 |
| transcript.whisperx[254].text |
那支持的理由就是說這樣可以提高他的普遍性那反對的理由是說前面健保資源有...這要健保出了嗎?如果要出是健保會出嗎?不,我們的條件是健保出,這個時事長要說出來是殘障的 |
| transcript.whisperx[255].start |
7416.848 |
| transcript.whisperx[255].end |
7432.953 |
| transcript.whisperx[255].text |
跟委員報告,目前我們5月1號開始是針對65歲以上有重大傷病的另外就是這個在那個加1計畫裡面65歲以上有多重慢性病的所以已經開始付了?5月1號開始這些對象就是已經開始要注意到未來準備了 |
| transcript.whisperx[256].start |
7442.421 |
| transcript.whisperx[256].end |
7461.494 |
| transcript.whisperx[256].text |
我常常說醫療做得比較好、比較久的,我們死亡之前五、六年都在臥床,是真的那麼嚴重嗎?我是不知道啦!那個就是要推展安寧環合醫療的概念啦!對啦!不過我們的國民平均壽命也不是很長啊! |
| transcript.whisperx[257].start |
7463.567 |
| transcript.whisperx[257].end |
7475.652 |
| transcript.whisperx[257].text |
自己說要在場地下去判定 現在是在醫療院所現在放寬到安養中心 護理職業都可以部長你怎麼看得出來這樣醫界是反對的八大醫師團體都跳出來說暫緩暫緩暫緩 |
| transcript.whisperx[258].start |
7489.255 |
| transcript.whisperx[258].end |
7502.599 |
| transcript.whisperx[258].text |
這種有生命教育的成分跟未來醫療成分的一個綜合體所以它當然要容納各社會各角度的意見雖然我是說實在這個法的過程當中 |
| transcript.whisperx[259].start |
7505.18 |
| transcript.whisperx[259].end |
7522.31 |
| transcript.whisperx[259].text |
當然趙偉霖也有付出很大的心意我有一點點參與所以大概知道他的用意就是看看這個法的走向會偏向於生命教育或者是在於實際上他末期的時候的醫療的一個狀況 |
| transcript.whisperx[260].start |
7524.777 |
| transcript.whisperx[260].end |
7541.863 |
| transcript.whisperx[260].text |
不然他怎麼樣去撐這個疫苗其實他面臨到真正十年後五年後十年後的一個狀況我相信那個團隊照顧的團隊還是需要再重新因為當時的科技很不一樣可能觀念 |
| transcript.whisperx[261].start |
7543.383 |
| transcript.whisperx[261].end |
7567.313 |
| transcript.whisperx[261].text |
個人的觀念也會有一點改變那個面臨還是需要再做好好的有專家來針對他的病情來討論說怎麼做才是對於這個老人家這個病人最好的一個照顧模式臨床醫的時候還是要好好的去解釋所以還是要跟主席報告主席 |
| transcript.whisperx[262].start |
7574.329 |
| transcript.whisperx[262].end |
7589.741 |
| transcript.whisperx[262].text |
平定的人,這個人的成員不能夠更簡化,更簡化真的會失教至於場所,要在護理之間要在哪裡,是由這組人過去這組人的配備跟結構是要嚴謹的,不能說讓你自己一個人,這個太草率 |
| transcript.whisperx[263].start |
7600.948 |
| transcript.whisperx[263].end |
7611.516 |
| transcript.whisperx[263].text |
所以這個條文如果要出委員會我們還是要好好的來討論啦所以主席報告你會是反對 現在是可以來討論 這樣好嗎市長 主要我們在說開這個會的目標就是要去簽嘛簽這個醫療書嘛 結論書這裡面有幾個現象 叫做維持生命的 |
| transcript.whisperx[264].start |
7628.496 |
| transcript.whisperx[264].end |
7628.817 |
| transcript.whisperx[264].text |
雖然它不是醫療行為 |
| transcript.whisperx[265].start |
7637.684 |
| transcript.whisperx[265].end |
7658.369 |
| transcript.whisperx[265].text |
但是它是在做的時候當然是醫療新聞在講當然不是醫療新聞這個是很專業的我等一下可以說因為我這個是做了三四十年十個醫師都恐怕沒有兩三個醫師有辦法去把這個講得很準確所以各個醫院在成立這個屹立醫族的團隊的時候 |
| transcript.whisperx[266].start |
7665.69 |
| transcript.whisperx[266].end |
7686.075 |
| transcript.whisperx[266].text |
對醫師都一定是選擇有經驗的阿不然你叫一下,他還在好,時間到了所以我想問一條,跟你問喔醫師法42條實行細則,現在上來立法院阿,裡面規定很多很多很多阿,裡面最有爭議的就是壓抑那部分阿,你不要上來了喔我們到六月中就要,如果有意見就要審查 |
| transcript.whisperx[267].start |
7693.581 |
| transcript.whisperx[267].end |
7699.644 |
| transcript.whisperx[267].text |
那結果我們因為現在都忙於結帳所以劉建國、劉朝偉到我都很忙現在整個媒體、網絡都在罵罵說劉建國、朝偉跟蘇清漣是擺爛裝死連部長也被罵了 |
| transcript.whisperx[268].start |
7713.732 |
| transcript.whisperx[268].end |
7733.089 |
| transcript.whisperx[268].text |
所以這個你現在的看法我們先再延三個月那我下個禮拜要排委員會的公聽會我們再把他全部都找尤其是亞裔界的亞裔界真的是我不知道你有沒有買我是三不五時都要給你買一個這樣不知道劉建國有招人有沒有買 |
| transcript.whisperx[269].start |
7740.987 |
| transcript.whisperx[269].end |
7749.077 |
| transcript.whisperx[269].text |
我想我們一切都按規定在處理啦那至於說所謂細則的部分我相信不管是醫師師 |
| transcript.whisperx[270].start |
7751.223 |
| transcript.whisperx[270].end |
7771.754 |
| transcript.whisperx[270].text |
口香師都已經做過很多很多的溝通,真的大家我想所擔心的幾點,那個也都是按照原來的一個原來的辦法,不管是教考選部或教育部的辦法去做處理,我們完全沒有做任何的一個 |
| transcript.whisperx[271].start |
7774.036 |
| transcript.whisperx[271].end |
7793.325 |
| transcript.whisperx[271].text |
放鬆的一個做法這個真的也是溝通了很多次如果要再討論,我覺得也可以來討論下禮拜五在百貨院議員會議會,我們受不了,不要太沉重 |
| transcript.whisperx[272].start |
7798.128 |
| transcript.whisperx[272].end |
7803.316 |
| transcript.whisperx[272].text |
本土的牙醫 日本的牙醫 歐洲牙醫 講不清楚 |
| transcript.whisperx[273].start |
7808.689 |
| transcript.whisperx[273].end |
7826.386 |
| transcript.whisperx[273].text |
布林還是請Frank來推論像我個人的話,我家裡至少有20個鏈醫學系、牙醫系都是本土的我完全是站在希望一種按照規定的一個狀況來 |
| transcript.whisperx[274].start |
7828.828 |
| transcript.whisperx[274].end |
7846.634 |
| transcript.whisperx[274].text |
來做處理,但是真的有疑慮,我們願意大家來討論我們所有的下一代因為父母親婚姻遷徙、職務的關係他在國外受教育,他是中華民國的國民,他回來台灣 |
| transcript.whisperx[275].start |
7847.754 |
| transcript.whisperx[275].end |
7873.115 |
| transcript.whisperx[275].text |
他是中華民國國民他當然受憲法的保障他可以在這邊考執照考什麼你要怎麼考多嚴格那是另外一回事但是你要有條件讓他們考這個是一個國家保護國民我就看到很多外交官你們你這次去外交官的子女爸爸吊來吊去吊來吊去那小孩子就留在某一個地方就一直升學一直受教育那回來台灣要考個律師考個會計師考個醫師執照 |
| transcript.whisperx[276].start |
7875.56 |
| transcript.whisperx[276].end |
7889.567 |
| transcript.whisperx[276].text |
你不能讓他考,天底下哪有這種事啊你的資格考要多嚴格,那是你要頂日本也是一樣,所以這個不能說他都不能考他都不能參加,沒有這個事情,這個公平爭議也說不完所以讓他們可以考,你要怎麼考、要怎麼寫、要怎麼改 |
| transcript.whisperx[277].start |
7897.739 |
| transcript.whisperx[277].end |
7921.458 |
| transcript.whisperx[277].text |
那個實習,你的PGY要多嚴格,那時候都是可以安排的吳大夫你覺得這樣是怎樣?對啊,我認為這重點就是要守住人民的一個醫療的品質在這樣之下,這是一個還有公平性所以他的不管是入學啦、考試啦,對他真的是要嚴格的規定 |
| transcript.whisperx[278].start |
7922.714 |
| transcript.whisperx[278].end |
7942.489 |
| transcript.whisperx[278].text |
每個學校都是一樣,在哈佛念也是一樣,在哪裡念我們都要檢視它是不是真的有好好的接受過一個信念當然我們在名額上也做了最大的一個限制也會做限制好謝謝 |
| transcript.whisperx[279].start |
7950.2 |
| transcript.whisperx[279].end |
7975.781 |
| transcript.whisperx[279].text |
邱部長,兩位醫療界的上人兩位醫療界的上人在溝通的時候,一般世俗主人只有可以冥想的份而已所以剛剛去冥想了,接下來請王振旭、王委員來做詢問謝謝主席,謝謝召委讓我趕快能夠有機會來請教一下我們邱部長來請部長 |
| transcript.whisperx[280].start |
7981.212 |
| transcript.whisperx[280].end |
8003.748 |
| transcript.whisperx[280].text |
委員好 委員辛苦了從太陽的地方來的非常辛苦 王委員非常的用力做國際外交不過還是有幾個事情來利用今天的時間跟部長討論一下 |
| transcript.whisperx[281].start |
8005.069 |
| transcript.whisperx[281].end |
8025.007 |
| transcript.whisperx[281].text |
第一個還是有關於兒童法我們兒童法也知道剛剛大家很多委員都把自己修法的一些想法都能夠提出來做報告本席這邊是有提供了三點希望能夠有更多的機會來讓大家在討論的時候可以了解我們的重點包括 |
| transcript.whisperx[282].start |
8025.467 |
| transcript.whisperx[282].end |
8045.068 |
| transcript.whisperx[282].text |
影像設備的這個保存上傳的定期追蹤檢查機制等等第二個就是希望不要斷點能夠強化家長調閱跟事發後的保存還有違反公開資訊的整合查詢平台能夠做有效的建議那第一個部分就是目前我們這個錄影是有規定下一張 |
| transcript.whisperx[283].start |
8047.222 |
| transcript.whisperx[283].end |
8056.589 |
| transcript.whisperx[283].text |
有罰則 可是沒有定期檢查的機制這一點比較可惜 因為如果沒有定期檢查的話通常回去我們就不知道到底出什麼問題所以我們在第30條之3下一張 |
| transcript.whisperx[284].start |
8063.954 |
| transcript.whisperx[284].end |
8087.87 |
| transcript.whisperx[284].text |
就有希望能夠有追蹤檢查在地方政府這東西錄下來這個過程到底有沒有持續的去保存好我們希望有追蹤檢查的機制那這個部分我們期待是地方政府能夠這是第一點再來在這個上一張我們還看到就是說再下一張 |
| transcript.whisperx[285].start |
8088.959 |
| transcript.whisperx[285].end |
8113.3 |
| transcript.whisperx[285].text |
在這個托育機構的部分 我們希望在保存的過程裡面如果有哪一些異常的話 它的法則是要穩定就是包括入院設備有沒有問題 保存期限有沒有按照規定保存30天那上傳系統本身如果出異常的話在第61條如果有處分的話 那個費用要跟前面是一致的 希望能夠維持這個整個 |
| transcript.whisperx[286].start |
8115.422 |
| transcript.whisperx[286].end |
8141.752 |
| transcript.whisperx[286].text |
在法則上的穩定性那我們下一張看得到的就是說我們很擔心有時候這些影像的保存的調閱權能不能夠落實因為在韓國他們事實上是有很完整的這個家長調閱權讓看不到畫面跟看得到真相中間是可以能夠有順利的把這些該有的畫面都能夠保留下來那同時家長在第一時間就能夠有調閱權 |
| transcript.whisperx[287].start |
8143.272 |
| transcript.whisperx[287].end |
8171.978 |
| transcript.whisperx[287].text |
所以我們看下一張就可以知道說我們希望這個確保影像是沒有斷點的因為我們也知道強化第一時間的這個取證還有事發後的保存這個是能夠讓家長最信賴知道說事情是不會因為有哪一些的異常而無法得到最適當的訊息所以我們在這個第三條部分也希望能夠把家長的調閱權能夠做明化的規定 |
| transcript.whisperx[288].start |
8172.398 |
| transcript.whisperx[288].end |
8189.813 |
| transcript.whisperx[288].text |
那至於我們訂到很完整這個就需要做後續的細則的這些處理那另外在46-1也希望能夠針對內兒涉及不當的對待的時候呢這個主管機關需要把這個影像儲存到案 |
| transcript.whisperx[289].start |
8191.594 |
| transcript.whisperx[289].end |
8216.726 |
| transcript.whisperx[289].text |
縣終結30天不要說提早就讓這個內容去受到不當的損毀這個是希望也能夠再加強的地方那最後一點就是違法公開資訊的整個查詢平臺我們現在看到的平臺就是沒有辦法非常完整的去讓第一時間的家長就能夠讓他非常的確認這個處分的對象包括機構、托育人員違反 |
| transcript.whisperx[290].start |
8218.247 |
| transcript.whisperx[290].end |
8246.725 |
| transcript.whisperx[290].text |
條文還有金額跟日期等等我們希望能夠有比較好的整合性的查詢平台讓未來的家長或者是有需要的人能夠讓這個知行權跟托育透明度可以比較完整這是有關於托育法在我們本席辦公室經過討論以後希望能夠提供給部裡面還有將來在討論的時候一些重點這部分不知道這個部長或有沒有其他的要再補充 |
| transcript.whisperx[291].start |
8247.758 |
| transcript.whisperx[291].end |
8269.245 |
| transcript.whisperx[291].text |
我想這個部分我們也有針對王委員的意見做一個詳細的研議是不是理事長就回應一下非常感謝委員對於這個問題的關心我想確實這些就是要做到讓家長安心我想這個相關的方向我們會朝這個方向來努力 |
| transcript.whisperx[292].start |
8271.966 |
| transcript.whisperx[292].end |
8294.606 |
| transcript.whisperx[292].text |
好 那就期待我們也把這些重點能夠到時候討論的時候也讓部裡面做參考謝謝那第二部分可能要麻煩這個國務院許副院長就是我們近期在討論如何能夠善用這個國務院的研究成果的時候發現在搜尋相關的訊息上碰到一些困難 |
| transcript.whisperx[293].start |
8295.607 |
| transcript.whisperx[293].end |
8314.892 |
| transcript.whisperx[293].text |
或者是有他希望能夠再改善的地方因為我們知道國務院其實做了非常多的研究作為一個政策性的這個最重要的這個機構尤其是在衛福相關的這個內容裡面做非常好的政策研究跟政策的建議可是我們希望能夠再 |
| transcript.whisperx[294].start |
8316.492 |
| transcript.whisperx[294].end |
8342.651 |
| transcript.whisperx[294].text |
內容的查詢上,尤其是研究成果的內容查詢上可以有更明確的呈現方式我們從這個首頁裡面進去的話看到有論壇,這個論壇有很多的建言書等等可是當我們真的要看這個論壇裡面的成果的時候呢就必須要透過在這個首頁上面的行政單位的下面的這個院長室單位來查詢 |
| transcript.whisperx[295].start |
8343.732 |
| transcript.whisperx[295].end |
8370.724 |
| transcript.whisperx[295].text |
相對是比較不直觀啦就是沒辦法說這樣如果我想要看到這個國會院的論壇下面有哪些研究成果其實是有它的困難度那另外我們也注意到就是在這個國會院裡面有很多的研究所很多研究所當然也做了非常非常多的研究那以癌症研究所為例它有呈現研究的部分有癌症研究這個item還有研究成就這個item |
| transcript.whisperx[296].start |
8371.804 |
| transcript.whisperx[296].end |
8386.238 |
| transcript.whisperx[296].text |
那如果是國領域的醫學研究中心他用的是研究成果那如果是群建所他用的是著作與出版這每一個看起來每一個研究所本身的這個成果的表達方式 |
| transcript.whisperx[297].start |
8387.159 |
| transcript.whisperx[297].end |
8408.05 |
| transcript.whisperx[297].text |
也不是那麼一致我們期待同一個單位我們希望他在呈現的一些內容上面有他的一致性我相信這樣對外人想要了解國研的所有研究成果不管是在哪一個單位就有一定的這個邏輯可以做做一個諮詢的一個一個可能性的這種方便那我們以這個勞動部為例的話 |
| transcript.whisperx[298].start |
8409.631 |
| transcript.whisperx[298].end |
8425.968 |
| transcript.whisperx[298].text |
那勞動部他就用研究原地跟展示出版中心這樣ICON他就能夠很快去知道這研究的成果那以國防安全研究院為例的話那他也是用研究出版當然這不是說一定要這樣做像這個 |
| transcript.whisperx[299].start |
8427.789 |
| transcript.whisperx[299].end |
8451.319 |
| transcript.whisperx[299].text |
國防安全研究院的研究出國就用年度報告就是你哪一年做了哪一些方面的研究就很容易讓外人可以得到相關的信息這部分不知道副院長還有沒有其他可以在討論的過程裡面希望能夠改善的部分我想國會院是等於是我們國家的Health Bank健康的智庫 |
| transcript.whisperx[300].start |
8452.375 |
| transcript.whisperx[300].end |
8459.126 |
| transcript.whisperx[300].text |
所以他是非常重要的也創造了很多的我們整個科技醫療科技成長的一個基礎 |
| transcript.whisperx[301].start |
8460.608 |
| transcript.whisperx[301].end |
8488.339 |
| transcript.whisperx[301].text |
那第二個就是說,其實我們在研究的時候,我想不管是習院長,現在是國務院副院長,現在是台北總統院長、台東總統院長我想他跟王教授都是學者,我們三個應該都有發表至少一百篇以上的期刊所以研究應該都是做了很長的時間那這個還是在研究的過程當中,其實有些是 |
| transcript.whisperx[302].start |
8490.38 |
| transcript.whisperx[302].end |
8510.219 |
| transcript.whisperx[302].text |
有些都要尊重著作者他的同不同意釋放那有些單位可能會跟他簽像剛剛你委員呈現的幾個單位有可能他可以呈現是因為他們原來就講好的那國會院的一個特色可能不太一樣這個是不是要請許副院長回答一下 |
| transcript.whisperx[303].start |
8511.383 |
| transcript.whisperx[303].end |
8527.946 |
| transcript.whisperx[303].text |
委員早安,謝謝委員對我們的指教,其實我們對所有的成果,我們回去會重新再彙整,便於所有關心我們國務院成果的這些學者或是外界的民眾,怎麼去做適當的檢索、搜尋,還有一些適當成果,當然要符合這些法規的規定。 |
| transcript.whisperx[304].start |
8528.806 |
| transcript.whisperx[304].end |
8549.648 |
| transcript.whisperx[304].text |
已經公開發表的相關的我們一定會去會把這些內容再重新整理網頁謝謝好好那就麻煩徐副總好謝謝那再過來就是因應這個新冠疫情啊國研需要落實防疫這個大家都非常關心呃莊署長也在現場哦呃想要針對目前的這個疫苗的庫存量 |
| transcript.whisperx[305].start |
8550.448 |
| transcript.whisperx[305].end |
8571.4 |
| transcript.whisperx[305].text |
還有這個提升民眾的接種的意願當然現在應該突然意願就會提高很多還有篩檢量抗病毒用藥那有一些變異株如果我們現在去市面上買到這些快篩劑會不會對變異株的這個敏感度有問題這部分是不是也請署長這邊或部長說明一下我先報告一下我們的 |
| transcript.whisperx[306].start |
8573.181 |
| transcript.whisperx[306].end |
8600.175 |
| transcript.whisperx[306].text |
剛剛有報告過家用的篩檢一定這個禮拜會把它鋪上去,所有的民眾都不用惶恐再通路大的超商跟大賣場等等聯手要集還有幾個前家超商這個大概最快鋪 |
| transcript.whisperx[307].start |
8601.221 |
| transcript.whisperx[307].end |
8630.241 |
| transcript.whisperx[307].text |
那個別藥局也許可能要問一下連鎖藥局方面可能會比較快那這個部分量一定超過很快就會超過我們疫情可能會感染的人數所以請大家不用搶購有必要的時候才去買適當的量我想這樣就可以那另外藥物方面疫苗方面我們非常充分我們還很希望大家一直鼓勵大家打在10月以後以10月以去年的10月以後沒打過的 |
| transcript.whisperx[308].start |
8631.141 |
| transcript.whisperx[308].end |
8656.596 |
| transcript.whisperx[308].text |
都可以去6個月以上的都可以去打第一劑那180天以後如果是65歲以上的啦或者免疫比較逼不前的民眾們可以再去打第二劑來保護自己我想這個部分藥物的方面我們至少Pashlopit還有46萬人次 |
| transcript.whisperx[309].start |
8658.397 |
| transcript.whisperx[309].end |
8667.324 |
| transcript.whisperx[309].text |
能吃的份 所以以每次來用十幾萬份的量 這個是很足夠的那至於會比較詳細的先導是不是請莊署長補充一下 |
| transcript.whisperx[310].start |
8670.533 |
| transcript.whisperx[310].end |
8684.845 |
| transcript.whisperx[310].text |
報告委員那有關這個疫苗的部分我們現在每兩個禮一個禮拜有兩次會詢問這個衛生局那他們有需要說再增加疫苗量我們都會再即時的配送像上禮拜有打了7.1萬劑那所以 |
| transcript.whisperx[311].start |
8689.849 |
| transcript.whisperx[311].end |
8717.049 |
| transcript.whisperx[311].text |
4萬劑啦所以我們昨天事實上也配了7.1萬劑下去禮拜四才會再配一次那這個會讓民眾如果有需要打都可以打那再來就是您剛剛詢問的自己有關這個快篩是不是變異株是不是會有問題那因為那個病毒變異的部分跟快篩檢驗的比方是不一樣的所以目前應該是說所有的快篩都可以針對目前的這個所存的變異株都可以檢驗出來沒有問題 |
| transcript.whisperx[312].start |
8718.73 |
| transcript.whisperx[312].end |
8740.183 |
| transcript.whisperx[312].text |
所以這部分民眾是可以安心的去做篩檢那偵測出來應該正確性是可以把握的也就是說如果說是針對這個有高風險的比如說65歲以上或是有糖尿病等慢性疾病的病人如果有症狀那我們鼓勵他們去醫院或是買快篩來篩那就可以立刻用藥以上 |
| transcript.whisperx[313].start |
8740.523 |
| transcript.whisperx[313].end |
8767.232 |
| transcript.whisperx[313].text |
OK好謝謝謝謝那最後就是有關於這次部長率領那麼多二十幾位的同仁去到日內瓦開了這個包括世界衛生大會相關的這個行動會議也跟周邊很多理念相近的國家做了非常多的會談那這部分部長有沒有辦法利用簡短的時間跟大家做報告還有未來的做法跟目標 |
| transcript.whisperx[314].start |
8768.332 |
| transcript.whisperx[314].end |
8793.922 |
| transcript.whisperx[314].text |
首先我謝謝四位行動團的同仁真的是有些很少去就去準備還有最重要就是外交部的外管跟外管他們是平常的下的功夫所以在還沒有出發前就有用我的名譽在全世界各國有157篇以上的媒體的報導來先導我們台灣的一個成就以及我們加入參與WHO的決心 |
| transcript.whisperx[315].start |
8795.683 |
| transcript.whisperx[315].end |
8810.126 |
| transcript.whisperx[315].text |
那經過大家的 而且在這邊也有雙邊多邊那立法委員的四島團又做得比我們更多還跑到柏恩在哪裡去做國會的外交所以我們不管是在 |
| transcript.whisperx[316].start |
8811.647 |
| transcript.whisperx[316].end |
8838.857 |
| transcript.whisperx[316].text |
跟雙邊的會談、對邊的會談還有幫我們講話的國家甚至都比以前多所以表示我們我想外交部、衛福部我們的政府是非常努力在繼續來推展我們參與國際的活動特別感謝立委市導團比我們更辛苦來跟我們督導讓我們做得更好非常感謝好繼續努力我們期待明年可以更好 |
| transcript.whisperx[317].start |
8839.477 |
| transcript.whisperx[317].end |
8856.447 |
| transcript.whisperx[317].text |
好,我們希望明年就能理事長所提的,我們明年就可以進到會場裡面去好,謝謝副長,謝謝主席好,感謝這兩位台灣藥界的上人,為台灣在世為發聲好,現在休息十分鐘,謝謝 |
| transcript.whisperx[318].start |
8868.379 |
| transcript.whisperx[318].end |
8871.702 |
| transcript.whisperx[318].text |
四張以後第四張沒有因為我昨天問你說 |
| transcript.whisperx[319].start |
9503.413 |
| transcript.whisperx[319].end |
9506.435 |
| transcript.whisperx[319].text |
好我們繼續開會接下來請邱政軍委員來做選擇來請各位回座會主席好我們請邱部長來請部長部長好我想請問部長 |
| transcript.whisperx[320].start |
9532.191 |
| transcript.whisperx[320].end |
9557.159 |
| transcript.whisperx[320].text |
這個社會福利我們包含了兒少福利、婦女福利、老人福利、身心障礙福利保護福利、社會救助、社會保險那政府每年在重視社會福利說要把資源留給這個需要的人要建立完善的長照制度不能讓最需要的人被落下對吧那如果這些社會福利錢不夠的時候你覺得要先哪一個要先刪 |
| transcript.whisperx[321].start |
9562.423 |
| transcript.whisperx[321].end |
9583.958 |
| transcript.whisperx[321].text |
我想每一個面向都需要,我們會當然都要顧及,每一個都是重要的,剛剛委員提的都是重要的我這樣講,這是衛福部主要推動的政策,那在執行面向是不是要靠地方政府來執行,然後相互合作? |
| transcript.whisperx[322].start |
9586.124 |
| transcript.whisperx[322].end |
9610.307 |
| transcript.whisperx[322].text |
我想中央跟地方相互合作當然是很重要的事情對啦 那今年我們衛福部在預算刪減後大概增加了300億那行政院整體預算刪完之後還增加了729億但是現在依法原本應該給地方的一般性補助款這個2502億其中的636億被行政院放回自己的金庫裡面 |
| transcript.whisperx[323].start |
9611.388 |
| transcript.whisperx[323].end |
9628.702 |
| transcript.whisperx[323].text |
那也就是說行政院手上多了1365億元相較之下苗栗縣一年的預算大概是270億元左右行政院這次違法刪減地方的一般性補助款達27%這等於直接讓苗栗的整體預算少了28.1億元那這麼大的刪減 |
| transcript.whisperx[324].start |
9631.804 |
| transcript.whisperx[324].end |
9651.382 |
| transcript.whisperx[324].text |
那衝擊地方政府的執行我想也包含了長照老人福利及公共衛生等基層服務的能力這不僅是苗栗的問題我想全台灣都會發生那我當然知道這是行政院這邊來刪減的那但是這個部分也牽扯到我們衛福部的一些業務那部長你有什麼看法好我想 |
| transcript.whisperx[325].start |
9653.184 |
| transcript.whisperx[325].end |
9667.681 |
| transcript.whisperx[325].text |
委員應該也可以了解到我們這些年來,在行政部門跟立法部門的一起共同努力之下對於我們的弱勢,剛剛有提到的一些老人、心臟等等的各方面 |
| transcript.whisperx[326].start |
9668.582 |
| transcript.whisperx[326].end |
9688.005 |
| transcript.whisperx[326].text |
都做了最大的 尤其像小孩我們現在也很理 怎麼樣做更好對 這些都是基本做的 都是很要做的事情中央這樣刪減 地方沒辦法做怎麼辦有些地方他是直接用電付 他們自己有錢他不夠的就去借錢嘛因為財政是 國家是一體的嘛那這邊如果 |
| transcript.whisperx[327].start |
9689.066 |
| transcript.whisperx[327].end |
9712.837 |
| transcript.whisperx[327].text |
在某些法律之下分的比較多可能未來他就要擔任比較多的工作我想這個部分政府會考量考量到整個就是橫平性拿多少資源就做多少事但是總之大家是一家人意思是說錢不夠的話其他的就是可以不要做就對了 |
| transcript.whisperx[328].start |
9713.933 |
| transcript.whisperx[328].end |
9713.953 |
| transcript.whisperx[328].text |
那個 |
| transcript.whisperx[329].start |
9720.12 |
| transcript.whisperx[329].end |
9744.131 |
| transcript.whisperx[329].text |
還是要那個該做的還是要做那財源我們過去的財源不管你是在這原本是一般性補助款嘛或者是波比要多到地方不管是法律的改變讓那個財源有轉移到地方那地方當然就要負責任現在就是沒有錢啊現在沒有轉移過來嘛現在就是錢不夠啊 |
| transcript.whisperx[330].start |
9745.502 |
| transcript.whisperx[330].end |
9763.493 |
| transcript.whisperx[330].text |
像這些都會影響到部長您認為你的業務裡面有沒有其他部分受到影響那影響的話怎麼處理錢又不夠像苗栗縣沒有錢他必須連舉債都不行那這部分要停還是衛福部派人來執行 |
| transcript.whisperx[331].start |
9767.816 |
| transcript.whisperx[331].end |
9783.276 |
| transcript.whisperx[331].text |
那個因為我們原來就有中央該做的跟地方該做的那原來在預算方面就有一定的分配那後來預算的一個分配一般性補助款是地方來做中央委託地方做嘛對不對那因為你現在錢不給他了他沒辦法執行啊 |
| transcript.whisperx[332].start |
9785.097 |
| transcript.whisperx[332].end |
9814.757 |
| transcript.whisperx[332].text |
那個是也不能取債啊你要怎麼樣停下來全部停下來非常感謝委員的那個關心我想這個就成如剛剛部長說這方地方我們都是一體嘛都是為人民來做事嘛但我現在必須要澄清一點就是說並我想這個主要應該是緩發啦而且另外一個很重要的重點就是說我們現在目前一般不入款雖然現在目前就這樣處理可是地方到地方現在目前還是可以根據施政的這個優先順序來做來做這個相關的一個調整問題就錢不夠啊怎麼優先啊 |
| transcript.whisperx[333].start |
9815.458 |
| transcript.whisperx[333].end |
9817.044 |
| transcript.whisperx[333].text |
後面怎麼做你說緩發他怎麼緩發 |
| transcript.whisperx[334].start |
9819.654 |
| transcript.whisperx[334].end |
9844.412 |
| transcript.whisperx[334].text |
還是你要借我這個地方政府都有自己本身的優先順序跟權責我想這個自己本身都可以來做調配那你衛福部的立場你覺得哪個要先做哪個先不做這個我們尊重地方地方自己本身相關的一個處置所以你是說你剛剛講的那些項目都可以減就對了你衛福部支持做不發就對了 |
| transcript.whisperx[335].start |
9845.387 |
| transcript.whisperx[335].end |
9873.566 |
| transcript.whisperx[335].text |
不是 報告委員 我剛剛已經說了這個整個一般補助款 這個現在基本上就是來 先跟委員報告那目前在衛福部的主管的社會福利的預算的部分那有關在給到地方我覺得沒那麼多時間 你也不要解釋你也不要解釋 我結論一下就是說我請衛福部 因為我們剛剛講的這些都非常重要 |
| transcript.whisperx[336].start |
9874.386 |
| transcript.whisperx[336].end |
9889.936 |
| transcript.whisperx[336].text |
像這一般性補助款如果受到影響的這個縣市我希望衛福部您應該要拿出您專業的意見跟我們行政院這邊來幫地方來反映不要讓這些事情沒有辦法去執行我想這是我今天要問的重點我們這個事情就到這邊部長可以嗎 |
| transcript.whisperx[337].start |
9892.783 |
| transcript.whisperx[337].end |
9917.297 |
| transcript.whisperx[337].text |
所以你要體恤一下我們地方執行的困難啦當然當然那這個部分我希望部長把這個聲音帶到行政院這樣可以嗎我想過去政府就一直很重視我們尤其是偏鄉或者比較弱縣市比較經費比較有限的一個社會福利我相信政府這些年來的努力大家都看得到啦那如果是政府的 |
| transcript.whisperx[338].start |
9918.762 |
| transcript.whisperx[338].end |
9946.164 |
| transcript.whisperx[338].text |
預算被核三或相當凍結那當然就是可能會做一些調配但是我想政府對於各縣市的一個社會福利的努力一定會希望部長能夠了解我們民間疾苦有這個部分跟這個行政院反映一下因為有些東西真的是不能停好不好是我們一起來努力謝謝一起來努力那部長先請回一下您休息一下那我請這個各自會的代表各自有來嗎 |
| transcript.whisperx[339].start |
9951.744 |
| transcript.whisperx[339].end |
9955.631 |
| transcript.whisperx[339].text |
來部長請回今天不是有來嗎?有,來林組長個人資料保護委員會籌備處林組長 |
| transcript.whisperx[340].start |
9969.082 |
| transcript.whisperx[340].end |
9989.55 |
| transcript.whisperx[340].text |
你好我請問一下我們教育部這個葉秉成次長他不是法定可接觸個資者的身份那確認取得性平安的個資並公開在社群裡面那媒體上評論這個事件你們個資這個保護我們會掌握的嗎這個部分我們新聞上有看到所以你只是看新聞那現在你們的態度是什麼 |
| transcript.whisperx[341].start |
9999.433 |
| transcript.whisperx[341].end |
10027.697 |
| transcript.whisperx[341].text |
我們立場的話基本上個資法保護的是所有台灣民眾的個人資料這個算不算嘛他為什麼可以拿到這個個資呢他的資料來源的話那當然是要看那個看當事人他取得的方式啦這是不是一起涉及公務機關內部未經授權流用敏感資料的個資保護的一個重大案件應該算吧 |
| transcript.whisperx[342].start |
10028.78 |
| transcript.whisperx[342].end |
10057.16 |
| transcript.whisperx[342].text |
基本上資料收集的話都會有所謂的合法室友那教育部有沒有主動通訪你們這部分我們可能要回去再瞭解一下所以你們什麼都不知道對不對那各支會有沒有主動啟動調查這我們回去再瞭解一下因為這個基本上公務機關收集資料的話這是你們的業務嗎還是你們這個你們這個事情說只是酬庸的部門什麼事都不用做 |
| transcript.whisperx[343].start |
10059.224 |
| transcript.whisperx[343].end |
10066.406 |
| transcript.whisperx[343].text |
沒有 這個我們會去了解這個案子已經出現那麼多天了耶你們怎麼到現在都沒有反應呢就當作沒有人講就算了就當作看不見然後自然飄過如果是個人他洩漏資料的部分的話這個有相關的一些可能會有相關的法律有規定相關的法律証明那我在這邊要求啦你們要主動調查而且公開結果好不好可以嗎 |
| transcript.whisperx[344].start |
10089.108 |
| transcript.whisperx[344].end |
10110.252 |
| transcript.whisperx[344].text |
這我們了解了解是什麼意思這我們會回去再去處理主動處理嘛對不對那該送法辦還是要法辦啊對不對你們報告要提出來好不好因為時間的問題我不想浪費太多時間可以嗎好謝謝委員好謝謝好謝謝邱委員 |
| transcript.whisperx[345].start |
10118.652 |
| transcript.whisperx[345].end |
10121.115 |
| transcript.whisperx[345].text |
接下來請黃秀安委員來做詢問謝謝主席,我們請部長 |
| transcript.whisperx[346].start |
10130.37 |
| transcript.whisperx[346].end |
10148.151 |
| transcript.whisperx[346].text |
好請部長,提醒部長還有會務部的相關的官員,這個法定的社會預算不會因為一般性的補助款有所變動,去影響到任何該支付的法定的社會福利預算,這個要很明確的表達清楚好不好?好謝謝 |
| transcript.whisperx[347].start |
10151.835 |
| transcript.whisperx[347].end |
10171.533 |
| transcript.whisperx[347].text |
謝謝主席部長我想請教就是說我看到這個國會院兒童醫學及健康研究中心一些相關資料那我在看到就是說他們有提到在2019年有提出一個報告就是2030年兒童醫療與健康政策建言書 |
| transcript.whisperx[348].start |
10173.188 |
| transcript.whisperx[348].end |
10201.706 |
| transcript.whisperx[348].text |
那部長你大約知道這樣的一個就是有關兒童醫療健康的一個研究那我想請教就是說這個5年來因為它是2019年5月提出來的那這份成果我們在網路上看到那除了這份有這樣的一個研究報告之外那還有其他針對兒童健康的研究還有其他的這種研究報告嗎 |
| transcript.whisperx[349].start |
10204.246 |
| transcript.whisperx[349].end |
10219.302 |
| transcript.whisperx[349].text |
就是兒童醫學及健康研究中心國衛院的國衛院今天有人來嗎有有有 副院長追訓的過程當中我當然是也有參與的那個 |
| transcript.whisperx[350].start |
10221.98 |
| transcript.whisperx[350].end |
10233.579 |
| transcript.whisperx[350].text |
提出的建言 我想我們也都有用各種方式在努力好 那我想請教就是說 2019年到現在就是兒童醫療跟健康的這個政策 |
| transcript.whisperx[351].start |
10235.755 |
| transcript.whisperx[351].end |
10259.591 |
| transcript.whisperx[351].text |
除了這一份之外,還有其他份嗎?還是就只有這一份,從2019到現在也5年多的時間?國會院裡面的有兒童醫學及健康研究中心這是我們群體健康,包委員這是我們群體健康研究所,邱鴻義、邱所總他們主導的一個研究中心那我知道,那還有其他的研究嗎?針對兒童健康,針對兒童醫療,就只有這一份 |
| transcript.whisperx[352].start |
10261.483 |
| transcript.whisperx[352].end |
10269.812 |
| transcript.whisperx[352].text |
那我想請教就是說這個我們國衛院底下這個兒童醫學及健康研究中心平常是在做什麼這個 |
| transcript.whisperx[353].start |
10277.254 |
| transcript.whisperx[353].end |
10301.193 |
| transcript.whisperx[353].text |
我這邊補充一下就是那個兒童健康運動中心有一部分的成員現在大部分至少有一半以上的時間是協助我們做優化兒童醫療網裡面的所謂的食物的運轉中心的一個管理中心然後這個管理中心其實是透過協助我們推動兒童醫療網裡面做一些我們政策這邊的一個回饋包括就是說我們現在在推動的 |
| transcript.whisperx[354].start |
10301.593 |
| transcript.whisperx[354].end |
10327.903 |
| transcript.whisperx[354].text |
核心醫院專責醫院重點醫院跟所謂的合作的網絡以外幼兒專責醫師這裡面到底怎麼樣才能夠往健康的方向去推動然後那裡面包含了幼兒專責醫師譬如說我要去提醒就是像那個過胖或是氣喘控制這個比較簡單的以及額虐的部分大概在協助裡面都是透過我們優化兒童醫療網的成果來做政策的一個算是 |
| transcript.whisperx[355].start |
10331.807 |
| transcript.whisperx[355].end |
10344.843 |
| transcript.whisperx[355].text |
我今天為什麼會問這樣的一個議題就是說我們國衛院這個兒童研究中心因為我們在網路上看到就是有關這個兒童醫療跟健康的政策那這個研究是在2019年 |
| transcript.whisperx[356].start |
10346.044 |
| transcript.whisperx[356].end |
10366.844 |
| transcript.whisperx[356].text |
到現在也將近五、六年的時間另外我看到在前天中山大學有一個跨校合作的研究就是說夜市營業場所產生的空氣污染物會滲透到鄰近家庭室內的環境對兒童的肺功能造成不良的影響 |
| transcript.whisperx[357].start |
10367.745 |
| transcript.whisperx[357].end |
10379.809 |
| transcript.whisperx[357].text |
那這個是一個中山大學一個跨校的一個合作那我也看到就是說我們這個國衛院兒童研究中心曾經也有針對這個PM2.5就是說跟會造成我們兒童的這個 |
| transcript.whisperx[358].start |
10386.631 |
| transcript.whisperx[358].end |
10403.824 |
| transcript.whisperx[358].text |
一些影響或是說一般民眾的這個影響就是說在這個網路上面都有揭露啦那我為什麼會特別這樣講因為就是說我們這個這個國衛院的這個兒童研究中心在網站上面的這個資料其實我覺得真的是真的是 |
| transcript.whisperx[359].start |
10408.854 |
| transcript.whisperx[359].end |
10424.132 |
| transcript.whisperx[359].text |
一直都沒有更新然後就是這個數字或者是說錯字也都沒有更新就掛在這個網路上也掛了五六年所以我想要知道就是說到底這個國衛院的兒童研究中心 |
| transcript.whisperx[360].start |
10425.293 |
| transcript.whisperx[360].end |
10444.764 |
| transcript.whisperx[360].text |
應該是一個政策的提供對不對應該是一個政策的提供那如果他提供的這個資料是錯誤的或在網路上面的這個資料是錯誤的譬如說現在這個國衛院兒童研究中心網站上面一個新知專欄就針對就是說兒童的流感疫苗 |
| transcript.whisperx[361].start |
10445.424 |
| transcript.whisperx[361].end |
10469.829 |
| transcript.whisperx[361].text |
打或不打爸媽好煩惱的這樣一個衛教內容那上面有寫說目前國內具有流感疫苗許可證的廠商計有總共有4家啦那我上面我就知道說那我們疾管署5月2號的這個新聞稿表示說國內取得三家流感疫苗許可證的廠商總共有5家那如果說國衛院是一個兒童研究中心是要讓我們 |
| transcript.whisperx[362].start |
10471.57 |
| transcript.whisperx[362].end |
10497.904 |
| transcript.whisperx[362].text |
這個所有爸媽得到最新的訊息的話應該是要提供最新的資訊那為什麼所提供的這個資訊都不是最新的那另外就是說我剛剛有在那個上面有秀出一個就是說那個我們的這個PM2.5或者空氣有沒有就是那個PM2.5這個行政院環境保護數這個也是在2015年這樣子一個 |
| transcript.whisperx[363].start |
10500.505 |
| transcript.whisperx[363].end |
10520.337 |
| transcript.whisperx[363].text |
這樣的一個錯誤的一個文字然後就掛在那邊也掛了這麼多年所以我都覺得說你們到底這個國家國衛院的兒童研究中心到底有沒有在做事或者是在網路上面的這個訊息錯誤然後也掛在那邊五六年然後完全都不更新的 |
| transcript.whisperx[364].start |
10523.747 |
| transcript.whisperx[364].end |
10538.703 |
| transcript.whisperx[364].text |
我想如果有這樣的情況,我們當然要去了解,不曉得副院長有沒有要補充?謝謝委員的關心,我們虛心接受指教,這中間有一些落差,特別是跟其他部門之間的一致化,這個我們會立即做檢討 |
| transcript.whisperx[365].start |
10540.204 |
| transcript.whisperx[365].end |
10569.364 |
| transcript.whisperx[365].text |
我們當然希望就是說國衛院的這個兒童研究中心健康研究中心應該是提供這個好的政策那當然我為什麼會一直這樣提我們希望就是說每個孩子都能夠得到一個好的照顧然後尤其是在現在少子化那我們當然說每個孩子都不能少那一定都要得到好的一個醫療照顧那如果說國衛院的一個政策或者是提供的資訊訊息都跟不上 |
| transcript.whisperx[366].start |
10570.224 |
| transcript.whisperx[366].end |
10594.914 |
| transcript.whisperx[366].text |
原本這個疾管署或者是跟不上這樣子原本的這個其他部會的話其實我覺得這個應該是要好好再去檢討一下可能也要你們內部可能要再做一個檢討啦另外我想請教部長就是在上個月總諮詢的時候我有特別提到就是說兒童要有一個專責的行政單位那當時部長這邊也有特別提到就是說會你們這邊會 |
| transcript.whisperx[367].start |
10598.817 |
| transcript.whisperx[367].end |
10604.068 |
| transcript.whisperx[367].text |
會去做研議那我想請教就是說目前的進度到底是怎樣好我想謝謝 |
| transcript.whisperx[368].start |
10608.673 |
| transcript.whisperx[368].end |
10636.305 |
| transcript.whisperx[368].text |
而少專者單位也是很多人的期望我想政府也非常的重視但是這牽涉到蠻多人力組織的各種必須要去再去調整整合所以一直在努力的溝通中但是會往正向的方向來做我想我們希望能夠很快的有一個 |
| transcript.whisperx[369].start |
10637.245 |
| transcript.whisperx[369].end |
10654.867 |
| transcript.whisperx[369].text |
整個協調以後的成果那在這當中我們也不會輸入任何一個兒少需要照顧的一個各種項目然後這部分還是因為就是過去分散在幾乎以衛護部來講幾乎有八個司署在管道有管道兒童的 |
| transcript.whisperx[370].start |
10656.399 |
| transcript.whisperx[370].end |
10682.212 |
| transcript.whisperx[370].text |
今天要去處理就是一個我們一直在克服的問題這幫人都做得很好都有他特別的一個單位在項目上面請大家放心一定沒有一個會去輸惹的在兒童的成長過程當中絕對都有來負責現在如果要把它整理就是需要組織架構這個我們會一直在努力 |
| transcript.whisperx[371].start |
10682.312 |
| transcript.whisperx[371].end |
10711.255 |
| transcript.whisperx[371].text |
好那部長我希望說這個兒童要有一個專責的行政單位我覺得希望在你你能夠積極來推動因為不要讓所有的兒童的這個議題都散落在各部會另外就我剛剛有特別提到就是說國衛院的這個兒童健康研究中心他可能就是研究一個政策那臨床的部分臨床兒童的一個健康的研究中心其實現在台大醫院兒童醫院現在他們就有一個 |
| transcript.whisperx[372].start |
10712.296 |
| transcript.whisperx[372].end |
10732.457 |
| transcript.whisperx[372].text |
這樣的一個這個中心那也希望說政府能夠支持那之前我在這邊也有特別提到就是說希望部長這邊我們衛福部這邊能夠支持那除了就國衛院本身我們的一個政策的一個這個研究中心之外那臨床的部分是不是也要有一個 |
| transcript.whisperx[373].start |
10733.998 |
| transcript.whisperx[373].end |
10758.937 |
| transcript.whisperx[373].text |
這樣子的一個健康醫療的研究中心讓所有的兒童醫院可以一起合作那臨床碰到什麼樣的這個疾病或者是這個臨床所有的醫師其實也可以一起共同經營一起合作所以讓每個孩子在這個醫療上都能夠得到一個好的救治醫治所以我是不是可以再請部長針對這一部分你可以再做一個回應 |
| transcript.whisperx[374].start |
10759.602 |
| transcript.whisperx[374].end |
10782.159 |
| transcript.whisperx[374].text |
好我想台大醫院願意來承擔這個國家這樣子比較尤其集中男男症的一個研究個人深表敬佩那其實現在的研究資源是有限的所以如果能夠有一個比較專門的一個機構那對於兒少的一個研究應該是有更多的資源那這個部分的角色 |
| transcript.whisperx[375].start |
10782.739 |
| transcript.whisperx[375].end |
10811.65 |
| transcript.whisperx[375].text |
那到底是屬於在研究呢還是在臨床的應用呢這部分我們會再跟台大醫院來坐下來好好的來談一下他的方向以及說這個資源負責的部門是應該哪一個對他的這個發展他們想要的發展可以得到最好的幫忙讓他能夠真的是發展下去這樣子我們會跟台大醫院而醫醫院這邊來努力 |
| transcript.whisperx[376].start |
10813.151 |
| transcript.whisperx[376].end |
10832.309 |
| transcript.whisperx[376].text |
部長你應該也知道就是說兒童醫院其實在所有的這個醫院當中大家會覺得是兒科的這部分其實是不會賺錢的啦那大家如果說願意付出然後也希望就是說因為讓孩子能夠得到一個好的醫治的話其實我覺得應該衛福部這邊應該要這個來支持 |
| transcript.whisperx[377].start |
10835.151 |
| transcript.whisperx[377].end |
10858.062 |
| transcript.whisperx[377].text |
然後也要投入更多的資源因為真的少子化真的是很嚴重部長這個去年去年農年這個差不多13萬那我在想今年應該人數應該會更少新生兒人數應該會更少所以如果說願意生敢生然後已經生下來的這些孩子我們希望他都能夠平安健康的長大 |
| transcript.whisperx[378].start |
10859.182 |
| transcript.whisperx[378].end |
10865.29 |
| transcript.whisperx[378].text |
所以我們希望就是說在這個醫療上面能夠讓所有的孩子所有的兒童都能夠得到好的一個醫治 |
| transcript.whisperx[379].start |
10865.984 |
| transcript.whisperx[379].end |
10890.867 |
| transcript.whisperx[379].text |
好我想我們國家以及我們衛生的部門是全力往這方面來努力謝謝薇安的指教這個絕對是我們日以繼夜在希望大家能改生生出來照顧好我上次已經有詢問過你了那你也這樣子就像你今天回答我的這樣子所以我們希望說要有一些進度啦比如說這個兒童的專責單位或者是兒童的 |
| transcript.whisperx[380].start |
10891.868 |
| transcript.whisperx[380].end |
10906.542 |
| transcript.whisperx[380].text |
這個台大醫院他們有一些臨床的這個兒童的醫療健康的研究中心類似這樣子的話我覺得應該是要有一些進度而不是你每次跟我講就是還要再討論或者是還要再跟他們討論或者還要再研究 |
| transcript.whisperx[381].start |
10907.623 |
| transcript.whisperx[381].end |
10923.928 |
| transcript.whisperx[381].text |
兒童研究中心 劉玉萍市長剛好出處那裡我補充一下跟委員報告一下進度就是大概在3月左右的時候我自己就帶同我們到台大兒童醫院這邊了解一下他們的需求 |
| transcript.whisperx[382].start |
10924.668 |
| transcript.whisperx[382].end |
10945.078 |
| transcript.whisperx[382].text |
然後那如果只有臨床研究的部分的話需要參與的單位就變得是國科會也要一起進來支持嘛然後那他們跟我說他們想做的是健康以健康這邊來講的話其實我就說如果是台大兒童醫院沒有找公共衛生相關的學者其實在這一塊上面就沒有我們現在這樣的講的研究議題的廣度所以經過討論之後其實台大醫院就說 |
| transcript.whisperx[383].start |
10949.44 |
| transcript.whisperx[383].end |
10971.705 |
| transcript.whisperx[383].text |
那他可能就是短期的這個計畫原本是由教育部提供的這個可能要再做延長然後那所以他們現在正在進行就是內部的一個程序因為光要把它從原來只有臨床的要擴展到健康的時候要去做的協作單位變多了然後那那個那是三月的時候的事情所以就是 |
| transcript.whisperx[384].start |
10972.165 |
| transcript.whisperx[384].end |
10987.296 |
| transcript.whisperx[384].text |
我們現在是在等台大同一院他們就是有一個內部的一個公司之後需要再做協作的時候我們跟他們其實有保持良好的聯繫管道我們希望能夠有一些進度啦好不好好謝謝好謝謝黃委員謝謝部長接下來請林淑穩委員來做選擇 |
| transcript.whisperx[385].start |
11012.235 |
| transcript.whisperx[385].end |
11015.638 |
| transcript.whisperx[385].text |
好 謝謝主席喔是不是請邱部長來 請部長委員好 |
| transcript.whisperx[386].start |
11020.684 |
| transcript.whisperx[386].end |
11047.731 |
| transcript.whisperx[386].text |
部長辛苦了 剛從這個WHA的會議那邊回來但是呢 因為今天專委拍了兒童托育服務法所以我們還是要討論一下 因為凱凱案的流行的保姆啊大家都覺得非常的惡質那社會高度矚目的就是說 像這樣的保姆怎麼可能怎麼可能沒有被發現 沒有被淘汰 還能繼續帶小孩 |
| transcript.whisperx[387].start |
11049.795 |
| transcript.whisperx[387].end |
11067.478 |
| transcript.whisperx[387].text |
那我們來檢視行政院版的兒童托育服務法我們這樣如果說我現在問你不要講凱凱愛那麼誇張啦如果說把托兒留在家裡然後留給家人照顧然後自己跑去逛街你覺得恰當嗎放在家裡沒有大人照顧不是啦他保姆把托兒放在家裡留給家人照顧啦 |
| transcript.whisperx[388].start |
11077.136 |
| transcript.whisperx[388].end |
11097.344 |
| transcript.whisperx[388].text |
非保姆本身 然後保姆本身跑去逛街你覺得適當嗎有保姆的家人保姆自己跑出去逛街當然不行當然什麼當然不行收拖的拖而人數超過法定上限嚴重超收這樣子適合嗎不適合那我剛剛講了再講一個例子也是這個 |
| transcript.whisperx[389].start |
11099.645 |
| transcript.whisperx[389].end |
11117.056 |
| transcript.whisperx[389].text |
讓托兒趴睡 床上充滿了枕頭玩偶 訪員提醒說這樣可能會讓托兒窒息保姆回答說 我不改 你能拿我怎麼樣你覺得可以嗎 不可以用馬克杯裝熱水 然後沒有放置妥當翻倒後導致托兒受燙傷 |
| transcript.whisperx[390].start |
11119.518 |
| transcript.whisperx[390].end |
11131.529 |
| transcript.whisperx[390].text |
這樣子喔 所以我不要講凱凱很嚴重的 我就講從這裡這樣的行為 請問你現在的行政院的版本是有什麼樣的棒子可以處理好 周市長要不要那個 |
| transcript.whisperx[391].start |
11140.479 |
| transcript.whisperx[391].end |
11155.015 |
| transcript.whisperx[391].text |
不知道 照你們行政院版本你們是怎麼處理我們現在行政院版本的第八條裡面對於托育服務要提供的相關的保育內容裡面 |
| transcript.whisperx[392].start |
11155.555 |
| transcript.whisperx[392].end |
11184.201 |
| transcript.whisperx[392].text |
那在第八條的第二項我們有關在托育服務內容的衛生安全營養生活照顧學習一些的相關的原則方式以及相關的事項那因為這個部分因為涉及到整個生活照顧很多的細節的部分所以是用授權的方式那未來會有這個法規命令的部分有細項的來來律定好啦我簡單用白話我們跟部長講一下啦這些違規啊目前都限期改善就沒事了限期改善啦 |
| transcript.whisperx[393].start |
11184.921 |
| transcript.whisperx[393].end |
11201.144 |
| transcript.whisperx[393].text |
所以把我被抓到一次 演一下 乖一點改善期一過 不會有任何裁罰不會裁罰 也沒有任何紀錄下次再抓到違規 再限期改善 再乖一點然後沒有裁罰 沒有任何的紀錄 |
| transcript.whisperx[394].start |
11202.165 |
| transcript.whisperx[394].end |
11224.66 |
| transcript.whisperx[394].text |
那你們現行這是現行的管理辦法然後我們期待的兒童托育服務法要用更高的規格來檢驗不適任的托育人員要讓孩子在托育的過程裡面的風險降到零幾乎是零這是眾所期待可是你們行政院的願板 |
| transcript.whisperx[395].start |
11226.121 |
| transcript.whisperx[395].end |
11248.156 |
| transcript.whisperx[395].text |
你們的制度對現行的這些保姆的衛生安全的違規在你們草案裡面的第70條一樣叫做限期改善一樣讓違規的保姆乖一點點以後可以準規水沒渾然後他肆無忌憚還可以繼續違規繼續違規再乖一點限期改善 |
| transcript.whisperx[396].start |
11253.772 |
| transcript.whisperx[396].end |
11264.172 |
| transcript.whisperx[396].text |
你覺得這樣子恰當嗎 你們的版本報告委員 剛剛您提的這幾點我們都覺得不榮幸你們新的版本就這樣子提呢那如果這個有 這樣我們 |
| transcript.whisperx[397].start |
11266.443 |
| transcript.whisperx[397].end |
11290.033 |
| transcript.whisperx[397].text |
那就聽我們的 我們民間的版本來了本席代表民間所提的版本來了我們第81條第一項 針對衛生安全相關的違規已經改成直接採法之後再限期改善而因為這些攸關安全的議題不能夠不落實所以採到安全的那個違規要罰 要罰 |
| transcript.whisperx[398].start |
11293.274 |
| transcript.whisperx[398].end |
11312.661 |
| transcript.whisperx[398].text |
那我們82條納入了祭典制不是每一次罰了一下不痛不癢然後繼續違規 不是我們參考交通違規的制度違規的拖遠遠的依照嚴重程度祭典1到3點兩年內累積到6點暫停新拖 |
| transcript.whisperx[399].start |
11314.262 |
| transcript.whisperx[399].end |
11324.42 |
| transcript.whisperx[399].text |
然後呢 要公告姓名如果五年內被祭典暫停吸音托兩次以後又再度違規被祭典 廢證 廢證 退場 |
| transcript.whisperx[400].start |
11327.717 |
| transcript.whisperx[400].end |
11345.042 |
| transcript.whisperx[400].text |
所以只有建立祭典制然後讓每一次的違規變成很重要裁罰 處罰 還祭典然後未來要廢照 這樣才有效蘿蔔跟棒子 棒子要有效的棒子 |
| transcript.whisperx[401].start |
11346.022 |
| transcript.whisperx[401].end |
11365.866 |
| transcript.whisperx[401].text |
所以在這裡我們要給社會一個真正的交代你要讓這種不適任的這種地雷要出去好的留下來不要再讓不斷違規的人不適任的人留在這個場內把家長讓家長把孩子交到有風險的人手上那我現在再問你部長你同意好的托育的品質必須是基於好的勞動條件也應該要提升托育人員的勞動條件嗎 |
| transcript.whisperx[402].start |
11376.943 |
| transcript.whisperx[402].end |
11385.091 |
| transcript.whisperx[402].text |
當然希望當然是希望 可是你現在確定這些托育人員同工同酬嗎你們現在有制定薪資標準的最低薪資標準的都是機構式的那居家托育人員是誰訂的你知道嗎 |
| transcript.whisperx[403].start |
11400.951 |
| transcript.whisperx[403].end |
11418.601 |
| transcript.whisperx[403].text |
地方政府地方政府因地制宜的模式啊讓同工不同窮讓不同縣市之間的人員薪資差異很大而且地方政府扛不起壓力地方政府在審議的過程在決定訂薪資的條件的時候 |
| transcript.whisperx[404].start |
11422.063 |
| transcript.whisperx[404].end |
11439.201 |
| transcript.whisperx[404].text |
受到很大的人情壓力然後相關團體的壓力導致整體來說居家托育的薪資條幅以及其他所受到的保障明顯不足不足跟機構式的托育人員未必的我們現在要說 |
| transcript.whisperx[405].start |
11441.824 |
| transcript.whisperx[405].end |
11464.649 |
| transcript.whisperx[405].text |
只有好的勞動條件的保障才有好的托育的品質如果一個托育為什麼對機構要做基本工資的限制因為流動性高啊那如果有保姆他當然沒有雇主可是他自己就是他的收費就收這麼低你覺得他收那麼低可以不超收嗎他收那麼低會大家都 |
| transcript.whisperx[406].start |
11465.939 |
| transcript.whisperx[406].end |
11473.841 |
| transcript.whisperx[406].text |
過一陣子還認老不認怨嗎自己的老伯老母其實就過得很累收了那麼低以他的勞動來講報酬不相當不對等容易情緒失控嘛有沒有可能所以我們在這種狀況裡面我們的版本你們都沒有討論到這一環我們的版本就是要求這個收費標準要由中央中央來扛起這個責任啊 |
| transcript.whisperx[407].start |
11495.748 |
| transcript.whisperx[407].end |
11522.538 |
| transcript.whisperx[407].text |
你覺得呢?部長目前對於這個所有不管是機構或者是保姆的部分他的收費那收費的項目的原則那我們中央會來定一個相關的地方都是由各地方政府制定這個問題很大地方政府來定定 |
| transcript.whisperx[408].start |
11522.958 |
| transcript.whisperx[408].end |
11537.224 |
| transcript.whisperx[408].text |
我們現在不希望地方政府繼續定定 中央要扛起責任 這剛好什麼困難啊我想這個都可以來討論好 那我再問你喔 我們現在0到2歲的托育的服務啊機構雖然居家室 比例各占多少多少孩子的機構室 多少孩子的居家保姆照顧比例各占多少 |
| transcript.whisperx[409].start |
11547.025 |
| transcript.whisperx[409].end |
11550.107 |
| transcript.whisperx[409].text |
你不知道喔這件事一半一半那我要問你當我們在講說這兩種模式各佔一半的時候家長都必須你覺得怎麼可能工作跟生小孩就必須要二折一了 |
| transcript.whisperx[410].start |
11564.677 |
| transcript.whisperx[410].end |
11589.174 |
| transcript.whisperx[410].text |
那如果兩個都做的人已經夠辛苦了 他找保姆或是找機構找到保姆的人 我要講我們政府在服務擴充的這個政策上的規劃和資源的挹注上面政府的資源分配在機構市跟居家市的預算分配上差多少你知道嗎 差多少 你自己報告預算 |
| transcript.whisperx[411].start |
11593.416 |
| transcript.whisperx[411].end |
11618.418 |
| transcript.whisperx[411].text |
你現在對托育所有的政府的資源經費都依據在機構式啦我行政院你以行政院我國少子女化的對策計畫107到114年為例在提高0到2歲托育服務量的章節裡面所提到的4種政策目標都只鎖定機構式的托育不見社區公共托育家園 |
| transcript.whisperx[412].start |
11619.159 |
| transcript.whisperx[412].end |
11631.011 |
| transcript.whisperx[412].text |
因地制宜的設置公社民營托嬰中心協助推動政府機關構提供員工子女托育服務提供公共化的托育相關人員薪資通篇都沒有看到政府對於擴充居家服務量能有任何短中長期的規劃更不要講逐漸浮現了 |
| transcript.whisperx[413].start |
11643.763 |
| transcript.whisperx[413].end |
11669.018 |
| transcript.whisperx[413].text |
居家托育的這些人力老化保姆越來越老而即將要迎來人力斷層的危機的問題你們有提出任何具體可行的積極的因應的對策和解方嗎你們有重視居家托育的重要性嗎你們有分配任何資源給居家托育的這些這個保姆等等嗎 |
| transcript.whisperx[414].start |
11671.348 |
| transcript.whisperx[414].end |
11684.816 |
| transcript.whisperx[414].text |
一半一半以去年為例700個孩子的機構700個孩子的保姆機構式的資源全部都給他居家托育的零這樣合理嗎 |
| transcript.whisperx[415].start |
11690.276 |
| transcript.whisperx[415].end |
11713.693 |
| transcript.whisperx[415].text |
跟委員報告家長把小朋友不管是托到托嬰中心或者是居家保母基本上他能夠得到的托育補助是一致的另外對於居家保母的補助目前每年居家保母一樣有相關的補助對於托育的保母保母的部分也單獨有相關的補助 |
| transcript.whisperx[416].start |
11715 |
| transcript.whisperx[416].end |
11734.806 |
| transcript.whisperx[416].text |
你們告訴我資源怎麼分配啊資源分配我現在在講說你們對於提升這一種服務量能你們是怎麼樣的分配當然準公共化公共化當然都有資源分配啊我們也知道保姆也有零啊但我不是在講這一個為了少子女化然後幫家長減輕負擔的補助不要講 |
| transcript.whisperx[417].start |
11742.688 |
| transcript.whisperx[417].end |
11759.285 |
| transcript.whisperx[417].text |
我是在講對於機構市和居家市的托育你們在政策輔導上你們的資源分配給了什麼而面對居家托育的人力勞動人力的逐漸高齡化 |
| transcript.whisperx[418].start |
11760.626 |
| transcript.whisperx[418].end |
11781.366 |
| transcript.whisperx[418].text |
再接下來就人力短缺 然後你們有任何因應的對策嗎你們投資了多少的政策資源 要去增加居家室托育的品質讓勞動力不要這麼高齡化 鼓勵年輕人也進入這個市場 |
| transcript.whisperx[419].start |
11783.248 |
| transcript.whisperx[419].end |
11804.45 |
| transcript.whisperx[419].text |
你們做了什麼 我說不知道 包租 你的包租在幫助父母減輕他們托育的經濟負擔我現在是你對於這種服務托育式的服務和機構式的服務 你的錢全部都到機構式服務去而對於家庭托育 居家托育式的 沒有 |
| transcript.whisperx[420].start |
11805.231 |
| transcript.whisperx[420].end |
11816.846 |
| transcript.whisperx[420].text |
市委員可不可以請理事簡單回答一下我認為你說的完全是重點你有沒有知道現在一個需求端一個供給端你現在說的需求端 |
| transcript.whisperx[421].start |
11818.258 |
| transcript.whisperx[421].end |
11842.149 |
| transcript.whisperx[421].text |
這個是一粒品種 但是我相信 你現在說的那個整個供給端 這邊跟長照一樣嘛 有分機構 也有社區對 我在講供給端的問題 供給端的部分 我如果有人報告我們現在目前就是說 那個居家托育人員 如果說他有那個整個品質改善的話一年一萬八 但是我過去在台中 台中市政府 社會社會肯定 我覺得這永遠不夠啦 |
| transcript.whisperx[422].start |
11843.47 |
| transcript.whisperx[422].end |
11848.513 |
| transcript.whisperx[422].text |
所以我這個部分你現在把你整體的經費除以同業人員去看他一萬八機構是平均分配的社會資源是國家部門資源數十倍啦不對 委員我感覺這個本來就應該要越離媽媽離那個居家越近越好所以這也是我們的少子女化政策的一個對呀 可盡興啊李先生為什麼委員所說的現在我也知道現在平均的保母平均年齡正在提高 |
| transcript.whisperx[423].start |
11871.809 |
| transcript.whisperx[423].end |
11880.972 |
| transcript.whisperx[423].text |
對啊 保護都阿嬤化了委員我要報告 這個保安我要責成同仁所以你知道講到重點但你現在要回去好好的想應該的政府的資源和政策應該怎麼樣導入去協助他們吧這個保安我一定回來要求這個保安要做一些改善這問題對孩子問題比較好這樣我再來問你 次長你告訴我保證都不知道來我現在講居托中居托服務中心 |
| transcript.whisperx[424].start |
11901.26 |
| transcript.whisperx[424].end |
11913.529 |
| transcript.whisperx[424].text |
居多服務中心應該是要做什麼的報告委員 居多服務中心一般來我們現在目前是這樣主要就是來像那個居家人那個保姆對不對他們會去那邊看 去那邊扶著那你們新訂的法規你們的草案裡面有對這樣的業務法制化嗎 |
| transcript.whisperx[425].start |
11922.895 |
| transcript.whisperx[425].end |
11945.717 |
| transcript.whisperx[425].text |
我現在說一個故事給你聽不管機關為了迎合議員增加政績然後要求增加非計劃內的要求比如說開放居托中心內夜間臨托服務要求中心配合並更改上班時間然後到晚上10點訪員被迫改夜間上班居托中心變成臨時的24小時的托嬰中心你覺得適當嗎 |
| transcript.whisperx[426].start |
11947.438 |
| transcript.whisperx[426].end |
11954.925 |
| transcript.whisperx[426].text |
現在是變成地方政府的小幫手你們是招資集來揮資集去看要做什麼他就是變成是這樣的補充人力嗎 |
| transcript.whisperx[427].start |
11956.244 |
| transcript.whisperx[427].end |
11961.347 |
| transcript.whisperx[427].text |
報告委員這個我覺得應該要檢討週末的時候被要求辦理許多額外的活動和宣導業務你覺得是居托中心居托服務中心的應該要做的事情嗎這要檢討托育補助業務補件家長預領了款項叫居托中心的人要協助到家長家去收取預領的款項回來地方政府可以去做這個這叫居托服務中心的功能報告委員這個我想讓我們了解一下 |
| transcript.whisperx[428].start |
11985.638 |
| transcript.whisperx[428].end |
11988.742 |
| transcript.whisperx[428].text |
很多地方政府都這樣你本身你都應該要掌握我跟人家要求居托服務中心要提供借月教具玩具服務跟其他的人家一些親子館托資中心圖書館都在做的都重疊然後叫居托服務中心也去做這個 |
| transcript.whisperx[429].start |
12004.099 |
| transcript.whisperx[429].end |
12019.825 |
| transcript.whisperx[429].text |
適當嗎然後配合支援其他活動其他的廉價非托育業務有關的活動都叫他們去參加要動員適當嗎然後語言推廣要求協助推廣什麼什麼語言但沒有任何資源醫藥中心推廣這個合理嗎 |
| transcript.whisperx[430].start |
12022.006 |
| transcript.whisperx[430].end |
12045.208 |
| transcript.whisperx[430].text |
所以我們今天在講的是說沒有明定居托中心的業務執掌仍然停留在一般的原則性規範所以居托中心居托服務中心這個角色這個定位這個功能他要設定成什麼難道不應該要好好的明定出來嗎是不是臨時人力資源所 |
| transcript.whisperx[431].start |
12046.241 |
| transcript.whisperx[431].end |
12066.793 |
| transcript.whisperx[431].text |
當然不是啦 他正經來就要做什麼?正經來就要做什麼?包委員 他應該最主要就是要輔導我們這裡的服務人員去做提供比較好的服務包括 我如果委員報告包括就是說他有時候他要去選去看本來就是那是核心的 核心業務對 沒錯 我委員報告因為這樣 所以我們的卓院長他也很貼心他現在的薪資在去年從3萬 |
| transcript.whisperx[432].start |
12072.397 |
| transcript.whisperx[432].end |
12078.17 |
| transcript.whisperx[432].text |
我現在就是要跟你講來 次長因為到時候修法會再談就是說法律裡面你們的草案都沒有想到 |
| transcript.whisperx[433].start |
12079.13 |
| transcript.whisperx[433].end |
12103.009 |
| transcript.whisperx[433].text |
你們要直接明定化法制化他的業務權責範圍釐清中心他的角色案定位然後讓他正常正規的核心業務訪視人員發揮他的專業確實的去做好訪視工作掌握好托育的品質充分的評估照顧保姆照顧的風險每一個保姆都被看到被訪視被評估了 |
| transcript.whisperx[434].start |
12105.171 |
| transcript.whisperx[434].end |
12114.178 |
| transcript.whisperx[434].text |
才能夠落實真正的居托中心輔導管理居托品質服務的這個制度的初衷現在都在打雜 又臨拖 又叫人去做什麼 去動玩辦那個什麼 辦獎典禮 辦什麼活動都不像話 地方政府都越來越不像話所以我們的草案都有 請你們到時候支持 |
| transcript.whisperx[435].start |
12131.191 |
| transcript.whisperx[435].end |
12146.216 |
| transcript.whisperx[435].text |
感謝委員好 我完全同意啦 保證也常常要支持要蓋下去啊 你的行政院版本都沒想到 都沒這個制度設計 都要把它放下去好 謝謝感謝委員 謝謝好 謝謝蜀芬委員 接下來請劉建國召委發言好 謝謝主席 先請那個CDC的署長請署長 |
| transcript.whisperx[436].start |
12162.482 |
| transcript.whisperx[436].end |
12179.644 |
| transcript.whisperx[436].text |
蘇長要因應疫情再起那相關的防疫的物資應該剛剛聽你的說明跟報告應該都準備就緒嘛是那有預估現在是五月我們就直接講六月七月八月有可能在台灣的確診人數這三個月大致上是多少 |
| transcript.whisperx[437].start |
12180.885 |
| transcript.whisperx[437].end |
12204.29 |
| transcript.whisperx[437].text |
你們有抓出來嗎應該是說我們有針對比較高峰期的那個禮拜大概可能會超過20萬人份一個禮拜就超過20萬人一個禮拜是指六月份的哪一個禮拜六月底七月初六月底七月初好那如果以六月加七月總共可能你們預估會確診的人數是多少 |
| transcript.whisperx[438].start |
12207.583 |
| transcript.whisperx[438].end |
12228.204 |
| transcript.whisperx[438].text |
你不可能只有抓一個禮拜嘛對啊 應該主要還是在這個前後幾週啦那應該是說 呃 可能一抓出一個禮拜將近二十萬人會確診為什麼沒有辦法抓出六到七月這六十天到底台灣人會有多少人在確診八月底的時候有估了大概是一百七十一萬左右 |
| transcript.whisperx[439].start |
12228.664 |
| transcript.whisperx[439].end |
12232.912 |
| transcript.whisperx[439].text |
到8月底有將近170萬人所以等於6、7、8月總共會有180萬人等於每個月將近有30萬人會又被確診 |
| transcript.whisperx[440].start |
12240.552 |
| transcript.whisperx[440].end |
12263.004 |
| transcript.whisperx[440].text |
是這樣嗎?是不是?就最高的時候大概是二十幾萬人次啦你為什麼一直要跟我講最高我在問你六七八嘛那你一下回我一個星期一下就回我到八月底對到八月底八月初的時候是一百七十一萬人左右八月初那等於是六七月兩個月就會有將近一百八十萬人確診喔是差不多是這樣喔?是是是 |
| transcript.whisperx[441].start |
12264.096 |
| transcript.whisperx[441].end |
12287.295 |
| transcript.whisperx[441].text |
就稍微補充一下就因為我們一起來去評估跟CDC這邊食藥署的我們評估起來預估會去就診不進去確診就診的時候我們會會評估要2.5倍的快篩的試劑的量所以預估會去就診因為因為有很多的感冒的有時候是流感不是啊FDA的署長我是在問確診你在回答我就診 |
| transcript.whisperx[442].start |
12288.215 |
| transcript.whisperx[442].end |
12311.146 |
| transcript.whisperx[442].text |
對 就是說我們是利用健保署的那個診斷碼去估那大概就估大概是170萬剛剛我跟您說的就是到8月初的時候大概170萬左右是確診嘛 對不對就是說應該說臨床診斷有包括醫師的診斷還有加上這個快篩陽性的部分是你們有沒有相關的計畫可以降低這樣的確診人數這個部分 |
| transcript.whisperx[443].start |
12313.707 |
| transcript.whisperx[443].end |
12334.497 |
| transcript.whisperx[443].text |
所以我們在昨天記者會有說呼籲民眾自主的戴口罩也就是說到了醫院或是大眾交通工具的部分這個第一個是可以戴口罩那第二個就是在長照機構的部分我們有請長照機構這邊加強注意感染管制的一個措施還有就是說如果可以接種疫苗的話也呼籲長照機構很簡單我的問題也有重點 |
| transcript.whisperx[444].start |
12340.12 |
| transcript.whisperx[444].end |
12360.767 |
| transcript.whisperx[444].text |
如果你們預估從6月、7月到8月初等於是兩個月時間而已啦那你們如果預估可能在台灣有將近高達180萬人確診的情況之下那你們應該趕快提出相關的因應作為跟計畫是不是可以降低這樣的人數嘛因為你看180萬短短兩個月 |
| transcript.whisperx[445].start |
12363.308 |
| transcript.whisperx[445].end |
12372.651 |
| transcript.whisperx[445].text |
你要知道這些醫療機構能夠承載嗎像現在整個醫療的這麼緊迫的情況之下如果這兩個月又面臨到有180萬人去確診這些醫護真的會疲於奔命啊醫療會崩壞啊 |
| transcript.whisperx[446].start |
12380.293 |
| transcript.whisperx[446].end |
12394.733 |
| transcript.whisperx[446].text |
主要還是以在輕症為主啦所以我們在這個呃 診所跟醫院的部分事實上都有提供這個呃 口不開 你不能保護我你不能保護我就要輕症為主啦你保護我這樣就不夠專業吧 |
| transcript.whisperx[447].start |
12396.639 |
| transcript.whisperx[447].end |
12422.098 |
| transcript.whisperx[447].text |
現在台灣的醫療什麼情況我相信你比我都更清楚是部長也更更更應該更應該了解到這個狀況所以現在不是親中症現在議員說我們有呼籲就是如果是就是說你相關的物資都已經齊備你也召開了這個記者會但是你應該要提出一套更積極的作為來應變如何降低這兩個月不要達到180萬的台灣人再度確診community可以吧 |
| transcript.whisperx[448].start |
12422.718 |
| transcript.whisperx[448].end |
12451.177 |
| transcript.whisperx[448].text |
第一個是可以吧可以提出這樣的應用作為降低這樣的確診人數可以吧不要讓台灣的醫療在這兩個月又漫入的黑暗期導致整個醫療崩壞導致很多的醫護到時候又有很多狀況沒有辦法在這個工作崗位持續的守護台灣的國人的醫療健康可以吧可以一個禮拜一內提出來好不好好謝謝兩位請回 |
| transcript.whisperx[449].start |
12452.778 |
| transcript.whisperx[449].end |
12475.63 |
| transcript.whisperx[449].text |
請部長部長我剛剛講這個事情非常重要我也不希望你當了部長之後還在披靡本命在應付COVID-19如果短短兩個月內要去應付180萬即便輕症是70%那代表還有中症跟重症有30%台灣的醫療量能有辦法去應付這樣的事情嗎我們會趕快提出具體的一個策略好 謝謝 |
| transcript.whisperx[450].start |
12477.131 |
| transcript.whisperx[450].end |
12495.886 |
| transcript.whisperx[450].text |
我最好就是不要達到那個數字,數字就對了好不好我這23號,4月23號在委員會提出,跟部長也提醒就是國內的這個醫院被駭客入境的問題非常嚴重對不對那從去年,今年的2、3、4月也都傳出醫院被駭的這個狀況發生我在問的時候,5月6日會不會有相同的情況繼續發生結果又發生了嘛,5月 |
| transcript.whisperx[451].start |
12502.13 |
| transcript.whisperx[451].end |
12524.495 |
| transcript.whisperx[451].text |
虎大醫院這個駭客入侵而且這是自己人內部人員駭進醫院的系統裡面瀏覽病患及醫護人員的個資這是一個個案嗎台灣的醫療防護系統怎麼這麼好入侵啊不僅是中國的駭客看到病患資料連內部員工都有辦法入侵而且還可以隨意瀏覽病患的個資這是聯絡報的一個報導我們的衛福部的資訊處的李處長李處長有在現場吧 |
| transcript.whisperx[452].start |
12531.909 |
| transcript.whisperx[452].end |
12547.458 |
| transcript.whisperx[452].text |
請他出席一下好不好來到台上齁你看齁 他說針對醫院的資訊安全的維護及管理目前外部共列53家關鍵基礎設施的醫院五大醫院並未列入依規定若發生治安問題不須通報 |
| transcript.whisperx[453].start |
12549.884 |
| transcript.whisperx[453].end |
12575.292 |
| transcript.whisperx[453].text |
不須通報李處長,你在哪裡?不好意思,李處長剛剛有來,他10點半換成副處長好,他有事先提出他10點半要離開嗎?有,他有提出,10點半,他有提出10點早委的資料裡面沒有喔有啦,對不起,10點半王副處長嘛,對不對?王副處長,李處長的答覆這樣是對的嗎? |
| transcript.whisperx[454].start |
12580.44 |
| transcript.whisperx[454].end |
12589.026 |
| transcript.whisperx[454].text |
陸域規定發生治安問題不需通報因為虎大不是在53家的關鍵基礎設施的醫院是這樣嗎他可以這樣答覆嗎可以嗎跟委員報告因為依照自通安全管理法只有關鍵基礎設施依照什麼法 |
| transcript.whisperx[455].start |
12601.198 |
| transcript.whisperx[455].end |
12624.267 |
| transcript.whisperx[455].text |
資通安全管理法有明確規範關鍵基礎的這個設施的意願才必須要通報就是它依法需要通報那本部有建立一個資安情勢收集到底要不要通報 明確表達好不好 要不要通報 |
| transcript.whisperx[456].start |
12626.988 |
| transcript.whisperx[456].end |
12649.154 |
| transcript.whisperx[456].text |
這個東西的話就在治安各自法裡面的話要通報的只有那53家醫院所以超過這53家醫院的話這個是不用通報但是我們可以做行政調查所以我們已經請醫事司委託衛生局去給他做行政調查醫生這個辦法規定是除了關鍵基礎設施的醫院需要通報需要一小時之內通報 |
| transcript.whisperx[457].start |
12650.253 |
| transcript.whisperx[457].end |
12675.642 |
| transcript.whisperx[457].text |
一小時內就要通報嘛,對不對?不是就不需要通報?不需要一小時之內,還是要通報所以還是要通報嘛,分作一小時跟一小時之外就對了啦所以你剛剛的解釋,還有包含你們副處長解釋有點奇怪但我裡面寫這麼清楚,你們要這麼對外講法這是你講的沒有錯吧?依規定論發生治安問題不需通報 |
| transcript.whisperx[458].start |
12676.982 |
| transcript.whisperx[458].end |
12681.349 |
| transcript.whisperx[458].text |
你後面才在補一區一個小時內跟一個小時外一個小時以上你們可以這樣對我解釋嗎?你要讓我再問下去嗎? |
| transcript.whisperx[459].start |
12688.62 |
| transcript.whisperx[459].end |
12714.501 |
| transcript.whisperx[459].text |
要不要通報嘛就是說他一小時外的話是要也是應該醫院發生這些事件都應該這是治安問題耶能容許這樣對外隨便講講嗎你有相關的辦法的依據該通報就通報啊然後什麼叫做治安問題不需要通報我覺得這可能解釋的過程中他沒有完整的所以要怪記者 要怪這個報紙 |
| transcript.whisperx[460].start |
12717.322 |
| transcript.whisperx[460].end |
12724.705 |
| transcript.whisperx[460].text |
請部長再開始下轍報導醫院發生這個入侵事件之後還接收到另外的報導說這個院內這個去 |
| transcript.whisperx[461].start |
12732.267 |
| transcript.whisperx[461].end |
12760.346 |
| transcript.whisperx[461].text |
做這樣的一個事件的人是為了競選國會的代表他當用多名醫護人員的戰力幫自己投票同時發現提告後 後續又查出他利用遠端連線 駭進醫院的資料庫連覽病患及醫護人員各自包含第一名某林志明家族內上萬病患的各自恐外線教育部教育部有了吧你們做什麼樣的因應的作為跟處置我倒是教育部管了吧 |
| transcript.whisperx[462].start |
12763.254 |
| transcript.whisperx[462].end |
12791.821 |
| transcript.whisperx[462].text |
府大醫院應該是衛護部吧衛護部管 那就教育部請回 抱歉我想這個可能媒體的報導是不是完全掌握到實際上的情況我相信你府大醫院他們的一個制度一定會因為他們醫院也不是很大所以應該會做立即的處理不應該讓他再繼續使用院內的公務一定要把他塑限 |
| transcript.whisperx[463].start |
12792.878 |
| transcript.whisperx[463].end |
12816.858 |
| transcript.whisperx[463].text |
部長你講的說這個報導應該接近屬實嘛對不對你剛剛答覆我是這樣嘛沒有錯吧好那如果是這樣這可能要再去確認一下他但是你剛剛已經有答覆我這樣了耶沒有我說可能我的意思是可能啦好不好沒關係也就是說可能接近屬實嘛完全掌握到真實的狀況啦是我要表達齁我反而不是針對院方 |
| transcript.whisperx[464].start |
12819.008 |
| transcript.whisperx[464].end |
12822.11 |
| transcript.whisperx[464].text |
我要針對務務部你們的SOP是什麼你們的解釋依據法律的解釋管理辦法的解釋然後產生的SOP是什麼如果這個報導接見屬實還是它是屬於一個屬實這一個醫師人員現在還可以在醫院裡面然後進行這樣持續性的讓病患的個資再外洩 |
| transcript.whisperx[465].start |
12850.275 |
| transcript.whisperx[465].end |
12865.323 |
| transcript.whisperx[465].text |
這個跟委員報告一下我們的SOP,那就是在非關鍵基礎設施醫院的這部分是由醫事師指導衛生局,所以已經第一時間去做行政調查醫事師主導,醫事師要調查,醫事師市長請上來,你主導了嗎?你調查了嗎? |
| transcript.whisperx[466].start |
12871.804 |
| transcript.whisperx[466].end |
12900.297 |
| transcript.whisperx[466].text |
我要講補充的是我們發文給新北市衛生局這邊就醫院管理這邊做調查然後因為各自的洩漏的部分的話醫院的全責主管機關我們這邊會督導衛生局做調查做事件後面的調查為什麼說發文事件當天其實就發文下午我們也是見報之道的我們就是下午當晚的時候發文然後那目前只知道這一個員工目前是停職的狀態 |
| transcript.whisperx[467].start |
12901.798 |
| transcript.whisperx[467].end |
12908.884 |
| transcript.whisperx[467].text |
事件發生之後你們就發文了你等一下把那張公文傳給委員會做參考可以好然後你什麼時候督導 |
| transcript.whisperx[468].start |
12910.373 |
| transcript.whisperx[468].end |
12927.52 |
| transcript.whisperx[468].text |
因為現在調查回來的東西我們還沒看到所以我們會再問一下衛生局目前然後可是衛生局初步的回報因為檢調機關已經進入調查所以他們現在手邊有的東西這個地方我會再確認檢調單位調查是檢調單位要調查嘛你們的行政調查還是該啟動嘛你們該督導還是該督導嘛對不對沒錯 |
| transcript.whisperx[469].start |
12933.749 |
| transcript.whisperx[469].end |
12950.974 |
| transcript.whisperx[469].text |
部長 我在這邊具體的建立好不好 要求大致三項是不是重新檢視這整個資安通報制度不論規模 只要病患擱置外泄餘力就必須要進行資安的通報依照辦法也是如此至於一個小時以內 一個小時以上 |
| transcript.whisperx[470].start |
12951.754 |
| transcript.whisperx[470].end |
12968.44 |
| transcript.whisperx[470].text |
我想可能要修吧那第二個同時衛生部及地方衛生局在接為醫療院所治安通報之後整個應變機制及醫院醫療院所要進行的應變措施也必須重新檢討是可以啊可以兩周內是不是可以提出相關報告好沒問題好謝謝 |
| transcript.whisperx[471].start |
12969.48 |
| transcript.whisperx[471].end |
12996.832 |
| transcript.whisperx[471].text |
好,其他請回,最後,最後對不起,主席抱歉,因為剛才黃先生、張偉有特別跟部長在之前已經有聚焦過,台灣論不定撤銷一個兒少專者單位嘛,那部長也有做一些回應嘛對不對,但是到現在就是還沒有看到具體的這個,這個,就是誇出這一大步嘛,就是沒有嘛,顯然沒有就會出問題,剛剛黃偉也特別引用嘛齁,確實是容顏, |
| transcript.whisperx[472].start |
12998.5 |
| transcript.whisperx[472].end |
13004.525 |
| transcript.whisperx[472].text |
農年台灣的出生寶寶是3萬,你知道12年前的農年台灣出生寶寶是多少嗎?部長知道嗎?12年前的農年啦12年前喔?超20萬嗎?應該不難嘛我看不難啦你都不知道 |
| transcript.whisperx[473].start |
13025.717 |
| transcript.whisperx[473].end |
13047.482 |
| transcript.whisperx[473].text |
衛生部有一個兒少的單位專門在注意這個出生率的嗎?衛生部出生率是國發部沒有錯啦,國發會衛生部要來照顧這些兒童基本上年十二年前的熔岩的出生率出生人數是多少都不清楚 |
| transcript.whisperx[474].start |
13050.593 |
| transcript.whisperx[474].end |
13057.661 |
| transcript.whisperx[474].text |
你不要說差不多20萬,原本是26萬的,除了6萬你找到多少?19萬19萬是2年啦,12年前的2年啦,剛才說差不多20萬啦,也有1萬也有22萬啦現在剩19萬,第二年剩幾萬? |
| transcript.whisperx[475].start |
13069.963 |
| transcript.whisperx[475].end |
13075.004 |
| transcript.whisperx[475].text |
從小嬰一直到賴總統甚至要進入到2.0那如果我們看到手指化整個這樣的一個脈絡出生率降低的速度之快 |
| transcript.whisperx[476].start |
13095.11 |
| transcript.whisperx[476].end |
13122.835 |
| transcript.whisperx[476].text |
衛務部會攔此其咎這其一那其二要成立這個專責單位不是現在才講而且剛剛洪偉特別是提到這個已經很多人講過了我要跟部長講大致上你可以看我們多麼凌亂過去內政部還有個兒童局對不對主改之後創到沒了就中間了然後變到社家屬之後看起來好像是社家屬是兒童業務的單一窗口但是其實兒少的業務是很複雜的 |
| transcript.whisperx[477].start |
13124.855 |
| transcript.whisperx[477].end |
13146.866 |
| transcript.whisperx[477].text |
這個我想旅策也很清楚0到2歲這個大家都很清楚兒童同意服務社家屬管2到6歲幼兒園變教育部管兒童安置是社家屬管兒內又變成保護師管對不對然後凱凱安跟副長從社家屬保護師到地方政府都有份甚至以負責凱凱收出養的兒護聯盟以他進來是歸教育部管的文教單位你覺得有複雜嗎 |
| transcript.whisperx[478].start |
13151.195 |
| transcript.whisperx[478].end |
13158.583 |
| transcript.whisperx[478].text |
我一直說那個孩子,那個孩子是我們的社會安全網有接到的,不是沒有接到,結果接到之後生命又放棄了。所以,內政部還有一個稍委會,警事務署還有一個副優隊, |
| transcript.whisperx[479].start |
13167.267 |
| transcript.whisperx[479].end |
13190.558 |
| transcript.whisperx[479].text |
你看 花幾個部會 花幾個機關啦齁這個問題我要給部長跟次長做參考我想你們都很用心的在為台灣的醫療在示威去發聲了嘛那我們現在為兒少更積極一點嘛 也可以借鏡日本在2013年喔 對不起2023年他其實是 他已經整合了叫做兒童家庭廳 |
| transcript.whisperx[480].start |
13192.88 |
| transcript.whisperx[480].end |
13213.613 |
| transcript.whisperx[480].text |
他之前一樣他兒童的相關的保護照顧的業務也分散在他們的這個文部科學省後生勞動省內閣府警察廳跟我們現況差不多啦跟我們現況差不多但是畢竟在兩年前已經正式整個完成叫做兒童家庭廳有其必要吧 |
| transcript.whisperx[481].start |
13216.328 |
| transcript.whisperx[481].end |
13228.971 |
| transcript.whisperx[481].text |
有其必要來依據這樣的一個參考不然你看社交組社交能力的分配女士應該會很累社交組署長也應該會很累老人福利組12個人身心障礙福利組18個人婦幼18個人兒少17個人家庭支持組21個人一個兒少出生率越來越低只有17個人 |
| transcript.whisperx[482].start |
13245.057 |
| transcript.whisperx[482].end |
13268.916 |
| transcript.whisperx[482].text |
一個老人越來越多2021已經生不如死現在已經賴到超高齡社會百分之二十、六十五歲以上的老人人口快速結構的轉變專門在照顧這個最弱勢的老人、兒童、婦女、身障朋友的一個社會家庭署竟然才各組的分別才多十幾個人這不在應付啦這不在處理事情啦 |
| transcript.whisperx[483].start |
13276.677 |
| transcript.whisperx[483].end |
13299.293 |
| transcript.whisperx[483].text |
我請部長還有次長是不是盡快引領應該是一個月內是不是可以參照日本的做法來因應台灣要照顧更多的兒少讓這個專責單位趕快成立起來哪怕它是一個三級機關哪怕它是一個部會你只要一發動我想所有的委員都會幫你去跟行政院阿Q這件事情 |
| transcript.whisperx[484].start |
13300.254 |
| transcript.whisperx[484].end |
13315.058 |
| transcript.whisperx[484].text |
是 可以吧可以 我們覺得這個是非常必要的好而且一直真的積極在人力中好 一個月內喔嘿 好這樣才代表積極嘛 好不好好 謝謝部長 謝謝次長 謝謝各位好 謝謝陸委員好 接下來請陳培育委員來做巡檔 |
| transcript.whisperx[485].start |
13335.066 |
| transcript.whisperx[485].end |
13362.922 |
| transcript.whisperx[485].text |
謝謝主席 那有請部長 部長在走上台的時候我要感謝建國委員剛剛對於兒少的關心 而且你舉了日本的例子非常棒 謝謝好 部長你剛剛回應建國委員說一個月內會研議嘛 部長我跟你報告在行政院兒少權益推動小組列管事項114年4月21列案當中不知道是誰把成立兒童家庭支部會最後狀態叫做未列管 |
| transcript.whisperx[486].start |
13364.355 |
| transcript.whisperx[486].end |
13383.403 |
| transcript.whisperx[486].text |
所以在行政院那邊耳哨權益推動小組他們沒有列管這件事情那如果衛福部真的如同剛剛建國委員的建議你們一個月內要研議我覺得在這個相關的機制上可能要討論一下對 次長應該知道我在講什麼我們那個耳哨權益推動小組裡面好 回到推法裡面我今天想要談 |
| transcript.whisperx[487].start |
13384.443 |
| transcript.whisperx[487].end |
13407.67 |
| transcript.whisperx[487].text |
在CRC國內法化之後我們確實需要明確的法律來確保每一個兒少在不同的生命經驗點或者是遇到意外的時候不管是家庭不管是學校不管是社區我們如何透過法制化的規範跟資源的撥補接住所有的小孩這是CRC國內法化之後最重要的精神對不對 |
| transcript.whisperx[488].start |
13409.627 |
| transcript.whisperx[488].end |
13420.697 |
| transcript.whisperx[488].text |
那確實衛福部在這幾年當中也確實做了非常多資源的盤點包含人力啦包含資源然後可是我現在遇到一個很大的問題我相信次長會部長你一定都非常清楚 |
| transcript.whisperx[489].start |
13422.555 |
| transcript.whisperx[489].end |
13445.615 |
| transcript.whisperx[489].text |
從凱凱愛我們可以看見 其實台灣這幾年的社會環境讓脆家越來越多那脆家越來越多有很多原因 我們沒有辦法系統性的去盤點可是我們回過來看結果 結果就是脆家裡面出現的孩子們越來越多照理說照顧這些來自脆家的小孩的責任政府絕對不能推卸 對不對 |
| transcript.whisperx[490].start |
13447.036 |
| transcript.whisperx[490].end |
13472.385 |
| transcript.whisperx[490].text |
邏輯上是這樣 就是我這張兒童權利公約所以為什麼我要從兒童權利公約開始講意思就是說國內法化後我們政府規定我們政府自己透過法律 透過預算 透過人力我們讓這些小孩被我們照顧可是政府不可能蓋這麼多安置機構接住這些退家的小孩所以凱凱才會被送到保母家居托中心的保母家部長跟次長我要跟你們報告一個現況現在是這樣 下一張 |
| transcript.whisperx[491].start |
13474.506 |
| transcript.whisperx[491].end |
13502.101 |
| transcript.whisperx[491].text |
這些退家的小孩大部分會被放到安置機構去我們先不管安置機構跟所謂的家庭化式的照顧的差異我們先來看現在所有安置機構的困境因為這些安置機構的困境會展現在會投射在他們服務的小孩身上現在的困境是有關於照顧人力比的部分目前我們的規定設置標準22支一條不管是保育員或是生扶員的照顧是1比6 |
| transcript.whisperx[492].start |
13502.961 |
| transcript.whisperx[492].end |
13526.233 |
| transcript.whisperx[492].text |
就是一個大人要照顧六個小朋友很困難啊 柏定是你覺得呢我自己一個人顧我們家兩個小孩我就陰陰外外更何況這些來自翠家的小孩他可能原本就有一些身心狀況是在他的家庭裡面累積出來的孩子也不願意帶著這些身心狀況去到安置機構但事實上就是如此 |
| transcript.whisperx[493].start |
13526.733 |
| transcript.whisperx[493].end |
13552.132 |
| transcript.whisperx[493].text |
所以這些安置機構裡面的小孩他們要1比6的狀況下去照顧那我們看到孩子的困境我們回過來想我們大人可以怎麼幫忙大人讓照顧這些小孩的大人可以有一些餘裕所以我剛剛跟你提到1比6目前我們的規定生保員24小時都要在因為這些孩子需要被照顧可是如果符合勞基法我們要聘2到3倍以上的人力去輪班所以一個機構絕對不會只有一個或兩個 |
| transcript.whisperx[494].start |
13554.801 |
| transcript.whisperx[494].end |
13566.032 |
| transcript.whisperx[494].text |
申報員不管是保育員或是申服員至少拼3到4個可是衛福部現在給我們的申請補助項目跟基準裡面只補助1.47倍的人力而且每一個人只補19000那甚至呢這些補助還設下條件條件一機構要自籌18000二機構進駐率要高於50% |
| transcript.whisperx[495].start |
13576.98 |
| transcript.whisperx[495].end |
13599.949 |
| transcript.whisperx[495].text |
部長 次長好了 那我們請次長回答次長你對這個非常熟悉 好不好次長你聽懂我的困境了嗎我了解 完全了解那我跟委員報告 現在確實因為營運最佳的這一個小朋友提安置的這個部分一定要改善那我跟委員報告 您剛剛所說的整個 我們現在目前人力比我們現在目前1比6對不對我們現在已經準備要把它調為1比4這是第一個等一下 什麼時候什麼時候 |
| transcript.whisperx[496].start |
13603.302 |
| transcript.whisperx[496].end |
13615.046 |
| transcript.whisperx[496].text |
我很開心聽到這個我們現在正在修那個執法我跟委員報告其實之前我跟那個我們衛衛委員會那邊有去南投那邊是是是那個陳丑家園那邊我剛剛說過 |
| transcript.whisperx[497].start |
13619.207 |
| transcript.whisperx[497].end |
13620.348 |
| transcript.whisperx[497].text |
現在我們會引導地方政府趕快訂安置費用的分級補助標準 |
| transcript.whisperx[498].start |
13641.11 |
| transcript.whisperx[498].end |
13658.963 |
| transcript.whisperx[498].text |
分級分類我等一下跟你討論專業服務費這個裡面如果說是那個一般性個案的話兩萬塊但是呢 特殊需求我們現在要提款三萬八千八百九十倍這個是你要叫地方政府出的嗎你第一個把然後他要出這個錢還是你們為服務費補助 |
| transcript.whisperx[499].start |
13665.024 |
| transcript.whisperx[499].end |
13679.673 |
| transcript.whisperx[499].text |
對 安置費用是那個地方政府編列啦對啦 事情就是這樣 因為它是委員你意思是說可能我們現在中央這邊也要代理到什麼方法沒關係因為我知道財化法之後一定下去就是明年開始嘛財化法下去之後地方政府有沒有人意識到這個事情 |
| transcript.whisperx[500].start |
13681.554 |
| transcript.whisperx[500].end |
13706.305 |
| transcript.whisperx[500].text |
但是我覺得我們要強力的協助地方政府真的可以達成你剛剛說這個美好的目標不過我認為補助人數補助金額還有減少不必要的補助條件你剛剛規定他要自籌一萬八然後進駐率還要高於50%我覺得這個要調整啦為什麼進駐率因為我們希望孩子們是回到累加的狀態比較多然後離開機構越來越多嘛我們是往這個方向推進不是嗎我們等次長跟幕僚討論一下 |
| transcript.whisperx[501].start |
13707.125 |
| transcript.whisperx[501].end |
13720.954 |
| transcript.whisperx[501].text |
包委員那個簡單那個委員剛剛提到就是說50%的部分這個我覺得這個也不合理所以我們現在這部分會嚴厲把它刪除太好了另外第二點您剛剛所說的沒錯地方政府他是負責安置費用但是剛剛說的專業服務費的補助這是中央中央我們會來支持 |
| transcript.whisperx[502].start |
13726.098 |
| transcript.whisperx[502].end |
13730.384 |
| transcript.whisperx[502].text |
但是地方的它也必須要有一些成效我認同所以我們後續來討論細節我今天先把問題提出來但是我很開心先聽到1比6比1比4再來分級分類下一張就是我剛剛跟你說的 |
| transcript.whisperx[503].start |
13740.919 |
| transcript.whisperx[503].end |
13766.82 |
| transcript.whisperx[503].text |
分級分類你們確實現在有做嗎你們有分正常或輕微或是明顯心理障礙或是嚴重心理說實話這個分類很rough啦那它其實可能也不是用於現場而且我認為這個分類可能沒有辦法太仔細照顧我們的孩子那甚至我想要拜託次長你回去研議你剛剛跟我說1比6要變成1比4對不對可是說實話我們如果遇到從翠家出來的孩子有嚴重的身心狀況其實1比4loading都還是太重對不對 |
| transcript.whisperx[504].start |
13768.201 |
| transcript.whisperx[504].end |
13792.726 |
| transcript.whisperx[504].text |
你可以想像嘛而且當有一個特殊狀況情緒的孩子他發作的時候通常可能兩三個生保員就要跑去照顧這個小孩然後雖然他們同時間在機構裡面的那個人力比是符合的但是因為為了照顧這個小孩其他小孩就被落在一邊這是現場很不得不的狀況也不是生保員的錯所以我這邊要強力的要求我們辦公室很願意陪衛福部一起討論甚至跟很多民間團體討論 |
| transcript.whisperx[505].start |
13793.846 |
| transcript.whisperx[505].end |
13819.769 |
| transcript.whisperx[505].text |
一個是分級分類必須要兼顧到所謂心理情緒行為問題的小孩假設機構裡面有報出來很多這樣的案我所謂的報就是陳報這個數字上來陳報這個數字上來給地方政府給衛福部我們要如何去研議協助這些收了很多身心狀況比較大的孩子的機構因為他們的人力比確實就必須要個案性的調整但是地方政府有沒有這個意識我相信從衛福部開始很重要 |
| transcript.whisperx[506].start |
13820.209 |
| transcript.whisperx[506].end |
13832.214 |
| transcript.whisperx[506].text |
因為衛福部訂定相關法規範讓地方政府去遵守我覺得是重要的我們有沒有機會往這個方向去看包委員完全同意這個方向確實我那時候去看有一些孩子說那是男子兒那甚至說那個年紀他那個都拔掉了那我看了你怎麼可能說一比四可能一比一可能 |
| transcript.whisperx[507].start |
13845.981 |
| transcript.whisperx[507].end |
13869.234 |
| transcript.whisperx[507].text |
所以我完全同意這個洪湧我們會全力我們來把安置機構的教養環境我們來好好處理好那還是回到那一張啦CRC公約說我們要照顧這些這些都是國家的小孩他只是家庭暫時出了狀況有一天我們都希望孩子可以回到原生家庭那關於安置機構其實我們還有很多問題時間有限我尊重主席我們後續還有很多安置機構狀況一起討論謝謝主席 |
| transcript.whisperx[508].start |
13871.235 |
| transcript.whisperx[508].end |
13888.973 |
| transcript.whisperx[508].text |
好謝謝陳培文委員謝謝部長好謝謝委員會在這邊做宣告我們大約12點40會休息到下午2點然後等一下的質詢會到張雅玲委員這個催省完畢之後就進行休息謝謝接下來請李燕秀委員來做選擇 |
| transcript.whisperx[509].start |
13897.155 |
| transcript.whisperx[509].end |
13899.242 |
| transcript.whisperx[509].text |
感謝周偉,我是不是可以請邱部長 |
| transcript.whisperx[510].start |
13904.591 |
| transcript.whisperx[510].end |
13924.698 |
| transcript.whisperx[510].text |
委員長部長好 部長 近兩年我們的兒孽事件其實平凡 非常的平凡這一位我們在法律面跟制度面我們沒有辦法把我們社安網建置的更完整所以我前一陣子 前幾天 上個星期我在司法法治委員會有提出來幾個問題點 就是說未來我們如何發揮事前的預防兒孽還有事中 |
| transcript.whisperx[511].start |
13933.041 |
| transcript.whisperx[511].end |
13951.689 |
| transcript.whisperx[511].text |
我們如何及早的發現還有包括事後我們如何嚴懲不罰我覺得在這三項這三個層面上政府跨部會我們應該有更多具體的做法包括兒童權利公約也要求政府要保護兒少不受任何形式身心暴力的影響跟傷害我要請問部長 |
| transcript.whisperx[512].start |
13955.47 |
| transcript.whisperx[512].end |
13982.593 |
| transcript.whisperx[512].text |
就是說對於這兩年我們常常在媒體上看到兒女的事件你對於目前跨部會整體制度你覺得兒少的保護你敢不敢打分數謝謝委員尤其是經費委員對兒少保護的一個關心那我想這幾年來的確跨部會都一直在合作努力在做這件事情部長那我請旁邊的委員你到底給兒少制度保護你現在打幾分 |
| transcript.whisperx[513].start |
13983.334 |
| transcript.whisperx[513].end |
13997.63 |
| transcript.whisperx[513].text |
報告委員我們這個永遠不可能完美而且還有很多我們一定要來精進改進你不能每次都跟我說發生一個兒童事件你每一次都回答我同樣的問題我們不進則是退我們現在變成兒童的保護是一直在鬥退路所以我剛才提出來是前是終是後我們到底該做什麼 |
| transcript.whisperx[514].start |
14005.538 |
| transcript.whisperx[514].end |
14015.56 |
| transcript.whisperx[514].text |
包括我們今天法案的草案的討論我們看到兒童保護的件數從110年起到113年每一年逐年增加包括在托育的場域每一年的數字也是在增加所以當父母當媒體社會大眾在討論這些問題的時候我們有權利的人我們在法制面應該做更完整的人我們長期在喊社安網要做得更好的人我們到底做了什麼所以我才說 |
| transcript.whisperx[515].start |
14034.225 |
| transcript.whisperx[515].end |
14034.788 |
| transcript.whisperx[515].text |
我們這樣分數是不及格的 |
| transcript.whisperx[516].start |
14037.191 |
| transcript.whisperx[516].end |
14064.33 |
| transcript.whisperx[516].text |
對於所有社會大眾來講我們是不進則退 我們是逗退盧所以在上個禮拜司法法治公聽會當中我提出五項建議包括我們應該要成立兒少的保護專責部會包括兒少保護的業務應該有專責的公務人員我很不喜歡尖人東尖人一個 西尖人一個這變成沒有一樣業務做得好我想部長應該同意我的說法 |
| transcript.whisperx[517].start |
14065.211 |
| transcript.whisperx[517].end |
14088.361 |
| transcript.whisperx[517].text |
第三個就是說我們目前還沒有在專責單位之前我們的社安網到底怎麼樣補足會不會在還沒成立之前有漏洞啊我們照顧兒童社安網不應該有任何閒置的時候就是不應該有任何漏洞跟空間我想你一定同意我的說法部長我也聽到院長 卓院長承諾說未來要規劃成立兒少保護的專責單位我們到底有沒有時間表 |
| transcript.whisperx[518].start |
14093.681 |
| transcript.whisperx[518].end |
14114.075 |
| transcript.whisperx[518].text |
有沒有 有討論過沒有 行政院部長有對話想 還是市長你要回應我報告委員 我想這個部分行政院是很重視所以一直有在看整合時間表是什麼時候 還是誰可以回應我部長我不要求你 因為下面應該是有專責人還是誰可以回應我 有沒有專責 有沒有時間表 |
| transcript.whisperx[519].start |
14117.198 |
| transcript.whisperx[519].end |
14136.438 |
| transcript.whisperx[519].text |
專責單位很重要如果對於兒少的保護永遠是堅韌我覺得很多事情都沒有辦法做得很好雖然這些事情是重要的但是我們剛剛看到那個數字是越來越多兒少的兒孽的事件數開案數包括兒少的保護個案件數在托育的場所裡面數字都是增加的 |
| transcript.whisperx[520].start |
14137.694 |
| transcript.whisperx[520].end |
14146.626 |
| transcript.whisperx[520].text |
我們現在還有兒童是越來越少我們重點是職日如何照顧得更好部長我不是在跟你吵架我是看這個數字我很心急所以時間有那個時間表因為牽涉到 |
| transcript.whisperx[521].start |
14155.305 |
| transcript.whisperx[521].end |
14180.421 |
| transcript.whisperx[521].text |
主持的改造主持編制要調整所以我才問你說 你是要三年還是五年沒關係你都知道三年五年中間還沒成立之前這個空窗期我們怎麼辦這個是我要問你的問題啊我覺得應該最近就有具體的一個成果會呈現所以下個會期要送主持調整嗎還是說明年 還是後年 |
| transcript.whisperx[522].start |
14181.755 |
| transcript.whisperx[522].end |
14190.399 |
| transcript.whisperx[522].text |
我們希望不要到明年後年以後啦下個會期就要送進來組織調整所以下個會期就要成立專責單位我們很積極在把所有的各 譬如說我們衛務部就有七八個單位都有負責兒童嘛那這總之中間怎麼樣但是我們不是過兒童你剛才調的也是過的長照我今天問題很多啦所以你今天回答我的就是下個會期你們就要做組織的編制的調整 |
| transcript.whisperx[523].start |
14211.325 |
| transcript.whisperx[523].end |
14231.252 |
| transcript.whisperx[523].text |
我們現在已經在處理了已經在處理 下個會期要想辦法送進來我們會盡力啦你如果沒給下面的一個時間表要拖到明年可能我都還看不到咧所以你自己給你自己單位部會的時間要求是什麼你做事情是總是這樣嘛你做部長你總是說我明年要求你們送出來他才會去調整那個時間我們來克服一些困難來努力應該希望下個會期有 |
| transcript.whisperx[524].start |
14239.588 |
| transcript.whisperx[524].end |
14268.767 |
| transcript.whisperx[524].text |
目標是下個會議部長謝謝你的回應我接下來問因為現在兒童兒少的保護民間的倡議的政策跟衛福部的回應有相當的落差包括我們要成立兒女專職的社工還有建制仿試員提升辨識的能力這三項都是重要的但是我們衛福部的回應是加爆法我們已經有成立專業能源還有包括仿試員你回應的對照是說我們已經有專責醫生 |
| transcript.whisperx[525].start |
14269.808 |
| transcript.whisperx[525].end |
14284.989 |
| transcript.whisperx[525].text |
我們知道專責醫生他有專職醫生的專責幼兒的專責醫師的照護制度他有一定的功能在訪視員是對於中高的脆弱家庭他平常去看他可以看到一些問題到專責醫生是 |
| transcript.whisperx[526].start |
14287.812 |
| transcript.whisperx[526].end |
14293.557 |
| transcript.whisperx[526].text |
她有到醫院去 她有到診所去 她才看到問題所以我們現在衛福部對於兒少保護包括民間倡議團體他們的要求我覺得我們是 我們沒有在對等的衛接上對話而且我們是雞同鴨講 |
| transcript.whisperx[527].start |
14308.35 |
| transcript.whisperx[527].end |
14316.535 |
| transcript.whisperx[527].text |
那第三個包括提升辨識能力你們回答說我們已經規定相應的訓練課程沒錯我們現在有對應的相應課程我們現在提升兒女的辨識能力我們有社工的訓練計畫第一年就是要上完19個小時那在第一年受訓完之後我們每一年要再回來上課20個小時但是這個計畫8年過去了我們的兒女的 |
| transcript.whisperx[528].start |
14334.386 |
| transcript.whisperx[528].end |
14346.575 |
| transcript.whisperx[528].text |
狀況漏接的事件還是頻傳所以我才提到說我們提升辨識能力這一項應該想辦法再精進提升這個是第三點民團倡議的這些問題我覺得我們應該對準聚焦我們才有辦法未來專責單位成立的時候真正解決我們的問題你提到說我們有專責醫生制度 |
| transcript.whisperx[529].start |
14357.543 |
| transcript.whisperx[529].end |
14373.519 |
| transcript.whisperx[529].text |
他要的是我們見識更多的訪視員的去做一些管理對個案高風險群或中風險群有機會脆弱家庭我們有一些資訊在手上這跟專責醫生制度是不一樣的我想部長你應該聽得懂我的意思 |
| transcript.whisperx[530].start |
14374.92 |
| transcript.whisperx[530].end |
14395.781 |
| transcript.whisperx[530].text |
所以我覺得這是重點啦我們對兒小保護我們都非常關心我們都希望可以有更多具體的做法不要漏接任何一個孩子所以我今天提出來這些建議我希望部長競速的還沒成立專責單位之前可不可以在兩個月之內回應我等於回應所有民間團體怎麼樣去處理這個問題好我最後30秒 |
| transcript.whisperx[531].start |
14398.581 |
| transcript.whisperx[531].end |
14410.735 |
| transcript.whisperx[531].text |
部長之前你我都在當立法委員在同一個未還委員會的時候我們提出來額略事件我們要求就是說要把雲端的這些攝影及時的一些相關的記錄可以上傳 |
| transcript.whisperx[532].start |
14413.979 |
| transcript.whisperx[532].end |
14433.277 |
| transcript.whisperx[532].text |
那現在我們在這次修法當中影像上傳我們終於入法這件事情我是給予肯定的但是我要提問一個問題就是說未來影像上傳的一些資料的儲存未來我們到底會採定時上傳方式還是即時串流的監控這兩個事情是不一樣的喔部長 |
| transcript.whisperx[533].start |
14434.338 |
| transcript.whisperx[533].end |
14456.764 |
| transcript.whisperx[533].text |
上傳是我所有的幼兒診所 幼兒場域我所有的影片都上傳我們不一定會及時看到一些問題但是我如果有及時串流有專責人10個人20個人30個人在觀看我抽看抽看所有的幼兒場域這些他可能會在照顧的部分更謹慎小心或自己的內控 |
| transcript.whisperx[534].start |
14458.024 |
| transcript.whisperx[534].end |
14486.319 |
| transcript.whisperx[534].text |
更完整所以我要請問部長您現在你們內部想做的做法到底是採定時上傳方式還是即時串流的監控方式來去做後續的處理好謝謝我想理事回答一下報告委員我們現在本部我們現在目前所採取的是定時是定時上傳的方式那我就要提醒你定時上傳還是有它的漏洞在就是發生問題的時候再調照片回來看調影片回來看是是是 |
| transcript.whisperx[535].start |
14486.679 |
| transcript.whisperx[535].end |
14509.308 |
| transcript.whisperx[535].text |
這跟家長的期待還是有一點落差那這個部分怎麼樣去補足我希望你們去做思考我站在一個母親的立場我們希望每一個孩子值都照顧得好所以我提醒你們這件事情後續怎麼樣去補足我當然希望是串流但是怎麼去做我希望你們去思考一下 謝謝非常感謝李委員 謝謝謝謝李委員的詢問 謝謝部長接下來請黃婕委員來做詢問 |
| transcript.whisperx[536].start |
14522.298 |
| transcript.whisperx[536].end |
14525.119 |
| transcript.whisperx[536].text |
好 謝謝主席 我們請部長來 請邱部長委員好好 部長好因為這個推專法其實大家都非常期待那其實早上提案說明的時候我已經有強調我的重點了除了這個保母的祭典制大家比較有共識之外當然我希望真的審查的時候這個保母祭典制大家可以盡快的通過了 |
| transcript.whisperx[537].start |
14545.103 |
| transcript.whisperx[537].end |
14566.121 |
| transcript.whisperx[537].text |
那除了保姆祭典制我也要講一下就是這個借殼上市甚至可以說他是借屍還魂的這種機構到底要怎麼處理我不知道早上我突然提完說明之後我們衛福部是不是已經心裡有底其實在此之前我也都跟衛福部有私下先做過了解就是這種到底要怎麼樣在法律中 |
| transcript.whisperx[538].start |
14567.081 |
| transcript.whisperx[538].end |
14581.278 |
| transcript.whisperx[538].text |
補起這個漏洞這件事情真的非常重要那我還是再簡單說明一下這樣子的樣態他們違法樣態到底是什麼因為其實我五年前在高雄市就已經處理過了那當時這個陽性的負責人他就是自己 |
| transcript.whisperx[539].start |
14582.118 |
| transcript.whisperx[539].end |
14607.291 |
| transcript.whisperx[539].text |
涉及虐因那當時這個機構當然立刻把他廢止了然後這個負責人也不可以再執業了可是呢過了五年他重啟爐灶藉殼上市之外他是直接請他的先生去申請擔任這個負責人然後我其實私下問過我們地方的社會局說欸這不就是當初那個太太已經是明顯有虐因甚至是你沒給他廢止了嗎怎麼這個時候又發照給他 |
| transcript.whisperx[540].start |
14610.453 |
| transcript.whisperx[540].end |
14620.405 |
| transcript.whisperx[540].text |
然後他跟我說沒辦法與法無懼啊法律上沒有任何的依據可以阻止他去申請這個設立所以他們雖然知道說有風險但他們還是發照給他了也就是說五年之後這個托孕機構他又在原址喔 |
| transcript.whisperx[541].start |
14629.535 |
| transcript.whisperx[541].end |
14641.144 |
| transcript.whisperx[541].text |
重新開業結果這個負責人他偷偷跟人家借名字在裡面繼續照顧嬰兒結果五年後又有一批家長出來爆料說哇他又虐嬰了 |
| transcript.whisperx[542].start |
14642.768 |
| transcript.whisperx[542].end |
14658.99 |
| transcript.whisperx[542].text |
怎麼辦他就說他們還是會去法律處理啊處理什麼偽造文書因為他實質是借別人的名字在行托育之實嘛結果他變成只能用這種偽造文書的方式去處理這個實質在行虐因二度虐因的這個負責人 |
| transcript.whisperx[543].start |
14660.552 |
| transcript.whisperx[543].end |
14681.322 |
| transcript.whisperx[543].text |
那這種該怎麼辦呢所以在我的版本裡面其實從事前防堵事中的監管到事後的懲罰我都有列在裡面當然這可能會有一點爭議爭議在於說你不能去傷害到無辜的人就例如說他先生沒有虐因啊是他太太虐因可是他先生開了這個機構為什麼不行 |
| transcript.whisperx[544].start |
14684.003 |
| transcript.whisperx[544].end |
14710.703 |
| transcript.whisperx[544].text |
這就是我們要很細緻的處理說那明明知道他是有風險的可不可以事前審核的時候有一些讓他可以裁罰或者是說設立的標準以及你即便真的因為你不能影響人家的自由嘛他先生是沒有這樣子的前科的那你發照給他之後他開立了但他太太不能出現在這個園區啊他明明就是有虐嬰之時的人有前科的 |
| transcript.whisperx[545].start |
14711.303 |
| transcript.whisperx[545].end |
14729.729 |
| transcript.whisperx[545].text |
那這種他應該就要讓我們地方社會局有機會去加強去監管所以以上這就是我在這一次修法裡面很細緻的想要把它放進去的條文那我在這邊就是請教部長的意見對於這樣子的樣態你們有沒有去了解過因為我發完之後 |
| transcript.whisperx[546].start |
14730.569 |
| transcript.whisperx[546].end |
14742.594 |
| transcript.whisperx[546].text |
一堆家長來跟我說 欸其實不只高雄欸什麼台中也有 台南也有全台灣這種藉口上市的拖音機構但是過去有不良記錄的多的是那這種樣態大概怎麼辦 |
| transcript.whisperx[547].start |
14744.301 |
| transcript.whisperx[547].end |
14773.287 |
| transcript.whisperx[547].text |
所以委員我想委員提出這些訴求真的是比較精緻化而且比較公平啦就是說不會說有些人沒有這樣子不能做但是絕對不能借和尚事或者是借屍還魂都做一樣,現在的人也要照顧我想這個我們要精細的來規範來把在法律上能夠做一點處理我想這樣才是法的一個用意 |
| transcript.whisperx[548].start |
14774.226 |
| transcript.whisperx[548].end |
14791.987 |
| transcript.whisperx[548].text |
那是不是請比較有進行這個條文相關業務的人可以說明一下就是你們對於這樣樣態的了解的程度以及接下來如果我們接下來討論修法的這些文字的話是不是就是可以叫我的版本或是你們有什麼建議 |
| transcript.whisperx[549].start |
14793.368 |
| transcript.whisperx[549].end |
14822.646 |
| transcript.whisperx[549].text |
跟委員報告其實在這樣的一個問題上面其實怎麼樣去精準的限制這樣的一方面精準的限制藉口上市但是同時同樣的困擾就是怎麼樣去避免傷及無辜那這邊怎麼樣去平衡其他中間最困難的一個點是實質去認定前後的例如說申請的經營者他中間有實質上的關聯那這個在行政上的時候這個是目前上我們碰到最大的一個需要突破的地方 |
| transcript.whisperx[550].start |
14823.166 |
| transcript.whisperx[550].end |
14844.696 |
| transcript.whisperx[550].text |
那這個後面在討論的時候目前我們所查證到相關的法規裡面我們所知道好像只有在健保在做特約的時候有一些類似的規定但是這個同樣也面臨到這個規定定下去之後會不會有傷及無辜的問題這邊其實確實是有一個兩難的狀況那所以他需要一個比較細緻的討論 |
| transcript.whisperx[551].start |
14845.856 |
| transcript.whisperx[551].end |
14865.26 |
| transcript.whisperx[551].text |
所以這個要拜託你們因為接下來就要進到實質審查了嘛這個托育專法大家是有時程壓力的那在此是不是可以直接拜託部長我們請同仁回去把這個細節的條文最好你們也提一個版本到時候跟我的一起對照來討論這樣好不好好的好的應該的好謝謝部長謝謝拜託喔好謝謝接下來請楊瓊英委員來做詢問 |
| transcript.whisperx[552].start |
14879.923 |
| transcript.whisperx[552].end |
14888.097 |
| transcript.whisperx[552].text |
響鐘 |
| transcript.whisperx[553].start |
14888.53 |
| transcript.whisperx[553].end |
14912.901 |
| transcript.whisperx[553].text |
部長好 我們首先來討論醫院的治安問題因為我們看到輔仁大學週一爆出了院內醫師人員疑似用遠端的連線方式害入了醫院的資料庫導致了病患跟醫務人員有各自外洩的疑慮除了輔大這起事件之外 今年又已經有三件 |
| transcript.whisperx[554].start |
14914.101 |
| transcript.whisperx[554].end |
14942.919 |
| transcript.whisperx[554].text |
也就是有三件遭骇客攻击的事件第一个马街医院2月19号发生了这个当机的事件医生没有办法打开病例影响到了门诊这个门诊急诊这个是太严肃的一个议题第二个张基的议题也是他是我们云章南唯一的一个医学中心但是在3月1号也侦测到了骇客攻击虽然是部分短暂的失灵但是还好 |
| transcript.whisperx[555].start |
14943.439 |
| transcript.whisperx[555].end |
14971.274 |
| transcript.whisperx[555].text |
沒有資料外洩可是病人的權利怎麼樣呢那這個答案緊張第三個桃園的這個長盛醫院4月16號上個月官網公告異常了那原因也是脫離不了駭客的入侵傳出有8萬多名的患者各自有外洩的疑慮所以面對到我們醫療所醫療院所遭到駭客攻擊呢那我們衛福部你要怎麼樣來協助 |
| transcript.whisperx[556].start |
14972.935 |
| transcript.whisperx[556].end |
15000.54 |
| transcript.whisperx[556].text |
跟監管本身認為一而再再而三這個對病患來講對醫院本身也都是不好請教部長好謝謝委員的關心這個分三點報告第一個就是說我們在資通安全管理法的確我們衛護部要來管理這個關鍵基礎的要怎麼管呢怎麼管呢問題一直出來你們現在怎麼做應對呢這個部分等一下我們請李處長再補充那第二個就是其實我們為了擴大 |
| transcript.whisperx[557].start |
15002.32 |
| transcript.whisperx[557].end |
15021.603 |
| transcript.whisperx[557].text |
大家因為後來發現這個好像治安是前面性的所以我們在5月9號也找了全國各醫院治安負責人超過900個人來開會同時我們也給他一個指南應變指南那另外為了讓比較小的醫院他的量能不夠所以 |
| transcript.whisperx[558].start |
15022.103 |
| transcript.whisperx[558].end |
15030.137 |
| transcript.whisperx[558].text |
我們也請那個廠商提供三個月的資安的免費服務來共同抵抗這個現在的危險期這個大概有74家醫院來申請不曉得理事長有沒有補充 |
| transcript.whisperx[559].start |
15035.518 |
| transcript.whisperx[559].end |
15052.877 |
| transcript.whisperx[559].text |
就像剛剛部長講的第一個最重要我們就是強化訓練所以訓練的部分不管是大醫院小醫院我們已經完成了第一期所有的訓練那第二個就是我們告訴他應變指南不管是大中小醫院他現在都有拿到這本應變指南了第三個就是他們比較沒有資源來買這個比較先進的軟體 |
| transcript.whisperx[560].start |
15054.679 |
| transcript.whisperx[560].end |
15074.2 |
| transcript.whisperx[560].text |
我們協調廠商在這個比較關鍵危險的三個月先提供三個月免費的一個服務所以有74家來申請那最後一個就是我們現在全國的醫院都給他納入一個叫做情資分享的網站所以只要任何一家醫院有相關的受到駭客攻擊的時候他們都可以在第一個時間得到相關情資的一個分享 |
| transcript.whisperx[561].start |
15074.36 |
| transcript.whisperx[561].end |
15100.241 |
| transcript.whisperx[561].text |
你現在報告的當中也就是5月9號你們召集了900個看到這個嚴肅的議題來討論那麼也協力的廠商就是現在有74家來申請前三個月免費試用是不是如此那但是部長你剛才說的他就是有困難所以他會來申請這個免費的這個部分第三個最重要的議題也就是聯網 |
| transcript.whisperx[562].start |
15102.083 |
| transcript.whisperx[562].end |
15119.521 |
| transcript.whisperx[562].text |
讓我們的醫療院所知道那有這個已經有哪一家被塑到這個駭客入侵的時候其他家都能夠謹慎應對之這一點是非常的重要所以你在這個三個月那也提出了方案 |
| transcript.whisperx[563].start |
15120.262 |
| transcript.whisperx[563].end |
15135.456 |
| transcript.whisperx[563].text |
也知道這個問題的嚴肅性所以本席具體要求也就是針對這樣子的一個面向我們衛福部理當應該要挺身而出的來協助跟督管那這個方案到底怎麼樣呢你再順便資料給本席 |
| transcript.whisperx[564].start |
15137.177 |
| transcript.whisperx[564].end |
15152.445 |
| transcript.whisperx[564].text |
接下來本席要請教針對今天的主題我們同一服務體系的管理與輔導機制本席也跟王玉明委員來提這個案子我們都知道孩子是國家未來的希望更是在少子化的當中是 |
| transcript.whisperx[565].start |
15153.965 |
| transcript.whisperx[565].end |
15172.591 |
| transcript.whisperx[565].text |
這個也是一個日益嚴重那這樣的一個情況之下我們要怎麼樣積極協助家庭妥善照顧這些孩子我想有幾項跟部長來討論也就是新增的居家托育人員的禁止事項他在違規祭典跟建立退場機制 |
| transcript.whisperx[566].start |
15174.211 |
| transcript.whisperx[566].end |
15194.112 |
| transcript.whisperx[566].text |
還有也是很重要的加強托育人員他的勞動權益保障來避免超時的工作時間能夠保障居家托育人員收入因為我們現在都知道人員的充足是這個案子 |
| transcript.whisperx[567].start |
15196.995 |
| transcript.whisperx[567].end |
15212.765 |
| transcript.whisperx[567].text |
關鍵點非常重要的關鍵因素但是我們也知道現在人數也不足那麼低薪而且調薪慢那各縣市政府所這個薪資的待遇這個落差也非常的大所以因此我們非常嚴肅的去 |
| transcript.whisperx[568].start |
15215.847 |
| transcript.whisperx[568].end |
15229.343 |
| transcript.whisperx[568].text |
這個憂心也就是這個專業的人力呢人才留不住那保姆的人力也嚴重老化那麼所以請教部長這一方面你要如何的來解決請教部長 |
| transcript.whisperx[569].start |
15230.967 |
| transcript.whisperx[569].end |
15246.32 |
| transcript.whisperx[569].text |
好我想托議員民間團體這幾個訴求其實剛剛都已經討論我們就是非常積極的來研議來改善那至於說現在具體的做法可不可以容我們理事長報告一下 |
| transcript.whisperx[570].start |
15247.921 |
| transcript.whisperx[570].end |
15267.352 |
| transcript.whisperx[570].text |
請說非常感謝楊前輝委員對這個問題的關心我想這個確實啦就是說現在孩子我們真的要給他們最好的照顧我剛剛在答詢的時候有說到就是說有兩個部分一個叫需求面一個供給面需求面的部分主要我們現在有那個各項對家庭的那個補助但是現在有人有說過一個重點最重要最重要供給面就是對我們這些多餘人員勞動條件薪資要提款 |
| transcript.whisperx[571].start |
15272.375 |
| transcript.whisperx[571].end |
15296.452 |
| transcript.whisperx[571].text |
保障他嘛 因為我明明看到現在的保姆人口老化嘛 那這怎麼辦 怎麼接得上來好 報告委員 我現在 那個過去喔 也要台中啊 給委員也很照顧我們在那邊的一個相關的經驗就是說 其實最重要事實上就是說我們來嚴領一些相關的一些薪資上面 包括就是說他現在如果說有符合相關的資格的話 我們一年我們會有一萬八我們對這個保姆的那個 |
| transcript.whisperx[572].start |
15301.695 |
| transcript.whisperx[572].end |
15324.661 |
| transcript.whisperx[572].text |
市長我想大家用心來把專業人才留住來把因為目前保姆願意做的年紀都有一點所以要怎麼樣能夠再接續上來這是目前所以本席特別說明人才的留住是我們這個政策最重要的關鍵因素所以我要求我們的部長你去盤點 |
| transcript.whisperx[573].start |
15327.221 |
| transcript.whisperx[573].end |
15352.603 |
| transcript.whisperx[573].text |
因為你必須負起全國的這個責任因為你是中央政府各縣市、二線市的收入落差那麼大我們要怎麼樣去把因子找出來怎麼樣去協助這個是非常的重要那你要去盤點然後資料給本席那接下來最後一個議題我功課給您Continuity這一個部分連續七週上升 |
| transcript.whisperx[574].start |
15353.564 |
| transcript.whisperx[574].end |
15367.1 |
| transcript.whisperx[574].text |
那你疾管署也說上週的門診人數哇 大家看了嚇一跳耶4萬人比前一週增加了113%你預估到6月底7月初疫情才要達到高峰耶 |
| transcript.whisperx[575].start |
15368.393 |
| transcript.whisperx[575].end |
15385.958 |
| transcript.whisperx[575].text |
那這個嚴肅的議題變化那麼大感冒的也很多流感也盛行那請教你們準備好了沒有你的因應要怎麼辦你的快篩劑你的疫苗你的藥品你是否充足民眾要怎麼樣能夠防範請教 |
| transcript.whisperx[576].start |
15387.625 |
| transcript.whisperx[576].end |
15397.153 |
| transcript.whisperx[576].text |
好 謝謝第一個就是在快篩這個部分我們會跟隨著疾管署的預計預計的可能的人數10號時會準備 |
| transcript.whisperx[577].start |
15400.106 |
| transcript.whisperx[577].end |
15412.87 |
| transcript.whisperx[577].text |
充足的那個而且鋪路鋪好會準備充足會鋪路至於疫苗的話沒有問題疫苗我們還鼓勵大家10月1號以後沒有打第一劑的人通通都去打 目前是夠的通通都去打一定要盤點好 絕對夠那第二 那藥物的話我們還有48 46 |
| transcript.whisperx[578].start |
15418.592 |
| transcript.whisperx[578].end |
15431.225 |
| transcript.whisperx[578].text |
46萬人次那過去經驗一波大概用了16萬18萬左右啦所以46萬這是足夠的那另外在醫療體系方面今天劉昭偉特別關心我們會一個完整的應變我們過去在COVID |
| transcript.whisperx[579].start |
15434.508 |
| transcript.whisperx[579].end |
15436.249 |
| transcript.whisperx[579].text |
這個必須因為他隨時在變訊息萬變雖然我們說我們目前大概是還蠻穩定但是一個變化那就擦槍走火囉我們絕對不會容許有他擦槍走火 |
| transcript.whisperx[580].start |
15450.56 |
| transcript.whisperx[580].end |
15477.697 |
| transcript.whisperx[580].text |
非常好 所以本席請問你預估這一波的高風險會延到什麼時候會有多久的時間因為你們現在告訴我們的是六月底到七月初才要開始五月天專家才要開始來請問你們預估這一波的高風險會有多久時間應該說在高風大概有四週從六月八號開始一直到七月六號那一週 |
| transcript.whisperx[581].start |
15480.499 |
| transcript.whisperx[581].end |
15488.441 |
| transcript.whisperx[581].text |
這個是最嚴重的?對,加封大概都有20萬左右20萬左右?好,謝謝你,加油好,謝謝好,謝謝安委、謝謝部長接下來請張雅琳委員來做詢問請部長跟保護司、市長部長、市長 |
| transcript.whisperx[582].start |
15511.604 |
| transcript.whisperx[582].end |
15537.694 |
| transcript.whisperx[582].text |
我也好好那我想我今天針對於就是說媒體報導的部分想要來請教那個部長跟司長就是說上個禮拜上一個禮拜我們這個三小的車禍造成一個三死十二傷其實有很多小孩我想大家都非常清楚他就是國中小的小孩那其實大家都非常的痛苦那這個事件發生之後因為當下的其實是一個下課時間其實有很多小孩的同學完全的目擊事發的經過 |
| transcript.whisperx[583].start |
15539.375 |
| transcript.whisperx[583].end |
15565.254 |
| transcript.whisperx[583].text |
可是呢 我想先詢問一下我們現在有沒有去掌握學校有沒有提供一些心理的支持系統去照顧這些可能是他的同學 可能是勿及這件事件的小孩還有這個包含當天我們可以看到這個導護老師在現場最後也是崩潰在路邊打哭我們有沒有提供相關的心理支持系統呢 |
| transcript.whisperx[584].start |
15567.874 |
| transcript.whisperx[584].end |
15584.585 |
| transcript.whisperx[584].text |
報告一下一發生事情的時候當然第一個緊急醫療救治來最重要這三家醫院我們馬上去了解他們的整個照護量能那回報的都是已經有做最適當的一個醫療處理我們講的其實是目睹現場的小孩接下來第二個我們馬上請設公司 |
| transcript.whisperx[585].start |
15589.368 |
| transcript.whisperx[585].end |
15617.33 |
| transcript.whisperx[585].text |
跟心理師去了解一下是不是我們這些家庭當然包括學校裡面有目睹的受傷害的家庭這個當然是最重要第二個就是看到目睹的一個心理這個部分我們都有請社工師跟心理師去協助新北市政府新北市政府已經有提供相關的心理支援 |
| transcript.whisperx[586].start |
15618.09 |
| transcript.whisperx[586].end |
15639.352 |
| transcript.whisperx[586].text |
到學校裡了嗎這個可不可以說明再清楚一點社工是回答一下好謝謝委員的關心那事實上在上禮拜我們林政務次長也召開一個這個案子的專案會議就是本部行政院的相關部會包括教育部那還有新北市政府的教育局跟社會局我們有做過一些討論 |
| transcript.whisperx[587].start |
15640.293 |
| transcript.whisperx[587].end |
15668.981 |
| transcript.whisperx[587].text |
那因為這個事件蠻多是這個那個國小的那個師生那所以社會局跟教學他們有做一些分工針對學生師生的部分是由那個學校的輔導老師跟社工師等等來做一個介入跟瞭解那如果不是學校的人員呢那就是由我們社會局的社工用一戶一社工一個方式來關懷他們的一個狀況跟提供後續的一個協助 |
| transcript.whisperx[588].start |
15669.121 |
| transcript.whisperx[588].end |
15682.703 |
| transcript.whisperx[588].text |
我想問一下學校這個資源會協助到小孩到什麼樣子的狀況因為他可能不是一次就結束了所以我們會跟新北市他們關係會了解一下新北市這個資源會投入大概到什麼時候會監觀察小孩子的狀況 |
| transcript.whisperx[589].start |
15684.585 |
| transcript.whisperx[589].end |
15700.843 |
| transcript.whisperx[589].text |
那跟委員報告因為這個部分是在教育局我想我們可以來瞭解但是我相信他們也有相關的一個經驗在學校的輔導資源的一個部分那可能有需要事後再跟委員來回報好謝謝那再下一個問題再下一個問題我想大家可能也都有看到這個新聞就是這個 |
| transcript.whisperx[590].start |
15707.503 |
| transcript.whisperx[590].end |
15723.98 |
| transcript.whisperx[590].text |
講起來是蠻痛心的就是這個小孩子他被了很多的媒體圍堵然後去採訪他如何他的這個他經歷了這件事情他的心情是什麼樣子那這個小孩其實他在整個新聞的過程之中他其實已經幾乎崩潰了 |
| transcript.whisperx[591].start |
15726.226 |
| transcript.whisperx[591].end |
15755.365 |
| transcript.whisperx[591].text |
他是用一種非常顫抖的聲音去描述了整個事發的經過因為他的同學就突然不見了所以他其實在過程中他也速度大哭所以其實如果你認真看完其實真的是非常非常的心疼然後我自己看了都覺得非常的痛苦那其實我也收到一些家長的澄清他們認為說媒體不應該在這個當下去訪問這個小孩第一個第二個他們不應該把這樣子的內容再放到網路上面去 |
| transcript.whisperx[592].start |
15756.446 |
| transcript.whisperx[592].end |
15784.489 |
| transcript.whisperx[592].text |
因為這個小孩非常明確的就是已經崩潰可是又持續的去訪談他那這個事後我們到底有沒有人可以去接觸這個小孩是完全不知道的所以我想這件事情其實看起來就是我們為了追求新聞的利益已經凌駕了兒少最佳利益的這件事情所以我想問一下就是說雖然在我們的兒少法第69條裡面呢它不是在這個下面所列的這個規範可是如果我們看一下 |
| transcript.whisperx[593].start |
15785.55 |
| transcript.whisperx[593].end |
15810.901 |
| transcript.whisperx[593].text |
下一個我們來看一下中華民國電視學會新聞委員會的自律公約他就有講到如果說這個是小朋友的一些新聞報導如果是傷者被害者及罹難者的家屬訪問應該要尊重當事人的意願及身心狀況以及如果說今天對於兒童的事件報導不得有行為兒童及少年的姓名這些我們都非常清楚 |
| transcript.whisperx[594].start |
15811.681 |
| transcript.whisperx[594].end |
15835.034 |
| transcript.whisperx[594].text |
其中特別重要的是如果我們要採訪兒少當事人應先表明記者身份及取得兒少兒童兒少本人還有監護人之同意應在非強迫或違反兒童少年當事人的受訪意願之下才可以進行採訪報導我認為我們這一篇報導其實已經違反了這個自律公約所以我想作為 |
| transcript.whisperx[595].start |
15835.974 |
| transcript.whisperx[595].end |
15865.229 |
| transcript.whisperx[595].text |
衛福部保釋兒少的主管機關是不是可以盡快的來跟NCC的討論避免這個小孩受到惡毒的傷害那是不是這邊可以承諾我們盡快的來跟NCC要求他啟動媒體的自律委員會或是倫理委員會來討論這樣子的採訪行為是否過當那因為我想衛福部就是一個保護我們兒少的主管機關這件事情是不是可以要求衛福部盡快的來完成呢 |
| transcript.whisperx[596].start |
15866.274 |
| transcript.whisperx[596].end |
15878.739 |
| transcript.whisperx[596].text |
沒有問題 記憶保護兒童少年這個權益我想我們的確應該做積極的動作那我想最積極的第一件事情 這個影片可以先撤掉嗎這個新聞片段可以嗎 |
| transcript.whisperx[597].start |
15883.434 |
| transcript.whisperx[597].end |
15885.495 |
| transcript.whisperx[597].text |
這大概要多久的時間呢 |
| transcript.whisperx[598].start |
15901.26 |
| transcript.whisperx[598].end |
15929.642 |
| transcript.whisperx[598].text |
移除下架部分就是看如果他的IP在國內那速度是相較快的那如果是國外我們可能還需要一些作業時間好我想那應該是一個月以內我們都可以把包含我們跟NCC的討論對不對要不要啟動這個自律委員會或是倫理委員會這個部分應該也是一個月之內我們都可以來完成對不對謝謝部長那再來我快快的問一個問題就是有關於監視錄影器的一個推動的辦理的一個狀況就是說其實在112年的時候魏福比奇就有一些相關的說明就是說我們的這些監視錄影設備呢 |
| transcript.whisperx[599].start |
15931.243 |
| transcript.whisperx[599].end |
15958.149 |
| transcript.whisperx[599].text |
應該要留存30日那可是我們自己也看了11年到12年我們的推卸中心發生的不當對待就有114件可是呢在109到112年裡面我們就發現呢裡面的這個監視設備因為人為操作不當或是損壞就有10件那例行稽查發現毀損然後經現起改善就有31件所以這就造成是說我們當時才會去推那個雲端儲存的一個規定可是呢現在我們可以看到說 |
| transcript.whisperx[600].start |
15959.77 |
| transcript.whisperx[600].end |
15975.178 |
| transcript.whisperx[600].text |
好像在上面是說因為沒有法令的規定所以現在目前是有地方那雖然我們現在已經要準備立法放在兒托法裡面了嘛那我想問一下目前在地方現在我們的一個各縣市處理的狀況是什麼好 那個說市長 |
| transcript.whisperx[601].start |
15980.599 |
| transcript.whisperx[601].end |
16007.763 |
| transcript.whisperx[601].text |
跟我們報告當然全面性的這樣子做雲端的影像的備份的動作我們現在列在兒童推服務法的草案裡面在立法以外目前已經有縣市已經開始地方自己在做推動的主要是針對在例如說公辦的或者公辦民營的部分地方縣市有在推動的部分我們大概也會透過計畫性來做一個個案的來做一個相關的補助我們會持續的來做推動 |
| transcript.whisperx[602].start |
16008.183 |
| transcript.whisperx[602].end |
16022.54 |
| transcript.whisperx[602].text |
其實沒有多少縣市已經支持辦目前我們知道應該有六個六個 那我想這個進度好像稍微慢了點因為從有一段時間1112年我們就提供相關的補助了吧 對不對所以那這個部分我們大概什麼時候要統一的推行呢 |
| transcript.whisperx[603].start |
16024.18 |
| transcript.whisperx[603].end |
16052.282 |
| transcript.whisperx[603].text |
這個部分在全面推行的部分確實我們有徵詢過相關的法律跟法律的專家的意見那認為這個部分確實是未來要做有法律上的有法源的要求鼓勵他們嘛鼓勵的部分我們一直有持續的在做好那因為我時間差不多那我們事後再約個時間好不好就是各個縣市到底現在到底卡在哪裡好不好謝謝好的謝謝好我們會休息到下午兩點繼續開會 |
| transcript.whisperx[604].start |
16061.281 |
| transcript.whisperx[604].end |
16061.421 |
| transcript.whisperx[604].text |
隔壁 |
| transcript.whisperx[605].start |
16078.335 |
| transcript.whisperx[605].end |
16081.097 |
| transcript.whisperx[605].text |
我會講我會理一下我認識的 |
| transcript.whisperx[606].start |
16105.336 |
| transcript.whisperx[606].end |
16105.596 |
| transcript.whisperx[606].text |
歡迎光臨 |
| transcript.whisperx[607].start |
16137.735 |
| transcript.whisperx[607].end |
16138.496 |
| transcript.whisperx[607].text |
你要去那邊要買菜嗎? |
| transcript.whisperx[608].start |
16163.951 |
| transcript.whisperx[608].end |
16166.331 |
| transcript.whisperx[608].text |
我心裡想說看誰贏不是我 我也不想去問 |
| transcript.whisperx[609].start |
16194.099 |
| transcript.whisperx[609].end |
16196.781 |
| transcript.whisperx[609].text |
你不用過去,你不用過去那邊,可以先在這邊,在這邊等,對,對,對,對,對,對,對, |
| transcript.whisperx[610].start |
16219.376 |
| transcript.whisperx[610].end |
16221.018 |
| transcript.whisperx[610].text |
這張照片是在2012年10月1日拍攝的 |
| transcript.whisperx[611].start |
16244.998 |
| transcript.whisperx[611].end |
16245.218 |
| transcript.whisperx[611].text |
漂亮 |
| transcript.whisperx[612].start |
16270.014 |
| transcript.whisperx[612].end |
16274.431 |
| transcript.whisperx[612].text |
欸 你要過去用餐嗎應該是要移動啊 林業齊委員已經在那邊了欸 |
| transcript.whisperx[613].start |
19915.683 |
| transcript.whisperx[613].end |
19915.883 |
| transcript.whisperx[613].text |
好,我們繼續開會 |
| transcript.whisperx[614].start |
19944.727 |
| transcript.whisperx[614].end |
19953.55 |
| transcript.whisperx[614].text |
好,部長到了,謝謝我們繼續來做詢問羅民財委員不在鄭振誠委員不在何欣淳委員不在我們請吳立華委員來做詢問 |
| transcript.whisperx[615].start |
19975.481 |
| transcript.whisperx[615].end |
19978.163 |
| transcript.whisperx[615].text |
主席好有請部長來請部長委員好部長好我們很高興就是院版也出來了很多的立委也一同的來關心響應關於兒童托育法從過去的辦法那現在呢我們終於要有一部兒童托育法那其中就是一定會有一個所謂的服務諮詢會 |
| transcript.whisperx[616].start |
20004.505 |
| transcript.whisperx[616].end |
20031.581 |
| transcript.whisperx[616].text |
那我看到院版就是沒有關注到原住民相關的這些代表那我個人或者是有一些民間團體有注意到這個問題因為當我們在講所謂的托育方式的時候其實不同的族群特別是原住民族群他有別於一般的托育方式所以呢如果 |
| transcript.whisperx[617].start |
20032.341 |
| transcript.whisperx[617].end |
20055.313 |
| transcript.whisperx[617].text |
部長您有機會去看原鄉有一個原住民地區的互助教保中心部落互助教保中心非常的特別跟一般的幼兒園其實辦理的方式非常的不一樣那也希望部長有機會我可以帶您去看一看所以這個部分我就是想要請教一下院長您的意見 |
| transcript.whisperx[618].start |
20056.554 |
| transcript.whisperx[618].end |
20075.951 |
| transcript.whisperx[618].text |
如果說我們有這個托育服務諮詢會那諮詢會當中會有涉及到原住民相關的議題是不是應該邀請具備原住民兒童權益倡議的經驗或者從事原住民兒童托育服務團體的代表是不是應該要有 |
| transcript.whisperx[619].start |
20077.541 |
| transcript.whisperx[619].end |
20106.556 |
| transcript.whisperx[619].text |
應該要考慮那希望到時候願板可以支持好不好那另外請教一下因為我們現在很關心的就是0到2歲的托育服務整部法裡面呢就是我們很高興特別是這一塊是很多很多的家長非常非常期待的特別是原住民族地區那麼他因為場地很不容易找到所以如果這部法通過之後 |
| transcript.whisperx[620].start |
20107.176 |
| transcript.whisperx[620].end |
20120.867 |
| transcript.whisperx[620].text |
也很頭痛 到底要在哪個地方找到這樣的場地那我知道 衛福部你們有一個原住民兒童0到2歲托育服務事辦計畫實施期程113 5月1號到115年12月31請教一下 目前有幾間事辦 |
| transcript.whisperx[621].start |
20129.293 |
| transcript.whisperx[621].end |
20130.054 |
| transcript.whisperx[621].text |
圓住民地區有21所 |
| transcript.whisperx[622].start |
20149.791 |
| transcript.whisperx[622].end |
20168.405 |
| transcript.whisperx[622].text |
我拿到的數據是一所一個原住民兒童零到二歲托育服務事辦計畫那沒有關係我要講的是說為什麼就是這個事辦計畫出來照理說是我們關心了很久 |
| transcript.whisperx[623].start |
20169.145 |
| transcript.whisperx[623].end |
20195.614 |
| transcript.whisperx[623].text |
大家引頸期盼但是推動的成效就是參與的監訴好像並不是那麼樂觀那到底原因在哪裡我覺得這個部分要去討論一下我們來瞭解對 包括經費是不是已經有下放麻煩部長也關心瞭解一下我們馬上去瞭解對 那我接續就是要問那請問一下部長你覺得如果部落 |
| transcript.whisperx[624].start |
20196.494 |
| transcript.whisperx[624].end |
20205.804 |
| transcript.whisperx[624].text |
家長他有臨時托育的需求你覺得可以送到哪裡去送到哪裡去 |
| transcript.whisperx[625].start |
20209.549 |
| transcript.whisperx[625].end |
20233.17 |
| transcript.whisperx[625].text |
部長 好 我就直接講沒有啦 沒有地方可以送現在就是看看隔壁鄰居有沒有人在家啦那部落協力站好像在屏東友誼所嘛 是啊沒關係 那個後面再來跟我報告好不好我現在要講的就是說部落如果有臨時托育的需求其實大概就是只能看看隔壁有沒有人在家啦 |
| transcript.whisperx[626].start |
20233.951 |
| transcript.whisperx[626].end |
20240.637 |
| transcript.whisperx[626].text |
可是我們看一下都會地區我光舉台北新北你看羅列洋洋灑灑什麼都有什麼居家托育服務中心育兒友善 |
| transcript.whisperx[627].start |
20249.845 |
| transcript.whisperx[627].end |
20261.801 |
| transcript.whisperx[627].text |
園啊或者是居家托育服務中心等等甚至是也有提供公立服務的親子館居家托育服務中心很多那如果我們來看一些縣市以屏東台東花蓮來看一下偏鄉 |
| transcript.whisperx[628].start |
20268.103 |
| transcript.whisperx[628].end |
20289.635 |
| transcript.whisperx[628].text |
根據社家署提供的這個委辦的通訊錄屏東台東花蓮就各只有一個據點在大仁科技大學國立台東大學在台東縣好市日常教育基金會所以是真的很不足那現在我們看一下社家署的托育媒合平台 |
| transcript.whisperx[629].start |
20290.555 |
| transcript.whisperx[629].end |
20315.72 |
| transcript.whisperx[629].text |
我們去搜尋也是一樣花蓮搜尋到一筆資料屏東呢搜尋到一筆資料都是托嬰中心只有一家來做所以如果我剛剛問部長那件事就是部落如果有臨時托育的需求到底要送到哪裡想一句實在話啦還是我剛剛講的部落互助教保中心 |
| transcript.whisperx[630].start |
20317.642 |
| transcript.whisperx[630].end |
20341.445 |
| transcript.whisperx[630].text |
那這個部落互助教保中心他目前有在做2到6那如果說在這樣的狀況之下也沒有好的一個可以使用的一個地點或者是適合的這些托育人力那看起來互助教保中心他如果能夠承接0到2歲的臨時托育其實是好的所以想要請教部長 |
| transcript.whisperx[631].start |
20342.446 |
| transcript.whisperx[631].end |
20354.574 |
| transcript.whisperx[631].text |
我的版本有有一些民間團體版本提供的他們也都支持請問部長您支不支持如果以部落來講互助教保中心能不能承接0到2歲的臨時托育現在其實有在做 |
| transcript.whisperx[632].start |
20360.768 |
| transcript.whisperx[632].end |
20372.103 |
| transcript.whisperx[632].text |
那個其實我們也知道在那個委員的支持之下我們在屏東現在已經有一個委員會中心嘛現在就是說美元對那我們現在目前就是說我們是不是還是以現在目前的這個示範計畫為基礎我們趕快再來推廣好這樣好不好 |
| transcript.whisperx[633].start |
20375.748 |
| transcript.whisperx[633].end |
20384.534 |
| transcript.whisperx[633].text |
因為這個確實會對於我們整個園鄉我想這個是我們的整個文化的敏感度我想這個確實應該要用這個方式好 謝謝那既然如此我們未來有兒童托育法我們的法制要完備目前園民會有一個足語保母那這個足語保母呢其實是為了讓我們的這些嬰幼兒從小能夠接觸足語的環境那它有分喔一個是 |
| transcript.whisperx[634].start |
20406.548 |
| transcript.whisperx[634].end |
20426.097 |
| transcript.whisperx[634].text |
親屬的保姆他只要具備足語能力因為是自己的親屬另外一個一般保姆呢他還是需要有托育人員的專業訓練的這些證照那重點來了原住民如果要辦理這種托育他的問題不是只有空間找不到 |
| transcript.whisperx[635].start |
20426.917 |
| transcript.whisperx[635].end |
20437.227 |
| transcript.whisperx[635].text |
更重要的是他的人才培育人才也找不到那我們去看一下社家屬提供的這個資訊專輯托育人員專業訓練課程如果我找台東0花蓮0屏東還有4班都是自費班那大仁科大有一班是平日的補助班大概就是這樣非常的缺乏啦 |
| transcript.whisperx[636].start |
20450.679 |
| transcript.whisperx[636].end |
20478.618 |
| transcript.whisperx[636].text |
所以我們目前已經有很多的族語保母他很樂意投入但是他不見得可以來做這個參與這個托育因為他還沒有取得專業的證照可是他要去上課發現了也不容易找到可以上課訓練的地方所以我在這邊就是簡單跟部長衛福部訴求第一個就是希望支持兒童托育諮詢會議如果有涉及到原住民族議題的時候希望一定要有原住民的代表能夠把它寫進法條裡面 |
| transcript.whisperx[637].start |
20480.419 |
| transcript.whisperx[637].end |
20504.331 |
| transcript.whisperx[637].text |
那第二個就是目前看起來互助教保中心是最適合承接0到20歲托育的那這個臨時托育的部分希望可以把它納入法條文字那第三個就是拜託可不可以多多的開設原住民托育人員專業訓練課程來因應未來法治化好不好 部長好 我們要慢慢來努力好 謝謝 謝謝部長好 謝謝主席謝謝部長 謝謝 |
| transcript.whisperx[638].start |
20509.161 |
| transcript.whisperx[638].end |
20526.917 |
| transcript.whisperx[638].text |
那接下來請李昆城委員 李昆城委員 李昆城委員不在請林柱英委員 林柱英委員 林柱英委員不在請郭益勤委員來做選擇好 謝謝主席 有請部長來請部長委員好部長好 |
| transcript.whisperx[639].start |
20532.881 |
| transcript.whisperx[639].end |
20550.81 |
| transcript.whisperx[639].text |
我想提出修法最主要的目的還是要讓家長們安心那許多孩子就是被送到托嬰中心或者是保母家其實爸爸媽媽心裡難免都會忐忑不安就我的孩子到底安不安全被照顧得好不好然後如果真的不小心發生了什麼樣的一個問題這個真相能不能夠被釐清那我們就來看兩個案件 |
| transcript.whisperx[640].start |
20555.532 |
| transcript.whisperx[640].end |
20584.95 |
| transcript.whisperx[640].text |
那高雄男子呢一個托育中心他在2025年的也就是今年的這個4月出現了爆出了這個8名的嬰幼童他遭到不當的對待那事後呢其實家長也才知道該機構就曾經被通報過但是呢相關的記錄其實沒有被揭露啊所以呢就變成說類似的狀況呢也同樣的出現在北投在去年的1月當中雖然這個托育中心被評鑑是假等 |
| transcript.whisperx[641].start |
20585.47 |
| transcript.whisperx[641].end |
20602.826 |
| transcript.whisperx[641].text |
但是呢他过往也有长期对孩子施暴而且隐瞒他不当的一个记录那这时候其实家长就会开始担心了就是如果这家的托婴中心他以前到底有没有出过事情或者是他曾经出过事情可是我居然是在 |
| transcript.whisperx[642].start |
20603.627 |
| transcript.whisperx[642].end |
20624.469 |
| transcript.whisperx[642].text |
公開的一些資訊平台當中我查不到他過往的這樣子的一個狀況我怎麼能夠安心把小孩交到這裡呢那如果是發生了一段時間查不到或者是剛發生的事情其實家長也不知情那這個部分這個中間的資訊的漏接或資訊的一個gap我們怎麼樣去補足那第二個部分 |
| transcript.whisperx[643].start |
20625.512 |
| transcript.whisperx[643].end |
20653.561 |
| transcript.whisperx[643].text |
就是關於這個托孕中心如果說他的負責人只要換一個名字他可能就可以再重新的開業那我們怎麼知道我們的孩子送過去的這個托孕中心有沒有曾經有過這樣子的一個歷史記錄這個部分我們怎麼樣來補足好 謝謝委員的關心那這個你提出來這個真的是很重要的事情那我們在這個立法的過程當中當然怎麼樣精準的來去來 |
| transcript.whisperx[644].start |
20655.953 |
| transcript.whisperx[644].end |
20671.262 |
| transcript.whisperx[644].text |
也不要誣殺無辜啦但是也不要藉口喪事這個怎麼樣去精準的一個處理是我們在追求法條裡面的一個很重要的目標那現在有這樣子的一個平台可以提供給家長來做一個查詢嗎 |
| transcript.whisperx[645].start |
20674.384 |
| transcript.whisperx[645].end |
20699.845 |
| transcript.whisperx[645].text |
跟委員報告目前我們有要求縣市政府所有有依照兒少法去開出行政裁罰的案件都一律要通報到我們現在社家署有一個CRC的資訊網會通報所有進來的案件裡面如果依照兒少法的規定他罰完是要公告被處分人的部分我們也都有統一的公告 |
| transcript.whisperx[646].start |
20700.565 |
| transcript.whisperx[646].end |
20726.221 |
| transcript.whisperx[646].text |
統一的公告大概是什麼時候家長可能他們對這方面的資訊的宣導可能不足所以以往這個各縣市自己的裁罰他會在縣市政府自行來做公告所以家長有時候查的時候不見得也許查的地方不見得方便所以我們在去年的五月開始我們要地方政府所有的裁罰案件統一通報到我們的資訊網站 |
| transcript.whisperx[647].start |
20727.862 |
| transcript.whisperx[647].end |
20750.267 |
| transcript.whisperx[647].text |
那依照這個法律的規定因為公佈姓名同樣也是一種裁罰的方式所以只要條文裡面有要公告姓名的部分我們也都統一公告在網站裡面那讓民眾可以來做一個全國性的一次性的解鎖我們現在所有的案件都有上去那在去年五月以前 |
| transcript.whisperx[648].start |
20751.067 |
| transcript.whisperx[648].end |
20769.39 |
| transcript.whisperx[648].text |
各縣市曾經裁罰的案件我們也在要求各縣市政府把舊的案件一步一步的都把資料轉移到中央這邊來那我們希望能夠讓民眾能夠有一個一站式的檢索好那這個是這一部分喔那另外我想提到的就是很多在 |
| transcript.whisperx[649].start |
20770.19 |
| transcript.whisperx[649].end |
20785.547 |
| transcript.whisperx[649].text |
所謂的監視器拍不到的地方或者是真的當孩子受害了之後家長想要去調所謂的監視器的記錄的時候通常都已經會來不及要不就是影片被格次化要不就是監視器其實放在死角 |
| transcript.whisperx[650].start |
20785.967 |
| transcript.whisperx[650].end |
20808.365 |
| transcript.whisperx[650].text |
好像掛好看的所以為什麼我的這個版本是希望能夠從這個露營的保存的天數從30天拉到60天因為我們發現有很多的孩子如果他開始慢慢的會學習表達我們收到很多的家長的陳情他們是想擠牙膏式的一天說一點一天說一點等到家長真的發現問題的時候其實時間往往超過那30天了 |
| transcript.whisperx[651].start |
20812.408 |
| transcript.whisperx[651].end |
20838.781 |
| transcript.whisperx[651].text |
就變成家長他想要去找真相的時候其實這個部分我們是沒有替他們找到這樣子的一個可以被保留然後可以被閱覽或者是可以去調查這些記錄的一個狀況那我想呢這個事件其實也是發生在這個台南一個虐嬰的一個案件那通常我們發現這些施虐的案件就像我剛剛講的要不就是監視器是拍到角落看不到的地方 |
| transcript.whisperx[652].start |
20839.181 |
| transcript.whisperx[652].end |
20857.554 |
| transcript.whisperx[652].text |
那要不就是真的出了事之後我們知道畫面可能被格式化不見了或者是保留的天數已經正式消失了那這個部分我們怎麼樣來做防堵那是不是可以也支持我的版本就是我們從保留30天可以拉到60天這個部分能不能夠我想我們可以來討論到時候可以來討論 |
| transcript.whisperx[653].start |
20860.956 |
| transcript.whisperx[653].end |
20882.377 |
| transcript.whisperx[653].text |
好那另外就是監視器如果壞掉的時候因為壞掉之後我們是不是希望他在24小時之內就要通報而不要拉長到48小時在24小時之內可能真的就要通報趕快先修好因為其實任何一分鐘都有可能是孩子正在冒冒著風險的對待這樣子的一個狀況這個理事有沒有什麼 |
| transcript.whisperx[654].start |
20888.979 |
| transcript.whisperx[654].end |
20909.406 |
| transcript.whisperx[654].text |
這相關的部分我們會來仔細研議因為總召這個比較綜合性各個角度來看看他的怎麼樣我們還是一切以照顧小孩為重要怎麼樣讓他們雙贏 |
| transcript.whisperx[655].start |
20911.787 |
| transcript.whisperx[655].end |
20925.153 |
| transcript.whisperx[655].text |
我們當然會希望這個托育的制度跟托育的政策托育的制度跟政策可以更加的進步啦因為讓孩子真的在平安安全的一個環境上長大其實是所有家長的一個心願好 謝謝 謝謝部長 謝謝主席 |
| transcript.whisperx[656].start |
20929.025 |
| transcript.whisperx[656].end |
20951.772 |
| transcript.whisperx[656].text |
好 謝謝郭委員郭委員再度提醒衛福部你們到底是要上傳雲端要定時上傳還是要即時串流還是你要有備份的官方的然後是要從30天延長到60天最主要還是叫做保全證據啦所以這個還請你們多多展智慧看怎麼處理接下來請吳佩奕委員 |
| transcript.whisperx[657].start |
20953.873 |
| transcript.whisperx[657].end |
20977.24 |
| transcript.whisperx[657].text |
吳佩奕委員,吳佩奕委員不在,請廖偉祥委員,廖偉祥委員,廖偉祥委員不在,林德武委員,林德武委員,林德武委員不在,張家俊委員,張家俊委員,張家俊委員不在,林岳勤委員有請你這個臉粗一點 |
| transcript.whisperx[658].start |
20979.96 |
| transcript.whisperx[658].end |
21002.388 |
| transcript.whisperx[658].text |
好 謝謝主席 那麻煩我們的部長來 請部長委員好部長 三年了 因為為什麼托育服務法在民間就已經討論到兩年多然後去年希望能夠端出來結果沒有所以今天就來談談這個托法是不是能補強零到兩歲托育安全制度 |
| transcript.whisperx[659].start |
21003.488 |
| transcript.whisperx[659].end |
21023.723 |
| transcript.whisperx[659].text |
那的確我們為什麼在民間的時候期待因為本來兒照全法母法裡面對於居家托育只有五條在做管理含罰則那托育中心呢只有四條可是二到六歲切出去之後人家幼照法在民國一百年訂了幼照法事實上就是完備的去管理二到六歲反而托育中心只有四條 |
| transcript.whisperx[660].start |
21024.764 |
| transcript.whisperx[660].end |
21051.584 |
| transcript.whisperx[660].text |
那可是0到2歲的孩子呢又比2到6歲更年幼更需要有一個很好的完善的肌肉管理甚至人家教保人員條例都還有53條所以我們很希望說這個托育服務專法能夠趕快的去做通過尤其事實上政府一直在催生的時候就把孩子一直拼命的期待也是希望家長雙薪家庭有一個服務在所以就是讓孩子能夠送出來 |
| transcript.whisperx[661].start |
21052.604 |
| transcript.whisperx[661].end |
21075.427 |
| transcript.whisperx[661].text |
過去呢幾乎大概只有2比8我們的0到2所以2比88成事實上是在家裡2成送出來保母可是後來有托嬰中心之後呢現在呢也有個消長托嬰中心比例上越來越高那就是將近7比37成還是在家裡3成已經送出來給保母跟托嬰中心帶可是托嬰中心的量體越來越大可是也因為這樣子 |
| transcript.whisperx[662].start |
21076.84 |
| transcript.whisperx[662].end |
21103.954 |
| transcript.whisperx[662].text |
不當對待的問題越來越嚴重也越來越多讓如果不好好的納管的話就沒有辦法讓家長安心你要催生當然要有一些服務好的品質所以我們希望這個法能夠提升我們的法律慰藉以外還有強化不當對待的處理還有明定居家托育的專章還有我們可以管制居家托育人員的一些資格在那在這邊 |
| transcript.whisperx[663].start |
21106.414 |
| transcript.whisperx[663].end |
21124.451 |
| transcript.whisperx[663].text |
就會看到我們的處理原則原來的位階非常的低就任由地方緊急安置所以想問部長到底有沒有掌握各縣市近南一般安置跟景安跟收出養的安置安置在保母家過去為什麼一直讓這樣子狀態持續存在 |
| transcript.whisperx[664].start |
21126.693 |
| transcript.whisperx[664].end |
21151.037 |
| transcript.whisperx[664].text |
像新北市現在有護苗計畫有些縣市還是還是在做這種安置那你有沒有掌握哪些縣市還是用這種方法來做安置這是過去某一個縣市還用幼兒園來安置孩子根本就是跟我們的原來沒有任何法規的安置的做法這樣子去做安置那也使得原本強度不需要這麼強的去照顧孩子的保母的這樣的一個制度結果呢也因為這次凱凱案就凸顯了這個問題很嚴重可是重點是 |
| transcript.whisperx[665].start |
21154.578 |
| transcript.whisperx[665].end |
21174.045 |
| transcript.whisperx[665].text |
一直以來都是這樣子那現在我想問知道哪些縣市還在做這種安置嗎好 謝謝委員的指導我想這個應該要有一個很完整的制度也是這一次我們市部長我問的是說你知道哪些縣市還在這樣做嗎 |
| transcript.whisperx[666].start |
21178.006 |
| transcript.whisperx[666].end |
21197.726 |
| transcript.whisperx[666].text |
跟委員報告 目前確實是還有若干的縣市還是有用居家保姆的改善那我也想問 如果現在還有這樣做還是繼續讓他們找沒有經驗的像這次的兩個流線保姆都是完全從來沒有帶過小孩的人竟然讓他去做收出養的安置那現在我不知道一般安置跟景安 |
| transcript.whisperx[667].start |
21198.366 |
| transcript.whisperx[667].end |
21225.011 |
| transcript.whisperx[667].text |
是不是還是現在還是做任讓他們去安置在一個沒有經驗你也從來沒有仿似輔導他的狀況的一個保姆然後繼續安置嗎我們確實如同委員所詢問那以往是用一個比較偏向行政指導性的一個原則那我們來讓地方政府在選任這個居家保姆來做安置對象的時候有一個相關的原則 |
| transcript.whisperx[668].start |
21225.791 |
| transcript.whisperx[668].end |
21249.39 |
| transcript.whisperx[668].text |
那這個部分的話在這一次的事件發生之後那我們有先做過一次的調整那在這個原則裡面本來就有要求這個地方政府在選任這一類型的保姆的時候對於他在接小孩之前的訓練那或者他以往的經驗其實在這個原則裡面我們現在有一些基礎性那我先問一個比較簡單的新北市縣護苗計畫你有去監督他確定他們都用已經訪視輔導良好的保姆嗎 |
| transcript.whisperx[669].start |
21252.495 |
| transcript.whisperx[669].end |
21257.171 |
| transcript.whisperx[669].text |
後面的計畫因為是地方政府他自己對 可是他們就在做警案跟一般安置啊 |
| transcript.whisperx[670].start |
21259.683 |
| transcript.whisperx[670].end |
21283.563 |
| transcript.whisperx[670].text |
所以當把它放在那個強度不是很強在被管理的保母的時候因為為什麼不需要強度很強因為孩子爸媽送到保母家晚上會接回去他會確定他孩子有沒有被不當對待所以我覺得這部分也是要請你們去盡速去做處理確定現在目前我們的托育服務專法還沒有 |
| transcript.whisperx[671].start |
21285.284 |
| transcript.whisperx[671].end |
21307.977 |
| transcript.whisperx[671].text |
討論完畢然後能夠三讀通過之前請你們還是要密切注意這些孩子還在保母手上那這些孩子安全嗎這也是我們擔憂的那當然未來我們還是期待你們是不是針對於保母如果要去做安置你們既然不走寄養這一塊那要走在安置在保母家的話可不可以應該要去思考 |
| transcript.whisperx[672].start |
21308.537 |
| transcript.whisperx[672].end |
21318.449 |
| transcript.whisperx[672].text |
怎麼去分級所以想問部長這邊這樣子是不是可以中央訂一套在這裡邊你的法裡邊我們去納入針對保護安置的專門辦法不要告訴我原則 |
| transcript.whisperx[673].start |
21323.274 |
| transcript.whisperx[673].end |
21351.68 |
| transcript.whisperx[673].text |
那過去就是原則 結果有人要按照這個原則做嗎沒有按照這個原則做 雙北部按照這個原則做像凱凱案 而目前也沒按照這個原則做那所以我想問說進一步去做分級照顧才能夠同時保障到孩子跟保母的權益 未來也避免憾事發生所以請問一下部長支持這樣子的一個方向嗎我想訂個好辦法來進行分級的照顧可是你們的版本沒有欸那個你是有辦法那個嗎 |
| transcript.whisperx[674].start |
21353.972 |
| transcript.whisperx[674].end |
21381.629 |
| transcript.whisperx[674].text |
跟委員報告因為他這個大概未來都是在安置的過程裡面去選擇安置處所的一個安置的地點的一個選擇是不是在法制上面容我們我們會建議是不是考慮可以從兒少法未來在安置處所選擇的時候那對於如果他要去選擇使用居家保姆的部分他的一些要求跟規範我們在兒少法的那個修正草案的研修的時候我們把這個議題拿進去 |
| transcript.whisperx[675].start |
21383.03 |
| transcript.whisperx[675].end |
21392.83 |
| transcript.whisperx[675].text |
所以這有兩個點第一個是未來法希望你們能夠去做分級第二個事實上是在這法還沒修過之前請你們確保各縣市現在在做警案一般安置跟受訴人安置的 |
| transcript.whisperx[676].start |
21393.359 |
| transcript.whisperx[676].end |
21416.509 |
| transcript.whisperx[676].text |
保姆選擇到底有沒有強度更強的去做訪視輔導我們去了解那在居托中心我覺得目前我由民間單位去做可是常常你們給民間單位的權限也很不夠他訪視的時候常常事實上是被標罵被趕出來甚至進不去保姆家去訪視 |
| transcript.whisperx[677].start |
21417.589 |
| transcript.whisperx[677].end |
21432.246 |
| transcript.whisperx[677].text |
甚至大廈管理委員會裡邊本來就有些規定在所以呢訪視員去訪視的時候這我去年也質詢過訪視員根本進不到保姆家你知道他超收可是也沒辦法因為管理員就把你擋在門外等到保姆把孩子 |
| transcript.whisperx[678].start |
21433.187 |
| transcript.whisperx[678].end |
21462.407 |
| transcript.whisperx[678].text |
送走到其他的鄰居家之後你才得以進去家裡那當然不會抓到超收也不會抓到他有沒有一些不當的作為甚至有沒有事實上是收拖非他收拖的小孩所以我不知道就是說既然他的管理權力不足的話你為什麼要他負擔這麼重的責任當一旦有事情的時候全部都認為是拘托中心的責任可是問題你們給了他什麼權力他沒辦法執行你們的公權力可是你們卻又要他去執行公權力然後再來 |
| transcript.whisperx[679].start |
21463.868 |
| transcript.whisperx[679].end |
21478.259 |
| transcript.whisperx[679].text |
監督他 檢查他 輔導他 更是評鑑他問題是他對包模一點都沒辦法甚至地方政府有的在講扣分 像台北市說要輔導扣分 扣分公文去了去了給縣市政府 |
| transcript.whisperx[680].start |
21479.139 |
| transcript.whisperx[680].end |
21507.6 |
| transcript.whisperx[680].text |
結果縣市政府遲遲不回文甚至打電話給縣市政府的時候縣市政府就說不會去處理那到底這些管理保姆的人他到底能做什麼縣市政府都我是被你們縣市政府授權要去管理保姆可是當我認為保姆有問題的時候呢我要求要去祭典也是配合你們縣市政府說要祭典結果我甚至他有違反規定的時候我把公文行為到你縣市政府結果你縣市政府 |
| transcript.whisperx[681].start |
21508.14 |
| transcript.whisperx[681].end |
21531.282 |
| transcript.whisperx[681].text |
就是不裁罰那大家對於居托中心的權利甚至他對保姆還有什麼樣的管轄權利保姆怎麼會相信他呢因為你根本就是沒有power的人啊不是嗎所以想問說那這由來一直由來已久我去年4月24號就質詢過這個題目那似乎現在目前還是存在到 |
| transcript.whisperx[682].start |
21532.023 |
| transcript.whisperx[682].end |
21547.3 |
| transcript.whisperx[682].text |
至今都還是有人跟反應說他們去問給縣市政府縣市政府不罰當然也說因為上面的高層不同意哇 那我們的所謂的地方政府的高層到底是誰啊竟然不同意保姆被罰 |
| transcript.whisperx[683].start |
21548.201 |
| transcript.whisperx[683].end |
21562.731 |
| transcript.whisperx[683].text |
是不是有民意代表介入我不知道 那就知道議員如果再介入這件事情真的就是沒道理可是問題是你要讓拘托中心怎麼去做呢所以我不知道說到底部長對這樣子的拘托中心你又不給他管理權力卻又要他負全部的責任這合理嗎 |
| transcript.whisperx[684].start |
21563.39 |
| transcript.whisperx[684].end |
21578.231 |
| transcript.whisperx[684].text |
我想有責任既然要負責任就應該給他權利部長先問一個簡單的問題大廈管理條例裡面到底管委會到底我能不能進去保姆家因為保姆說等我下來開門 |
| transcript.whisperx[685].start |
21579.732 |
| transcript.whisperx[685].end |
21600.249 |
| transcript.whisperx[685].text |
要等我下來接他 他還可以上去 一等就等半個小時那工作人員也真的不要工作了那到底我們可不可以去十分鐘如果他不下來 我就開單給他開單要報簽 地方政府都同意地方政府也確實會讓他這個開單成功否則的話 一切都事實上是做白虛公然後讓訪視輔導員非常的 |
| transcript.whisperx[686].start |
21602.791 |
| transcript.whisperx[686].end |
21610.056 |
| transcript.whisperx[686].text |
無望啊做這個工作坦白講又不是薪水很高然後卻常常受到拒絕辱罵之後他怎麼做得下去呢 |
| transcript.whisperx[687].start |
21612.862 |
| transcript.whisperx[687].end |
21635.598 |
| transcript.whisperx[687].text |
非常感謝葉勤委員對於這個問題的關心誠如委員所指出確實在過去拘托中心在這邊的定位我覺得事實上確實有點微弱我跟委員報告就是說我們在這一個新法裡面我們現在目前已經把它改成是委託了所以委託的話現在就是說它事實上在整個裁罰上它是有公權力的那現在裁罰的權還是要回到我們縣市政府那邊 |
| transcript.whisperx[688].start |
21636.519 |
| transcript.whisperx[688].end |
21658.121 |
| transcript.whisperx[688].text |
你要做行政處分這基本上就公務員才有辦法但是現在就是說在整個他在過去做這個相關的訪視的時候我們現在目前也已經採取那個委託的這一個真的可以授予他們非常高的公權率嗎因為我在進來之前還曾經聽過居托在講說他們進入到保姆家他不讓他開那個房間就不讓他開房間 |
| transcript.whisperx[689].start |
21659.042 |
| transcript.whisperx[689].end |
21682.469 |
| transcript.whisperx[689].text |
可是他們硬闖之後還要接受到他們的申訴可是真的也硬闖裡面好幾個孩子在裡面都流滿頭大汗所以就到底那個公權力怎麼讓我們的拘托人員可以執行否則的話認真的拘托人員坦白講搞不好被申訴的比例事實上是最高的這部分我們現在我知道就是說我們現在必須要武裝我們這些人員讓他們有這一個 |
| transcript.whisperx[690].start |
21686.071 |
| transcript.whisperx[690].end |
21708.291 |
| transcript.whisperx[690].text |
有實際的這個power能夠來進行實際的執行我希望這次是不是可以在我們的法律裡面明文規定然後真的是要去幫否則民間團體來承接拘托中心的時候通常沒有權利可是當有問題的時候常常是以他們要負起更大的責任來講我覺得這不合理也不公平 |
| transcript.whisperx[691].start |
21709.011 |
| transcript.whisperx[691].end |
21724.224 |
| transcript.whisperx[691].text |
我覺得這樣子你只會造成更多民間團體不會願意來接那另外一個就是我覺得這次把公共家園跟附住室的訂進去我覺得非常肯認不過我覺得政府也要去思考公共托育家園裡面的配套的條件裡面 |
| transcript.whisperx[692].start |
21725.004 |
| transcript.whisperx[692].end |
21747.865 |
| transcript.whisperx[692].text |
未來如果相關對應的一些執法可能要去思考為什麼因為這個存在本來就很特別我們要小心的可是講的12個小孩4個大人裡面有一個是主管的話事實上這人數配比甚至沒有要求出工這些都會是以後在第一年之後都是問題為什麼因為有勞動權的問題就是他們要休假那這些孩子又會變成誰照顧 |
| transcript.whisperx[693].start |
21749.506 |
| transcript.whisperx[693].end |
21764.422 |
| transcript.whisperx[693].text |
所以我們希望未來這些管理上我就在法律上你們可能要針對這一塊還有不當對待這一塊也請我們的政府部門可能要去想一想也就是希望真的 |
| transcript.whisperx[694].start |
21765.083 |
| transcript.whisperx[694].end |
21785.224 |
| transcript.whisperx[694].text |
按照這個不當對待你們現在是用審議會我們本來是希望按照幼照法的方法從調查委員到認定委員然後讓他清楚的被調查然後呢最後有一個認定的時候認定這個不當對待的狀況是什麼因為過去不當對待通常用兒少全法49條裡面的第一項 |
| transcript.whisperx[695].start |
21787.546 |
| transcript.whisperx[695].end |
21811.756 |
| transcript.whisperx[695].text |
總共15款裡面通常不會被認可那到現在我覺得這次我覺得修正我的版本事實上也是會是相對事實上比較清楚 當初我們就希望按照幼照法這一塊所以我們希望未來你們的執法裡面應該也在搭配相關執法的時候也要考慮把它考慮進去所以我們希望政府能不能把自己的責任明定清楚還有違規的樣態都能夠 |
| transcript.whisperx[696].start |
21813.757 |
| transcript.whisperx[696].end |
21838.834 |
| transcript.whisperx[696].text |
漸漸的建置起來 這個我覺得是保護師應該也值物旁貸的工作 為什麼因為多年以來49條就已經很久就現在不適用那如果要化為說以後不當對待樣態霸凌的或者事實上是在體罰的樣態應該也要很清楚所以在立法上我未來大家希望能夠補強這四點也就是建立專業分級也就保姆要做分級去做不同強度的 |
| transcript.whisperx[697].start |
21839.87 |
| transcript.whisperx[697].end |
21862.083 |
| transcript.whisperx[697].text |
那要有認定辦法還有拘托中心要有些權力賦予還有我們托育服務機構也就是托育中心的那個設立跟管理要更明確還有0到2歲不當對待的處理以上再麻煩我覺得部長這邊可能在你們現在送出來版本如果不夠的話可能要再做補或者是甚至你們要去想謝謝謝謝指教好好想以上的謝謝 |
| transcript.whisperx[698].start |
21867.935 |
| transcript.whisperx[698].end |
21878.583 |
| transcript.whisperx[698].text |
接下來請徐欣穎委員、徐欣穎委員、徐欣穎委員不在、蔡益渝委員、蔡益渝委員、蔡益渝委員不在、賴慧媛委員、賴慧媛委員、賴慧媛委員不在、請陳益委員來做選擇第一個謝主席,麻煩請石耀署長來,請江署長委員好 |
| transcript.whisperx[699].start |
21896.75 |
| transcript.whisperx[699].end |
21907.703 |
| transcript.whisperx[699].text |
我想請教一下在向你們申請作為食品原料在所有資料都備妥的情況下外部審查通常需要多久的時間 |
| transcript.whisperx[700].start |
21909.195 |
| transcript.whisperx[700].end |
21931.093 |
| transcript.whisperx[700].text |
跟委員進一步報告這個議題我們這個叫做非傳統食品的原料安全性的評估我們目前是委託單位那是陽明大學陽明交大的團隊協助我們那有兩個部分一個部分他是提到說我們一般的判定是否為非傳統性食品原料的問卷他說要花一個月 |
| transcript.whisperx[701].start |
21931.934 |
| transcript.whisperx[701].end |
21960.903 |
| transcript.whisperx[701].text |
講到非傳統性食品原料安全性服務兩個月可是就我個人目前來的人兩個月今天剛好滿三個月跟大家報告一下所以我看到的情形是天黃地久竟然有超過三年那我覺得非常非常對不起委員以及各位國人針對一些新興非傳統性的食品需要怎麼樣子的去積極的去研議這件事情我會深緻的去做反省跟做改進 |
| transcript.whisperx[702].start |
21962.243 |
| transcript.whisperx[702].end |
21986.503 |
| transcript.whisperx[702].text |
講有發現超過三年的應該就是我們辦公室送去的這個案例啦就是因為有一個就是說這當然這張圖片植物叫做這個植物叫馬甲子那當然對這是傳統民間單位來向你們申請作為食品原料但這個案件是從去年113年6月就送到你們那裡可是現在 |
| transcript.whisperx[703].start |
21987.344 |
| transcript.whisperx[703].end |
22003.351 |
| transcript.whisperx[703].text |
就是說就誠如署長還署長說的就是說他目前就還在外部審查中那確實詢問你們業務單位那這個回覆就是說給本辦的回覆就是115年底才會 |
| transcript.whisperx[704].start |
22006.952 |
| transcript.whisperx[704].end |
22023.281 |
| transcript.whisperx[704].text |
完成那所以我想署長上任短短三個月都覺得這樣的一個審查需要三年的時間確實是很扯啦那如果再加上公告的時間那可能真的是 |
| transcript.whisperx[705].start |
22024.201 |
| transcript.whisperx[705].end |
22039.558 |
| transcript.whisperx[705].text |
天荒地久那我想這個總不希望說署長一上任整個效率都變差了所以這個部分我不知道署長您接下來未來有什麼樣的方式可以來改善這樣的情形 |
| transcript.whisperx[706].start |
22041.441 |
| transcript.whisperx[706].end |
22055.042 |
| transcript.whisperx[706].text |
跟委員做進一步報告因為一直以來這一塊都是委託委外的給執行所謂的審查那審查的時間呢其實只有一個單位在審查嗎 對你剛剛說是 |
| transcript.whisperx[707].start |
22056.874 |
| transcript.whisperx[707].end |
22076.462 |
| transcript.whisperx[707].text |
陽明交大的一個團隊來協助我們那已經有很多很多年的歷史了這件事情我看了之後因為我本身是獨立背景出身的對於相關的資訊跟訊息我想他是可以積極加速的我想請教一下這個單位他們過去幾年一年大概審多少件 |
| transcript.whisperx[708].start |
22078.148 |
| transcript.whisperx[708].end |
22097.527 |
| transcript.whisperx[708].text |
我跟委員報告一下他剛才有講出兩個相次嘛一個叫做問卷的時候是不是第二個叫安全性評估兩個加起來量一年是寫15個所以KPI寫15件而已所以他們現在就是近一兩年大概他們收的案件是多少 |
| transcript.whisperx[709].start |
22098.532 |
| transcript.whisperx[709].end |
22123.601 |
| transcript.whisperx[709].text |
所有的案件目前大概塞車大概還有10件還沒有完成所以歷年來大概他就是滿足大概15件KPI大概就是這樣子的程度而已所以那個署長你們會不會考慮就是還要再增加委外的團隊還是增加經費讓他們再多就是說能夠趕上你們送件的速度還是你要更換 |
| transcript.whisperx[710].start |
22124.841 |
| transcript.whisperx[710].end |
22139.414 |
| transcript.whisperx[710].text |
委外的團隊你有什麼樣比較具體的做法去加速這些審查好跟委員做進一步說明我覺得我個人看啦我昨天去跟我的member講一件事情你先拿一份來我審我看我審多久回來告訴你 |
| transcript.whisperx[711].start |
22140.134 |
| transcript.whisperx[711].end |
22167.48 |
| transcript.whisperx[711].text |
因為就我個人一個人審然後上班空檔的時間來看多久時間來決定說接下來是怎樣我其實一種承諾就是上半年我們現在收到的下半年一定要結案那預計是今年年底一定希望能夠結案假如沒有辦法達到結案我們在中間另外委託不同的團隊快速的把目前累積的案子能夠完成我想是努力的方向我想那個署長已經 |
| transcript.whisperx[712].start |
22168.36 |
| transcript.whisperx[712].end |
22180.915 |
| transcript.whisperx[712].text |
有覺悟這件事情你們就是要加快他的這個審查的速度那另外就是說那我們這樣子的個案是否還要再等等個三四年 |
| transcript.whisperx[713].start |
22182.321 |
| transcript.whisperx[713].end |
22205.376 |
| transcript.whisperx[713].text |
我剛才提到了我會讓他變成通案不會因為任何案的特殊我的想法是上半年接到的案下半年結束之前應該就要能夠完成這個的審查他也不是上半年他就是去年對有點久了超出我的想像正常的話應該是今年年初如果按照你的期審計的年初就要完成現在也年中了啊 |
| transcript.whisperx[714].start |
22206.496 |
| transcript.whisperx[714].end |
22225.87 |
| transcript.whisperx[714].text |
對所以我個人對於這樣子的騎乘跟降進度其實有很多很多我對這個議案我自己都頗有維持好那可以這個已經塞車很久的也麻煩你們優先來趕快加速處理好嗎一定一定的好謝謝那請回座謝謝那接下來請那個部長跟口腔師 |
| transcript.whisperx[715].start |
22228.277 |
| transcript.whisperx[715].end |
22236.402 |
| transcript.whisperx[715].text |
去年有預告檳榔健康防治法,在你們預告之前除了找相關專家學者討論之外,請問有沒有找業者來徵詢他們的意見? |
| transcript.whisperx[716].start |
22248.17 |
| transcript.whisperx[716].end |
22269.9 |
| transcript.whisperx[716].text |
當然有但是因為你們遇到的版本民間還是有很多的意見那本席在這裡要提出幾項就請你們再認真檢討一下第一項就是條文的第五條你們用所有販賣檳榔的業者都要做登記主要目的是為什麼那個請口香師師長 |
| transcript.whisperx[717].start |
22274.033 |
| transcript.whisperx[717].end |
22288.826 |
| transcript.whisperx[717].text |
謝謝委員關心這個的話我們有收到很多人在反映說這個這樣的話會造成一些大家會覺得有點執行上的困難所以我們有收到大家的意見也召開很多會議我們會朝說讓民眾比較能夠接受的 |
| transcript.whisperx[718].start |
22295.451 |
| transcript.whisperx[718].end |
22323.065 |
| transcript.whisperx[718].text |
你這樣講我也是聽不出什麼具體啦執行上的困難什麼困難這個我會處理我想點一下就是那個當然把所有業者做統一的管理的時候難免就是會讓人家聯想到就是說你們接下來就是要課稅不會課稅那再不然就可能是宣導對象尋找困難是嗎 |
| transcript.whisperx[719].start |
22325.06 |
| transcript.whisperx[719].end |
22335.421 |
| transcript.whisperx[719].text |
還是你們想要想要就是找出所有的對象所以利用登記的方式就不會漏掉任何一家 |
| transcript.whisperx[720].start |
22337.831 |
| transcript.whisperx[720].end |
22363.416 |
| transcript.whisperx[720].text |
跟委員報告 其實當初這個是我們最原始最原始的檔案嘛 最原始的版本後來經過大家不斷的討論陳儒我們剛剛我們部長所講我們會處理那我們會再循序漸進那我們會以輔導以輔導來代替 畢竟現在因為我沒記錯依照財政部所登記的一些稅籍資料全台灣大概有檳榔攤的大概有將近8000家 |
| transcript.whisperx[721].start |
22365.576 |
| transcript.whisperx[721].end |
22393.191 |
| transcript.whisperx[721].text |
然後我們會優先從這樣慢慢去輔導因為至少我們已經有掌握了一些我想在這邊反映一個問題當然就是說對於這個宣導檳榔對人體的危害這個我是200%贊成那只是說就是說如果要講到就是說剛剛你說不會課稅那可能就還好一點因為畢竟就是說你們原先訂那個營收8萬以上的業者 |
| transcript.whisperx[722].start |
22394.051 |
| transcript.whisperx[722].end |
22419.054 |
| transcript.whisperx[722].text |
要課稅 那個不是我們訂的 不是你們訂的那個是財稅單位訂的 好那因為八萬是這樣啦就是說他的營收是營收但是如果扣掉人力的成本然後再加上這個譬如說水電啦等等等這些可能到最後他實際上的這個月收其實不是很高所以這個部分或許這樣的政策既然 |
| transcript.whisperx[723].start |
22419.795 |
| transcript.whisperx[723].end |
22435.273 |
| transcript.whisperx[723].text |
引起恐慌那你們如果有知道要再檢討那是很好的那就是說再好好討論討論那另外就是說第8條的規定兵糧業者不得僱用未成年員工我想要請教一下部長你們這個規定的目的又是什麼 |
| transcript.whisperx[724].start |
22436.854 |
| transcript.whisperx[724].end |
22459.787 |
| transcript.whisperx[724].text |
不得僱用未成年員工因為這個應該是保護兒少那你為什麼不放在兒少法或者是保護兒少可是我們回頭去看另外一個在煙害防治法裡面並沒有限制未成年的這個就沒有限制他們說不能僱用未成年員工 |
| transcript.whisperx[725].start |
22463.143 |
| transcript.whisperx[725].end |
22484.878 |
| transcript.whisperx[725].text |
這個賣檳榔就要保護兒少 賣菸就不用保護兒少你的邏輯是什麼這樣子好了 部長我在這裡大膽假設啦你們是不是這條規定就是不希望未成年的這個未成年的這些人是不要去從事這個檳榔稀釋的工作是這樣吧 |
| transcript.whisperx[726].start |
22488.023 |
| transcript.whisperx[726].end |
22509.043 |
| transcript.whisperx[726].text |
有這樣的意思好那如果是這樣的意思就像我剛剛舉例因為你們要考慮到我只要提醒就是說在你把這個希望未成年者不要從事這個檳榔稀釋的工作你把它放在檳榔健康防治法的這邊規範是不是有點怪怪的 |
| transcript.whisperx[727].start |
22509.784 |
| transcript.whisperx[727].end |
22531.084 |
| transcript.whisperx[727].text |
因為煙害防治法實施到現在已經快30年了,那有沒有要求超商說不得雇用未成年員工?也沒有嗎?超商可以雇用未成年員工嗎?其實勞動力的計算應該是15歲以上應該就可以去打工了吧? |
| transcript.whisperx[728].start |
22532.857 |
| transcript.whisperx[728].end |
22542.665 |
| transcript.whisperx[728].text |
這個你們可能不太熟我現在點出來你們要去想一想因為兒少是兒少工作權是工作權所以這個你們要分清楚 |
| transcript.whisperx[729].start |
22543.784 |
| transcript.whisperx[729].end |
22563.752 |
| transcript.whisperx[729].text |
如果你要去規範你們如果很在乎這個檳榔西施那是不是要一定放在這個地方所以你們要好好想想因為有工作權的問題因為來我們看一下這個下一張圖這兩家呢他都有在登那個真人廣告的檳榔攤 |
| transcript.whisperx[730].start |
22564.972 |
| transcript.whisperx[730].end |
22586.142 |
| transcript.whisperx[730].text |
他們不只賣檳榔也賣菸酒的批發所以這個刊登求職廣告的薪水待遇時薪大概就是一百九那月薪比基本公司要好一點點大概三萬出頭那如果按照第八條的規定以後未滿十八歲的這個年輕人就不可以在這些地方打工啊對不對 |
| transcript.whisperx[731].start |
22590.219 |
| transcript.whisperx[731].end |
22610.773 |
| transcript.whisperx[731].text |
不是只有賣檳榔他煙酒一起賣但是單賣煙酒卻可以18歲以下去打工所以你們的邏輯是有問題的啦這樣會影響到年輕人部分年輕人的工作權我就在這邊提出所以今天好好想一想你們這樣規範的位置對不對好謝謝好謝謝 |
| transcript.whisperx[732].start |
22618.905 |
| transcript.whisperx[732].end |
22644.462 |
| transcript.whisperx[732].text |
好 謝謝接下來請2點47分現在請梁委員要時間有限自己要覺醒好 謝謝主席主席請一下長照司司長來請長照司司長 朱司長 |
| transcript.whisperx[733].start |
22651.678 |
| transcript.whisperx[733].end |
22653.059 |
| transcript.whisperx[733].text |
市長我們接續上一次的執行 |
| transcript.whisperx[734].start |
22665.011 |
| transcript.whisperx[734].end |
22683.326 |
| transcript.whisperx[734].text |
就是上一次市長的答詢內容呢,認為台灣不是福利國家,那我也覺得長照是家庭責任,對不對? |
| transcript.whisperx[735].start |
22684.402 |
| transcript.whisperx[735].end |
22698.492 |
| transcript.whisperx[735].text |
應該是說國家跟家庭一起來照顧老人一起照顧不是家庭責任我剛剛是說無法替代無法替代家人照顧貴蒙責任嘛 |
| transcript.whisperx[736].start |
22702.314 |
| transcript.whisperx[736].end |
22724.039 |
| transcript.whisperx[736].text |
那其實我看賴總統曾經講過要把台灣打造成老人福利國那長壽3.0大概也是為了因應國家來支持家庭共同照護老人這樣子的一個責任因應而生的 |
| transcript.whisperx[737].start |
22728.243 |
| transcript.whisperx[737].end |
22752.478 |
| transcript.whisperx[737].text |
譬如說直系血親之間互相負有撫養的義務家庭也有撫養的責任但是不代表家庭有能力提供足夠的照顧特別是現在少子化那麼嚴重啊政府未來如何提高替代性或者普通性的服務能量分擔家庭責任 |
| transcript.whisperx[738].start |
22754.361 |
| transcript.whisperx[738].end |
22780.455 |
| transcript.whisperx[738].text |
目前確實我們在長照的這些相關的措施裡面其實也是在協助家人一起來照顧所以包括這個提供家人可以有一些喘息那家人需要工作的話我們也在佈建這些相關的居家服務那社區式的服務來讓家人可以放心可以去安心 |
| transcript.whisperx[739].start |
22781.495 |
| transcript.whisperx[739].end |
22807.823 |
| transcript.whisperx[739].text |
發揮他的專業那讓照顧長輩的交給專業的人來做照顧這個政策方向都是跟委員這邊剛剛垂詢的是一致的那現在長照的政策呢就是造成了長照悲歌啊悲劇啊一再發生長照政策把照顧者視為工具人 |
| transcript.whisperx[740].start |
22808.973 |
| transcript.whisperx[740].end |
22829.783 |
| transcript.whisperx[740].text |
那國家呢 有很多學者跟團體一直在呼籲國家應該保護照顧者那其實也應該要 就是受照顧者必須要得到國家的支持照顧者也需要 |
| transcript.whisperx[741].start |
22831.143 |
| transcript.whisperx[741].end |
22838.701 |
| transcript.whisperx[741].text |
頻繁的長照杯葛不應該是台灣老化的宿命長照3.0的部分 |
| transcript.whisperx[742].start |
22843.698 |
| transcript.whisperx[742].end |
22863.188 |
| transcript.whisperx[742].text |
假如以市長上一次答詢的時候回答需要照顧者的責任是家庭的話那顯然跟民團和學者的看法不大一樣現在你們長照3.0要怎麼亡羊補牢 |
| transcript.whisperx[743].start |
22864.78 |
| transcript.whisperx[743].end |
22874.907 |
| transcript.whisperx[743].text |
跟委員再一次的澄清說明上一次的詢答我沒有說這個是家人的責任我一直強調是說我們的長照制度在我們的稅收規模下我們無法替代完全替代家人照顧概念上 |
| transcript.whisperx[744].start |
22883.672 |
| transcript.whisperx[744].end |
22904.287 |
| transcript.whisperx[744].text |
意思就是說今天如果家因為我們在我們的民法本來就有父父撫養義務所以本來在我們的國情裡面其實家人扮演很重要的支持角色那政府就是很重要的除了被照顧者在長福法裡面也已經在立法院通過的長福法已經把 |
| transcript.whisperx[745].start |
22904.907 |
| transcript.whisperx[745].end |
22920.372 |
| transcript.whisperx[745].text |
支持照顧者也入法所以對於長照制度的建構裡面除了被照顧者的服務我們也同步關注照顧者要有支持市長我講兩點第一點就是說所有的政策入法 |
| transcript.whisperx[746].start |
22921.548 |
| transcript.whisperx[746].end |
22944.58 |
| transcript.whisperx[746].text |
並不能解決一切的問題這個是第一個觀念第二個就是你上一次怎麼詢答的呢因為今天時間太短我下一次回放給你看好了我問繼續問市長台灣因為稅收太低所以不是福利國家這個可能是可以探討的 |
| transcript.whisperx[747].start |
22946.121 |
| transcript.whisperx[747].end |
22972.263 |
| transcript.whisperx[747].text |
那長照的責任在於家庭那政府也願意分擔一定的工作那要長照長照森林要加深加廣服務的網絡必須要有更多的支出稅收制的長照制度顯然沒有辦法因應一切 |
| transcript.whisperx[748].start |
22975.28 |
| transcript.whisperx[748].end |
22988.648 |
| transcript.whisperx[748].text |
市長你對於把台灣的長照資金來源從現在的稅收制改成保險稅收雙軌制的看法是怎麼樣? |
| transcript.whisperx[749].start |
22993.773 |
| transcript.whisperx[749].end |
23020.478 |
| transcript.whisperx[749].text |
跟委員說明目前其實我們的長照基金去年年底是累積還有2039億那累積到今年的3月底現在是2200多億還有那麼多錢啊是是是我跟委員說明還有那麼多錢啊是是那所以目前沒有減薪就沒得做了沒有減薪就沒得做了我們的服務涵蓋率非常高我們服務涵蓋率已經達到去年年底就達到84%點多了 |
| transcript.whisperx[750].start |
23026.741 |
| transcript.whisperx[750].end |
23044.171 |
| transcript.whisperx[750].text |
我拿一個行政院的報告跟市長做個探討就是說監察院目前的報告就是說目前的長照政策對於減輕重度失能家庭負擔的注意不大 |
| transcript.whisperx[751].start |
23045.946 |
| transcript.whisperx[751].end |
23064.697 |
| transcript.whisperx[751].text |
監委指出112年各目標群體長照服務的涵蓋率顯然有落差近八成的長照幾支部服務使用的對象為輕中度失能者 |
| transcript.whisperx[752].start |
23066.523 |
| transcript.whisperx[752].end |
23086.112 |
| transcript.whisperx[752].text |
這個恐怕就是重度的失能者用不到恐怕是基金還有那麼多錢的主要原因就最需要的反而用不到我們的制度然後基金還有三千億兩千多億 |
| transcript.whisperx[753].start |
23088.693 |
| transcript.whisperx[753].end |
23093.876 |
| transcript.whisperx[753].text |
也跟有人說明事實上我們現在確實給支付是鼓勵因為我們國內的長輩 |
| transcript.whisperx[754].start |
23105.244 |
| transcript.whisperx[754].end |
23111.11 |
| transcript.whisperx[754].text |
都一直嚮往就是留在自己最熟悉的社區中老那其實所以整個的給支付的政策也回應我們國人的一個嚮往跟需求所以對於居家跟社區的目前有納入給支付那 |
| transcript.whisperx[755].start |
23120.238 |
| transcript.whisperx[755].end |
23137.345 |
| transcript.whisperx[755].text |
住宿型24小時照顧機構目前確實調查下來無法生活自理的老人被問到的時候大概只有三成六說願意到這24小時住宿機構這邊來接受中老那所以這樣的一個比例其實還有待提升所以我們一直 |
| transcript.whisperx[756].start |
23137.865 |
| transcript.whisperx[756].end |
23153.628 |
| transcript.whisperx[756].text |
努力的也運用長照基金在針對現在全國有1800家的這些住宿機構能夠強化他的照顧品質那把品質這邊提升上來之後我們也希望老人在被問到的時候他的優先選擇可以到住宿型機構 |
| transcript.whisperx[757].start |
23154.349 |
| transcript.whisperx[757].end |
23176.909 |
| transcript.whisperx[757].text |
如果这个时间到了或许在住宿型机构我们可以把它导入给支付那所以现阶段我们才用定额补助的方式来补助这些住民那现阶段是一年12万那赖总统也有提出要一年提高到18万那我们这个部分会整体配合整个的一个政府的政策来把它提高 |
| transcript.whisperx[758].start |
23177.702 |
| transcript.whisperx[758].end |
23193.994 |
| transcript.whisperx[758].text |
市長我們有在112年我們有22萬左右的失能者是聘僱外籍看護工那這些人裡面只有4成 |
| transcript.whisperx[759].start |
23195.225 |
| transcript.whisperx[759].end |
23215.127 |
| transcript.whisperx[759].text |
曾經使用過長照服務現況在使用長照服務其中超過三分之一只使用一項那這一項最多的就是喘息服務也就是說其實我們的長照制度並沒有辦法很普遍的覆蓋到 |
| transcript.whisperx[760].start |
23218.345 |
| transcript.whisperx[760].end |
23235.321 |
| transcript.whisperx[760].text |
最需要的人假如說我們有辦法覆蓋到最需要使用到長照制度的這些人呢我想長照背歌不會一再的演唱這個是一個事實 |
| transcript.whisperx[761].start |
23239.465 |
| transcript.whisperx[761].end |
23262.118 |
| transcript.whisperx[761].text |
怎麼讓使用者更方便可以使用到長照提供的需求怎麼去找到需求的人我覺得這個都是長照師必須要去做的事情不要等到悲劇發生了再說什麼都來不及 |
| transcript.whisperx[762].start |
23266.61 |
| transcript.whisperx[762].end |
23284.887 |
| transcript.whisperx[762].text |
是 跟委員報告 聘外籍看護工這一塊其實本來大概使用都不到兩成所以我們經過這幾年一直努力那我們也把這樣的指標列為考核地方政府的一個長照的考核指標所以近期已經攀升到 |
| transcript.whisperx[763].start |
23286.968 |
| transcript.whisperx[763].end |
23311.378 |
| transcript.whisperx[763].text |
外籍看護工提高到4成你可能也不用拿出來這邊講啦因為外籍看護工就是因為移工的勞動意識也強了啦所以早期沒有再讓人家休假現在休假當然會所以才會說喘息服務是最多被申請的項目交通接送也很多 |
| transcript.whisperx[764].start |
23317.262 |
| transcript.whisperx[764].end |
23340.362 |
| transcript.whisperx[764].text |
今天還有預算解凍要處理所以我們先討論到這邊那有關廠照的問題我覺得是民進黨執政不可迴避的責任那也希望市長這邊不管在政策的擬定或是政策的落實都必須要加把勁謝謝市長 謝謝主席 |
| transcript.whisperx[765].start |
23344.573 |
| transcript.whisperx[765].end |
23345.715 |
| transcript.whisperx[765].text |
好 本日會議 |
| transcript.whisperx[766].start |
23369.795 |
| transcript.whisperx[766].end |
23389.863 |
| transcript.whisperx[766].text |
宣達全部結束 委員陳昭志 張家俊 林德虎 廖偉翔 圖全吉 李坤成所提書面諮詢列入紀錄刊登公報那先做以下決議第一 報告說明及詢討完畢第二 委員質詢未及答覆或請補充資料者請相關機關於兩週內以書面答覆 委員另要求期限者從期鎖定那接下來我們來處理討論事項預算凍結報告案計13案請一併宣讀 |
| transcript.whisperx[767].start |
23397.14 |
| transcript.whisperx[767].end |
23414.012 |
| transcript.whisperx[767].text |
討論事項處理衛生福利部行為一百一十四年度中央政府總預算決議分別減減送該部主管預算凍結報告案十三案一疾病管制署新增決議二三二預算凍結專案報告二食品藥物管理署新增決議 |
| transcript.whisperx[768].start |
23415.433 |
| transcript.whisperx[768].end |
23421.475 |
| transcript.whisperx[768].text |
253 預算凍結專案報告3 國民健康署業務費預算凍結30%專案報告4 社會及家庭署業務費預算凍結30%專案報告5 國家中醫藥研究所預算凍結專案報告6 衛生福利部1及新增決議101衛生福利部預算凍結報告 |
| transcript.whisperx[769].start |
23438.04 |
| transcript.whisperx[769].end |
23444.545 |
| transcript.whisperx[769].text |
7.衛生福利部23、24及新增決議136、137等7目一般行政預算凍結報告8.衛生福利部25至40及新增決議161第8目醫政業務預算凍結報告 |
| transcript.whisperx[770].start |
23453.672 |
| transcript.whisperx[770].end |
23455.714 |
| transcript.whisperx[770].text |
9.衛生福利部41-48第9目心理及口腔健康業務預算凍結報告10.衛生福利部55-57及新增決議197-200第12目綜合規劃業務預算凍結報告 |
| transcript.whisperx[771].start |
23468.729 |
| transcript.whisperx[771].end |
23490.808 |
| transcript.whisperx[771].text |
十一 中央健康保險署決議八至二十二及新增決議二九一第三目健保業務預算凍結報告十二 國民健康署第一目向下全人健康促進與成癮防治研究預算凍結一千萬元專案報告十三 國民健康署第一目向下運動科技應用與產業發展推動國民健康場域應用計劃預算凍結一百萬元專案報告宣讀完畢 |
| transcript.whisperx[772].start |
23498.427 |
| transcript.whisperx[772].end |
23515.993 |
| transcript.whisperx[772].text |
好 我們現在要來進行討論這個13項的主案處理的時候先跟各位做一個報告剛剛在早上的這個報告事項裡面有委員針對第10項有提出互代決議那我現在請議事處來宣讀提案內容 |
| transcript.whisperx[773].start |
23522.981 |
| transcript.whisperx[773].end |
23550.069 |
| transcript.whisperx[773].text |
附帶決議有鑒於中國食品利用網路不當販售造成國人食安疑慮請食藥署加強網路查查定期上網監管針對無輸入許可之食品立即要求平台業者下架並加強後市場管理於六個月內研擬修法增加相關法則並協同台灣網路資訊中心一同建立相關管制制度 |
| transcript.whisperx[774].start |
23550.569 |
| transcript.whisperx[774].end |
23569.011 |
| transcript.whisperx[774].text |
提案委員林淑芬、王育敏、林月琴、劉建國宣讀完畢提案委員是林委員,早上應該有跟部有溝通過,OK嗎?好,那外務部沒有意見,就競表同意各位有沒有意見? |
| transcript.whisperx[775].start |
23570.322 |
| transcript.whisperx[775].end |
23583.913 |
| transcript.whisperx[775].text |
好沒有那我們就照案通過謝謝那現在進行討論事項13案之主案處理那第一案請就同意動之有意沒有意義沒有意義可是我要發言請說 |
| transcript.whisperx[776].start |
23596.138 |
| transcript.whisperx[776].end |
23609.783 |
| transcript.whisperx[776].text |
就相關的傳染病的訊息跟防治真的一定要做好相關的宣傳因為現在就是前一陣子我也聽說日本也有百日渴 |
| transcript.whisperx[777].start |
23610.803 |
| transcript.whisperx[777].end |
23631.208 |
| transcript.whisperx[777].text |
那現在COVID-19又在盛行怎麼在預防端就是還沒有大流行之前讓一般的民眾知道那應該做的措施、宣導這個都要做好好不好謝謝主席可以再多講一些沒關係 |
| transcript.whisperx[778].start |
23633.284 |
| transcript.whisperx[778].end |
23661.276 |
| transcript.whisperx[778].text |
不要表你國會議員的職責都提醒...都聽你的喔不然你不講就先走好不好請林委員幫他安撫一下情緒好 第一案同意動之有意沒有 那我們就同意動之繼續第二案請各位同仁就同意動之有意沒有 那就無意同意動之 第三案 |
| transcript.whisperx[779].start |
23662.97 |
| transcript.whisperx[779].end |
23687.894 |
| transcript.whisperx[779].text |
沒有異議,同意動之第四案那就同意動之第五案就同意動之第六案那就同意動之第七案同意動之第八案好,同意動之第九案同意動之第十案好,同意動之十一案 |
| transcript.whisperx[780].start |
23690.41 |
| transcript.whisperx[780].end |
23708.294 |
| transcript.whisperx[780].text |
有異議沒有那就同意動之第12案有異議那就同意動之好第13案有異議沒有好那我們就同意動之謝謝那作以下局議均同意動之並提報院會請委員先不要離開好不好 |
| transcript.whisperx[781].start |
23721.882 |
| transcript.whisperx[781].end |
23745.819 |
| transcript.whisperx[781].text |
委員會請楊委員回來好不好現在進行我們等一下進行討論事項的第一案跟第三案還是要委員在這個現場我也跟各位委員會做這個報告因為第二案第三案宣讀完之後可能已經五點半了應該是這樣明天一早我們委員會會繼續因為有很多委員在管理因為有 |
| transcript.whisperx[782].start |
23746.877 |
| transcript.whisperx[782].end |
23766.21 |
| transcript.whisperx[782].text |
有這個連下的關係啦那當然我們明天還是會進行處理那處理當然不會急救張也會遵照各位行政機關的相關的意見那可以處理就處理那不行處理那當然就這就保留有的可能就可以保留出委員會來做協商都可以啦 |
| transcript.whisperx[783].start |
23767.003 |
| transcript.whisperx[783].end |
23795.608 |
| transcript.whisperx[783].text |
就是不會強行說一定要怎麼樣因為還有很多這個不同的看法各個面向大家要討論到細究一點因為畢竟我們在處理法案我們不敢想說一定萬事流亡最起碼不能一臭一臭萬年所以省長我立誓要非常慎重所以我大致上跟各位宣告一下就是說今天等一下第一案第三案會做一個宣讀的時間可能將近要兩個多鐘頭會到五點半那明天一早可能就會進行法案的處理 |
| transcript.whisperx[784].start |
23796.038 |
| transcript.whisperx[784].end |
23813.52 |
| transcript.whisperx[784].text |
那原則上跟各位報告了這專業的東西我們就必須要慎重然後來做相關法律的這樣的草案的審查可以就處理 有意見我們就保留或許也有 |
| transcript.whisperx[785].start |
23814.182 |
| transcript.whisperx[785].end |
23830.058 |
| transcript.whisperx[785].text |
折席這個寫上的折席在審的這樣的機會好 以上就這樣宣告 謝謝那現在進行投入事項第二案及第三案請宣讀提案條文內容若有修正動議請一併宣讀在宣讀時請相關業務主責人員留在現場其餘人員可以先行離席 |
| transcript.whisperx[786].start |
23838.508 |
| transcript.whisperx[786].end |
23839.949 |
| transcript.whisperx[786].text |
兒童托育服務法 |
| transcript.whisperx[787].start |
23858.616 |
| transcript.whisperx[787].end |
23885.412 |
| transcript.whisperx[787].text |
行政院提案委員林月琴等16人委員何新存等16人委員王玉敏等24人委員邱若驊等16人委員黃潔等21人委員蔡易宇等17人委員蔡易宇等17人委員李坤成等22人委員陳培宇等19人委員郭玉琴等21人委員陳素月等16人委員鄭天才等18人委員王美惠等19人委員林淑芬等25人委員王振旭等18人委員吳佩義等18人 |
| transcript.whisperx[788].start |
23887.679 |
| transcript.whisperx[788].end |
23889.059 |
| transcript.whisperx[788].text |
提案條文對照表 |
| transcript.whisperx[789].start |
23917.665 |
| transcript.whisperx[789].end |
23933.435 |
| transcript.whisperx[789].text |
行政院委員李昆成等22人委員鄭天才等18人提案第一條為保障兒童接受適齡性質保育照顧確保兒童托育服務品質建構完善托育服務體系以促進兒童身心健全發展 |
| transcript.whisperx[790].start |
23935.219 |
| transcript.whisperx[790].end |
23955.203 |
| transcript.whisperx[790].text |
委員林月琴等16人提案第一條為保障兒童接受適當照顧確保兒童托育服務品質建構完善托育服務體系以促進其身心健全發展特制定本法兒童之權益依兒童及少年福利與權益保障法之規定辦理委員何新泉等16人委員陳素月等16人提案 |
| transcript.whisperx[791].start |
23955.743 |
| transcript.whisperx[791].end |
23976.642 |
| transcript.whisperx[791].text |
第一項同委員林月琴等16人提案第二項如下幼兒之權益及教育依兒童及少年福利與權益保障法及幼兒教育及照顧法制規定辦理委員王玉敏等24人提案第一條為保障兒童接受適當照顧確保兒童托育服務品質建構完善托育服務體系以促進其身心健全發展特制定本法 |
| transcript.whisperx[792].start |
23977.082 |
| transcript.whisperx[792].end |
24002.455 |
| transcript.whisperx[792].text |
委員邱若驊等16人提案第一項同委員林月琴等16人提案第二項如下兒童資權益及教育依兒童及少年福利與權益保障法制規定辦理委員黃潔等21人委員蔡易宇等17人委員郭育琴等21人委員王正旭等18人提案第一條為保障兒童接受適當照顧確保兒童托育服務品質建構完善托育服務體系以促進兒童身心健全發展特制定本法 |
| transcript.whisperx[793].start |
24003.686 |
| transcript.whisperx[793].end |
24019.524 |
| transcript.whisperx[793].text |
委員陳培宇等19人提案第一條為促進兒童身心健全發展及性別平等保障兒童接受適當照顧確保兒童托育服務品質提升公共托育服務量能支持人民兼顧育兒與工作並建構完善托育服務體系 |
| transcript.whisperx[794].start |
24021.482 |
| transcript.whisperx[794].end |
24049.779 |
| transcript.whisperx[794].text |
以促進兒童身心健全發展特制定本法委員王美惠等19人提案第一項同委員黃婕等21人提案第二項同委員林月琴等16人提案委員林淑芬等25人提案第一條為促進兒童身心健全發展及性別平等保障兒童接受適齡適性之保育照顧確保兒童托育服務品質提升公共托育服務量能支持人民兼顧育兒與工作並建構完善托育服務體系特制定本法 |
| transcript.whisperx[795].start |
24050.359 |
| transcript.whisperx[795].end |
24066.193 |
| transcript.whisperx[795].text |
委員吳佩儀等18人提案第一條為保障兒童接受適當之保護照顧使兒童之身心健康能獲得中全之保護合理監督托育服務支持行及相關人員之作業以確保品質並建構完善托育服務特制定本法 |
| transcript.whisperx[796].start |
24067.054 |
| transcript.whisperx[796].end |
24082.581 |
| transcript.whisperx[796].text |
行政院委員林月琴等16人委員何新淳等16人委員邱若驊等16人委員黃潔等21人委員蔡易宇等17人委員李坤澄等22人委員陳佩玉等19人委員郭玉琴等21人委員陳素月等16人委員鄭天才等18人 |
| transcript.whisperx[797].start |
24083.982 |
| transcript.whisperx[797].end |
24099.338 |
| transcript.whisperx[797].text |
委員王美惠等19人委員林淑芬等25人委員王振旭等18人委員吳佩義等18人提案第二條本法所稱主管機關在中央為衛生福利部在直轄市為直轄市政府在縣市為縣市政府本法所定事項涉及各目的事業主管機關業務時各該機關應配合辦理 |
| transcript.whisperx[798].start |
24102.401 |
| transcript.whisperx[798].end |
24130.913 |
| transcript.whisperx[798].text |
委員王玉明等24人提案第二條本發所稱主管機關在中央為衛生福利部在直轄市為直轄市政府在縣市為縣市政府本發所定事項涉及目的事業主管機關業務時各該機關應配合辦理事項如下一衛生主管機關主管附幼衛生發展遲緩兒童早期醫療兒童身心健康醫療復健等相關事宜二教育主管機關主管學前教育及特殊教育等相關事宜三建設 |
| transcript.whisperx[799].start |
24131.693 |
| transcript.whisperx[799].end |
24156.435 |
| transcript.whisperx[799].text |
公務消防主管機關主管托育機構及戶住室托育設置之建築物使用管理環境公共及消防安全檢查等相關事項四警政主管機關主管兒童人身安全維護等相關事宜五戶政主管機關主管兒童身份資料及戶籍等相關事宜六其他兒童托育措施及業務由相關目的事業主管機關依其全責辦理 |
| transcript.whisperx[800].start |
24161.348 |
| transcript.whisperx[800].end |
24186.817 |
| transcript.whisperx[800].text |
行政院委員李坤成等22人委員鄭天才等18人提案第三條本法用詞定義如下1.兒童 指未滿12歲之人2.托育服務 指由居家托育人員或托育機構提供兒童適齡適性之保育照顧服務3.居家托育 指未滿12歲兒童尤其三金等內親屬以外之人員於居家環境中提供有償之在宅或到宅托育服務 |
| transcript.whisperx[801].start |
24187.777 |
| transcript.whisperx[801].end |
24205.023 |
| transcript.whisperx[801].text |
四 在宅托育 指居家托育人員受兒童支法定代理人或實際照顧兒童之人委託在其服務登記處所提供托育服務五 到宅托育 指居家托育人員受兒童支法定代理人或實際照顧兒童之人委託至兒童住所或其他指定居所提供托育服務 |
| transcript.whisperx[802].start |
24205.723 |
| transcript.whisperx[802].end |
24231.708 |
| transcript.whisperx[802].text |
六 托育机构 指提供未满二岁儿童托育服务之公共托育家园托婴中心或互助式托育机构七 公共托育家园 指直辖市县市主管机关自行或委托非盈利性质法人 机构或团体办理提供十二人以下未满二岁儿童托育服务之机构八 托婴中心 指由政府机关或学校法人 团体 医院 商业或自然人设立提供未满二岁儿童托育服务之机构 |
| transcript.whisperx[803].start |
24232.648 |
| transcript.whisperx[803].end |
24248.974 |
| transcript.whisperx[803].text |
9.互助式托育机构,指因应离岛、偏远地区、原住民族地区之特殊性或政府机关购、公营事业机构、公司、学校及非政府组织为其员工直系写清、非亲属之托育需求提供未满二岁儿童托育服务之机构10. |
| transcript.whisperx[804].start |
24248.974 |
| transcript.whisperx[804].end |
24255.456 |
| transcript.whisperx[804].text |
居家托育人员,指取得指辖市县市主管机关合法居家托育服务证书之人员11. |
| transcript.whisperx[805].start |
24255.456 |
| transcript.whisperx[805].end |
24257.317 |
| transcript.whisperx[805].text |
与居家托育人员共同居住之人 |
| transcript.whisperx[806].start |
24257.737 |
| transcript.whisperx[806].end |
24287.092 |
| transcript.whisperx[806].text |
只与居家托育人员共同居住之配偶子系血清房系血清同居人或其他人员十二居家托育服务中心只受直辖市县市主管机关委托办理居家托育服务登记管理媒合辅导监督检查及调处事项之非盈利性执法人机构或团体十三负责人只托育机构依本法及其相关法规登记之名义人十四主管人员只与托育机构纵理业务之人员十五托育机构托育人员 |
| transcript.whisperx[807].start |
24287.552 |
| transcript.whisperx[807].end |
24307.665 |
| transcript.whisperx[807].text |
只與托育機構提供保育照顧之人員十六托育專業人員只居家托育人員主管人員及機構托育人員十七工作人員只負責任主管人員托育機構托育人員之外與托育機構服務之人員十八托育相關人員只負責任托育專業人員及工作人員 |
| transcript.whisperx[808].start |
24314.229 |
| transcript.whisperx[808].end |
24339.817 |
| transcript.whisperx[808].text |
第二條委員王衛銘等24人提案第二條本法所稱主管機關在中央為衛生部在直轄市為直轄市政府在縣市為縣市政府本法所定事項涉及目的事業主管機關業務時各該機關應配合辦理事項如下一衛生主管機關主管婦幼衛生發展迟緩兒童早期醫療兒童身心健康醫療復健等相關事宜二教育主管機關主管學前教育局特殊教育等相關事宜 |
| transcript.whisperx[809].start |
24340.237 |
| transcript.whisperx[809].end |
24367.826 |
| transcript.whisperx[809].text |
三建设公务消防主管机关主管托育机构及互助式托育设置之建筑物使用管理环境公共及消防安全检查等相关事项四警政主管机关主管儿童人身安全维护等相关事宜五护政主管机关主管儿童身份资料及户籍等相关事宜六其他儿童托育措施及业务由相关目的事业主管机关一级权责办理行政院委员李坤晨等22 |
| transcript.whisperx[810].start |
24369.957 |
| transcript.whisperx[810].end |
24372.901 |
| transcript.whisperx[810].text |
等22人委員鄭天才等18人提案 |
| transcript.whisperx[811].start |
24375.011 |
| transcript.whisperx[811].end |
24399.449 |
| transcript.whisperx[811].text |
第三條本法用詞定義如下兒童指未滿12歲之人托育二托育服務指由居家托育人員或托育機構提供兒童適齡適性之保育照顧服務三居家托育指未滿12歲兒童尤其餐廳等內親屬以外之人員與居家環境中提供有償在宅或到宅托育服務四在宅托育指居家托育人員 |
| transcript.whisperx[812].start |
24400.51 |
| transcript.whisperx[812].end |
24406.533 |
| transcript.whisperx[812].text |
受儿童执法定代理人或实际照顾儿童之人委托在其服务登记处所提供托育服务5. |
| transcript.whisperx[813].start |
24406.533 |
| transcript.whisperx[813].end |
24418.059 |
| transcript.whisperx[813].text |
倒载托育 指居家托育人员受儿童执法定代理人或实际照顾儿童之人委托至儿童住所或其他指定居所提供托育服务6. |
| transcript.whisperx[814].start |
24418.059 |
| transcript.whisperx[814].end |
24423.302 |
| transcript.whisperx[814].text |
托育机构 指提供未满2岁儿童托育服务之公共托育家园托婴中心 |
| transcript.whisperx[815].start |
24424.642 |
| transcript.whisperx[815].end |
24443.623 |
| transcript.whisperx[815].text |
或互助式托育機構公共托育家園指直轄市縣市主管機關自行或委託非營利性子法人機構或團體辦理提供12人以下未滿2歲兒童托育服務托嬰中心指由政府機關構學校法人團體醫院商業或自然人設立提供未滿2歲兒童托育服務之機構 |
| transcript.whisperx[816].start |
24444.664 |
| transcript.whisperx[816].end |
24470.339 |
| transcript.whisperx[816].text |
9.互助式托育机构,指因应离岛偏远地区援助民族地区之特殊性,或政府机关构拥公营事业机构、公司、学校及非政府组织为其员工实施写金。10.非亲属之托育需求,提供未满二岁儿童托育服务之机构,使居家托育人员只取得自辖市县市主管机关合法居家托育服务证书之人员。11.与居家托育人员共同居住之人,只与居家托育人员共同居住。 |
| transcript.whisperx[817].start |
24471.929 |
| transcript.whisperx[817].end |
24472.089 |
| transcript.whisperx[817].text |
10.托育機構 |
| transcript.whisperx[818].start |
24502.549 |
| transcript.whisperx[818].end |
24517.435 |
| transcript.whisperx[818].text |
機構托育人員指於托育機構提供保育照顧之人員十六托育專業人員指居家托育人員主管人員及托育人員十七工作人員指負責人主管人員機構托育人員外與托育機構服務之人員 |
| transcript.whisperx[819].start |
24518.335 |
| transcript.whisperx[819].end |
24544.369 |
| transcript.whisperx[819].text |
18.托育相關人員指負責人托育專業人員及工作人員委員林月琴等16人提案第三條本法用詞定義如下兒童指餵滿12歲之人2.托育服務指以下列方式提供兒童適齡適性之保育照顧服務1.寡護1.居家托育指兒童尤其三親等內親屬以外之人員於居家環境中提供收費之托育服務2.托育機構1.公共托育家園 |
| transcript.whisperx[820].start |
24544.989 |
| transcript.whisperx[820].end |
24562.424 |
| transcript.whisperx[820].text |
指直轄市縣市主管機關委託非營利性質法人機構或團體辦理提供十二名以下未滿二歲兒童托育服務之機構二托嬰中心指提供未滿二歲兒童托育服務之機構三瓜湖山互助式托育指因應離島偏遠地區援助民族 |
| transcript.whisperx[821].start |
24563.144 |
| transcript.whisperx[821].end |
24582.246 |
| transcript.whisperx[821].text |
地区之特殊性或政府机关购学校公司及非政府组织为其员工子女及孙子女托育需求提供未满二岁儿童之托育服务三居家托育人员只取得直辖市县市主管机关合法居家托育服务登记证书之人员四居家托育服务中心 |
| transcript.whisperx[822].start |
24582.706 |
| transcript.whisperx[822].end |
24607.591 |
| transcript.whisperx[822].text |
指直轄市縣市主管機關委由非營利性質法人、機構或團體協助辦理居家托育服務登記、管理媒合輔導、監督檢查及爭議調解事項者五、負責人,指托育機構或互助式托育依本法及其相關法規登記之名義人七、違法人者,指其董事長或理事長六、托育人員,指於托育機構及互助式托育提供教育及保育之人員 |
| transcript.whisperx[823].start |
24608.692 |
| transcript.whisperx[823].end |
24623.131 |
| transcript.whisperx[823].text |
7.主管人员,指于托育机构及互助式托育众里业务职人员。8.托育专业人员,指第二款及前二款人员。9.工作人员,指负责人托育专业人员以外,于托育机构及互助式托育服务职人员。 |
| transcript.whisperx[824].start |
24625.514 |
| transcript.whisperx[824].end |
24652.588 |
| transcript.whisperx[824].text |
10.共同居住之人 只與居家托育人員共同居住之配偶 子系寫親 堂系寫親同居人或其他同才共居之人委員何欣淳等16人提案 第三條序文與委員林月晴等16人提案 同第一款與委員林月晴等16人提案 第二款同第二款與委員林月晴等16人提案 第三款同第四目如下 括弧四 |
| transcript.whisperx[825].start |
24654.218 |
| transcript.whisperx[825].end |
24678.567 |
| transcript.whisperx[825].text |
其他經主管機關許可設立之托育服務第三款至第六款與委員林月琴等16人提案第四款至第七款同第七款及第八款如下七托育專業人員指第二款第五款及前款人員八其他工作人員指負責人托育專業人員與托育機構服務之人員第九款與委員林月琴等16人提案第十款同委員王玉敏等24人提案第三條續文 |
| transcript.whisperx[826].start |
24679.767 |
| transcript.whisperx[826].end |
24701.364 |
| transcript.whisperx[826].text |
及第1款第1目同委員何新淳等16人提案第2目及第4目如下括弧2公共化居家托育指由直轄市縣市主管機關辦理聘請具托育專業資格之人員與居家環境中提供托育服務括弧3托育機構1公共托育家園指直轄市縣市主管機關委託非營利性質法人 |
| transcript.whisperx[827].start |
24701.784 |
| transcript.whisperx[827].end |
24723.396 |
| transcript.whisperx[827].text |
机构或团体办理提供12名以下未满2岁儿童托育服务之机构二托婴中心指提供未满2岁儿童托育服务之机构瓜湖市互助市托育指社团法人人民团体因应离岛偏远地区援助民族地区之特殊性或政府机关购学校公司及非政府组织为其员工子女 |
| transcript.whisperx[828].start |
24724.176 |
| transcript.whisperx[828].end |
24751.197 |
| transcript.whisperx[828].text |
及生子女之托育需求提供未滿二歲兒童之托育服務第二款及第三款同委員何欣淳等16人提案第四款至第八款如下四負責人 指托育機構或互助式托育機構依本法及其相關法規登記之名義人其違法人者 指董事長或理事長五托育人員 指於托育機構及互助式托育機構提供教育及保育之人員六主管人員 指於托育機構及互助式托育機構縱理業務之人員 |
| transcript.whisperx[829].start |
24753.259 |
| transcript.whisperx[829].end |
24769.881 |
| transcript.whisperx[829].text |
7.托育专业人员,指第二款及前二款之人员8.工作人员,指负责人托育专业人员以外与托育机构及互助式托育服务之人员第九款,同委员何新存等16人提案,委员邱乐华等16人提案第3条,续文及第1款 |
| transcript.whisperx[830].start |
24771.062 |
| transcript.whisperx[830].end |
24791.653 |
| transcript.whisperx[830].text |
第一幕至第三幕及第二款至第六款同委員何新淳等十六人提案第七款如下七托育專業人員及第二款及前二款人員第八款及第九款同委員王玉敏等二十四人提案委員黃婕等二十一人委員蔡奕宇等十七人委員郭玉琴等二十一人提案第三條第二款如下二托育服務 |
| transcript.whisperx[831].start |
24792.173 |
| transcript.whisperx[831].end |
24819.756 |
| transcript.whisperx[831].text |
指由居家托育或托育机构提供儿童适龄适性之保育照顾服务第七款莫居如下提供未满二岁儿童十二人以下托育服务之机构第八款冒号后首居为指政府机关购第十一款首居为共同居住之人第十二款如下十二居家托育服务中心指授直辖市县市主管机关委托办理居家托育服务登记管理媒合辅导监督检查及调处事项之非盈利性职法人 |
| transcript.whisperx[832].start |
24821.017 |
| transcript.whisperx[832].end |
24839.729 |
| transcript.whisperx[832].text |
機構或團體予以願辦同委員陳佩瑜等19人提案第三條第二款如下二 托育服務指由居家托育或托育機構提供兒童適齡適性之保育照顧服務第七款默劇如下提供未滿二歲兒童12人以下托育服務之機構 |
| transcript.whisperx[833].start |
24840.629 |
| transcript.whisperx[833].end |
24869.151 |
| transcript.whisperx[833].text |
第八款冒號後首據為指政府機關購第十款及第十一款如下使居家托育人員只取得指向市縣市主管機關核發居家托育服務登記證書之人員十一共同居住之人只與居家托育人員共同居住之配偶子系血親房系血親同居人或其他人員予以願辦同委員陳素月等十六人提案第三條第一款第三幕冒號後首據為指因應離外島予以委員何欣淳等十六人提案同 |
| transcript.whisperx[834].start |
24872.867 |
| transcript.whisperx[834].end |
24892.932 |
| transcript.whisperx[834].text |
委員王美惠等十九人 委員王振旭等十八人提案 第十款與與願板同 與與委員陳培宇等十九人提案同 委員林淑彬等二十五人提案 第三條第一款至第七款及第十三款至第十八款同願板 第八款至第十二款同委員陳培宇等十九人提案委員吳佩玉等十八人提案 第二第三條 |
| transcript.whisperx[835].start |
24893.672 |
| transcript.whisperx[835].end |
24908.935 |
| transcript.whisperx[835].text |
第一二四五七八十及第十二至第十八款同源版第三六九十一十九款如下三居家托育只由受服务儿童其三金等类亲属以外之人员于居家环境提供有偿之载载或倒载托育服务 |
| transcript.whisperx[836].start |
24909.635 |
| transcript.whisperx[836].end |
24931.793 |
| transcript.whisperx[836].text |
6.托育机构,指对未满二岁之儿童提供托育服务之公共托育家园、托婴中心或互助式托育机构。9.互助式托育机构,指因应离岛偏远地区援助民族地区之特殊性而设立或政府机关或公营事业机构、公司、学校及非政府组织为其员工之托育需求,提供未满二岁儿童托育服务之机构。 |
| transcript.whisperx[837].start |
24933.014 |
| transcript.whisperx[837].end |
24950.496 |
| transcript.whisperx[837].text |
11.与居家托育人员共同生活之人指无论其户籍登记或有无亲属关系实际上与居家托育人员共同生活者是有替代性照顾儿童于家中无法获得适当照顾时由政府提供之保护安置紧急安置或其他相关措施 |
| transcript.whisperx[838].start |
24954.201 |
| transcript.whisperx[838].end |
24982.967 |
| transcript.whisperx[838].text |
行政院委員黃潔等21人委員蔡奕宇等17人委員李坤城等22人委員王振旭等18人提案第4條托育服務應以兒童之最佳利益為優先考量政府機關托育機構托育相關人員及家庭應推動及促進兒童托育服務之健全發展政府對於處於離島偏遠地區或因經濟身心文化與族群而有協助需求之兒童以下稱需要協助之兒童應優先提供適當托育服務之機會 |
| transcript.whisperx[839].start |
24985.868 |
| transcript.whisperx[839].end |
25011.226 |
| transcript.whisperx[839].text |
委員林月琴等16人委員何新淳等16人委員陳素月等16人提案第4條第二項如下推動及促進兒童托育服務為政府社會家庭托育機構互助式托育及托育專業人員之責任第三項倒數第二句如下文化與族群而有協助需求及兒童與語言版同委員王玉敏等24人提案第4條第一項及第二項如下托育服務應以兒童為主體導 |
| transcript.whisperx[840].start |
25013.007 |
| transcript.whisperx[840].end |
25032.178 |
| transcript.whisperx[840].text |
遵行兒童本位精神秉持性別族群文化平等及尊重家長之原則辦理並以兒童之最佳利益為優先考量推動及促進兒童托育服務為政府社會家庭托育機構互助式托育機構及托育專業人員共同之責任第三項倒數第二句如下政府對於離島 |
| transcript.whisperx[841].start |
25035.635 |
| transcript.whisperx[841].end |
25051.808 |
| transcript.whisperx[841].text |
予以委員林月琴等16人提案同委員邱若驊等16人提案第4條第三項如下政府對於離島偏遠地區或因家庭經濟身心文化與族群而有協助需求之兒童應優先提供適當托育服務之機會予以委員何新淳等16人提案同 |
| transcript.whisperx[842].start |
25054.232 |
| transcript.whisperx[842].end |
25079.174 |
| transcript.whisperx[842].text |
委員陳佩玉等19人委員林淑芬等25人提案第四條第一項如下托育服務應以兒童最佳利益為優先考量政府應提供兒童優質普及評價及進變性之托育服務並應以保障兒童最佳利益及支持人民兼顧育兒與工作為原則第三項默劇為應優先提供適當且充足之托育服務第四項如下中央主管機關 |
| transcript.whisperx[843].start |
25080.055 |
| transcript.whisperx[843].end |
25098.01 |
| transcript.whisperx[843].text |
应定其办理托育资源及需求调查公开其统计及分析之结果并具以定定托育服务政策予以愿版同委员郭玉琴等21人提案第4条第三项倒数第二句如下文化与族群而有协助需求之儿童以下简称需要协助之儿童予以愿版同 |
| transcript.whisperx[844].start |
25100.461 |
| transcript.whisperx[844].end |
25120.972 |
| transcript.whisperx[844].text |
委員曾天才等十八人提案第四條第一項及第二項與願反同第三項如下政府對於低收入戶中低收入戶特殊境遇家庭身心障礙原住民離島及偏遠地區之兒童應優先提供適當托育服務之機會委員王美惠等十九人提案第四條第一項及第二項與願反同 |
| transcript.whisperx[845].start |
25121.972 |
| transcript.whisperx[845].end |
25149.526 |
| transcript.whisperx[845].text |
第三項如下政府對處於離島偏遠地區援助民族地區或因經濟身心文化與族群而有協助需求之兒童以下簡稱需要協助之兒童應優先提供適當托育服務之機會委員吳佩玉等十八人提案第四條第一項如下托育服務及其輔導協調及監督應以兒童之最佳利益為優先考量第三項莫具如下應優先提供適當托育服務之機會予以委員陳佩玉等十九人提案同 |
| transcript.whisperx[846].start |
25150.686 |
| transcript.whisperx[846].end |
25178.492 |
| transcript.whisperx[846].text |
行政院委员李坤成等22人委员郑天才等18人委员吴佩义等18人提案第五条中央主管机关掌理下列事项一 纯国性托育服务政策法规与方案之规划订定宣导及研究二 对指辖市县市主管机关执行托育服务之辅导协调及监督三 中央托育服务经费之分配及补助四 托育服务辅导奖励补助及评鉴之规划五 托育服务相关专业训练及规划 |
| transcript.whisperx[847].start |
25178.932 |
| transcript.whisperx[847].end |
25197.589 |
| transcript.whisperx[847].text |
六 全国性托育服务基本资料之收集调查统计及公布七 其他全国性托育服务之相关事项前项第六款全国性托育服务基本资料至少应包括全国居家托育服务托育机构之收费项目与数额评鉴结果不利主任及其他相关事项 |
| transcript.whisperx[848].start |
25199.451 |
| transcript.whisperx[848].end |
25224.595 |
| transcript.whisperx[848].text |
委員林月琴等16人委員邱若驊等16人提案第5條第一項序文及第12358款如下中央主管機關掌理下列事項一全國性托育服務政策及法規之研擬二托育服務理念法規之宣導及推廣三對直轄市縣市政府執行托育服務之輔導協調及監督五托育服務業務之方案規劃研究輔導講助實驗及評鑑之規劃八協助托育人員組織及家長組織之成立 |
| transcript.whisperx[849].start |
25229.116 |
| transcript.whisperx[849].end |
25256.785 |
| transcript.whisperx[849].text |
第4679款同院版第3567款第二項如下前項第7款托育服務基本資料至少因包括全國居家托育服務公共托育家園托嬰中心及互助式托育之收退費項目評鑒結果不利處分及其他相關事項委員何新淳等16人提案第5條第一項續文及第1356款同院版第二款同委員林月琴等16人提案第478款及第二項 |
| transcript.whisperx[850].start |
25257.805 |
| transcript.whisperx[850].end |
25279.287 |
| transcript.whisperx[850].text |
第二項第三項如下如下中央主管機關長理下列事項四托育服務業務之輔導講助及評鑑之規劃七居家托育人員托育人員及主管人員人力之規劃八其他全國性托育服務之相關事項前項第六款托育服務基本資料至少應包括全國居家托育服務公共托育家園托嬰中心 |
| transcript.whisperx[851].start |
25279.767 |
| transcript.whisperx[851].end |
25302.644 |
| transcript.whisperx[851].text |
及互助市托育支收費項目與數額評鑑結果不利處分及其他相關事項第一項第七款居家托育人員托育人員及主管人員人力之規劃中央主管機關應每四年進行檢討委員王玉敏等二十四人提案第五條第一項續文及第一三五六款同院版第二款同委員林月琴等十六人提案第三款第八款同院版第七款 |
| transcript.whisperx[852].start |
25303.024 |
| transcript.whisperx[852].end |
25321.402 |
| transcript.whisperx[852].text |
第四款第七款及第二項如下四托育服務之輔導講助及評鑑之規劃七居家托育人員托育人員及主管人員人力之規劃前項第六款托育服務基本資料應包括全國居家托育服務公共托育家園托育中心互助式托育及公共化居家托育服務之 |
| transcript.whisperx[853].start |
25322.243 |
| transcript.whisperx[853].end |
25343.291 |
| transcript.whisperx[853].text |
收費項目與數額、退費項目與基準、評鑑結果、不利處分及其他相關事項委員黃婕等21人、委員蔡奕宇等17人、委員郭玉琴等21人、委員王振旭等18人提案第五條第一項第四款默劇為講注及評鑑之規劃第二項首劇為前項第六款托育服務基本資料與與院版同 |
| transcript.whisperx[854].start |
25345.27 |
| transcript.whisperx[854].end |
25371.915 |
| transcript.whisperx[854].text |
委員陳培宇等十九人提案第五條第一項續文及第123567款同院版第二款同委員林月琴等十六人提案第四款如下四托育服務業務之輔導講座及評鑑之規劃第二項如下前項第二款全國性托育服務基本資料至少應包括全國居家托育服務托育機構之收退費項目與數額評鑑結果不立處分及其他相關事項委員陳素月等十六人提案第五條 |
| transcript.whisperx[855].start |
25372.535 |
| transcript.whisperx[855].end |
25395.635 |
| transcript.whisperx[855].text |
第一項同委員黃婕等21人提案第二項同委員何新淳等16人提案委員王美惠等19人提案第五條第一項續文及第一款如下中央主管及官長裡下列事項一全國性托育服務政策法規方案及理念之規劃訂定宣導推廣及研究第二款至第七款同委員黃婕等21人提案 |
| transcript.whisperx[856].start |
25396.155 |
| transcript.whisperx[856].end |
25419.225 |
| transcript.whisperx[856].text |
第二項如下前項第六款托育服務基本資料應包括但不限於全國居家托育服務公共托育家園托嬰中心及互助式托育支收退費項目與數額評鑑結果不立處分及其他相關事項委員林淑芬等二十五人提案第五條第一項續文及第一款如下中央主管機關長禮下列事項一全國性托育服務政策 |
| transcript.whisperx[857].start |
25419.745 |
| transcript.whisperx[857].end |
25438.493 |
| transcript.whisperx[857].text |
法規與方案規劃訂定推廣宣導研究及實驗第2、3、5、6、7款同院版第4款如下4、托育服務業務之輔導獎勵及評鑑規劃第2項如下前項第6款全國性托育服務基本資料至少應包括全國居家托育服務托育機構服務之收費項目與數額評鑑結果不利處分及其他相關事項 |
| transcript.whisperx[858].start |
25444.013 |
| transcript.whisperx[858].end |
25461.483 |
| transcript.whisperx[858].text |
行政院委員李坤成等22人委員鄭天才等18人提案第6條直轄市縣市主管機關長理下列事項一直轄市縣市托育服務政策與方案之規劃訂定宣導研究及執行二中央托育服務政策法規及方案之執行三托育服務相關專業訓練之執行 |
| transcript.whisperx[859].start |
25463.024 |
| transcript.whisperx[859].end |
25476.214 |
| transcript.whisperx[859].text |
四直轄市縣市居家托育服務之登記管理媒合輔導監督及檢查五直轄市縣市托育機構之設立管理輔導監督檢查及評鑑六直轄市縣市托育服務基本資料之收集調查統計及公佈 |
| transcript.whisperx[860].start |
25478.475 |
| transcript.whisperx[860].end |
25499.484 |
| transcript.whisperx[860].text |
其他紫霞市縣市托育服務之策劃及監督及督導事項前項第六款紫霞市縣市托育服務基本資料至少應包括主管之居家托育服務托育機構服務之收費項目與數額評鑑結果不利處分及其他相關事項委員林月琴等16人提案第六條第一項序文及第12367款同院版 |
| transcript.whisperx[861].start |
25499.884 |
| transcript.whisperx[861].end |
25528.797 |
| transcript.whisperx[861].text |
第四五第五款及及第二項如下四直轄市縣市居家托育服務之登記管理輔導監督及檢查五直轄市縣市公共托育家園托嬰中心及戶住室托育之設立檢查輔導及評鑑前項第六款托育服務基本資料至少應包括直轄市縣市主管機關主管之居家托育服務公共托育家園托育托育中心及戶住室托育服務之收退費 |
| transcript.whisperx[862].start |
25529.797 |
| transcript.whisperx[862].end |
25551 |
| transcript.whisperx[862].text |
項目與數額評鑑結果不利處分及其他相關事項委員何新淳等16人委員陳素月等16人提案第6條第一項序文及第12367款同院版第45款同委員林月琴等16人提案第二項倒數第三據如下托嬰中心及戶主室托育服務之收費項目與數額予以委員林月琴等16人提案同 |
| transcript.whisperx[863].start |
25551.5 |
| transcript.whisperx[863].end |
25569.386 |
| transcript.whisperx[863].text |
委員王玉敏等24人提案第6條第1項續文及第1、2、3款同院版第4及第8款同委員林月琴等16人提案第5、6、7款及第2項如下5直轄市縣市公共托育家園托嬰中心戶主使托育及公共化居家托育服務之設立檢查輔導及評鑑 |
| transcript.whisperx[864].start |
25571.447 |
| transcript.whisperx[864].end |
25598.459 |
| transcript.whisperx[864].text |
6 直轄市縣市托育基本資料之收集調查統計及公佈7 輕職教育之規劃及辦理前項第六款托育服務基本資料應包括直轄市縣市主管機關主管之居家托育服務公共托育家園托孕中心互助式托育及公共化居家托育服務之收費項目與數額退費項目與基準評鑑結果不利處分及其他相關事項委員邱若驊等16人提案第六條 |
| transcript.whisperx[865].start |
25599.099 |
| transcript.whisperx[865].end |
25626.696 |
| transcript.whisperx[865].text |
第一項續文及第一至第四款同委員王玉敏等二十四人提案第六至第七款同委員何欣淳等十六人提案第二項同委員林月琴等十六人提案委員黃潔等二十一人委員蔡易宇等十七人委員郭玉琴等二十一人委員王玉琴王正旭等十八人提案第六條第二項首二據如下前項第六款托育服務基本資料至少應包括主管資居家托育服務與醫院版同 |
| transcript.whisperx[866].start |
25629.963 |
| transcript.whisperx[866].end |
25653.486 |
| transcript.whisperx[866].text |
委員陳培宇等19人提案第6條第一項同院版第二項同委員何新淳等16人提案委員王美惠等19人提案第6條第一項同院版第二項如下前項第6款托育服務基本資料應包括並不限於主管之居家托育服務托育機構服務之收費項目與數額評鑑結果不利處分及其他相關事項委員林淑芬等25人提案第6條 |
| transcript.whisperx[867].start |
25654.227 |
| transcript.whisperx[867].end |
25668.721 |
| transcript.whisperx[867].text |
第1項第4款同委員林月琴等16人提案予與院本同委員吳佩奕等18人提案第6條第1項第7款如下7直轄市縣市臨時托育服務之規劃執行輔導監督及檢查予與院本同 |
| transcript.whisperx[868].start |
25672.711 |
| transcript.whisperx[868].end |
25701.082 |
| transcript.whisperx[868].text |
委員林淑芬等25人提案第7條中央主管機關為整合規劃協調審議諮詢或宣導托育服務開發居家托育人力資源訂定居家托育收退費項目與基準訂定機構托育之收退費項目及其他與托育服務相關事項應召開托育審議會前項審議會其成員應包括社政主管機關代表衛生主管機關代表 |
| transcript.whisperx[869].start |
25701.522 |
| transcript.whisperx[869].end |
25724.716 |
| transcript.whisperx[869].text |
劳动主管机关代表、相关学者专家、居家托育服务团体代表、居家托育人员团体代表、托育人员团体代表、托育机构团体代表、儿童福利团体代表、家长团体代表、妇女团体代表及劳工权益促进团体代表前项学者专家及民间团体代表合计不得少于委员总数二分之一任意性别委员人数不得少于委员总数三分之一 |
| transcript.whisperx[870].start |
25725.436 |
| transcript.whisperx[870].end |
25741.311 |
| transcript.whisperx[870].text |
負責人不得以非托育機構團體代表之身份擔任第二項之代表第二項團體代表身份有異動者主管機關應重新聘任行政院委員李昆成等22人提案第7條各級主管機關為整合規劃協調及諮詢托育服務應召開托育服務諮詢會 |
| transcript.whisperx[871].start |
25744.033 |
| transcript.whisperx[871].end |
25757.518 |
| transcript.whisperx[871].text |
前項諮詢會其成員因包括主管機關代表衛生主管機關代表勞動主管機關代表相關學者專家居家托育服務團體代表托育機構團體代表兒童福利團體代表家長團體代表婦女團體代表及勞工團體代表 |
| transcript.whisperx[872].start |
25760.319 |
| transcript.whisperx[872].end |
25777.021 |
| transcript.whisperx[872].text |
前向学者专家及民间团体代表合计不得少于成员总数二分之一任意性别委员人数不得少于成员总数三分之一负责人不得以非托育机构团体代表之身份担任第二项之成员第二项团体代表之身份有异动者主管及管应重新聘任 |
| transcript.whisperx[873].start |
25777.802 |
| transcript.whisperx[873].end |
25789.849 |
| transcript.whisperx[873].text |
委員林月清等十六任提案第七條中央主管機關應邀集目的事業主管機關代表托育與兒童福利學者專家身心障礙團體代表居家托育服務團體代表托育機構團體代表兒童福利團體代表家長團體代表婦女團體代表 |
| transcript.whisperx[874].start |
25794.131 |
| transcript.whisperx[874].end |
25816.195 |
| transcript.whisperx[874].text |
勞工團體代表組成諮詢會負責協調研究諮詢托育服務收退費額人員薪資及其他相關事項直轄市縣市主管機關應以首長為召集人邀集目的事業主管機關代表托育與兒童福利學者專家身心障礙團體代表居家托育服務團體代表托育機構團體代表兒童福利團體代表家長團體代表婦女團體代表勞工團體代表組成諮詢會負責協調研究審議 |
| transcript.whisperx[875].start |
25823.436 |
| transcript.whisperx[875].end |
25850.542 |
| transcript.whisperx[875].text |
咨询托育服务收退费项目与金额人员薪资及其他相关事项前二项相关学者专家民间相关机构团体代表不得少于二分之一任意性别成员应占成员总数三分之一以上负责人不得以非托育机构团体代表之身份担任第一项制代表团体代表身份有异动者主管机关应重新聘任前二项委员之回避准用行政程序法之规定办理 |
| transcript.whisperx[876].start |
25851.022 |
| transcript.whisperx[876].end |
25873.742 |
| transcript.whisperx[876].text |
委員何欣淳等16人委員陳素月等16人提案第7條直轄市縣市主管機關應以首長為召集人邀集目的事業主管機關目的事業主管機關代表相關學者或專家居家托育人員代表托育機構代表托育服務團體代表兒童福利團體代表家長團體代表婦女團體代表勞工團體代表組成諮詢會負責協調研究審議諮詢托育服務 |
| transcript.whisperx[877].start |
25876.824 |
| transcript.whisperx[877].end |
25894.711 |
| transcript.whisperx[877].text |
收退费项目与金额人员薪资及其他相关事项前项相关学者专家民间相关机构团体代表不得少于二分之一任意性别不得少于百分之四十负责人不得以非托育团体代表之身份担任第一项制代表团体代表身份有异动者主管机关应重新聘任 |
| transcript.whisperx[878].start |
25895.191 |
| transcript.whisperx[878].end |
25918.243 |
| transcript.whisperx[878].text |
第一项委员之回避依行政程序法之规定办理委员王玉敏等24人提案第7条中央主管机关邀集目的事业主管机关代表托育与儿童福利学者专家居家托育服务团体代表托育机构团体代表儿童福利团体代表家长团体代表妇女团体代表劳工团体代表身心障碍团体代表组成咨询会负责协调研究 |
| transcript.whisperx[879].start |
25919.443 |
| transcript.whisperx[879].end |
25927.008 |
| transcript.whisperx[879].text |
諮詢托育服務及其他相關事項直轄市縣市主管機關應以首長為召集人邀集目的事業主管機關代表托育與兒童福利學者 |
| transcript.whisperx[880].start |
25928.177 |
| transcript.whisperx[880].end |
25956.995 |
| transcript.whisperx[880].text |
或专家居家托育人员代表托育机构代表托育服务团体代表儿童福利团体代表家长团体代表妇女团体代表老公团体代表身心障碍团体代表成立咨询会负责协调研究审议咨询托育服务收费项目与金额人员薪资及其他相关事项第二项咨询会涉及原住民相关议题时应邀请具原住民儿童权益倡议经验或从事原住民儿童托育服务团体代表 |
| transcript.whisperx[881].start |
25957.475 |
| transcript.whisperx[881].end |
25985.575 |
| transcript.whisperx[881].text |
第一项及第二项相关学者专家团体代表不得少于二分之一任意性别总数应战成员总数三分之一以上其回避之规定准用行政程序法负责人不得以非托育机构团体代表之身份担任第一项及第二项之代表团体代表身份有异动者主管机关应重新聘任委员邱乐华等16人提案第七条中央主管机关应邀集目的事业主管机关代表托育与儿童福利学者专家身心障碍团体代表居家托育 |
| transcript.whisperx[882].start |
25986.235 |
| transcript.whisperx[882].end |
26006.574 |
| transcript.whisperx[882].text |
服務團體代表托育機構團體代表兒童福利團體代表家長團體代表婦女團體代表勞工團體代表組成諮詢會負責協調研究諮詢托育服務收退費額人員薪資及其他相關事項此下事先是主管機關應以首長為召集人邀集目的事業主管機關代表 |
| transcript.whisperx[883].start |
26008.103 |
| transcript.whisperx[883].end |
26015.249 |
| transcript.whisperx[883].text |
托育兒童福利學者專家 身經障礙團體代表居家托育服務團體代表托育機構團體代表 兒童福利團體代表家長團體代表 婦女團體代表勞工團體代表組成諮詢會負責協調研究審議諮詢托育服務收退費項目與金額人員薪資及其他相關事項前二項相關學者專家民間相關機構團體代表不得少於二分之一任意性別應占 |
| transcript.whisperx[884].start |
26033.789 |
| transcript.whisperx[884].end |
26060.927 |
| transcript.whisperx[884].text |
成員總數三分之一以上負責人不得以非托育機構團體代表之身份擔任第一項之代表團體代表身份有異動者主管機關應重新聘任第二項委員之迴避准用行政程序法之規定辦理委員黃潔等二十一人委員蔡易宇等十七人委員郭玉琴等二十一人委員王美惠等十九人委員王振旭等十八人提案第七條第一項莫具如下應召開托育諮詢會第二項第二具如下其成員應包括 |
| transcript.whisperx[885].start |
26064.289 |
| transcript.whisperx[885].end |
26092.832 |
| transcript.whisperx[885].text |
第四項後段如下句號團體代表身份有異動者主管機關應重新聘任予以願滿同委員陳培宇等19人提案第七條第一項同委員黃婕等21人提案第二項文字托育機構團體代表前面增列居家托育人員代表托育人員團體代表其餘委員黃婕等21人提案第二項同第三項及第四項同願版 |
| transcript.whisperx[886].start |
26095.734 |
| transcript.whisperx[886].end |
26107.404 |
| transcript.whisperx[886].text |
委員鄭天才等18人提案第7條第一至第三項同委員黃婕等21人提案第4項同院版委員林淑芬等25人提案第8條直轄市縣市主管機關為整合規劃協調及諮詢托育服務應召開托育諮詢會前項諮詢會其成員應包括 |
| transcript.whisperx[887].start |
26113.749 |
| transcript.whisperx[887].end |
26126.16 |
| transcript.whisperx[887].text |
社政主管機關代表衛生主管機關代表勞動主管機關代表相關學者專家居家托育服務團體代表居家托育人員代表托育機構團體代表兒童福利團體代表家長團體代表婦女團體代表及勞工權益促進團體代表 |
| transcript.whisperx[888].start |
26129.463 |
| transcript.whisperx[888].end |
26156.44 |
| transcript.whisperx[888].text |
前項學者專家及民間團體代表合計不得少於委員總數二分之一任意性別委員人數不得少於委員總數三分之一負責人不得以非托育機構團體代表之身份擔任第二項之代表第二項團體代表身份有異動者主管機關應重新聘任委員無配役等18人提案第七條第一三四項同院版第二項莫具為性別團體代表及勞工代表予以委員黃婕等21人提案同 |
| transcript.whisperx[889].start |
26162.938 |
| transcript.whisperx[889].end |
26185.114 |
| transcript.whisperx[889].text |
委員陳培鈺等19人委員林淑芬等25人提案第8條托育服務之實施應與家庭及社區密切配合以達成下列目標一滿足兒童生理需求的照顧二建構兒童合宜安全的成長環境三建立兒童與照顧者正向依附關係四營造兒童平等民主尊重差異的學習環境五豐富兒童 |
| transcript.whisperx[890].start |
26186.335 |
| transcript.whisperx[890].end |
26186.375 |
| transcript.whisperx[890].text |
第八條 |
| transcript.whisperx[891].start |
26204.151 |
| transcript.whisperx[891].end |
26220.905 |
| transcript.whisperx[891].text |
托育服务应以尊重儿童发展为前提提供适龄适性之保育照顾其服务内容如下一提供清洁卫生安全及适宜儿童发展之环境二提供儿童充分之营养保健生活照顾与学习游戏活动及社会发展相关服务 |
| transcript.whisperx[892].start |
26221.986 |
| transcript.whisperx[892].end |
26224.669 |
| transcript.whisperx[892].text |
3.记录儿童生活与成长及转介4. |
| transcript.whisperx[893].start |
26224.669 |
| transcript.whisperx[893].end |
26228.934 |
| transcript.whisperx[893].text |
提供育儿咨询及家庭支持相关资讯5. |
| transcript.whisperx[894].start |
26228.934 |
| transcript.whisperx[894].end |
26240.048 |
| transcript.whisperx[894].text |
其他有利于儿童发展之相关服务前项托育服务内容有关卫生安全营养生活照顾与学习之实施原则方式及其他相关事项之准则由中央主管机关定制 |
| transcript.whisperx[895].start |
26240.689 |
| transcript.whisperx[895].end |
26268.056 |
| transcript.whisperx[895].text |
委員林月琴等16人提案第8條序文及第1及第5款同院版第二款至第4款如下二提供兒童充分之營養衛生保健生活照顧與學習遊戲活動及社會發展相關服務三記錄兒童生活與成長及轉介服務四提供育兒諮詢及支持家庭相關資訊委員何心存等16人提案第9條序文第1245款同委員林月琴等16人提案第二款如下 |
| transcript.whisperx[896].start |
26268.576 |
| transcript.whisperx[896].end |
26288.181 |
| transcript.whisperx[896].text |
提供儿童充分之营养、卫生、保健、生活、照顾与学习、游戏、活动及社会发展相关服务委员王月明等24人提案第8条续文如下托育服务应以尊重儿童为前提提供符合适灵适性之保育照顾其服务内容如下第1至第5款同委员林月琴等16人提案 |
| transcript.whisperx[897].start |
26288.681 |
| transcript.whisperx[897].end |
26308.926 |
| transcript.whisperx[897].text |
委员邱若华等16人提案第8条续文如下托育服务应以儿童为主体秉持性别族群文化个体发展情况平等并重以尊重儿童发展及家长原则为前提提供符合适龄适性之保育照顾其服务内容如下第一至第五款同委员林月琴等16人提案 |
| transcript.whisperx[898].start |
26309.606 |
| transcript.whisperx[898].end |
26332.224 |
| transcript.whisperx[898].text |
委員黃潔等21人委員蔡易宇等17人委員郭玉琴等21人委員王美惠等19人委員王正旭等18人提案第8條序文及第3、4款如下托育服務應以尊重兒童發展為前提提供符合適齡適性之保育照顧其服務內容如下3、記錄兒童生活與成長及轉介服務4、提供育兒諮詢及支持家庭相關資訊予以願版同 |
| transcript.whisperx[899].start |
26335.427 |
| transcript.whisperx[899].end |
26361.943 |
| transcript.whisperx[899].text |
委員陳培鈺等十九人提案第九條序文同委員何欣淳等十六人提案第一至第五款同院版第二項如下前項托育服務內容之實施原則方式及其他相關事項之準則由中央主管機關定之委員陳素月等十六人提案第九條第三款如下三記錄兒童生活與成長及轉接服務與委員何欣淳等十六人提案同委員林淑芬等二十五人提案第十條序文及第一 |
| transcript.whisperx[900].start |
26362.463 |
| transcript.whisperx[900].end |
26386.522 |
| transcript.whisperx[900].text |
第1、2款同院版 第3款至第5款同委員林月琴等16人提案 第二項如下 前項托育服務內容之實施準則由中央主管機關定之 委員吳佩儀等18人提案第8條 續文及第1、2、3、6款及第二項同院版第4、5款如下 4提供餘額諮詢及家庭支持相關資訊 5辨識兒童是否有受虐待不當對待之跡象並協助通報 |
| transcript.whisperx[901].start |
26389.028 |
| transcript.whisperx[901].end |
26410.043 |
| transcript.whisperx[901].text |
行政院委員李坤臣等22人委員曾天才等18人提案第9條政府對接受托育服務之兒童得視其家庭經濟條件與補助其補助對象條件額度及其他相關事項之辦法由中央主管機關定之兒童資訪訂代理人或實際照顧兒童之人得與金融機構開立專戶並在名金融機構名稱地址帳號及戶名報金直轄市縣市主管機關核准後專攻存入前項補助費用 |
| transcript.whisperx[902].start |
26415.868 |
| transcript.whisperx[902].end |
26430.704 |
| transcript.whisperx[902].text |
依前項規定勤領補助之權利及專戶內之存款不得作為扣押讓予抵銷擔保供擔保或強制執行之標的委員核心存等十六人提案第八條政府對接受托育服務之二通得市及家庭經濟 |
| transcript.whisperx[903].start |
26431.465 |
| transcript.whisperx[903].end |
26450.585 |
| transcript.whisperx[903].text |
条件补助费用其补助对象补助条件补助额度及其他相关事项之办法由中央主管机关定之儿童之父母监护人或实际照顾儿童之人得于金融机构开立专户并在名金融金融机构名称地址账号及户名报直辖市县市主管机关核准后专攻存入前项补助费用 |
| transcript.whisperx[904].start |
26450.965 |
| transcript.whisperx[904].end |
26470.76 |
| transcript.whisperx[904].text |
依前項規定勤領補助之權利及專戶內之存款不得作為扣押讓予抵銷供單保或強制執行之標的委員黃婕等21人委員蔡奕宇等17人委員郭玉琴等21人提案第9條第二項倒數第三句為報職瑕事予與院辦同委員陳培玉等19人提案第10條同委員黃婕等21人提案第9條 |
| transcript.whisperx[905].start |
26474.282 |
| transcript.whisperx[905].end |
26490.939 |
| transcript.whisperx[905].text |
委員陳思悅等16人提案第8條政府對接受托育服務制兒童得市級家庭經濟條件補助費用其補助對象補助條件補助額度及其他相關事項之辦法由中央主管機關定制兒童之父母監護人或實際照顧兒童之人得與金融機構開立專戶並在名金融機構名稱地址帳號及戶名報紙匣式縣市主管機關核准後專攻存入前項補助費用 |
| transcript.whisperx[906].start |
26497.685 |
| transcript.whisperx[906].end |
26525.916 |
| transcript.whisperx[906].text |
依前項規定請領補助之權利及專戶內置存款不得作為扣押讓與抵銷供單保或強制執行之標的委員王美惠等19人提案第9條政府對接受托育服務之兒童的涉及家庭經濟條件與補助其補助對象條件額度及其他相關事項之辦法由中央主管機關定之兒童之法定代理人或實際照顧兒童之人得與金融機構開立專戶並在名金融機構名稱地址帳號及戶名報紙查釋縣市主管機關核准後專 |
| transcript.whisperx[907].start |
26527.537 |
| transcript.whisperx[907].end |
26542.599 |
| transcript.whisperx[907].text |
專攻存入前項補助費用依前項規定請您補助之權利及專戶內置存款不得作為扣押讓與抵銷公單保或強制執行之標的委員王振旭等18人提案同委員黃婕等21人提案 |
| transcript.whisperx[908].start |
26543.4 |
| transcript.whisperx[908].end |
26560.931 |
| transcript.whisperx[908].text |
委員林淑芬等二十五人提案第十一條政府對接受托育服務至兒童的士級家庭經濟條件與補助其補助對象條件額度及其他相關事項是辦法由中央主管機關定之兒童是法定代理人或實際照顧兒童之人本與金融機構開立專戶並在名金融機構名稱地址帳號及戶名報經直轄市縣市主管機關合作後專攻存入前項補助費用 |
| transcript.whisperx[909].start |
26568.015 |
| transcript.whisperx[909].end |
26592.472 |
| transcript.whisperx[909].text |
依前項規定請您補助之權利及專戶內置存款不得作為扣押讓予抵銷公單保或強制執行之標的委員吳佩義等18人提案第9條政府對接受托育服務至兒童的市及家庭經濟條件予以補助其補助對象條件額度及其他相關事項之辦法由中央主管機關定之兒童資訪定代理人或實際照顧兒童之人得於金融機構開立專戶並在名金融機構名稱地址帳號及戶名報經執行事先是主管機關核准後專攻存入前項補助費用 |
| transcript.whisperx[910].start |
26597.375 |
| transcript.whisperx[910].end |
26625.893 |
| transcript.whisperx[910].text |
依前項規定清零補助之權利及專戶內之存款不得作為扣押讓予禮銷供擔保或強制執行之標的行政院委員黃婉婕等21人委員蔡奕宇等17人委員李坤臣等22人委員郭玉琴等21人委員鄭天才等18人委員王美惠等19人委員王振聚等18人委員林淑芬等25人委員吳佩義等18人提案第10條托育服務辦理績效著住者直轄市縣市主管機關得予以獎勵 |
| transcript.whisperx[911].start |
26626.934 |
| transcript.whisperx[911].end |
26650.009 |
| transcript.whisperx[911].text |
委員林月琴等16人提案第9條托育服務辦理績效著住者主管機關應予以獎勵其獎勵事項對象種類方式之自治法規由直轄市縣市主管機關定之委員何新淳等16人提案第10條托育服務辦理績效著住者主管機關應予以獎勵委員王玉敏等24人提案第42條托育服務辦理績效著住者主管機關應予以獎勵 |
| transcript.whisperx[912].start |
26652.271 |
| transcript.whisperx[912].end |
26674.972 |
| transcript.whisperx[912].text |
離島偏遠援助民族地區辦理定點臨時托育服務者適用前項之規定委員邱樂華等16人提案第9條托育服務辦理績效著住者主管機關應予以獎勵其獎勵事項對象種類方式之自治法規由指向事先是主管機關定之委員陳培宇等19人提案第11條托育服務辦理績效著住者指向事先是主管機關得予以獎勵其獎勵事項 |
| transcript.whisperx[913].start |
26677.134 |
| transcript.whisperx[913].end |
26702.867 |
| transcript.whisperx[913].text |
對象總類方式之辦法由指甲師先是主管機關定之委員陳素月等16人提案第10條托育服務辦理績效著住者主管機關應予獎勵委員陳培玉等19人委員林淑芬等25人提案第12條兒童之法定代理人或實際照顧兒童之人應履行下列義務一一托育服務契約規定繳費二參加托育機構因其兒童特殊需要所舉辦之個案研討會或相關活動 |
| transcript.whisperx[914].start |
26704.127 |
| transcript.whisperx[914].end |
26726.193 |
| transcript.whisperx[914].text |
3.參加居家托育服務中心或托育機構所舉辦之親子活動4.告知兒童特殊身心健康狀況必要時並提供相關健康狀況資料並與居家托育人員或托育機構共同協力改善兒童之身心健康各級主管機關對有錢向第四款兒童之法定代理人或實際照顧兒童之人應主動提供資源協助之 |
| transcript.whisperx[915].start |
26726.933 |
| transcript.whisperx[915].end |
26745.394 |
| transcript.whisperx[915].text |
委員王玉敏等24人提案第9條直轄市縣市衛生主管機關應辦理幼兒健康檢查托育機構及互助士托育機構應與協助並依檢查結果施予健康指導或轉介治療托育機構及互助士托育機構應建立幼兒健康管理制度將幼兒健康檢查 |
| transcript.whisperx[916].start |
26746.095 |
| transcript.whisperx[916].end |
26765.621 |
| transcript.whisperx[916].text |
疾病检查结果转介治疗及预防接种等资料再入儿童健康资料档并妥善管理及保存前项预防接种资料父母或监护人应与幼儿入托后一个月内提供父母或监护人为提供前项资料者托育机构互助式托育机构应通知父母或监护人提供 |
| transcript.whisperx[917].start |
26766.221 |
| transcript.whisperx[917].end |
26784.987 |
| transcript.whisperx[917].text |
父母或監护人位于接货通知后一个月内提供者托育机构或主持托育机构应通知卫生主管机关托育机构或主持托育机构之负责人托育专业人员或工作人员对幼儿制资料应予以保密但经父母或监护人同意或依其他法律规定应与提供者不在此限 |
| transcript.whisperx[918].start |
26786.604 |
| transcript.whisperx[918].end |
26814.278 |
| transcript.whisperx[918].text |
委員王玉敏等二十四人提案第十條直轄市縣市主管機關與兒童滿二歲前三個月應提供家長轉嫌至教保服務機構之協助前向轉嫌協助辦法由中央主管機關會同教育主管機關定之委員王玉敏等二十四人提案第十一條直轄市縣市主管機關對其主管之托育服務應優先招收離島偏遠地區或經濟身心文化與族群之需要協助兒童 |
| transcript.whisperx[919].start |
26815.118 |
| transcript.whisperx[919].end |
26842.475 |
| transcript.whisperx[919].text |
並提供適切之協助或補助前向協助或補助之辦法由中央主管機關定之委員王玉敏等24人提案第12條托育專業人員之培育資格權益管理申訴及爭議處理等辦法由中央主管機關定之為促進離島偏遠地區托育服務發展各級主管機關得定期辦理該地區托育服務人員培訓課程委員王玉敏等24人提案第13條直轄市縣市主管機關對於辦理互助式托育及公共化 |
| transcript.whisperx[920].start |
26843.095 |
| transcript.whisperx[920].end |
26869.503 |
| transcript.whisperx[920].text |
居家托育服务者应提供健康检查与意外责任保险等补助经费前项补助对象基准及其他应遵行事项之办法由中央主管机关定之行政院委员黄杰等21人委员蔡义渝等17人委员李坤晨等22人委员陈培玉等19人委员郭玉行等21人委员郑天才等18人委员王美惠等19人委员王振旭等18人委员李淑芬等25人委员吴佩义等18人 |
| transcript.whisperx[921].start |
26871.024 |
| transcript.whisperx[921].end |
26882.502 |
| transcript.whisperx[921].text |
委員林月琴等16人委員何新淳等16人委員王玉敏等24人委員邱若雅等16人委員陳素月等16人第二章居家托育 |
| transcript.whisperx[922].start |
26885.037 |
| transcript.whisperx[922].end |
26911.911 |
| transcript.whisperx[922].text |
委員臨書分等二十五人提案第十四條直轄市縣市主管機關為辦理居家托育人員之登記管理媒合督督呃輔導監督及檢查因自行或委託居家托育服務中心辦理下的事項一居家托育人員之招募儲備支持交流在職訓練輔導監督管理及檢查二受理居家市托育服務登記證書申請變更及換發三受理居家托育人員 |
| transcript.whisperx[923].start |
26912.811 |
| transcript.whisperx[923].end |
26933.676 |
| transcript.whisperx[923].text |
收託異動之通報4 托育服務媒合轉介協助簽訂托育契約5 處理第66條第一項之托育爭議6 提供家長社區育兒諮詢及托育服務宣導7 其他配合中央及直轄市縣市政府交辦或委託事項前項執行業務處理原則等相關辦法由中央主管機關定之 |
| transcript.whisperx[924].start |
26934.276 |
| transcript.whisperx[924].end |
26950.607 |
| transcript.whisperx[924].text |
委員林淑芬等25人提案第15條指向市縣市主管機關應自行或委由專業機構團體協助對居家托育服務中心進行監督檢查輔導及評鑑其評鑑報告及結果應公布於資訊網站居家托育服務中心對前項之 |
| transcript.whisperx[925].start |
26951.808 |
| transcript.whisperx[925].end |
26964.315 |
| transcript.whisperx[925].text |
監督檢查輔導評鑑不得規避妨礙或拒絕並應提供必要之協助第二項監督檢查輔導評鑑副評及其他相關應遵循事項之辦法由中央主管機關定之 |
| transcript.whisperx[926].start |
26966.929 |
| transcript.whisperx[926].end |
26989.76 |
| transcript.whisperx[926].text |
行政院委員李坤晨等22人委員鄭天才等18人提案第11條成年人具備下列資格之一者應填具申請書便檢據相關文件資料向直轄市縣市主管機關辦理登記與取得居家托育服務證書後使得提供居家托育服務一取得保姆或托育人員技術試證二高級中等以上學校幼兒保育 |
| transcript.whisperx[927].start |
26990.2 |
| transcript.whisperx[927].end |
27019.257 |
| transcript.whisperx[927].text |
幼儿教育家政护理相关学程科系所毕业直辖市县市主管机关得自行或委托居家托育服务中心办理居家托育人员之登记管理媒合辅导监督或检查居家托育人员对于直辖市县市主管机关之监督及检查不得规避妨碍或拒绝检查时不得借故藏匿儿童第一项居家托育人员之登记收托人数辅导管理废纸登记及其他应遵行事项之办法 |
| transcript.whisperx[928].start |
27019.577 |
| transcript.whisperx[928].end |
27047.05 |
| transcript.whisperx[928].text |
由中央主管机关定制委员林月琴等16人提案第10条居家托育人员应相执下是县市主管机关办理登记并取得居家托育服务登记证书使得提供托育服务居家托育人员因为成年并具备下列资格之一一取得保姆或托育人员技术试证二高级中等以上学校幼儿保育幼儿教育家政护理相关学程科系所毕业 |
| transcript.whisperx[929].start |
27047.89 |
| transcript.whisperx[929].end |
27067.123 |
| transcript.whisperx[929].text |
直轄市縣市主管機關得自行或委由居家托育服務中心辦理居家托育人員之登記、管理、輔導、監督或檢查事項居家托育人員對於前項之管理、輔導應與配合居家托育人員對於直轄市縣市主管機關之監督及檢查不得規避、妨礙、拒絕及檢查時藏匿兒童 |
| transcript.whisperx[930].start |
27078.21 |
| transcript.whisperx[930].end |
27093.576 |
| transcript.whisperx[930].text |
廢止登記收退費規定及其他應遵行事項之辦法由中央主管機關定之委員和新淳等16人提案第11條居家托育人員應向直轄市縣市主管機關辦理登記並取得居家托育服務登記證書使得提供托育服務 |
| transcript.whisperx[931].start |
27094.236 |
| transcript.whisperx[931].end |
27109.748 |
| transcript.whisperx[931].text |
居家托育人員為成年並具備下列資格之一一取得保姆或托育人員技術師證二高級中等影像學校幼兒保育幼兒教育家政護理相關學程科系所畢業之下事先是主管機關得志行或委由居家 |
| transcript.whisperx[932].start |
27110.468 |
| transcript.whisperx[932].end |
27137.606 |
| transcript.whisperx[932].text |
托育服務中心辦理居家托育人員之登記管理輔導監督或檢查事項居家托育人員對於前項之管理輔導應與配合居家托育人員對於直轄市縣市主管機關之監督及檢查不得規避妨礙拒絕及檢查時藏匿兒童立項居家托育人員之收托人數登記輔導管理撤銷與廢止登記收退費規定及其他應遵及事項之辦法由中央主管機關定之委員王玉敏等24人提案第14條 |
| transcript.whisperx[933].start |
27138.487 |
| transcript.whisperx[933].end |
27162.657 |
| transcript.whisperx[933].text |
居家托育人员应向直辖市县市主管机关办理登记并取得居家托育服务登记证书口使得提供托育服务居家托育人员应为成年并且具备下列资格之一一取得保姆人员或托育人员技术证技士证二高级中等影像学校幼儿保育幼儿教育家政护理相关学程科系所毕业直辖市县市主管机关应自行或委托居家 |
| transcript.whisperx[934].start |
27163.197 |
| transcript.whisperx[934].end |
27190.682 |
| transcript.whisperx[934].text |
托育服務中心辦理居家托育人員之登記管理輔導監督及檢查事項居家托育人員對於前項之管理輔導應與配合居家托育人員對於直轄市縣市主管機關之監督及檢查不得規避妨礙拒絕或檢查時藏匿兒童第一項居家托育人員之收托人數登記輔導管理撤銷與廢止登記收退費規定及其他應遵行事項之辦法由中央主管機關定之 |
| transcript.whisperx[935].start |
27191.562 |
| transcript.whisperx[935].end |
27219.05 |
| transcript.whisperx[935].text |
委員邱若驊等16人提案與委員林月琴等16人提案同委員荒街等21人提案第11條成年人具備下列資格之一者應填具申請書並檢據相關文件資料相值假釋縣市主管機關辦理登記取得居家托育服務證書後使得提供服務一取得保姆或托育人員技術試證二高級中等以上學校幼兒保育幼兒教育家政護理相關學程科系所畢業 |
| transcript.whisperx[936].start |
27219.87 |
| transcript.whisperx[936].end |
27235.435 |
| transcript.whisperx[936].text |
直轄市縣市主管機關得自行委託居家托育服務中心辦理居家托育人員之登記管理媒合輔導監督或檢查事項居家托育人員對於直轄市縣市主管機關之監督及檢查不得規避妨礙或拒絕檢查時不得藉故藏匿兒童 |
| transcript.whisperx[937].start |
27236.295 |
| transcript.whisperx[937].end |
27264.322 |
| transcript.whisperx[937].text |
居家托育人員因優先考量兒童之最佳利益包括但不限於其生理心理健康安全及發展需求之保障對於有為兒童之最佳利益之行為由紫霞市縣市主管機關依依對兒童危害程度即違規點數1點至3點居家托育人員2年內即違規點數達6點者由紫霞市縣市主管機關暫停新收托8個月並公告上網原有收托者依家長意願 |
| transcript.whisperx[938].start |
27265.522 |
| transcript.whisperx[938].end |
27290.026 |
| transcript.whisperx[938].text |
協助轉介居家托育人員五年內經暫停新收托兩次在違規而遭祭奠者廢止其登記證書居家托育人員之收托人數登記輔導管理廢止登記有違兒童之最佳利益之行為及其他應遵形式像是辦法由中央主管機關定之委員蔡易餘等17人提案與委員黃婕等21人提案同 |
| transcript.whisperx[939].start |
27294.505 |
| transcript.whisperx[939].end |
27296.666 |
| transcript.whisperx[939].text |
委員陳培玉等19人提案第13條 |
| transcript.whisperx[940].start |
27325.125 |
| transcript.whisperx[940].end |
27345.45 |
| transcript.whisperx[940].text |
或檢查居家托育人員對直轄市縣市主管機關之監督及檢查不得規避妨礙或拒絕檢查時不得藉故藏匿兒童第一項居家托育人員之登記收托人數輔導管理廢紙登記及其他應遵行事項之辦法由中央主管機關定之委員郭玉琴等21人提案與委員黃潔等21人提案同委員陳素月等16人提案與委員楊玉純等16人提案同 |
| transcript.whisperx[941].start |
27353.84 |
| transcript.whisperx[941].end |
27369.107 |
| transcript.whisperx[941].text |
委員王美惠等19人提案第11條成年人具備下列資格之一者應填去申請書並檢據相關文件資料像指甲式限制主管機關代理登記取得居家托育服務證書後使得提供服務一取得保姆或托育人員技術實證 |
| transcript.whisperx[942].start |
27369.912 |
| transcript.whisperx[942].end |
27389.591 |
| transcript.whisperx[942].text |
二高級中等營商學校幼兒保育幼兒教育家政護理相關學程科系所畢業直轄市縣市主管機關得知行或委託居家托育服務中心辦理居家托育人員之登記管理媒合輔導監督或檢查事項居家托育人員對於直轄市縣市主管機關之監督其檢查不得規避妨礙或拒絕檢查時不得藉故藏匿兒童 |
| transcript.whisperx[943].start |
27390.191 |
| transcript.whisperx[943].end |
27404.489 |
| transcript.whisperx[943].text |
第一項居家托育人員之收托人數登記輔導管理廢紙登記及其他應遵行事項之辦法由中央主管機關定之委員王真旭等18人提案與委員黃婕等21人提案同委員林淑彬等25人提案第16條 |
| transcript.whisperx[944].start |
27406.345 |
| transcript.whisperx[944].end |
27433.725 |
| transcript.whisperx[944].text |
托育专业人员应填据申请书并检据相关文件资料向指辖市县市主管机关办理登记与取得居家式托育服务登记证书后使得提供居家托育服务居家托育人员对于指辖市县市主管机关或居家托育服务中心之监督及检查不得规避妨碍或拒绝检查时不得借故藏匿儿童第一项居家托育人员之登记收托人数辅导管理废纸登记及其他应遵行事项事办法由中央主管机关定之委员吴 |
| transcript.whisperx[945].start |
27436.207 |
| transcript.whisperx[945].end |
27459.538 |
| transcript.whisperx[945].text |
第11條 成年人依具備下的資格之一者應提據申請書並檢據相關文件資料向直轄市縣市主管機關辦理登記予取得居家托育服務證書後 使得提供居家托育服務一 取得保姆或托育人員技術試證二 高級中等以上學校幼兒保育 幼兒教育 家政護理相關學程科系所畢業直轄市縣市主管機關得自行或委託居家托育服務中心辦理居家托育人員之登記管理媒合輔導 |
| transcript.whisperx[946].start |
27461.119 |
| transcript.whisperx[946].end |
27476.159 |
| transcript.whisperx[946].text |
監督或檢查居家托育人員對紫霞市縣市主管機關之監督及檢查不得規避妨礙或拒絕檢查時不得藉故藏匿立項居家托育人員之登記收託人數輔導管理廢紙登記及其他應遵行事項之辦法由中央主管機關定之 |
| transcript.whisperx[947].start |
27477.717 |
| transcript.whisperx[947].end |
27500.064 |
| transcript.whisperx[947].text |
行政院委員黃潔等21人委員蔡易宇等17人委員李坤臣等22人委員郭玉琴等21人委員鄭天才等18人委員王美惠等19人委員王振旭等18人委員吳佩儀等18人提案第12條提供在宅托育服務之居家托育人員應將居家托育人員服務證書懸掛於服務登記處所足知辨識之明顯處 |
| transcript.whisperx[948].start |
27501.204 |
| transcript.whisperx[948].end |
27509.251 |
| transcript.whisperx[948].text |
委員林月琴等16人提案第11條依本法規定發給之居家托育服務登記證書免徵規費提供在宅托育服務之居家托育人員應將前項證書懸掛於服務登記處所足資辨識之明顯處 |
| transcript.whisperx[949].start |
27518.98 |
| transcript.whisperx[949].end |
27530.993 |
| transcript.whisperx[949].text |
委員何新淳等16人提案第12條依本法規定發給之居家托育服務登記證書免徵歸費提供在宅托育服務之居家托育人員應將前項證書懸掛於服務登記處所足資辨識之明顯處委員邱樂華等16人提案與委員林月琴等16人提案同 |
| transcript.whisperx[950].start |
27539.642 |
| transcript.whisperx[950].end |
27555.215 |
| transcript.whisperx[950].text |
委员陈培宇等19人提案陈培宇等19人提案第14条提供载载托育服务之居家托育人员应将居家托育人员服务登记证书悬挂与服务登记处所足资辨识之明显处委员陈素月等16人提案 |
| transcript.whisperx[951].start |
27556.256 |
| transcript.whisperx[951].end |
27567.009 |
| transcript.whisperx[951].text |
與委員何欣淳等16人提案同委員林淑芬等25人提案第17條提供在宅托育服務之居家托育人員應將居家式托育服務登記證書懸掛於服務登記處所足資辨識之明顯處 |
| transcript.whisperx[952].start |
27570.993 |
| transcript.whisperx[952].end |
27582.981 |
| transcript.whisperx[952].text |
行政院委員李昆成等22人委員曾天才等18人委員吳佩儀等18人提案第13條居家托育服務之收費及退費項目由中央主管機關公告之直轄市縣市主管機關應審酌轄區內物價指數及當地區家庭可支配所得依居家托育服務收多 |
| transcript.whisperx[953].start |
27589.825 |
| transcript.whisperx[953].end |
27611.454 |
| transcript.whisperx[953].text |
方式與前項中央主管機關公告之收費及退費項目分區訂定居家托育服務收費及退費之基準並訂其公告委員林月琴等16人提案第12條直轄市縣市主管機關應審酌轄內物價指數及當地區家庭可支配所得依居家托育服務收托方式訂其公告分區托育服務 |
| transcript.whisperx[954].start |
27612.074 |
| transcript.whisperx[954].end |
27640.297 |
| transcript.whisperx[954].text |
收退费项目及金额委员何新泉等16人提案第13条直辖市县市主管机关应审着辖内物价指数及当地区家庭可支配所得依居家托育服务收托方式定期公告分区托育服务收退费项目及金额委员邱若华等16人提案与委员林月琴等16人提案同委员黄杰等21人委员蔡易宇等17人委员王美惠等19人委员王振旭等18人提案 |
| transcript.whisperx[955].start |
27641.889 |
| transcript.whisperx[955].end |
27661.767 |
| transcript.whisperx[955].text |
第13條居家托育服務之收費退費項目由中央主管機關公告之直轄市縣市主管機關應審酌轄區內物價指數及當地區家庭可支配所得按居家托育服務收托方式並依承向中央主管機關公告之收退費項目分區訂定托育服務收退費基準 |
| transcript.whisperx[956].start |
27662.427 |
| transcript.whisperx[956].end |
27686.116 |
| transcript.whisperx[956].text |
並定期公告之委員陳培宇等19人提案第15條居家托育服務之收費及退費項目及其訂定與調整原則由中央主管機關公告之中央主管機關應定其召集直轄市縣市主管機關及相關學者專家民間團體代表審酌全國及各地區消費者物價指數家庭可支配所得托育人員勞動條件及其他相關因素進行研議 |
| transcript.whisperx[957].start |
27687.316 |
| transcript.whisperx[957].end |
27704.562 |
| transcript.whisperx[957].text |
定定居家托育服務收費與退費基準資調整原則與指標並公告之直轄市縣市主管機關應依前項公告之調整原則及指標結合轄區實際情形按居家托育服務之收托方式並依第一項公告之收費及退費項目 |
| transcript.whisperx[958].start |
27705.242 |
| transcript.whisperx[958].end |
27733.961 |
| transcript.whisperx[958].text |
分區訂定托育服務收費及退費之基準並公告實施前向托育服務收費及退費之基準應至少每二年定期檢討並調整遇有重大物價變動勞動條件顯著改變或中央主管機關任有必要時應及時檢討並調整之前向相關執行程序及所應參採之指標由中央主管機關定之委員郭玉琴等二十一人提案與委員黃婕等二十一人提案同 |
| transcript.whisperx[959].start |
27734.801 |
| transcript.whisperx[959].end |
27750.191 |
| transcript.whisperx[959].text |
委員陳素月等16人提案第13條直轄市縣市主管機關應審酌轄內物價指數及當地區家庭可支配所得依居家托育服務收托方式定期公告分區托育服務收退費項目及金額 |
| transcript.whisperx[960].start |
27751.171 |
| transcript.whisperx[960].end |
27776.217 |
| transcript.whisperx[960].text |
委員林淑芬等二十五人提案第十八條中央主管機關應審著轄內物價指數當地最近二年居家托育服務收費情形行政院主席總署公告當地最近二年家庭可支配所得並參考公教人員調薪及民間調薪幅度依居家托育收托方式經第七條之審議會審議後每二年公告各子轄市縣市分區之居家托育收退費項目及基準行政 |
| transcript.whisperx[961].start |
27779.093 |
| transcript.whisperx[961].end |
27785.267 |
| transcript.whisperx[961].text |
行政院委員李坤成等22人委員鄭天才等18人委員吳佩義等18人提案 |
| transcript.whisperx[962].start |
27787.591 |
| transcript.whisperx[962].end |
27815.403 |
| transcript.whisperx[962].text |
第十四条居家托育人员不得收取前条第二项指辖市县市主管机关公告之收费与退费项目及其金额基准以外之费用委员林月琴等16人提案第十三条居家托育人员不得巧立名目或任意收取前条公告项目金额范围以外之费用委员何新泉等16人提案第十四条居家托育人员不得巧立名目或任意收取前条公告项目金额范围以外之费用 |
| transcript.whisperx[963].start |
27816.502 |
| transcript.whisperx[963].end |
27837.257 |
| transcript.whisperx[963].text |
委員邱若驊等16人提案第13條居家托育人員不得巧立名目或任意收取前條公告項目金額範圍以外之費用委員黃婕等21人委員蔡奕宇等17人委員郭玉琴等21人委員王美惠等19人委員王正旭等18人提案第14條居家托育人員不得收取前條公告項目及基準範圍以外之費用 |
| transcript.whisperx[964].start |
27838.823 |
| transcript.whisperx[964].end |
27864.535 |
| transcript.whisperx[964].text |
委員陳佩玉等19人提案第16條居家托育人員不得收取前條公告之收費與退費項目及其金額基準以外之費用委員陳素月等16人提案與委員何新淳等16人提案同委員林淑芬等25人提案第19條居家托育人員不得收取前條中央主管機關公告之收費與退費項目及其金額基準範圍以外之費用 |
| transcript.whisperx[965].start |
27867.423 |
| transcript.whisperx[965].end |
27879.679 |
| transcript.whisperx[965].text |
行政院委員李坤成等22人委員鄭天才等18人提案第15條居家托育人員提供托育服務應與送托兒童之法定代理人或實際照顧兒童之人就托育服務之權利義務關係訂定書面契約 |
| transcript.whisperx[966].start |
27882.703 |
| transcript.whisperx[966].end |
27904.632 |
| transcript.whisperx[966].text |
前項書面契約之格稅及內容中央主管機關應訂定定型化契約範本與其應記載及不得記載事項委員林月琴等16人提案第14條居家托育人員受托提供托育服務應與送托兒童之父母或監護人訂定托育服務之書面契約規定其權利義務關係委員何新淳等16人提案第15條 |
| transcript.whisperx[967].start |
27905.532 |
| transcript.whisperx[967].end |
27928.084 |
| transcript.whisperx[967].text |
居家托育人員受托提供托育服務應與送托兒童之父母或監護人訂定托育服務之書面契約規定其權利義務關係委員王玉明等24人提案第44條居家托育人員托育機構及互助士托育機構應與送托兒童之父母或監護人訂定托育服務書面契約委員邱若驊等16人提案 |
| transcript.whisperx[968].start |
27930.458 |
| transcript.whisperx[968].end |
27955.03 |
| transcript.whisperx[968].text |
第十四條居家托育人員受托提供托育服務應與送托兒童之父母或監護人訂定托育服務之書面契約規定及權利義務關係委員黃潔等21人委員蔡易宇等17人委員郭玉琴等21人委員王美惠等19人委員王正旭等18人提案第十五條居家托育人員受托提供托育服務應與送托兒童之法定代理人或實際照顧兒童之人 |
| transcript.whisperx[969].start |
27955.49 |
| transcript.whisperx[969].end |
27966.42 |
| transcript.whisperx[969].text |
就托育服务及权利义务关系订定书面契约书面契约格式内容中央主管机关应订定定型化契约范本及其应记载及不得记载事项 |
| transcript.whisperx[970].start |
27968.226 |
| transcript.whisperx[970].end |
27992.993 |
| transcript.whisperx[970].text |
委員陳培鈺等19人提案第17條居家托育人員提供托育服務應與送托兒童司法定代理人或實際照顧兒童之人就托育服務之權利義務關係訂定書面契約書面契約之格式及內容中央主管機關應訂定定型化契約範本及其應記載及不得記載事項委員陳素月等16人提案與委員何新淳等16人提案同委員林淑芬等25人提案 |
| transcript.whisperx[971].start |
27993.733 |
| transcript.whisperx[971].end |
28004.117 |
| transcript.whisperx[971].text |
第20條居家托育人員提供托育服務應與送托兒童之法定代理人或實際照顧兒童之人就托育服務之權利義務關係訂定書面契約並提供契約副本與居家托育服務中心存償前項書面契約資格涉及內容中央主管機關應訂定定型化契約範本與其應記載及不得記載事項委員吳佩義等18人提案 |
| transcript.whisperx[972].start |
28017.481 |
| transcript.whisperx[972].end |
28044.376 |
| transcript.whisperx[972].text |
第15條居家托育人員提供托育服務應與送托兒童之法定代理人或實際照顧兒童之人就托育服務之權利義務關係訂定書面契約前項書面契約應考量兒童之最佳利益及格式及內容中央主管機關應訂定定型化契約範本與其應記載及不得記載事項兒童有應直轄市縣市主管機關之保護安置出養前安置或其他情形政府替代性照顧而送托之情形 |
| transcript.whisperx[973].start |
28045.396 |
| transcript.whisperx[973].end |
28072.073 |
| transcript.whisperx[973].text |
且其居家服務提供方式為全日托育者前項之定型化契約範本與其應記載及不得記載事項應專門定之行政院委員李坤成等22人委員曾天才等18人提案第16條居家托育人員應有收托兒童逝世期間投保專業責任保險前項保險期間發生保險事故時居家托育服務中心應主動協助辦理 |
| transcript.whisperx[974].start |
28074.654 |
| transcript.whisperx[974].end |
28098.899 |
| transcript.whisperx[974].text |
委員林月琴等16人提案第15條居家托育人員應於收托兒童當日前投保專業責任保險保險事故發生時居家托育服務中心應主動協助辦理理賠事宜委員何欣淳等16人提案第16條居家托育人員應於收托兒童當日前投保專業責任保險保險事故發生時居家托育服務中心應主動協助辦理理賠事宜 |
| transcript.whisperx[975].start |
28099.719 |
| transcript.whisperx[975].end |
28122.455 |
| transcript.whisperx[975].text |
委員王玉明等24人提案第15條居家托育人員應於收托兒童當日前投保專業責任保險保險事故發生時居家托育服務中心應主動協助辦理理賠事宜委員邱樂華等16人提案第15條居家托育人員應於收托兒童當日前投保專業責任保險完畢保險事故發生時居家托育服務中心應主動協助辦理理賠事宜 |
| transcript.whisperx[976].start |
28124.116 |
| transcript.whisperx[976].end |
28140.468 |
| transcript.whisperx[976].text |
委員黃婕等21人委員蔡易餘等17人委員郭育晴等21人委員王美惠等19人委員王真旭等18人提案第16條居家托育人員應投保專業責任保險但無收托事實者不在此限保險事故發生時居家托育服務中心應主動協助辦理 |
| transcript.whisperx[977].start |
28142.529 |
| transcript.whisperx[977].end |
28161.215 |
| transcript.whisperx[977].text |
賠償事宜委員王玉敏等24人提案第16條直轄市縣市主管機關對未依第14條第一項規定未經許可及收託兒童者應派員進入該場所檢查受檢查者不得規避妨礙或拒絕並應提供必要之文件資料或其他協助主管機關對於前項收託之兒童應強制轉介收託兒童者應與配合 |
| transcript.whisperx[978].start |
28166.457 |
| transcript.whisperx[978].end |
28183.263 |
| transcript.whisperx[978].text |
委員王衛明等二十四人提案第十七條直轄市縣市主管機關應辦理公共化居家托育服務並辦理下列事項一人員之遴選督導輔導及管理二場地設施設備環境評估督導輔導及管理三訂定收費收費標準 |
| transcript.whisperx[979].start |
28184.864 |
| transcript.whisperx[979].end |
28201.791 |
| transcript.whisperx[979].text |
前項公共化居家托育服務之托育人員待遇福利照顧比例直轄市縣市主管機關輔導與協助管理督導之頻率內容及其他應遵行事項之辦法由中央主管機關定之委員王衛明等24人提案第18條 |
| transcript.whisperx[980].start |
28202.751 |
| transcript.whisperx[980].end |
28219.583 |
| transcript.whisperx[980].text |
直轄市縣市主管機關應針對家庭遭遇經濟教養婚姻醫療身份或其他不利處分之兒童優先提供公共化居家托育服務前向優先收托對象之資格比例及其他相關辦法由直轄市縣市主管機關定制 |
| transcript.whisperx[981].start |
28221.912 |
| transcript.whisperx[981].end |
28244.7 |
| transcript.whisperx[981].text |
委員陈培宇等19人提案第18条居家托育人员因与有收托儿童逝世期间投保专业责任保险前项保险期间发生保险事故时居家托育服务中心应主动协助办理赔偿事宜委员陈素月等16人提案与委员何新纯等16人提案同 |
| transcript.whisperx[982].start |
28245.76 |
| transcript.whisperx[982].end |
28264.282 |
| transcript.whisperx[982].text |
委員林淑芬等25人提案第21條居家托育人員應與取得居家式托育服務登記證書後投保專業責任保險最遲應與收托兒童當日前完成投保前項保險期間發生保險事故時居家托育服務中心得主動協助辦理賠償事宜 |
| transcript.whisperx[983].start |
28266.284 |
| transcript.whisperx[983].end |
28280.09 |
| transcript.whisperx[983].text |
委员吴佩义等18人提案第16条居家托育人员因于有收托儿童事实期间投保专业责任保险前向保险期间发生保险事故时居家托育服务中心应主动协助办理赔偿事宜 |
| transcript.whisperx[984].start |
28286.876 |
| transcript.whisperx[984].end |
28303.439 |
| transcript.whisperx[984].text |
行政院委员黄洁等21人委员蔡易宇等17人委员李坤臣等22人委员郭玉琴等21人委员郑天才等18人委员王美惠等19人委员王正旭等18人委员吴佩玉等18人提案 |
| transcript.whisperx[985].start |
28304.676 |
| transcript.whisperx[985].end |
28320.875 |
| transcript.whisperx[985].text |
第17條兒童支法定代理人或實際照顧兒童之人對居家托育人員提供之托育服務方式及內容有意見時得請求居家托育人員提出說明並得經由雙方協議是需要修正或調整之委員林月琴等16人提案第18條 |
| transcript.whisperx[986].start |
28321.776 |
| transcript.whisperx[986].end |
28336.713 |
| transcript.whisperx[986].text |
父母或監护人对居家托育人员提供之托育服务方式及内容有意见时,得请求居家托育人员提出说明,并得经由双方协议,是需要修正或调整之。委员何新纯等16人提案,同委员林月琴等16人提案。 |
| transcript.whisperx[987].start |
28337.952 |
| transcript.whisperx[987].end |
28364.72 |
| transcript.whisperx[987].text |
第十九條委員何欣淳等十六人提案第十九條同委員林月琴等十六人提案第十八條委員王玉明等二十四人提案第四十五條父母或監護人對居家托育人員托育機構及互助室托育機構提供之托育服務方式及內容有意見時得請求其提出說明並得經由雙方協議是需要修正或調整之委員邱樂華等十六人提案 |
| transcript.whisperx[988].start |
28366.243 |
| transcript.whisperx[988].end |
28368.635 |
| transcript.whisperx[988].text |
與委員林月琴等16人提案同 |
| transcript.whisperx[989].start |
28371.826 |
| transcript.whisperx[989].end |
28388.49 |
| transcript.whisperx[989].text |
委員何新淳等16人提案第20條居家托育人員之托育服務有損及兒童權益者兒童之父母或監護人得於之夕之日起30日內向所在地直轄市縣市主管機關提出申訴直轄市縣市主管機關應進行必要之調查並於30日內將處理情形以書面通知申訴人直轄市縣市主管機關為處理前項申訴事件得組成專案小組進行調查 |
| transcript.whisperx[990].start |
28399.292 |
| transcript.whisperx[990].end |
28414.25 |
| transcript.whisperx[990].text |
必要時得通知父母或監護人及居家托育人員到場說明前項小組成員得由第七條第一項規定之諮詢委員選任其組織申訴及其他相關事項之自治法規由直轄市縣市主管機關定之 |
| transcript.whisperx[991].start |
28417.782 |
| transcript.whisperx[991].end |
28446.589 |
| transcript.whisperx[991].text |
委員陳佩玉等19人提案第19條居家托育人員應與法定代理人或實際照顧兒童之人以書面約定兒童傷病之就醫地點發生緊急傷病或事故時應依居家式托育服務緊急傷病救護原則為適當之處置前向居家式托育服務緊急傷病救護原則由直轄市縣市主管機關訂定之居家托育服務中心應輔導居家托育人員落實前向原則 |
| transcript.whisperx[992].start |
28447.569 |
| transcript.whisperx[992].end |
28472.796 |
| transcript.whisperx[992].text |
委員林淑芬等25人提案第22條居家托育人員應與法定代理人或實際照顧兒童之人以書面約定兒童傷病之就醫地點發生緊急傷病或事故時應依居家式托育服務緊急傷病救護原則為適當之處置前向居家式托育服務緊急傷病救護原則由直轄市縣市主管機關訂定之居家托育服務中心應輔導居家托育人員落實前向原則 |
| transcript.whisperx[993].start |
28473.676 |
| transcript.whisperx[993].end |
28488.402 |
| transcript.whisperx[993].text |
委員陳培鈺等19人提案第20條同院版第17條委員陳素月等16人提案第19條莫具為予以修正或調整之予以委員何新淳等16人提案同 |
| transcript.whisperx[994].start |
28496.482 |
| transcript.whisperx[994].end |
28514.233 |
| transcript.whisperx[994].text |
委員陳培宇等19人提案第21條中央主管機關應擬定居家托育發展及推動計劃並每2年檢討修正以充實居家托育服務人員及提升照顧品質委員林淑彬等25人提案第23條同委員陳培宇提案第21條 |
| transcript.whisperx[995].start |
28516.144 |
| transcript.whisperx[995].end |
28543.072 |
| transcript.whisperx[995].text |
同委員陳培宇等十九人提案第二十一條行政院委員林月琴等十六人委員何新淳等十六人委員王玉敏等二十四人委員邱若驊等十六人委員黃婕等二十一人委員蔡易宇等十七人委員李坤澄等二十二人委員陳培宇等十九人委員郭玉琴等二十一人委員陳素月等十六人委員鄭天才等十八人委員王美惠等十九人委員林淑芬等二十五人委員王振旭等十八人委員吳佩義等十八人提案第三張托育機構 |
| transcript.whisperx[996].start |
28544.412 |
| transcript.whisperx[996].end |
28559.899 |
| transcript.whisperx[996].text |
行政院委員李坤臣等22人委員鄭天才等18人提案第18條直轄市縣市鄉鎮市直轄市山地原住民區學校法人團體醫院商業或自然能得設立托嬰中心 |
| transcript.whisperx[997].start |
28560.579 |
| transcript.whisperx[997].end |
28589.571 |
| transcript.whisperx[997].text |
設立托嬰中心應檢據相關文件資料向指甲室縣市主管機關申請許可與取得許可證書後使得提供托育服務政府機關購依性別平等工作法第23條第一項第二款規定設立之托嬰中心應依下列順序招收兒童一員工之職系血清被清除二需要協助這兒童三前二款以外這兒童學校法人醫院或商業依性別平等工作工作法第23條第一項第二款規定設立之托嬰中心 |
| transcript.whisperx[998].start |
28590.191 |
| transcript.whisperx[998].end |
28609.845 |
| transcript.whisperx[998].text |
以招收其所属员工及与其签订契约办理联合托育者所属员工之职系写清被清除为主,得收托人数有余额者,经直辖市县市主管机关核准后,使得招收其他儿童。委员林月琴等16人提案,委员邱若华等16人提案。 |
| transcript.whisperx[999].start |
28611.038 |
| transcript.whisperx[999].end |
28636.676 |
| transcript.whisperx[999].text |
第二十條直轄市縣市鄉鎮市直轄市山地原住民區學校法人團體醫院商業或個人得辦理托育機構托育機構應經直轄市縣市主管機關許可設立並於取得許可證書後使得提供托育服務直轄市縣市主管機關自行或委託辦理托育機構應訂定一定比率優先收托符合第四條第三項之二頭 |
| transcript.whisperx[1000].start |
28637.316 |
| transcript.whisperx[1000].end |
28663.642 |
| transcript.whisperx[1000].text |
依性別評點工作法第23條第1項第二款所設之托兒設施以遭受其所屬及與其簽訂契約與簽訂契約辦理聯合托育者之員工子女孫子女為主有餘額者經直轄市縣市主管機關核准後 使得遭受其他兒童政府機關構議前項規定設立之托兒設施依下列順序遭受兒童依員工子女孫子女 |
| transcript.whisperx[1001].start |
28664.022 |
| transcript.whisperx[1001].end |
28676.985 |
| transcript.whisperx[1001].text |
二 需要協助兒童三 前二款以外兒童托育機構設立許可之要件程序審核期限撤銷與廢止許可擴充遷移停業歇業復業規模面積設施收托人數收托時間人員資格與配適托育人員照顧比例業務範圍 |
| transcript.whisperx[1002].start |
28684.947 |
| transcript.whisperx[1002].end |
28698.914 |
| transcript.whisperx[1002].text |
督導管理及其他應遵行事項之辦法由中央主管機關定之委員何新淳等16人委員陳素月等16人提案第21條直轄市縣市鄉鎮市直轄市山地原住民族區學校法人團體 |
| transcript.whisperx[1003].start |
28700.234 |
| transcript.whisperx[1003].end |
28720.151 |
| transcript.whisperx[1003].text |
醫院商業或個人得辦理托育機構托育機構應經直轄市縣市主管機關許可設立並於取得許可證書後使得提供托育服務直轄市縣市主管機關自行或委託辦理托育機構應訂定一定比率優先收托符合第4條第3項之兒童依性別平等工作法第23條第1項第2款 |
| transcript.whisperx[1004].start |
28721.932 |
| transcript.whisperx[1004].end |
28736.599 |
| transcript.whisperx[1004].text |
所設置托兒設施一下列順序招收兒童一員工子女孫子女二需要協助兒童三前二款以外兒童托育機構設立許可之要件程序審核期限撤銷與廢止許可擴充遷移停業歇業復業規模面積設施收托人數人員資格與配置 |
| transcript.whisperx[1005].start |
28743.522 |
| transcript.whisperx[1005].end |
28770.388 |
| transcript.whisperx[1005].text |
托育人員照顧比例業務範圍督導管理及其他應遵行事項之辦法由中央主管機關定資委員王玉明等二十四人提案第十九條直轄市縣市鄉鎮市直轄市山地原住民區學校法人團體醫院商業或個人得辦理托育機構托育機構應經直轄市縣市主管機關許可設立並取得許可證書後使得提供托育服務直轄市縣市主管機關自行或委託辦理 |
| transcript.whisperx[1006].start |
28771.548 |
| transcript.whisperx[1006].end |
28790.648 |
| transcript.whisperx[1006].text |
托育機構應訂定一定比率優先收托第4條第3項之兒童依性別平等工作法第23條第1項第2款所設之托兒設施與招收受僱者之子女孫子女或人有名兒時應經直轄市縣市主管機關許可後使得招收其他兒童但應以需要協助之兒童為優先對象 |
| transcript.whisperx[1007].start |
28792.33 |
| transcript.whisperx[1007].end |
28804.424 |
| transcript.whisperx[1007].text |
政府機關構依前項規定設立之托兒設施依下列順序招收兒童依員工子女孫子女二需要協助就兒童三前二款以外就兒童居家托育人員休閉托育人員專業訓練課程且領有結業徵書者 |
| transcript.whisperx[1008].start |
28807.347 |
| transcript.whisperx[1008].end |
28833.301 |
| transcript.whisperx[1008].text |
得與托育機構提供服務但應於一年內取得托育人員技術試證托育機構設立許可之要件程序審核期限撤銷與廢止許可擴充遷移停業歇業復業規模面積設施收托人數人員資格與配置托育人員照顧比例業務範圍督導管理及其他應遵行事項之辦法由中央主管機關定之委員邱若驊等16人提案與委員陳月琴 |
| transcript.whisperx[1009].start |
28837.399 |
| transcript.whisperx[1009].end |
28839.366 |
| transcript.whisperx[1009].text |
與委員陳月琴等16人提案通 |
| transcript.whisperx[1010].start |
28841.078 |
| transcript.whisperx[1010].end |
28869.515 |
| transcript.whisperx[1010].text |
委員黃婕等21人委員蔡易宇等17人委員郭玉琴等21人委員王美惠等19人委員王振旭等19人提案第18條直轄市縣市鄉鎮市直轄市山地園住民區學校法輪團體醫院商業或自然人得設立托嬰中心設立托嬰中心應檢舉文件資料向直轄市縣市主管機關申請許可經審核通過後發給許可證書政府機關構議性別平等工作法第23條第1項第二款設立之托嬰中心 |
| transcript.whisperx[1011].start |
28870.035 |
| transcript.whisperx[1011].end |
28895.536 |
| transcript.whisperx[1011].text |
因依下列順序招收兒童一員工直系血清背金屬二需要協助這個兒童三前二款以外兒童學校法人醫院或商業醫前向規定設立托嬰中心者以招收其所屬及與其簽訂契約辦理聯合托育者之員工直系血清背金屬為主有餘額者經執轄市縣市主管機關核准後使得招收其他兒童 |
| transcript.whisperx[1012].start |
28901.175 |
| transcript.whisperx[1012].end |
28926.756 |
| transcript.whisperx[1012].text |
委員陳培玉等19人提案第22條紫霞市縣市鄉鎮市紫霞市山地園住民區學校法人團體醫院商業或自然人的設立托嬰中心設立托嬰中心應檢舉文件資料向紫霞市縣市主管機關申請許可經取得許可證書後使得提供托育服務政府機關構議性別評等工作法第23條第一項第二款設立之托嬰中心因依下列順序遭受兒童 |
| transcript.whisperx[1013].start |
28927.256 |
| transcript.whisperx[1013].end |
28954.802 |
| transcript.whisperx[1013].text |
一員工直系血清背清署二需要協助之兒童三前二款前二款以外兒童學校法人商醫院或商業醫性別評等工作法第二十三條第一項第二款規定設立之托孕中心其招收其所屬員工及與其簽訂契約辦理聯合托育者所屬員工之直系血清背清署為主得收托人數有餘額者經直轄市縣市主管機關核准後使得招收其他兒童第三項托育機構之托育人員 |
| transcript.whisperx[1014].start |
28955.362 |
| transcript.whisperx[1014].end |
28962.611 |
| transcript.whisperx[1014].text |
由主管人員及工作人員薪資托育人員主管人員及工作人員薪資由主管機關定資 |
| transcript.whisperx[1015].start |
28969.793 |
| transcript.whisperx[1015].end |
28996.69 |
| transcript.whisperx[1015].text |
委員林淑芬等25人提案第24條直轄市縣市鄉鎮市直轄市山地原住民區學校法人團體醫院商業或自然人得設立托嬰中心設立托嬰中心應檢據相關文件資料向直轄市縣市主管機關申請許可與取得許可證書或使得提供托育服務學校法人醫院或商業醫性別平等工作法第23條第一項第二款規定設立之托嬰中心以遭受其所屬員工及 |
| transcript.whisperx[1016].start |
28997.51 |
| transcript.whisperx[1016].end |
29025.915 |
| transcript.whisperx[1016].text |
與其簽訂契約辦理聯合托育者所屬員工之職系血清被清除為主得收托人數有餘額者經紫霞市縣市主管機關核准後時得招收其他兒童第一項托嬰中心及第25條第一項公共托育家園設立許可之要件程序廢止許可擴充遷移停業歇業復業面積設施設備托育相關人員資格與配置托育人員收托兒童照顧比例收托人數及其他應遵行事項之辦法 |
| transcript.whisperx[1017].start |
29026.836 |
| transcript.whisperx[1017].end |
29028.51 |
| transcript.whisperx[1017].text |
由中央主管機關定之 |
| transcript.whisperx[1018].start |
29033.905 |
| transcript.whisperx[1018].end |
29058.354 |
| transcript.whisperx[1018].text |
行政院委員李坤成等22人提案第19條紫霞市縣市主管機關因自行或委託辦理公共托育家園及托嬰中心並訂定一定比例優先收托需要協助之兒童非營利性質之法人機構或團體得依紫霞市縣市主管機關之公告參加甄選後受委托辦理公共托育家園托嬰中心 |
| transcript.whisperx[1019].start |
29058.994 |
| transcript.whisperx[1019].end |
29081.01 |
| transcript.whisperx[1019].text |
非營利性質之法人、機構或團體依前項規定受委託後,應檢據相關文件資料,向紫霞市縣市主管機關申請設立公共托育家園或托嬰中心許可,與取得許可證書後,使得提供托育服務。托嬰中心及公共托育家園設立許可之要件、程序、廢止許可。 |
| transcript.whisperx[1020].start |
29081.91 |
| transcript.whisperx[1020].end |
29094.992 |
| transcript.whisperx[1020].text |
擴充遷移停業歇業復業面積設施設備托育相關人員資格與配置托育人員照顧收托兒童比例收托人數及其他應遵行事項之辦法由中央主管機關定之委員黃婕等21人提案第一項同院版第一項第二項同院版第二項 |
| transcript.whisperx[1021].start |
29111.428 |
| transcript.whisperx[1021].end |
29132.084 |
| transcript.whisperx[1021].text |
第三項前項法人團體或機構受託委託後因檢據文件資料依第四項所定辦法向直轄市縣市主管機關申請設立公共托育家園托嬰中心許可並取得許可證書後使得提供托育服務如有事實足認對兒童權益有侵害之虞者 |
| transcript.whisperx[1022].start |
29132.524 |
| transcript.whisperx[1022].end |
29153.23 |
| transcript.whisperx[1022].text |
主管機關得補回其申請前條托嬰中心及第一項公共托育家園設立許可之要件程序廢止許可擴充遷移停業歇業復業面積設施設備托育相關人員資格與配置托育人員照顧比例收托人數及其他應遵行事項之辦法由中央主管機關定之委員委員蔡易宇等17人提案 |
| transcript.whisperx[1023].start |
29161.957 |
| transcript.whisperx[1023].end |
29172.753 |
| transcript.whisperx[1023].text |
第一項同院版第二項同院版第三項前項法人團體或機構受委託後應檢舉文件 |
| transcript.whisperx[1024].start |
29174.065 |
| transcript.whisperx[1024].end |
29194.722 |
| transcript.whisperx[1024].text |
資料一第四項鎖定辦法向紫霞市縣市主管機關申請設立公共托育家園托嬰中心許可並取得許可證書後使得提供托育服務前條托育中心及第一項公共托育家園設立許可之要件程序廢止許可擴充遷移停業歇業復業面積設施設備托育相關人員資格與配置 |
| transcript.whisperx[1025].start |
29199.125 |
| transcript.whisperx[1025].end |
29221.256 |
| transcript.whisperx[1025].text |
托育人員照顧比例收托人數及其他應遵行事項之辦法由中央主管機關定之委員陳培鈺等19人提案第23條直轄市縣市主管機關應自行或委託辦理公共托育家園托嬰中心並訂定一定比率優先收托需要協助之兒童非營利性質之法人 |
| transcript.whisperx[1026].start |
29223.094 |
| transcript.whisperx[1026].end |
29239.386 |
| transcript.whisperx[1026].text |
機構或團體得依指甲式縣市主管機關制公告參加申選後受委託辦理公共托育家園托嬰中心第三項同院版第二項 |
| transcript.whisperx[1027].start |
29240.851 |
| transcript.whisperx[1027].end |
29264.281 |
| transcript.whisperx[1027].text |
托嬰中心及公共托育家園設立許可之要件程序對子許可擴充遷移停業歇業復業面積設施設備托育相關人員資格與配置托育人員收托兒童照顧比例收托人數及其他應遵行事項之辦法由中央主管機關定之第一項托育機構之托育人員主管人員及工作人員薪資由主管機關定之 |
| transcript.whisperx[1028].start |
29268.226 |
| transcript.whisperx[1028].end |
29286.033 |
| transcript.whisperx[1028].text |
委員郭育晴等21人提案第一項同委員蔡奕宇等17人提案第二項同委員蔡奕宇等17人提案第三項同委員蔡奕宇等17人提案 |
| transcript.whisperx[1029].start |
29290.908 |
| transcript.whisperx[1029].end |
29308.214 |
| transcript.whisperx[1029].text |
前條托嬰中心及第一項公共托育家園設立許可之要件程序廢止許可擴充遷移停業歇業復業面積設施設備托育相關人員資格與配置托育人員照顧比例收托人數及其他應遵行事項之辦法由中央主管機關定之 |
| transcript.whisperx[1030].start |
29311.721 |
| transcript.whisperx[1030].end |
29340.313 |
| transcript.whisperx[1030].text |
委員鄭天才等18人提案第19條直轄市縣市主管及觀音自行或委託辦理公共托育家園及托嬰中心並訂定一定比例優先收托低收入戶中低收入戶特殊禁慾家庭身心障礙者及原住民家庭之兒童第二項同院版第二項第三項同院版第三項第四項同院版的第四項 |
| transcript.whisperx[1031].start |
29344.335 |
| transcript.whisperx[1031].end |
29353.677 |
| transcript.whisperx[1031].text |
委員王美惠等19人提案第19條第一項同院版第一項第二項同院版第二項 |
| transcript.whisperx[1032].start |
29355.865 |
| transcript.whisperx[1032].end |
29375.343 |
| transcript.whisperx[1032].text |
第三項前項法人團體或機構受委託後應檢舉文件資料依第四項鎖定辦法向直轄市縣市主管機關申請設立公共托育家園托嬰中心許可並取得許可證書後使得提供托育服務前條托嬰中心及第一項公共托育家園設立許可之要件程序廢止許可擴充 |
| transcript.whisperx[1033].start |
29376.665 |
| transcript.whisperx[1033].end |
29391.061 |
| transcript.whisperx[1033].text |
遷移停業歇業復業面積設施設備托育相關人員資格與配置托育人員照顧比例收托人數及其他應遵行事項之辦法由中央主管機關定之委員王振旭等18人提案與委員黃婕等21人提案同 |
| transcript.whisperx[1034].start |
29395.686 |
| transcript.whisperx[1034].end |
29418.502 |
| transcript.whisperx[1034].text |
委員林淑芬等25人提案第25條直轄市縣市主管機關因自行或委託辦理公共托育家園及托嬰中心並訂定一定比率優先收托需要協助之兒童外令得優先收托托育機構之員工子女兒童登記就登記就托時其兄弟姊妹與同一托兒設施持續就托者亦得優先招收 |
| transcript.whisperx[1035].start |
29419.162 |
| transcript.whisperx[1035].end |
29440.252 |
| transcript.whisperx[1035].text |
政府機關構議性別平等工作法第23條第一項第二款規定設立之托嬰中心因應下列順序招收兒童一員工之職系寫清背清書二需要協助之兒童三該托嬰中心之員工子女四前三款以外之兒前三款以外兒童但其兄弟姐妹已於同一托嬰中心持續就託者 |
| transcript.whisperx[1036].start |
29441.432 |
| transcript.whisperx[1036].end |
29466.525 |
| transcript.whisperx[1036].text |
得於同一順序優先招收非營利性執執法人團體或機構得依直轄市縣市主管機關或政府機關公知公告參加申請後受委託辦理公共托育家園托嬰中心非營利性執執法人機構或團體依前項規定受委託後應檢據相關文件資料依前條第四項鎖定辦法向直轄市縣市主管機關申請設立公共托育家園 |
| transcript.whisperx[1037].start |
29467.285 |
| transcript.whisperx[1037].end |
29490.114 |
| transcript.whisperx[1037].text |
或托嬰中心許可 於取得許可證書後 使得提供托育服務 第一項及第二項托育機構之托育人員 主管人員及工作人員薪資由主管機關定之委員吳沛 委員吳沛義等18人提案 第一項同院版第一項 第二項同院版第二項第三項 |
| transcript.whisperx[1038].start |
29497.962 |
| transcript.whisperx[1038].end |
29520.528 |
| transcript.whisperx[1038].text |
第三項同院版第三項托嬰中心及公共托育家園設立許可之要件程序廢止許可擴充遷移停業歇業復業面積設施設備托育相關人員資格與配置托育人員收托兒童照顧比例收托人數及其他應遵行事項之辦法由中央主管機關定之 |
| transcript.whisperx[1039].start |
29521.408 |
| transcript.whisperx[1039].end |
29544.105 |
| transcript.whisperx[1039].text |
行政院委員李坤成等22人提案第20條離島偏遠地區為因應地理條件限制與兒童生活及照顧服務之需要得設立社區互動式托育機構為營造原住民族兒童學習其族語與文化機會之托育環境及發揮部落照顧精神得設立部落互助式托育機構 |
| transcript.whisperx[1040].start |
29545.026 |
| transcript.whisperx[1040].end |
29561.76 |
| transcript.whisperx[1040].text |
政府機關構學校公營事業機構公司及非政府組織為照顧所屬員工之職系寫清背清署得於各該場址設立職場互助式托育機構依前三項規定設立互助式托育機構者應檢據相關文件資料向直轄市縣市主管機關申請許可 |
| transcript.whisperx[1041].start |
29565.943 |
| transcript.whisperx[1041].end |
29574.825 |
| transcript.whisperx[1041].text |
與取得許可證書後使得提供托育服務第一項至第三項地區範圍辦理方式收託對象設立許可之要件程序廢止許可擴充遷移停業歇業復業面積設施設備托育相關人員資格與配置托育人員照顧照顧收託兒童比例收託人數及其他應遵行事項之辦法由中央主管機關會商援助民族主管機關 |
| transcript.whisperx[1042].start |
29594.409 |
| transcript.whisperx[1042].end |
29619.003 |
| transcript.whisperx[1042].text |
勞動主管機關及教育主管機關定制委員林月琴等16人提案第38條離島偏遠地區為因應地理條件限制及兒童生活與照顧服務之需要得採取社區互助式方式提供兒童托育服務為營造援助民族兒童學習其族語及文化機會之托育環境 |
| transcript.whisperx[1043].start |
29620.224 |
| transcript.whisperx[1043].end |
29637.295 |
| transcript.whisperx[1043].text |
與發揮部落照顧精神、德採部落互助式方式提供兒童托育服務政府機關構、公營事業機構、公司、學校及非政府組織為照顧員工子女及孫子女得與各該場址設置職場互動式方式兒童托育服務 |
| transcript.whisperx[1044].start |
29638.115 |
| transcript.whisperx[1044].end |
29657.913 |
| transcript.whisperx[1044].text |
前三項互助式托育服務應經直轄市縣市主管機關許可使得提供托育服務第一項至第三項地區範圍辦理方式收托方式收托對象收托人數收托時間收托年限專業人員資格與配置托育人員照顧比例許可條件與程序面積設施與設備 |
| transcript.whisperx[1045].start |
29659.874 |
| transcript.whisperx[1045].end |
29685.336 |
| transcript.whisperx[1045].text |
衛生保健直轄市縣市主管機關輔導與協助平和檢查管理撤銷或廢止許可收退費及其他相關事項之辦法由中央主管機關會商援助民族主管機關勞動主管機關及教育主管機關定之委員何新淳等16人提案第一項同委員林月琴等16人提案 |
| transcript.whisperx[1046].start |
29689.11 |
| transcript.whisperx[1046].end |
29701.287 |
| transcript.whisperx[1046].text |
第二項同委員林月琴等16人提案第三項同委員林月琴等16人提案第四項同委員林月琴等16人提案 |
| transcript.whisperx[1047].start |
29705.543 |
| transcript.whisperx[1047].end |
29719.514 |
| transcript.whisperx[1047].text |
第一項自第三項地區範圍辦理方式收託對象收託人數收託年限專業人員資格與配置托育人員照顧比例許可條件與程序環境設施與設備衛生保健直轄市縣市主管機關輔導與協助 |
| transcript.whisperx[1048].start |
29721.275 |
| transcript.whisperx[1048].end |
29745.612 |
| transcript.whisperx[1048].text |
平和檢查管理撤銷或廢止許可收退費及其他相關事項之辦法由中央主管機關會商原住民族主管機關勞動主管機關及教育主管機關定之委員王衛明等24人提案第29條離島偏遠地區未因應地理條件限制及兒童生活與照顧服務之需要得採取互助式方式提供兒童托育服務 |
| transcript.whisperx[1049].start |
29746.432 |
| transcript.whisperx[1049].end |
29771.998 |
| transcript.whisperx[1049].text |
为营造援助民族儿童学习其族语及文化机会之托育环境并发挥部落照顾之精神得采取部落互助式方式提供儿童托育服务政府机关购、公营事业机构、公司、学校及非政府组织为照顾员工子女及孙子女得于各该场址设置职场互动式方式提供儿童托育服务前三项互助式托育 |
| transcript.whisperx[1050].start |
29779.261 |
| transcript.whisperx[1050].end |
29797.91 |
| transcript.whisperx[1050].text |
應經紫霞市縣市主管機關許可使得提供服務第一項至第三項之地區範圍收拖方式收拖對象收拖人數收拖年限托育專業人員資格與配置照顧比例許可條件與程序環境設施與設備衛生保健紫霞市縣市主管機關輔導與協助 |
| transcript.whisperx[1051].start |
29799.671 |
| transcript.whisperx[1051].end |
29817.276 |
| transcript.whisperx[1051].text |
平和檢查管理撤銷或廢止許可收退費及其他相關事項之辦法由中央主管機關會商援助民族主管機關勞動主管機關及教育主管機關定之委員邱若驊等16人提案與委員林月琴等16人提案同 |
| transcript.whisperx[1052].start |
29819.301 |
| transcript.whisperx[1052].end |
29843.411 |
| transcript.whisperx[1052].text |
委員黃婕等21人提案第20條離島偏遠地區為因應地理條件限制及兒童生活與照顧服務之需要得設立社區互助式托育機構提供兒童托育服務為營造援助民族兒童學習其族語及文化機會之托育環境與發揮部落照顧精神得設立部落互助式托育機構提供兒童托育服務 |
| transcript.whisperx[1053].start |
29844.131 |
| transcript.whisperx[1053].end |
29866.213 |
| transcript.whisperx[1053].text |
政府机关购学校公营事业机构公司及非政府组织为照顾员工职系写清背景书得于各该厂子设立职场互助式托育机构提供儿童托育服务依前三项规定设立互助式托育机构者应检据文件资料向直辖市县市主管机关申请许可经审核通过后发给许可证书 |
| transcript.whisperx[1054].start |
29866.773 |
| transcript.whisperx[1054].end |
29893.445 |
| transcript.whisperx[1054].text |
第1項至第3項地區範圍辦理方式收託對象設立許可之要件程序廢止許可擴充遷移停業歇業復業面積設施設備托育相關人員資格與配置托育人員照顧比例收託人數及其他應遵行事項之辦法由中央主管機關會商援助民族會商援助民族主管機關勞動主管機關及教育主管機關定之 |
| transcript.whisperx[1055].start |
29899.049 |
| transcript.whisperx[1055].end |
29900.892 |
| transcript.whisperx[1055].text |
委員蔡易餘等17人提案與委員黃婕等21人提案同 |
| transcript.whisperx[1056].start |
29904.932 |
| transcript.whisperx[1056].end |
29928.522 |
| transcript.whisperx[1056].text |
委員陳培鈺等十九人提案第二十四條離島偏遠地區為因應地理條件限制及兒童生活照顧服務之需要得設立社區互助式托育機構為營造原住民族兒童學習其族語及文化機會之托育環境與發揮部落照顧精神得設立部落互助式托育機構中央主管機關或原住民族主管機關的補助辦理 |
| transcript.whisperx[1057].start |
29930.163 |
| transcript.whisperx[1057].end |
29952.908 |
| transcript.whisperx[1057].text |
政府機關構學校公營事業機構公司及非政府組織為照顧所屬員工之職系寫清非清楚得於各該場址設立職場互助式托育機構依前三項規定設立互助式托育機構者應檢據相關文件資料向職下市縣市主管機關申請許可與取得許可證書後使得提供托育服務 |
| transcript.whisperx[1058].start |
29954.088 |
| transcript.whisperx[1058].end |
29981.859 |
| transcript.whisperx[1058].text |
第一項至第三項地區範圍辦理方式收託對象設立許可之要件程序廢止許可擴充遷移停業歇業復業面積設施設備托育相關人員資格與配置托育人員照顧收託兒童比例收託人數及其他應遵行事項之辦法由中央主管機關會商援助民族主管機關勞動主管機關及教育主管機關定之委員郭玉琴等21人提案與委員黃婕等21人 |
| transcript.whisperx[1059].start |
29983.78 |
| transcript.whisperx[1059].end |
29989.25 |
| transcript.whisperx[1059].text |
提案同委員鄭天才等18人提案 |
| transcript.whisperx[1060].start |
29995.39 |
| transcript.whisperx[1060].end |
30014.413 |
| transcript.whisperx[1060].text |
第20條離島偏遠地區為因應地理條件限制與兒童生活及照顧服務之需要得設立社區互助式托育機構為營造原住民族兒童學習其族語與文化機會之托育環境及發揮部落照顧精神得設立部落互助式托育機構 |
| transcript.whisperx[1061].start |
30015.234 |
| transcript.whisperx[1061].end |
30043.492 |
| transcript.whisperx[1061].text |
政府機關構學校公營事業機構公司及非政府組織為照顧所屬員工之職系寫信非親屬等於各該場址設立職場互助式托育機構依前三項規定設立互助式托育機構者應檢據相關文件資料向指甲室縣市主管機關申請許可與取得許可證書後使得提供托育服務第一項至第三項地區範圍辦理方式收托對象設立許可之要件程序廢止許可擴充遷移 |
| transcript.whisperx[1062].start |
30044.953 |
| transcript.whisperx[1062].end |
30062.896 |
| transcript.whisperx[1062].text |
停业歇业复业面积设施设备托育相关人员资格与配置托育人员照顾收托儿童比例收托人数及其他应遵行事项之办法由中央主管机关会商援助民族主管机关劳动主管机关及教育主管机关定之 |
| transcript.whisperx[1063].start |
30063.897 |
| transcript.whisperx[1063].end |
30084.15 |
| transcript.whisperx[1063].text |
委員王美惠等19人提案第20條離島偏遠地區為因地理條件限制及兒童生活與照顧服務之需要得設立社區互助式托育機構提供兒童托育服務為營造原住民族兒童學習其族語及文化機會之托育環境與發揮部落照顧精神得設立部落互助式托育機構 |
| transcript.whisperx[1064].start |
30084.93 |
| transcript.whisperx[1064].end |
30113.395 |
| transcript.whisperx[1064].text |
提供兒童托育服務政府機關購學校公營事業機構公司及非政府組織為照顧員工直系血清肺清數得與各該廠子設立職場互助式托育機構提供兒童托育服務依前三項規定設立互助式托育機構者應檢據文件資料向紫霞市縣市主管機關申請許可經審核通過後發給許可證書第一項至第三項地區範圍辦理方式收託對象設立許可之要件程序廢止許可 |
| transcript.whisperx[1065].start |
30114.535 |
| transcript.whisperx[1065].end |
30136.843 |
| transcript.whisperx[1065].text |
擴充遷移停業歇業復業面積設施設備托育相關人員資格與配置托育人員照顧比例收托人數及其他應遵行事項之辦法由中央主管機關會商援助民族主管機關勞動主管機關及教育主管機關定制委員王振旭等18人提案與委員黃婕等21人提案同 |
| transcript.whisperx[1066].start |
30141.232 |
| transcript.whisperx[1066].end |
30154.292 |
| transcript.whisperx[1066].text |
委員吳佩義等18人提案第20條離島偏遠地區為因應地理條件限制及兒童生活與照顧服務之需要得設立社區式互助 |
| transcript.whisperx[1067].start |
30156.045 |
| transcript.whisperx[1067].end |
30171.417 |
| transcript.whisperx[1067].text |
互助式托育機構提供兒童托育服務為營造援助民族兒童學習其族語及文化機會之托育環境與發揮部落照顧精神得設立部落互助式托育機構提供兒童托育服務 |
| transcript.whisperx[1068].start |
30172.117 |
| transcript.whisperx[1068].end |
30186.634 |
| transcript.whisperx[1068].text |
政府機關夠學校公營事業機構公司及非政府組織為照顧員工仔細寫清非清楚得於各該場址設立職場互助式托育機構提供兒童托育服務依前三項規定設立互助式托育機構者應檢據文件資料項指甲式縣市主管機關申請許可經審核通過後發給許可證書 |
| transcript.whisperx[1069].start |
30192.581 |
| transcript.whisperx[1069].end |
30217.12 |
| transcript.whisperx[1069].text |
第一項至第三項地區範圍辦理方式收託方式設立許可之要件程序廢止許可擴充遷移停業歇業復業面積設施設備托育相關人員資格與配置托育人員照顧比例周托人數及其他應遵行事項之辦法由中央主管機關會商援助民族主管機關勞動主管機關及教育主管機關定之 |
| transcript.whisperx[1070].start |
30218.081 |
| transcript.whisperx[1070].end |
30240.664 |
| transcript.whisperx[1070].text |
委員林淑芬等二十五人提案第26條離島偏島地區為因應地理條件限制與兒童生活及照顧服務之需要得設立社區互助式托育機構為營造援助民族兒童學習其族與文化機會之托育環境及發揮部落照顧精神得設立部落互助式托育機構中央主管機關或援助民族主管機關得補助辦理 |
| transcript.whisperx[1071].start |
30243.191 |
| transcript.whisperx[1071].end |
30266.969 |
| transcript.whisperx[1071].text |
政府籍貫購學校公營事業機構公司及非政府組織為照顧所屬員工之職系寫信被簽署得於各該場址設立職場互助式托育機構依前三項規定設立互助式托育機構者應檢據相關文件資料向直轄市縣市主管機關申請許可與取得許可證書後使得提供托育服務第一項至第三項地區範圍辦理方式收托對象 |
| transcript.whisperx[1072].start |
30270.671 |
| transcript.whisperx[1072].end |
30295.498 |
| transcript.whisperx[1072].text |
設立許可之要件程序廢止許可擴充遷移停業歇業復業面積設施設備托育相關人員資格與配置托育人員照顧收托兒童比例收托人數及其他應遵行事項之辦法由中央主管機關會商援助民族主管機關勞動主管機關及教育主管機關定之委員吳佩義等18人提案與院版同 |
| transcript.whisperx[1073].start |
30298.612 |
| transcript.whisperx[1073].end |
30300.773 |
| transcript.whisperx[1073].text |
好 現在休息十分鐘 休息後我們繼續開會 |
| transcript.whisperx[1074].start |
31129.182 |
| transcript.whisperx[1074].end |
31144.343 |
| transcript.whisperx[1074].text |
報告委員會我們接續宣讀病人自主權利法部分條文修正草案各版本內容而通托育服務法草案行政院版第21條以下各版本條文明天會議繼續宣讀來請宣讀 |
| transcript.whisperx[1075].start |
31148.12 |
| transcript.whisperx[1075].end |
31171.098 |
| transcript.whisperx[1075].text |
病人自主權利法部分條文修正草案委員王玉敏等十八人委員劉建國等十六人委員邱志偉等十九人委員李博義等十六人委員羅廷偉等十六人提案現行法條文對照表委員王玉敏等十八人提案第三條第四款如下四意願人只以書面方式為育立醫療決定之人或符合為育立醫療決定資格之人 |
| transcript.whisperx[1076].start |
31174.48 |
| transcript.whisperx[1076].end |
31191.542 |
| transcript.whisperx[1076].text |
第六款修正文字病人為意願人予以現行法同委員劉建國等16人提案第三條第四款據莫增列或符合為育立醫療決定資格之人第六款修正文字病人為意願人予以現行法同 |
| transcript.whisperx[1077].start |
31192.643 |
| transcript.whisperx[1077].end |
31204.174 |
| transcript.whisperx[1077].text |
委員王玉敏等十八人提案委員劉建國等十六人提案第四條增訂第三項如下病人已無法明示其意願且成為預立醫療決定者關係人不得妨礙醫療機構或醫師依病人預立醫療決定之作為予以現行法同 |
| transcript.whisperx[1078].start |
31212.702 |
| transcript.whisperx[1078].end |
31236.038 |
| transcript.whisperx[1078].text |
委員王玉敏等18人提案第5條第一項手具逗號後面增列有知情權利句號第二項受輔助宣告之人後面增列頓號意思表示能力顯有不足予以現行法同委員劉建國等16人提案第5條第二項同委員王玉敏等18人提案予以現行法同 |
| transcript.whisperx[1079].start |
31237.867 |
| transcript.whisperx[1079].end |
31252.407 |
| transcript.whisperx[1079].text |
委員王玉敏等18人委員劉建國等16人提案第6條病人接受手術中央主管機關規定之侵入性檢查或治療前醫療機構應經病人同意簽具同意書使得為之 |
| transcript.whisperx[1080].start |
31253.428 |
| transcript.whisperx[1080].end |
31279.513 |
| transcript.whisperx[1080].text |
病人为民事反对由关系人行使同意权时得以关系人同意为之但情况紧急者不在此限病人为限制行为能力人受辅助宣告或意思表示能力显有不足者除病人同意外应经关系人同意病人为无行为能力意识昏迷或无法清楚表达意愿者应经关系人同意 |
| transcript.whisperx[1081].start |
31280.293 |
| transcript.whisperx[1081].end |
31302.691 |
| transcript.whisperx[1081].text |
委員王玉明等18人委員劉建國等16人提案第8條修正第一項守據為具行為能力之人修正第二項默據為接受或拒絕維持生命治療或人工營養及流體餵養之意願予以現行法同委員邱志偉等19人提案第8條修正第一項守據為具意識能力之成年人 |
| transcript.whisperx[1082].start |
31303.411 |
| transcript.whisperx[1082].end |
31321.324 |
| transcript.whisperx[1082].text |
修正第二項莫二據為終止撤除或不施行維持生命治療或人工營養及流體餵養之全部或一部予以現行法同委員王玉明等18人提案第9條第一項第二款如下二經公證人公證或具有 |
| transcript.whisperx[1083].start |
31321.764 |
| transcript.whisperx[1083].end |
31337.393 |
| transcript.whisperx[1083].text |
具行為能力者在場見證第二項如下醫院人配偶或二親等內之親屬至少一人及醫療委任代理人應參與前項第一款預例醫療照護諮商其他經醫院人同意之人亦得參與 |
| transcript.whisperx[1084].start |
31339.619 |
| transcript.whisperx[1084].end |
31363.794 |
| transcript.whisperx[1084].text |
但配偶二親等類之親屬或醫療委任代理人具特殊事由時得不參與修正第三項文字具薪資缺陷為無意思能力第四項如下醫院人之醫療委任代理人及主責照護醫療團隊成員不得為第一項第二款之見證人予以現行法同委員劉建國等16人提案第九條 |
| transcript.whisperx[1085].start |
31364.815 |
| transcript.whisperx[1085].end |
31392.368 |
| transcript.whisperx[1085].text |
第一项第一款及第二款如下一经主管机关核准之医疗机构护理机构长照机构心理治疗所心理治丧所社会工作室事务所或法人提供预立医疗照护资商并经其预立医疗决定上合章证明经一位医师诊断符合末期或中央主管机关公告第十四条第一项第五款疾病之病人得豁免预立医疗照护资商 |
| transcript.whisperx[1086].start |
31393.228 |
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31410.499 |
| transcript.whisperx[1086].text |
二經公證人公證或具有行為能力者在場見證第二項及第四項與委員王玉敏等18人提案同第三項如下第一項第一款提供育立醫療照護諮商之各機構或法人有事時逐任 |
| transcript.whisperx[1087].start |
31411.079 |
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31437.154 |
| transcript.whisperx[1087].text |
意愿人无意识能力或非出于自愿者不得为合张证明第五项手续为提供育历医疗照护资商之各机构或法人予以现行法同委员邱志伟等19人提案第9条第一项续文如下意愿人为育历医疗决定应符合下列规定之一增订第二项如下 |
| transcript.whisperx[1088].start |
31437.754 |
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31462.29 |
| transcript.whisperx[1088].text |
前項預立醫療決定得註記與全民健康保險憑證該註記之效力與書面相同但醫院人依前條以書面撤回或變更時以書面為準修正現行第二項並以列為第三項如下醫院人配偶、二親等內職親屬至少一人及醫療委任代理人應參與前項第一款預立醫療照護諮商經醫院人同意之親屬亦得參與 |
| transcript.whisperx[1089].start |
31467.954 |
| transcript.whisperx[1089].end |
31482.873 |
| transcript.whisperx[1089].text |
但配偶二親等內之親屬死亡失蹤或具特殊事由時得不參與第四至第六項同現行第三至第五項予以現行法同委員李博義等十六人提案第九條 |
| transcript.whisperx[1090].start |
31483.874 |
| transcript.whisperx[1090].end |
31504.786 |
| transcript.whisperx[1090].text |
第二項如下,醫院人配偶或二親等內之親屬至少一人,醫療委任代理人,應參與前項第一款育立醫療照護諮商,經醫院人同意之親屬亦得參與,但二親等內之親屬死亡、失蹤或具特殊事由時不在此限,予以現行法同。 |
| transcript.whisperx[1091].start |
31506.448 |
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31532.776 |
| transcript.whisperx[1091].text |
委員王玉敏等18人提案第10條刪除現行第二項修正第三項守據文字為醫療委任代理人或監護人於意願人意識昏迷或無法清楚表達意願時並將現行第三至第五項以列為第二項至第四項予以現行法同委員劉建國等16人提案與委員王玉敏等18人提案第一至第三項同 |
| transcript.whisperx[1092].start |
31533.456 |
| transcript.whisperx[1092].end |
31562.355 |
| transcript.whisperx[1092].text |
委員王玉敏等十八人提案第十二條刪除現行第三及第四項予以現行法同委員劉建國等十六人提案於現行第二項據莫增列或由意願人上傳網路版預立醫療決定書於中央主管機關之資料庫網路版預立醫療決定書應經預立醫療照護諮商提供機構數位簽章以符合第九條第一項第一款之合張證明規定 |
| transcript.whisperx[1093].start |
31564.076 |
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31591.522 |
| transcript.whisperx[1093].text |
刪除現行第三及第四項予以現行法同委員王衛明等十八人委員劉建國等十六人提案第十四條第一項序文如下病人符合下列臨床條件之一且有預立醫療決定者醫療機構或醫師得依其預立醫療決定或臨床醫療過程中書面明示之意思表示終止撤除或不施行維持生命治療或人工營養及流體餵養 |
| transcript.whisperx[1094].start |
31593.271 |
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31604.463 |
| transcript.whisperx[1094].text |
第一項第三款如下三永久植物人狀態或永久最低意識狀態第二項如下前項各款應由二位具相關專科醫師資格之醫師確診並經緩和醫療團隊照會確認 |
| transcript.whisperx[1095].start |
31610.769 |
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31625.736 |
| transcript.whisperx[1095].text |
醫療機構或醫師對於前開診斷與照會義務不得無故拒絕第五項如下醫療機構或醫師依本條規定中指撤除或不施行維持生命治療或人工營養及流體餵養不負形式 |
| transcript.whisperx[1096].start |
31627.457 |
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31636.745 |
| transcript.whisperx[1096].text |
行政與民事責任與現行法同委員王玉明等18人提案第15條醫療機構或醫師對前條第1項第1款及第5款之病人透過一組執行其預例醫療決定前於開始執行預例醫療決定前應向有意思能力之意願人確認該決定之內容及範圍 |
| transcript.whisperx[1097].start |
31650.276 |
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31670.222 |
| transcript.whisperx[1097].text |
委員劉建國等16人提案第15條第二據如下透過依主執行其預立醫療決定前予以現行法同委員邱志偉等19人提案第15條於文字第一款後面增列頓號第4款予以現行法同委員王玉敏等18人委員劉建國等16人委員羅廷偉等16人提案新增第16條之一 |
| transcript.whisperx[1098].start |
31676.844 |
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31697.334 |
| transcript.whisperx[1098].text |
辦理有關本法第九條第一項第一款之預例醫療照護諮商應由中央主管機關編列預算支應其支應方式內容及其他相關事項之辦法由中央主管機關定之第十四條第二項確診及確認程序及第十六條緩和醫療等項目所需醫療服務費用 |
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31699.215 |
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31722.253 |
| transcript.whisperx[1099].text |
應由中央主管機關納入全民健康保險醫療服務給付項目及支付標準委員王衛明等18人委員劉建國等16人提案第17條前段如下醫療機構或醫師應將其所執行第14條至第16條規定之事項詳細記載於病例予以現行法同宣讀 |
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31726.391 |
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31746.41 |
| transcript.whisperx[1100].text |
病人自主權利法第五條第九條第十四條修正動議第五條第二項病人為無行為能力人限制行為能力人受輔助宣告之人意思表示能力顯有不足或不能為醫師表示或受醫師表示時醫療機構或醫師應以適當方式告知本人及其關係人 |
| transcript.whisperx[1101].start |
31747.611 |
| transcript.whisperx[1101].end |
31763.027 |
| transcript.whisperx[1101].text |
据行为能力之病人经已为医师诊断符合末期或专案主管机关公告第十四条第一项第五款疾病时医疗机构或医师应告之病人第八条之医疗决定相关规定第一项同现行条文 |
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31766.601 |
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31780.334 |
| transcript.whisperx[1102].text |
第九條醫院人為育立醫療決定應符合下列規定一金主管機關和準製醫療機構護理機構長照機構心理治療所心理諮商所社會工作室事務所或法人提供育立醫療照護諮商並經其育立醫療決定上合張證明 |
| transcript.whisperx[1103].start |
31785.158 |
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31806.267 |
| transcript.whisperx[1103].text |
2.经公证人公证或有具行为能力者在场见证3.经注记于全民健康保险凭证医院人配偶或二亲等内之亲属至少一人及医疗委任代理人应参与前项第一款预立医疗照护资商其他经医院人同意之人亦得参与但配偶二亲等内之亲属或医疗委任 |
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31806.607 |
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31826.939 |
| transcript.whisperx[1104].text |
任代理人具特殊事由时不得不参与第一项第一款提供预立医疗照护资商之各机构或法人有事时逐任医院人无意识能力或非出于自愿者不得为合张证明医院人之医疗委任代理人及主责照护医疗团队成员不得为第一项第二款之见证人 |
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31827.679 |
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31838.094 |
| transcript.whisperx[1105].text |
提供阅历医疗照护资商之各机构或法人其资格应组成之。资商团队成员与条件、程序及其他应遵循事项之办法由专案所管机关定之。 |
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第十四条病人符合下列临床条件之一且有预立医疗决定者医疗机构或医师得依其预立医疗决定或临床医疗过程中书面民事之意是表示终止撤除或不施行维持生命治疗或人工营养及流体喂养一末期病人二处于不可逆转之昏迷状况 |
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31863.045 |
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31879.882 |
| transcript.whisperx[1107].text |
3.永久植物人状态或最低医师状态4.急重度失智5.其他经中央主管机关公告这病人疾病状况或痛苦难以忍受疾病无法治愈且依当时医疗水准无其他合适解决方法之情形前项各款应由 |
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31880.583 |
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31899.676 |
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二位具相关专科医师资格之医师确诊并经缓和医疗团队照会确认医疗机构或医师对于前开诊断或照会医务不得无辜拒绝医疗机构或医师依其专业或医院无法执行病人阅历医疗决定时得不实施之前向前行医疗机构或医师应告知病人或关系人 |
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31900.816 |
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| transcript.whisperx[1109].text |
医疗机构或医师依本条规定终止撤除或不施行维持生命治疗或人工营养及流体喂养,不负刑事、行政与民事责任。提案人委员刘建国、联署人委员杨耀、林月琴宣布完毕。本日会议到此结束,星期四早上九时继续审查,现在休息。 |