| IVOD_ID |
168979 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Clip/1M/168979 |
| 日期 |
2026-04-29 |
| 會議資料.會議代碼 |
委員會-11-5-26-8 |
| 會議資料.會議代碼:str |
第11屆第5會期社會福利及衛生環境委員會第8次全體委員會議 |
| 會議資料.屆 |
11 |
| 會議資料.會期 |
5 |
| 會議資料.會次 |
8 |
| 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5會期社會福利及衛生環境委員會第8次全體委員會議 |
| 影片種類 |
Clip |
| 開始時間 |
2026-04-29T15:13:33+08:00 |
| 結束時間 |
2026-04-29T15:31:40+08:00 |
| 影片長度 |
00:18:07 |
| 支援功能[0] |
ai-transcript |
| video_url |
https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/6301273cb2dfee84e37423fad95e1f4784e55221ec8869c0ddedb1387a11a892c28002b7c9e729de5ea18f28b6918d91.mp4/playlist.m3u8 |
| 委員名稱 |
林淑芬 |
| 委員發言時間 |
15:13:33 - 15:31:40 |
| 會議時間 |
2026-04-29T14:30:00+08:00 |
| 會議名稱 |
立法院第11屆第5會期社會福利及衛生環境委員會第8次全體委員會議（事由：（下午2時30分起。若上午議程尚未結束，待結束後接續召開）
一、繼續審查
(一)委員柯志恩等17人擬具「醫療法第二十四條及第一百零六條條文修正草案」案。
(二)委員林月琴等17人擬具「醫療法第二十四條及第一百零六條條文修正草案」案。
(三)委員王育敏等16人擬具「醫療法第二十四條及第一百零六條條文修正草案」案。
......(因系統字數上限，詳見議事日程)
二、審查
(一)委員徐欣瑩等18人擬具「醫療法第二十一條條文修正草案」案。
(二)委員洪申翰、賴惠員等17人擬具「醫療法部分條文修正草案」案。
(三)委員盧縣一等16人擬具「醫療法第七十一條條文修正草案」案。
(四)委員鍾佳濱等19人擬具「醫療法第八十四條條文修正草案」案。
(五)委員王正旭等24人擬具「醫療法增訂第七十一條之一條文草案」案。
(六)台灣民眾黨黨團擬具「醫療法第一百零三條條文修正草案」案。
(七)委員郭昱晴等16人擬具「醫療法第一百零三條條文修正草案」案。
(八)委員盧縣一等17人擬具「醫療法第四十九條及第五十條條文修正草案」案。
(九)委員蘇巧慧等19人擬具「醫療法增訂第二十二條之一條文草案」案。
(十)委員賴惠員等20人擬具「醫療法第八十四條及第一百零四條條文修正草案」案。
(十一)委員李彥秀等16人擬具「醫療法部分條文修正草案」案。
(十二)委員陳瑩等16人擬具「醫療法第八十八條條文修正草案」案。
(十三)委員劉建國等18人擬具「醫療法第二十四條及第一百零六條條文修正草案」案。
(十四)委員劉建國等16人擬具「醫療法第四十九條及第五十條條文修正草案」案。
(十五)委員邱鎮軍等21人擬具「醫療法第二十四條及第一百零六條條文修正草案」案。
(十六)委員劉建國等16人擬具「醫療法增訂第九十八條之一條文草案」案。
(十七)委員林思銘等23人擬具「醫療法第二十四條及第一百零六條條文修正草案」案。
(十八)委員羅智強等16人擬具「醫療法第二十四條及第一百零六條條文修正草案」案。
(十九)委員張嘉郡等17人擬具「醫療法第二十四條及第一百零六條條文修正草案」案。
(二十)委員蘇清泉等22人擬具「醫療法部分條文修正草案」案。
(二十一)委員羅明才等16人擬具「醫療法第十條、第二十四條及第一百零六條條文修正草案」案。
(二十二)台灣民眾黨黨團擬具「醫療法第二十四條及第一百零六條條文修正草案」案。
(二十三)委員許宇甄等21人擬具「醫療法第二十四條及第一百零六條條文修正草案」案。
(二十四)委員廖偉翔等19人擬具「醫療法第一百零二條條文修正草案」案。
【第二(二十四)案，如未經各黨團簽署不復議同意書，則不予審查】
【僅詢答，下午1時30分起辦理發言】
【4月29日上午9時起及下午2時30分起為一次會】） |
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謝昭偉 是不是請我們石部長 部長你喝水慢慢喝沒關係有請石部長 |
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我們在2024年就通過了再生醫療法還有再生醫療製劑條例那今年1月1號雙法也正式施行了那我們希望透過再生醫療能夠在嚴謹的科學的證據臨床試驗還有人體細胞來源的管理製劑品質還有醫療機構責任的發展下 |
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成為這個新一代下一個世代的主流的醫學的這個契機但是呢大家都也知道這也變成市場上一個亂象的來源其中一個最嚴重的就是外密體 |
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大家都覺得這個再生醫療很簡單就外秘體就變成再生醫療的這個代名詞那我們的司長其實有談到就是說我國僅核准生技公司以人體細胞衍生之外秘體作為這個化妝品保養品的原料都沒有核准外秘體的治療行為都沒有 到現在仍然都沒有嘛 是不是對 |
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到目前為止還沒有任何一個核准式外密體用在治療只有人體的然後當原料可以當這個化妝品對可是那你知道目前坊間以外密體為號稱的違法治療行為多不多治療喔我不是談化妝品我先談治療 |
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我們在醫事室也有交查了幾案有衛生局去查 包含廣告幾案 四案你知道在2025年6月有一個個案 |
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| transcript.whisperx[6].end |
123.584 |
| transcript.whisperx[6].text |
這個個案我不曉得你們有沒有查就是2025年6月接觸一款號稱韓國獨家代理的外密體產品業者聲稱皮下注射可以讓皮膚緊緻重返年輕結果患者在施打容量高達6CC的這個增劑以後全身隨即出現嚴重的紅腫 |
| transcript.whisperx[7].start |
135.032 |
| transcript.whisperx[7].end |
156.727 |
| transcript.whisperx[7].text |
然後就緊急消腫然後隨後兩頰跟額頭冒出密密麻麻如秋枕般的凸起霧半年無法消退身心飽受煎熬收治該病例的台大醫院皮膚部主任蔡承芳診斷患者是因異物注射引發延遲性免疫反應進而導致異物肉芽腫 |
| transcript.whisperx[8].start |
157.708 |
| transcript.whisperx[8].end |
170.987 |
| transcript.whisperx[8].text |
那其實這個台大去治療他半年了以後呢患者的臉部仍有明顯的色素沉澱還有深層的凹洞復原之路遙遙無期這個案子有沒有是你們試案之一嗎有沒有 |
| transcript.whisperx[9].start |
173.826 |
| transcript.whisperx[9].end |
188.194 |
| transcript.whisperx[9].text |
不是因為我們現在就是針對外密體的部分1月1號開始可以適用再生醫療法去處理然後1月1號之前的話都得用的是現在的醫療法做處理所以是兩個法院不一樣 |
| transcript.whisperx[10].start |
189.275 |
| transcript.whisperx[10].end |
210.617 |
| transcript.whisperx[10].text |
那我現在大家都覺得說MYT外密體治療好像沒有什麼事實上是很嚴重了因為後來該患者他們去調查該患者施打的徵劑成分極其複雜除了植物外密體以外還混了PDR以及多種多達五十幾種的保養成分基本上的本質就是化妝品精華液 |
| transcript.whisperx[11].start |
211.958 |
| transcript.whisperx[11].end |
218.902 |
| transcript.whisperx[11].text |
但是他強調 這個醫生 台大醫生強調這些不是真劑 非針對注射設計的成分他不是 他可能是保養品而已他不是要打針用的結果被他們這些成分混合了50多種注入皮下 極易引發免疫系統排斥這正是導致患者長期發炎形成肉芽腫的主因那其實現在很多業者會閃躲這個皮下注射喔 |
| transcript.whisperx[12].start |
238.931 |
| transcript.whisperx[12].end |
262.619 |
| transcript.whisperx[12].text |
它會變成水光針冷凍噴槍或高壓氣體噴槍宣稱不是打針規避法規但事實上只要導入皮膚真皮疹法律上事實上就等同注射行為都是違法的那你們的副司長也講過就是完全都沒有核准的針劑治療可是你們接獲這四起違規以外這四起大概 |
| transcript.whisperx[13].start |
263.379 |
| transcript.whisperx[13].end |
279.171 |
| transcript.whisperx[13].text |
台北台中高雄還有彰化的一家美容SPA中心都地方衛生局在查辦但我是要問你說部長這個不是事件而已這個是比比皆是啦比比皆是而且風險很大 |
| transcript.whisperx[14].start |
280.817 |
| transcript.whisperx[14].end |
301.67 |
| transcript.whisperx[14].text |
所以他宣稱為外用化妝品原料你們合法是這樣子可是診所把它當成可以抗衰老再生修復促進組織恢復暗示可以改善疾病或身體機能他被很多醫美診所包裝成高階抗老療程又貴又 |
| transcript.whisperx[15].start |
302.56 |
| transcript.whisperx[15].end |
329.53 |
| transcript.whisperx[15].text |
又很多人去追逐追逐的話術很多啦抗衰老、逆齡、細胞修復、再生管理、術後修復這些都在引導消費者相信外秘體具有特定生理或醫療效果可是事實上不是嘛事實上不是外秘體除了注射療程還有點滴療程還號稱可以達到心臟保護效果 |
| transcript.whisperx[16].start |
330.33 |
| transcript.whisperx[16].end |
343.045 |
| transcript.whisperx[16].text |
那2024年通過今年施行然後醫療機構的網站還在大剌剌的宣傳外媒體的療效那我們中央主管機關的角色在哪裡你看這是什麼診所劉醫師有話說第一張是這個嗎 |
| transcript.whisperx[17].start |
353.416 |
| transcript.whisperx[17].end |
376.75 |
| transcript.whisperx[17].text |
好 劉醫師有話說也沒有關係啦劉醫師有話說 說了什麼劉醫師說對心臟醫學會來講對心臟醫學有幫助促進本身的什麼自我療癒系統很小隻喔 劉醫師醫師可以這樣講 診所有名字的啦 再下一張 |
| transcript.whisperx[18].start |
379.747 |
| transcript.whisperx[18].end |
407.669 |
| transcript.whisperx[18].text |
水光注射 水光注射 什麼診所都有診所有名字還可以直接違法 他們都直接大剌剌的不在乎不把衛福部當一回事 還有呢外密體 還有醫美診所創造一個小傷口讓外密體滲入皮膚天啊 天啊 這樣行嗎 還有呢 |
| transcript.whisperx[19].start |
410.3 |
| transcript.whisperx[19].end |
430.507 |
| transcript.whisperx[19].text |
這個都有診所名字啦 沒中 這樣看有嗎 這樣很多啦這個很謝謝委員藉這個機會那麼讓國人更清楚據我的瞭解全世界現在沒有任何一款核准的外媒體可以作為醫療 |
| transcript.whisperx[20].start |
433.288 |
| transcript.whisperx[20].end |
437.07 |
| transcript.whisperx[20].text |
核准的外密體可以珍寄注射現在問題是這個國家我們沒政府啊衛福部沒去啊這都金獸耶金獸裡面有醫生耶有經營者耶而且我剛剛講的是隨便上網搜尋就找得到的耶 |
| transcript.whisperx[21].start |
450.218 |
| transcript.whisperx[21].end |
467.665 |
| transcript.whisperx[21].text |
欸 冰山一角餒你們到底有沒有建立一個系統性的查核機制還是說 只要沒有被檢舉 沒有被媒體揭露然後沒有像剛剛講的那種不良個案發生然後 這些違規就可以繼續存在你只要知道全世界都沒有合法 台灣也沒有法律是合法可以做的台灣煮到冰過 他們已經不怕拉廣告 |
| transcript.whisperx[22].start |
475.088 |
| transcript.whisperx[22].end |
489.592 |
| transcript.whisperx[22].text |
跟委員說明 我會請這個144交查下去 全國的醫美診所都地毯式的查一遍 看看有沒有違法的情形網路你怎麼查 網路上拉生意耶 還直接在網路上拉生意耶 |
| transcript.whisperx[23].start |
495.677 |
| transcript.whisperx[23].end |
522.737 |
| transcript.whisperx[23].text |
這個網路的我們也會跟速發部合作啦我們過去會有一些AI的巡查去跳出來來交查那現在外密體的商品大概就剩下美容產品吧護膚的美容產品的那你再看這個是我們助理在蝦皮的購物平台搜尋外密體三個字型大家馬上搜尋都可以看到具體的商品頁面 |
| transcript.whisperx[24].start |
525.491 |
| transcript.whisperx[24].end |
547.263 |
| transcript.whisperx[24].text |
這些商品在上面有辦法查詢這些商品的名稱有辦法在食藥署的化妝品產品登錄中找到資料嗎我們的化妝品要怎麼管理你到化妝品產品登錄去到登錄的系統去查詢是不是 |
| transcript.whisperx[25].start |
548.567 |
| transcript.whisperx[25].end |
557.953 |
| transcript.whisperx[25].text |
有沒有公司公司有沒有合法 工廠登記證有沒有合法有沒有登錄嘛 對不對我們有個登錄平台可以查對啊 好查嗎 |
| transcript.whisperx[26].start |
559.856 |
| transcript.whisperx[26].end |
585.196 |
| transcript.whisperx[26].text |
這個什麼茶?很難看你自己看人家這個衛福部是這個茶要的啦這是茶要的茶化妝品的好來你就剛剛那一頁化妝品的品名字名稱是什麼?網路上的化妝品名稱會是你這裡的名稱嗎?網路上的名字跟你的登錄他業者真正登錄不一定是同一個名字欸怎麼辦? |
| transcript.whisperx[27].start |
586.741 |
| transcript.whisperx[27].end |
612.012 |
| transcript.whisperx[27].text |
登錄的業者名稱化妝品公司在網路上賣的他很多都查不到耶登錄業者名稱是什麼哪個縣市別我怎麼知道啊你的化妝品保養品在你的化妝品登錄平台可見性很差 |
| transcript.whisperx[28].start |
613.988 |
| transcript.whisperx[28].end |
633.996 |
| transcript.whisperx[28].text |
大家的地方路不會變過但是是不是合法的不知道成分可不可以去了解不知道這個平台很難用的查不到啦你看這下一個只要用中文品名輸進去應該就可以查你講得很簡單的來你現在來實驗一下找一個你蚵蝦皮上的 |
| transcript.whisperx[29].start |
639.742 |
| transcript.whisperx[29].end |
666.659 |
| transcript.whisperx[29].text |
這個品名 登記叫什麼 安美洛是大廠牌 很貴 不用來換做下一個 看看有沒有別的 安美洛或許有還有什麼好 來來來 再來 安美洛安美洛的縣市別是哪一個縣市別 你看這個廣告商品裡面哪一個縣市別 縣市別是一定要 我要去看 上面要看什麼產品包裝上面有沒有 它在平台上賣有嗎 |
| transcript.whisperx[30].start |
668.922 |
| transcript.whisperx[30].end |
683.42 |
| transcript.whisperx[30].text |
我要登錄什麼限制別修一下吧因為有限制再看看有沒有別的公司業者要找哪一個品名的名字模糊攝取 |
| transcript.whisperx[31].start |
685.436 |
| transcript.whisperx[31].end |
704.662 |
| transcript.whisperx[31].text |
這個叫品 新品上市 外密體植萃精華 右下角是不是 外密體植萃精華 品名是叫這個嗎公司的縣識別是啥 公 阿哥阿哥那個什麼 公司登記是哪個 網路上都看不到耶 |
| transcript.whisperx[32].start |
706.107 |
| transcript.whisperx[32].end |
728.516 |
| transcript.whisperx[32].text |
我要買之前我也看不到也查不到我怎麼知道買進來的東西是啥東西你們網路上在販售化妝品保養品都不用規範嗎不用跟你的化妝品這一個銜接上你的查詢平台不用銜接嗎你的化妝品平台查詢線識別我是要製造商還是工廠還是公司 |
| transcript.whisperx[33].start |
732.355 |
| transcript.whisperx[33].end |
752.477 |
| transcript.whisperx[33].text |
公司的名字叫什麼 網路上每一個都有 都查得到嗎沒有啦 沒有啦 輸入業者 輸入業者那如果你要求這一些 那我要看到每一個平台上在賣的都有這一些標示出來你的平台上都沒有這一些標示耶 |
| transcript.whisperx[34].start |
754.076 |
| transcript.whisperx[34].end |
765.203 |
| transcript.whisperx[34].text |
你的平台要上架難道不用符合你這一個登錄的這一些設定的條件讓我們資訊讓所有消費者上網可以查詢嗎你看剛才那些NP外密體550億這個叫名稱嗎外密體再生修復精華這個叫名稱嗎然後呢 |
| transcript.whisperx[35].start |
784.219 |
| transcript.whisperx[35].end |
801.879 |
| transcript.whisperx[35].text |
還搭配再生修復高單位修復醫美術後名稱不但不知道產品包裝頁面標示不清楚也沒有辦法看到製造者輸入業者產品登錄字號你乾脆叫他把產品登錄字號告訴我們不是還一目了然 |
| transcript.whisperx[36].start |
803.502 |
| transcript.whisperx[36].end |
815.243 |
| transcript.whisperx[36].text |
產品登錄的字號你在你的查詢平台裡面我直接輸入你的登錄字號直接查詢不就一清二楚啊你都沒有欸 都沒有管理都沒有在管理啊 |
| transcript.whisperx[37].start |
817.096 |
| transcript.whisperx[37].end |
833.109 |
| transcript.whisperx[37].text |
沒有完整的化妝有沒有完成化妝品登錄不知道那為什麼可以公開販售有完成登錄的話那為什麼消費者沒有辦法在他平台上的網頁上清楚的看到登錄資訊都沒有規範 |
| transcript.whisperx[38].start |
836.738 |
| transcript.whisperx[38].end |
849.346 |
| transcript.whisperx[38].text |
更不知道這個網頁所使用的名稱、成分、宣稱跟登錄資料到底有沒有一致也有可能他要登錄啊但跟登錄的事實的成分有沒有一致不知道 |
| transcript.whisperx[39].start |
851.696 |
| transcript.whisperx[39].end |
878.782 |
| transcript.whisperx[39].text |
而且你看這種外秘題的成分剛剛搜尋到外秘題再生修復醫美術後導入高單位外秘題這種醫療效能的暗示這種誇大的廣告也沒有人在管理你們的食藥署也沒有人在管理 保庭剛剛講增劑注射也沒有人在管理現在合法的保養品也沒有人在管理這亂象很多的 開支都很貴 |
| transcript.whisperx[40].start |
883.02 |
| transcript.whisperx[40].end |
900.97 |
| transcript.whisperx[40].text |
跟委員說明我們大概兩個方面第一個那個查詢的那個登錄平台我們來優化因為有一些欄位確實可以稍微模糊一點也可以列出來那這樣搜尋的話比較容易好搜尋讓這個使用者比較容易使用 |
| transcript.whisperx[41].start |
901.59 |
| transcript.whisperx[41].end |
916.253 |
| transcript.whisperx[41].text |
那第二個就是在販賣的時候的資訊揭露必要要求的資訊揭露我們來修訂要求一定要揭露到哪一些像剛剛提到的這個一定要揭露產品的全名 |
| transcript.whisperx[42].start |
917.014 |
| transcript.whisperx[42].end |
932.528 |
| transcript.whisperx[42].text |
你的商品名稱要很明確要讓人家一看就確認商品名稱外盒標示登錄資料實際成分都要標示出來那我們在平台上這一些外盒包裝全部都要全部顯現 |
| transcript.whisperx[43].start |
934.51 |
| transcript.whisperx[43].end |
942.218 |
| transcript.whisperx[43].text |
所以現在消費者看到了商品名稱圖片售價他就只有售價評價銷售出銷量這個是平台上重點可是我們消費者的重點是要看到這個產品的名稱製造商輸入業者成分他有沒有登錄跟登錄的不一樣我們要看的是這個 |
| transcript.whisperx[44].start |
955.333 |
| transcript.whisperx[44].end |
972.741 |
| transcript.whisperx[44].text |
所以你現在讓消費者都沒有辦法判斷所有判斷的品名是什麼外盒名稱是什麼登錄的名稱是什麼是不是同一個東西通通都不知道這樣就不對了這樣的管理就失去了實際的管理的效果等於沒有管理那你說你們這個東西要做什麼時候要做出來蛤 |
| transcript.whisperx[45].start |
981.707 |
| transcript.whisperx[45].end |
998.16 |
| transcript.whisperx[45].text |
外密體的這些所有化妝品保養品外密體的這個東西他有沒有完成登錄也不知道啊你們要求平台或是化妝品上平台或外裝化妝品保養品的外部包裝要涵蓋哪些東西 |
| transcript.whisperx[46].start |
1002.146 |
| transcript.whisperx[46].end |
1024.425 |
| transcript.whisperx[46].text |
這個東西要多久重新檢討出來我們三個月內把它檢討檢討出來你們登錄制度三個月內也要一併給它改善對 就是要求那個應該要哪一些介入那另外一件事情就是這些都不是單一商品 單一行為平台販售的跟醫美療程的會相互聯動 |
| transcript.whisperx[47].start |
1025.686 |
| transcript.whisperx[47].end |
1046.592 |
| transcript.whisperx[47].text |
其實都是連動在一起的所以有的在增技他也販售商品販售商品的他也連動到這個增技所以要看的話其實要整體看在一起我們希望應該要建立起查核的機制把產品的來源 登錄的資料 廣告的宣稱跟診所施作一次查清楚啦 |
| transcript.whisperx[48].start |
1047.793 |
| transcript.whisperx[48].end |
1059.128 |
| transcript.whisperx[48].text |
不要再這樣子 好像再生醫療法過去了大家看到再生醫療 外媒體 再生醫療這個一燈差十秋了 還沒有但是不知道還要花大錢 花冤枉錢 |
| transcript.whisperx[49].start |
1060.84 |
| transcript.whisperx[49].end |
1083.133 |
| transcript.whisperx[49].text |
這個就不應該了啦好謝謝委員我們會來檢討那另外那個這個不是這個查驗登記的外密體拿來做鑰匙因為那還涉及到鑰匙法的違約那個是刑事稅那是刑事稅徵記的打進去的啊保養品的兩個你都沒有管欸現在要開始管啦好謝謝委員提醒 |