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Back藍白亂修「老福法」83%長者免健保費 石崇良痛心「健保面臨崩壞」
藍白亂修「老福法」83%長者免健保費 石崇良痛心「健保面臨崩壞」
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自由时报2 hours agoPolitics2 min readChinaView translation

藍白亂修「老福法」83%長者免健保費 石崇良痛心「健保面臨崩壞」

Quick Look

卫福部长石崇良指出,老人福利法第22条在蓝白突击修法下三讀通过,不仅增加65岁以上符合条件者免缴健保费,还删除了要求地方政府补助弱勢長者部分負擔及健保給付以外費用的法源依据。他强调健保应为全民共同負擔,此次修法不恰当且可能导致健保制度崩溃,约83%的长者将落入免健保费范围。

AI-generated summary

Why It Matters

老人福利法第22条原本要求地方政府对弱勢長者提供部分負擔及健保給付以外費用的补助,但近期在蓝白立委推动下遭到修正,删除相关法源并增加65岁以上符合所得条件者免缴健保费的规定。

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「老人福利法」第22條日前在藍白的突襲修法下倉促三讀,加入65歲以上有條件免健保費的文字外,也刪除要求地方補助弱勢長者相關費用的法源依據。衛福部長石崇良強調,健保本該是全民共同負擔,低收入、中低收入戶等無能力負擔者才由政府支持,這次修法很不恰當,也讓健保制度面臨崩壞。

藍白立委日前強通「老福法」第22條修正案,更被律師抓出修法瑕疵,硬是刪除了要求地方政府提供弱勢長者「部分負擔費用」、「健保給付以外費用」補助的法源,衛福部社家署長周道君也證實這次修法中,相關條文遭到刪除,除低收入長者的部分負擔外,其他補助能否維持,端看地方政府的決定。

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石崇良今日進一步表示,「老福法」這次修正後,要求地方政府提供補助的文字被刪除,改為由中央補助,且確實只留下了對65歲以上、最近一年綜合所得未達申報標準、或綜所稅率未達20%長者的「健保費」補助相關內容,經查詢後發現,約83%的長者都落入了免健保費的範圍。

「全民好不容易維持至今的健保制度,可能面臨崩壞!」石崇良強調,健保的精神是全民共同負擔,真的需要幫忙、非常困難的人才會由政府進行補助,「健保法」也有相關規範可依循,比如低收入戶的健保費、部分負擔都是由中央社政主管機關編列預算補助。

石崇良強調,健保從未用報稅稅率來判斷被保險人是否「無能力負擔」,所有人都是量能付費,唯有大家都有貢獻,大家用起健保才能理直氣壯,這次的修法違反全民共同負擔的原則,修法明顯不合理,也破壞健保制度設計。

對於「老福法」修法免除多數長者的健保費、在野黨持續提議6歲以下兒童也要免健保費等,石崇良說,政府對長者與生育孩子的家庭有其他協助做法,也有編列預算支應,比如長者有長照經費今年已經突破1100億,長照支出費用所得稅上也有免扣稅額度,孩童則有一個月5000元的成長津貼。

What to Watch

AI outlook — possibilities, not facts

  • 卫福部将就老人福利法修法提出行政诉讼或请求司法院解释其宪法合法性

    Possible · Within weeks

Open Questions

  • 地方政府在失去中央补助法源后,是否仍会继续对弱勢長者提供经济协助?
  • 此次修法是否会导致健保基金收入大幅减少,进而影响一般被保险人的负担?
  • 立法院是否会就此修法的程序正当性提出司法解释或重新审议?

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