Ministry of Land and Resources, Ministry of Housing and Urban-Rural Development
National Health and Family Planning Commission (NHFPC)
Suggestions on encouraging private capital to participate in the development of aged care service industry
Source:
Time of portal website of Ministry of Civil Affairs:
20 15-02-25 16:29
Minfa [2015] No.33
Provinces, autonomous regions and municipalities directly under the central government, Civil Affairs Department (bureau), Development and Reform Commission, Education Department (bureau), Finance Department (bureau), Human Resources and Social Security Department (bureau), Department of Land and Resources (bureau), Housing and Urban-Rural Construction Department (bureau), Health and Family Planning Commission, Banking Regulatory Bureau, Insurance Regulatory Bureau, Municipal Civil Affairs Bureau, Development and Reform Commission, Education Bureau, Finance Bureau, Human Resources and Social Security Bureau, all
According to the spirit of "Several Opinions of the State Council on Accelerating the Development of the Aged Care Service Industry" (Guo Fa [2013] No.35), in order to give full play to the decisive role of the market in resource allocation and better play the role of the government, and gradually make social forces become the main body of the aged care service industry, we hereby put forward the following opinions on encouraging private capital to participate in the development of the aged care service industry.
First, encourage private capital to participate in home and community pension services.
Encourage private capital to organize or operate day care centers and activity centers for the elderly in urban communities, provide centralized dining, foster care, bathing, health, leisure, home-based care and other services for the elderly in need, especially those who are elderly, empty nesters, living alone and living in difficulties, and assist in the information registration and physical condition assessment of the elderly. Home and community pension service institutions that meet the registration conditions of private non-enterprise units can be registered as private non-enterprise units according to law, and other institutions can be registered as enterprises according to law.
Through government procurement of services, coordination and guidance, evaluation and certification, etc. Encourage private capital to set up home care domestic service enterprises, professional institutions or enterprises to provide customized services such as meal assistance, bathing, cleaning, first aid and medical care for the elderly at home. Actively guide qualified home-based aged care service enterprises to implement large-scale, networked and branded operations, increase and expand outlets, and improve the accessibility of aged care services. Support community home care service outlets to introduce social organizations and enterprises such as housekeeping, education and property services, and set up or operate various forms of pension service institutions. Encourage professional home care institutions to provide business guidance and personnel training to community care services.
Promote the informatization construction of the aged care service, and gradually realize the dynamic management of the information of the elderly. Support private capital to use the Internet, Internet of Things, cloud computing and other technical means to meet the service needs of the elderly and the supply of various social subjects, develop telemedicine services in pension institutions, develop e-commerce for the elderly, and provide emergency calls, housekeeping appointments, health consultation, commodity purchase, service payment and other services for the elderly. Conditional places can provide free "push-to-talk" and other electronic calling equipment for the elderly at home.
Second, encourage private capital to participate in institutional pension services.
Support the construction or development of pension institutions by means of joint-stock system, joint-stock cooperative system and PPP (cooperation between government and private capital).
Encourage social forces to set up large-scale and chain-like pension institutions, encourage cross-regional joint pension institutions to share resources, develop interactive pension in different places, and promote the formation of a number of competitive pension institutions.
Support institutions, enterprises and institutions to transform resorts, training centers, guest houses, nursing homes, etc. Enter the old-age care institutions and support private capital to integrate and transform social resources such as enterprise workshops and commercial facilities that can be used for old-age care services.
Encourage government-invested pension institutions, especially newly-built institutions, to be operated by social forces through public bidding, contracting, joint venture and cooperation on the basis of clear property rights, so as to realize the marketization of operating mechanism. Conditional places can steadily carry out the pilot work of transforming public pension institutions that provide business services to the society into enterprises or social organizations, and improve the corporate governance structure.
Encourage private pension institutions to accept the urban and rural poor or other elderly people who are taken care of by the government by purchasing services from the government.
Third, support private capital to participate in the development of pension industry.
Encourage and guide private capital to expand cultural entertainment, education and fitness, leisure tourism, health services, spiritual comfort, legal rights protection and other services suitable for the characteristics of the elderly, and strengthen professional services for the disabled elderly.
Support enterprises to develop safe and effective rehabilitation AIDS, food, medicine, clothing and other elderly products and service products, guide shopping malls, supermarkets and wholesale markets to set up counters for elderly products, and encourage qualified areas to set up streets or professional trading markets for elderly products. Encourage existing e-commerce platforms to improve service functions and increase products and services that meet the consumption needs and characteristics of the elderly.
Encourage private capital to participate in the construction of old-age apartments, old-age service facilities in residential areas and the aging transformation of existing houses. For the old-age residential areas and apartment projects planned and constructed in accordance with the construction standards such as "Code for Planning and Design of Urban Residential Areas" and "Design Standard for Residential Buildings for the Elderly", supporting old-age care institutions that meet the conditions of independent registration shall enjoy corresponding support policies in accordance with regulations.
Support the development of leading enterprises, especially home care service enterprises, cultivate a number of leading enterprises with strong driving force and well-known care service brands, and form a number of industrial clusters with long industrial chain, wide coverage and remarkable economic and social benefits.
Guide and standardize commercial banks, insurance companies, securities companies and other financial institutions to develop wealth management, credit and insurance products suitable for the elderly.
Fourth, promote the development of combining medical care with nursing care.
Support qualified pension institutions to set up medical institutions or sign agreements with medical and health institutions to provide quality and convenient medical and health services for the elderly. Health and family planning administrative departments at all levels should give strong support to medical institutions such as clinics and nursing stations set up by old-age care institutions and actively provide convenience; Examination and approval and practice registration according to regulations.
Medical institutions in the old-age care institutions meet the conditions of basic medical insurance for employees, basic medical insurance for urban residents and designated medical institutions of the new rural cooperative medical system, and shall apply for inclusion in the designated scope according to regulations. The expenses of medical rehabilitation projects that meet the requirements in designated medical institutions can be included in the scope of basic medical insurance payment according to regulations.
Support and develop the construction of nursing institutions for the elderly. Pension institutions that invest in private capital are inclined in policies such as financial subsidies.
Medical institutions in old-age care institutions and their medical staff should be brought into the unified guidance of the health and family planning administrative departments, and they should be treated equally with other medical institutions in terms of qualification identification, professional title evaluation, technology access and recommendation.
Strengthen the training of traditional Chinese medicine doctors, practical nurses and managers in old-age care institutions, and strengthen the talent guarantee for the integration of medical care and nursing. Encourage doctors and practical nurse to provide services in pension institutions and medical institutions.
Promote medical and health resources to enter communities and families, and strengthen cooperation between home and community pension service facilities and primary medical and health institutions.
Verb (abbreviation of verb) perfects investment and financing policy.
Increase financial investment in the development of the aged care service industry. Conditional areas can set up special support funds. Make full use of all kinds of financial funds to support the development of service industry, explore the establishment of industrial funds, PPP and other models, support the development of socialized aged care services for the public, and drive social capital to increase investment. Through the existing capital channels such as central infrastructure investment, we will give appropriate support to pension projects that are urgently needed by the society and have good development prospects.
The lottery public welfare fund of the Ministry of Civil Affairs and the lottery public welfare fund used by local governments at all levels for social welfare should use more than 50% of the funds to support the development of the aged care service industry, and gradually increase the investment ratio with the increase of the elderly population. Among them, the funds to support the development of private pension services shall not be less than 30%.
The establishment of private non-profit pension institutions shall be donated, and the institutions shall enjoy the property rights of legal persons, while the donors (organizers) shall not enjoy the ownership of the donated property. Organizers are allowed to charge rent and interest not higher than the fair market level for the fixed assets provided to the organization for use by lease and the working capital put into operation by loans. Industry management departments and registration management organs shall disclose their related party transactions and conduct necessary supervision.
After the private non-profit pension institutions are closed, they will be liquidated according to law, and the remaining assets will be co-ordinated by the civil affairs department and included in the local government pension development special fund in the form of donations. If the original donation is value-added, the donor (sponsor) may be given a one-time reward with the consent of the decision-making body of the old-age care institution and in compliance with the regulations.
Encourage financial institutions to accelerate the innovation of financial products and services through financial interest subsidies, investment subsidies and risk compensation.
Promote the implementation of health and old-age services. Study securitization products based on the aged care service industry, and steadily promote financial institutions to directly or indirectly invest in the aged care service industry.
Broaden the scope of credit collateral, allow private pension institutions to handle mortgage loans with fixed assets such as land use rights and real estate with clear property rights, and the real estate registration agency will handle mortgage registration procedures.
Intransitive verbs implement preferential tax and fee policies.
Parenting services provided by private pension institutions are exempt from business tax. Value-added tax and business tax are not levied on the transfer of real estate and land use rights involved in the asset restructuring of pension institutions.
Further implement the relevant preferential tax policies of the state to support small and micro enterprises, and give preferential treatment such as value-added tax, business tax and income tax to qualified small and meager profit pension service enterprises in accordance with relevant regulations.
During the validity period of the policy, domestic services such as caring for the elderly provided by employees and domestic servants of domestic service enterprises are exempted from business tax according to regulations.
Income obtained by qualified private welfare and non-profit pension institutions shall be exempted from enterprise income tax according to regulations.
Private welfare and non-profit pension institutions are exempt from property tax and urban land use tax. Approved private nursing homes that provide life care for the elderly are exempt from farmland occupation tax.
Donations made by enterprises, institutions, social organizations and individuals to public welfare undertakings stipulated in the Donation Law of People's Republic of China (PRC) for Public Welfare Undertakings through public welfare social organizations or people's governments at or above the county level and their departments are allowed to be deducted, which conforms to relevant regulations and does not exceed 65,438+02% of the total annual profits. Donations made by individuals to welfare and non-profit private pension institutions through non-profit social organizations and government departments are allowed to be fully deducted before paying personal income tax.
The construction of private non-profit pension institutions is exempted from relevant administrative fees, and the construction of for-profit pension institutions is halved.
Seven, strengthen the protection of talents
Support vocational colleges to set up professional points related to aged care services and expand the scale of personnel training; Accelerate the development of undergraduate education for aged care services, actively develop postgraduate education for aged care services, and train professionals in gerontology, population and family, population management, geriatrics, orthopedics of traditional Chinese medicine, rehabilitation, nursing, nutrition, psychology and social work. Expand the channels of personnel training, open up the channels of technical and skilled personnel training and development, and promote "3+2" and five-year consistent training in other suitable majors other than medical majors. Compile and implement the national development plan for the aged (20 15-2020). Give full play to the role of the open university, carry out continuing education and distance education, and further improve the overall quality of employees in the aged care service.
Relying on vocational colleges and pension institutions, strengthen the training of pension personnel, and subsidize qualified employees to participate in pension vocational training and vocational skills appraisal according to regulations.
Eligible doctors are allowed to practice more in medical institutions of private pension institutions. Encourage private pension institutions to introduce social work talents. Professional and technical personnel employed by private pension institutions shall implement the same professional qualifications and registration assessment policies as institutions.
Do a good job in publishing the salary guidance price of the aged care workers, and guide private pension institutions and organizations to reasonably determine the labor remuneration of the aged care workers. Old-age care institutions and organizations shall pay social insurance premiums in full according to law and give social insurance subsidies to old-age care institutions that absorb people with employment difficulties. Persons with employment difficulties who are engaged in home care services through flexible employment can enjoy social insurance subsidies for flexible employment according to regulations. Actively improve the working conditions of elderly nurses and strengthen labor protection and occupational protection.
Eight, promote the orderly participation of private capital.
Establish and improve the working mechanism of government-led, civil-led, and relevant departments to participate, give full play to the role of established deliberative and coordinating bodies for various aged care services, strengthen policy coordination, analyze problems regularly, and study the promotion measures to encourage private capital to participate in the development of aged care services.
Civil affairs departments should earnestly perform their duties of supervision and management, industry norms and business guidance, and prepare the development plan for the aged care service industry in a timely manner. The development and reform department shall incorporate the aged care service industry into the economic and social development plan and support the construction of the aged care service system. Housing and urban-rural construction departments should formulate standards for the construction of old-age service facilities, organize the preparation of special plans for old-age service facilities, and guide the orderly construction of old-age service facilities. Other relevant departments should perform their duties and do a good job in encouraging private capital to participate in the development of the aged care service industry in accordance with the division of responsibilities.
Implement the relevant policies and regulations on the aged care service industry, establish an open, transparent and standardized system for the entry, exit and supervision of the aged care service industry, and create a market environment with equal participation and fair competition. All areas of old-age care services that are not explicitly prohibited by laws and regulations should be open to private capital.
Accelerate the formulation and improvement of relevant standards for aged care services, establish and improve the standard system for aged care services, and continuously improve the standardization and standardization level of aged care services. Strengthen the follow-up monitoring and service of private capital entering the aged care service industry.
Cultivate and develop old-age service industry associations, give play to their functions of industry self-discipline, supervision and evaluation, communication and coordination, and promote the formation of a management mechanism combining government, social organizations and old-age service subjects.
Nine. Ensure land demand
Private capital investment in the construction land required for the old-age service facilities shall be implemented in accordance with the policy of land supply, development and utilization of the old-age service facilities stipulated by the state, and the land and resources management department shall actively do a good job in land service in accordance with the Notice of the General Office of the Ministry of Land and Resources on Printing and Distributing (Guo Tu Zi Fa [2065]11).
Development and Reform Commission of the Ministry of Civil Affairs, Ministry of Education, Ministry of Finance, Ministry of Human Resources and Social Security, Ministry of Land and Resources, Ministry of Housing and Urban-Rural Development, Health and Family Planning Commission, China Banking Regulatory Commission and China Insurance Regulatory Commission.
2065438+February 3, 2005
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