1月6日发布的《最高人民法院关于依法适用基本医疗保险基金预付申请条件的批复》（以下简称《批复》）将于2月1日起施行。《批复》明确了基本医疗保险基金预付医疗费的申请条件，以保证参保人员因违规受伤时能够及时得到必要的治疗，避免因违规医疗费用而延误救治。不付款、无力付款或无法及时发现违法者；最高人民法院行政法庭庭长耿宝建表示，《答复》的制定具体，具有很大的现实意义。由于《社会保障法》并无关于预缴和追缴医疗费的具体规定，这些医生在实践中，地方行政部门社会保障部门往往对预缴和追缴的相关条件有更严格的理解。 As a result, payments for the insured’s medical expenses are often delayed or not paid, and the insured is often at a disadvantage because a third party is involved in obtaining medical expenses.为统一法律适用标准，最高人民法院通过司法解释对判决进行了明确。 “The issuance of ‘approval’ will play a positive role in determining the applicable conditions for the advance payment of basic health insurance funds in accordance with the law, timely and efficiently protecting the legitimate rights and interests of the people, and effectively safeguarding the security of the use of social insurance funds,” Geng Baojian said. According to the “Response”, if a member ofBasic medical insurance is injured or sick due to illegal acts of a third party, the third party will bear the medical expenses in accordance with法律。第三人不支付或者无法识别第三人的，基本医疗保险基金先行支付。要求预付款的，被保险人必须向社会保障机构提出申请，并说明具体情况，例如受伤或患病的原因、肇事者拒绝支付医疗费用、或肇事者无法识别肇事者身份等。社会保险经办机构依法审查案件后，按照当地医保基金支付规则，垫付违法者应承担的医疗费用。
（编辑：魏金仁）