Chapter 30 Improving the level of basic public services
Chapter 31 Implementing the Employment Priority Strategy
Chapter 32 Reasonable Adjustment of Income Distribution Relations
Chapter 33 Improve the social security system covering urban and rural residents.
Chapter 34 Improving the Basic Medical and Health System
Chapter 35 Improving the level of housing security
Chapter 36 doing a good job in population work in an all-round way
Chapter 30 Improving the level of basic public services
Adhere to the people-oriented, service-oriented, fulfill the government's public service responsibilities, improve the government's security capabilities, and gradually narrow the gap between urban and rural areas in basic public services.
Section 1 Establish and improve the basic public service system
Clarify the scope and standards of basic public services, speed up the improvement of the public finance system, ensure the expenditure of basic public services, and strengthen the performance appraisal and administrative accountability of basic public services. Reasonable division of central and local management authority, improve the local government-oriented, unified and separate public service management system.
Section 2 Innovating the Supply Mode of Public Services
Reform the basic mode of providing public services, introduce competition mechanism, expand the purchase of services, and realize the diversification of providers and methods. Promote the market-oriented reform of non-basic public services, relax market access, encourage social capital to participate in various ways, enhance multi-level supply capacity, and meet the diverse needs of the masses.
Chapter 31 Implementing the Employment Priority Strategy
Adhere to the priority of promoting employment in economic and social development, improve the mechanism of combining workers' independent employment, market-regulated employment and government-promoted employment, create equal employment opportunities, improve the quality of employment, and strive to achieve full employment.
Section 1 Implementing a more active employment policy
Vigorously develop labor-intensive industries, service industries and small and micro enterprises, and do everything possible to expand the scale of employment and entrepreneurship. We will improve policies such as tax reduction and exemption, post subsidies, training subsidies, social insurance subsidies, and skill appraisal subsidies to promote the employment of college graduates, migrant workers, and people with employment difficulties in cities and towns. We will improve and implement policies to encourage self-employment such as small secured loans, financial interest subsidies, and venue arrangements, so as to promote entrepreneurship of various groups to promote employment. Establish and improve the employment mechanism driven by government investment and major project construction. Improve the employment assistance policy and develop public welfare posts through multiple channels. Encourage foreign labor cooperation.
Section 2 Strengthening Public Employment Services
We will improve the unified, standardized and flexible human resources market, improve the urban and rural public employment service system, promote the nationwide networking of employment information, and provide high-quality and efficient employment services for workers. Improve the vocational training system for all workers and strengthen the capacity building of vocational skills training. Freshmen who fail to enter higher education, such as junior and senior high school graduates, are generally trained under the labor preparation system. Full extraction and rational use of enterprise staff education and training funds, encourage enterprises to carry out job skills training for employees. Strengthen entrepreneurship training and include those who have entrepreneurial aspirations and training needs in the training scope. Improve the statistics of urban survey unemployment rate, improve the unemployment monitoring and early warning system, and carry out employment demand forecasting.
Section 3 Building Harmonious Labor Relations
Improve the tripartite mechanism for coordinating labor relations, give full play to the role of the government, trade unions and enterprises, strive to form a benefit-sharing mechanism between enterprises and employees, and establish standardized, orderly, fair and reasonable, mutually beneficial, harmonious and stable labor relations. We will fully implement the labor contract system and continuously expand the coverage of collective contracts. Comprehensively promote the labor employment filing system. Standardize labor dispatch and employment. Improve working conditions, speed up the construction of labor standard system, and strengthen the management of labor quota standards. Improve the labor dispute handling mechanism, strengthen labor dispute mediation and arbitration, strengthen labor security supervision and law enforcement, and earnestly safeguard the rights and interests of workers.
Chapter 32 Reasonable Adjustment of Income Distribution Relations
Adhere to and improve the distribution system with distribution according to work as the main body and multiple modes of distribution coexisting. Both primary distribution and redistribution should handle the relationship between efficiency and fairness. Redistribution should pay more attention to fairness, accelerate the formation of a reasonable and orderly income distribution pattern, strive to increase the proportion of residents' income in national income distribution, increase the proportion of labor remuneration in the initial distribution, and reverse the trend of widening income gap as soon as possible.
Section 1 Deepening the Reform of Wage System
In accordance with the principles of market mechanism adjustment, independent distribution of enterprises, equal consultation and determination, and government supervision and guidance, a wage determination mechanism and a growth mechanism reflecting the relationship between supply and demand in the labor market and the economic benefits of enterprises will be formed. Improve the wage payment guarantee mechanism. We will improve the system of minimum wage and wage guidelines, gradually raise the minimum wage standard, establish a system of enterprise wage survey and information release, and actively and steadily expand the coverage of collective wage negotiation. Reform the management mode of total wages of state-owned enterprises, strengthen the dual regulation of total wages and wage levels in some industries, and narrow the wage gap between industries. Improve the salary system of civil servants. Improve the income distribution system of public institutions that conforms to the characteristics of public institutions and reflects post performance and classified management.
The second section is to improve the system of capital, technology, management and other factors participating in the distribution.
We will improve the open, fair and just system of transferring public resources, and establish a mechanism for the whole people to share the proceeds from the transfer of public resources such as state-owned land, sea areas, forests and minerals. The transfer proceeds are mainly used for public service expenditure. Expand the scope of state-owned capital gains, increase the proportion and bring them into public finance. Improve the dividend system of joint-stock enterprises, especially listed companies. Create conditions to increase the property income of urban and rural residents. Ensure the due share of technological achievements in income distribution. Establish and improve the system of determining salary according to business performance, risks and responsibilities, strictly regulate the income of managers, especially senior managers, of state-owned enterprises and state-controlled financial institutions, and strictly control job consumption.
Section III Accelerating the Improvement of Redistribution Adjustment Mechanism
Accelerate the improvement of the redistribution adjustment mechanism with taxation, social security and transfer payment as the main means. Reasonably adjust the tax base and tax rate structure of individual income tax, raise the deduction standard of wages and salaries, reduce the tax burden of low-and middle-income people, and increase the tax adjustment of high-income people. Gradually establish and improve the property tax system. Adjust the structure of fiscal expenditure, increase the proportion of public service expenditure, increase investment in social security, and substantially increase the transfer income of residents.
Section IV Rectifying and Regulating the Order of Income Distribution
Improve laws and regulations, strengthen government supervision, strengthen law enforcement, and accelerate the formation of an open, transparent, fair and reasonable income distribution order. Protect legitimate income and resolutely ban illegal income. Clean up and standardize the non-wage income and non-monetary welfare of state-owned enterprises, institutions and institutions. Strengthen the management of government non-tax revenue, and clean up and standardize various administrative fees and government funds. Accelerate the construction of income information monitoring system. Establish an overall coordination mechanism for income distribution.
Chapter 33 Improve the social security system covering urban and rural residents.
Adhere to the principles of wide coverage, basic security, multi-level and sustainability, accelerate the construction of a social security system covering urban and rural residents, and steadily improve the level of security.
Section 1 Accelerate the improvement of the social insurance system
Realize the full coverage of the new rural social endowment insurance system. We will improve the implementation methods of the old-age insurance system for urban workers and residents, fully implement the provincial-level overall planning of the basic old-age insurance for urban workers, realize the national overall planning of basic pensions, and earnestly do a good job in the transfer and continuation of the basic old-age insurance for urban workers. Gradually promote the effective connection between urban and rural old-age security systems. Promote the reform of the endowment insurance system in government agencies and institutions. Develop enterprise annuities and occupational annuities. Expand the coverage of industrial injury insurance, improve the level of protection, and improve the industrial injury insurance system that combines prevention, compensation and rehabilitation. Improve the unemployment and maternity insurance system. Give play to the supplementary role of commercial insurance. We will continue to enrich the national social security fund by allocating state-owned assets and expanding lottery issuance, and actively and steadily promote the investment and operation of pension funds.
Section 2 Strengthening the Construction of Social Assistance System
Improve the urban and rural minimum living security system, standardize management, classify insurance, and realize all insurance coverage. Improve the dynamic adjustment mechanism of the minimum living standard, and reasonably raise the minimum living standard and subsidy level. Strengthen the connection between urban and rural subsistence allowances and policies such as minimum wage, unemployment insurance and poverty alleviation and development. Improve the level of rural five guarantees. Do a good job in natural disaster relief. Improve the temporary assistance system to ensure the basic livelihood of the marginal groups with minimum living allowances.
Section 3 Actively Develop Social Welfare and Charity
Focusing on helping the elderly, the disabled, orphans and the poor, we will gradually expand the scope of social welfare protection, promote the transformation of social welfare from filling the gap to moderate universal benefits, and gradually improve the level of national welfare. Adhere to the combination of family, community and welfare institutions, gradually improve the social welfare service system, and promote the socialization of social welfare services. Strengthen welfare services for the disabled and orphans. Strengthen the work of special care and resettlement. Accelerate the development of charity, enhance the charity awareness of the whole society, actively cultivate charitable organizations, and implement and improve preferential tax policies for public welfare donations.
Chapter 34 Improving the Basic Medical and Health System
In accordance with the requirements of ensuring the basic, strengthening the grassroots and building mechanisms, we will increase financial input, deepen the reform of the medical and health system, establish and improve the basic medical and health system, accelerate the development of medical and health undertakings, and give priority to meeting the basic medical and health needs of the masses.
Section 1 Strengthening the Construction of Public Health Service System
Improve the public health service network of major disease prevention and control. Gradually raise the per capita basic public health service funding standard, expand the national basic public health service projects, implement major public health service projects, actively prevent major infectious diseases, chronic diseases, occupational diseases, endemic diseases and mental diseases, and improve the handling capacity of major public health emergencies. Gradually establish a rural medical emergency network. Popularize health education and implement the national health action plan. Smoking ban in public places will be fully implemented. More than 70% of urban and rural residents have established electronic health records. The maternal mortality rate dropped to 22/65438+ ten thousand, and the infant mortality rate dropped to 12%. .
Section 2 Strengthening the Construction of Urban and Rural Medical Service System
Strengthen the construction of rural three-level medical and health service network based on county hospitals, township hospitals and village clinics, improve the new urban medical and health service system based on community health services, and concentrate new medical and health resources on rural and urban communities. Vigorously promote the comprehensive reform of primary medical and health institutions, establish a multi-channel compensation mechanism, and form a new operating mechanism. Strengthen the construction of grassroots medical and health teams focusing on general practitioners, improve the policy of encouraging general practitioners to serve at the grassroots level for a long time, and the number of general practitioners per 10,000 population will reach 2. Accelerate the implementation of graded diagnosis and treatment and two-way referral system, and form a pattern of division of labor and cooperation between various urban hospitals and primary medical institutions. Improve regional health planning, encourage and guide social capital to set up medical institutions, relax the access scope of social capital and foreign capital to set up medical institutions, and form a diversified medical pattern.
Section III Perfecting the Medical Security System
We will improve the basic medical security system covering urban and rural residents, and further improve the basic medical insurance for urban workers, urban residents, new rural cooperative medical care and urban and rural medical assistance systems. Gradually improve the per capita financing standard and guarantee level of urban residents' medical insurance and new rural cooperative medical system, and narrow the gap. Improve the medical insurance for urban workers, medical insurance for urban residents, the maximum payment limit of the new rural cooperative medical system and the proportion of hospitalization expenses, and comprehensively promote outpatient co-ordination. Do a good job in the connection between various systems, integrate handling resources, gradually improve the overall level, and accelerate the transfer of medical insurance relations and the settlement of medical expenses in different places. We will comprehensively promote the immediate settlement of basic medical expenses and reform the payment methods. Actively develop commercial health insurance and improve the supplementary medical insurance system.
The fourth quarter to improve the drug supply security system
Establish and improve the drug supply security system based on the national basic drug system. Grassroots medical and health institutions fully implement the national basic drug system, and other medical and health institutions gradually realize the comprehensive allocation and priority use of basic drugs. Establish a dynamic adjustment mechanism for the list of essential drugs and improve the price formation mechanism and dynamic adjustment mechanism. Improve the actual reimbursement level of essential drugs. Strengthen the management of drug production, rectify the order of drug circulation, standardize centralized drug procurement and rational drug use in medical institutions.
Section 5 Actively and steadily promote the reform of public hospitals
Adhere to the public welfare nature of public hospitals, and actively explore effective forms of government affairs, management, separation of medicine, for-profit and non-profit. Carry out the modern hospital management system and establish a scientific and reasonable employment mechanism and distribution system. Reform the compensation mechanism of public hospitals and actively promote the reform of payment methods. Taking patients as the center, we will vigorously improve the internal management of public hospitals, optimize service processes, standardize diagnosis and treatment behaviors, improve the relationship between doctors and patients, and facilitate people to seek medical treatment. Promote registered doctors to practice more and establish a standardized training system for residents. Pay attention to arouse the enthusiasm of medical staff.
Section VI Supporting the Development of Traditional Chinese Medicine
Adhere to both traditional Chinese and western medicine, develop traditional Chinese medicine medical and preventive health care services, promote the inheritance and innovation of traditional Chinese medicine, and attach importance to the development of ethnic medicine. Develop Chinese medicine education and strengthen the construction of Chinese medicine medical institutions and Chinese medicine talents. Strengthen the protection, research and development and rational utilization of traditional Chinese medicine resources, and promote quality certification and standard construction. The medical security policy and the basic drug policy should encourage the provision and use of Chinese medicine services.
Chapter 35 Improving the level of housing security
Adhere to the combination of government regulation and market regulation, speed up the improvement of the housing system, mechanism and policy system in line with national conditions, and gradually form a housing supply and demand pattern with a basically balanced total amount, a basically reasonable structure, and housing prices and consumption capacity basically suitable for the masses to live and live.
Section 1 Perfecting the Housing Supply System
On the basis of ensuring basic needs and guiding rational consumption, we will speed up the construction of a housing supply system with the government as the main source to provide basic protection and the market as the main source to meet multi-level needs. For urban low-income families with housing difficulties, a low-rent housing system will be implemented. For families with housing difficulties with lower-middle income, public rental housing is guaranteed. For middle-and high-income families, the system of combining leasing with purchasing commercial housing is implemented. Establish and improve an affordable, environment-friendly and resource-saving housing standard system, and advocate a housing consumption model in line with national conditions.
Section 2 Increase the supply of affordable housing
Strengthen the responsibilities of governments at all levels, increase the construction of affordable housing projects, and basically solve the problem of insufficient supply of affordable housing. Raise low-rent housing through multiple channels and improve the rental subsidy system. Focus on the development of public rental housing and gradually make it the main body of affordable housing. Accelerate the transformation of various shanty towns and standardize the development of affordable housing. Establish a stable investment mechanism, increase financial funds, housing provident fund loans and bank loans, and guide social forces to participate in the construction and operation of affordable housing. Strengthen the management of affordable housing, formulate fair, reasonable, open and transparent policies and supervision procedures for the allocation of affordable housing, and strictly regulate the admission, exit management and rent standards.
Section III Perfecting the Regulation of Real Estate Market
We will further implement the local government's responsibility and accountability mechanism, and incorporate the protection of basic housing, stabilizing housing prices, and strengthening market supervision into local economic and social development goals. The provincial people's government bears the overall responsibility, and the city and county people's governments bear the direct responsibility. Improve the land supply policy, increase the total supply of housing land, give priority to affordable housing land, and effectively expand the supply of ordinary commodity housing. We will improve differentiated housing credit and tax policies, rationally guide the demand for self-occupied and improved housing, and effectively curb speculative investment in housing purchases. Accelerate the formulation of the basic housing security law and revise and improve the urban real estate management law and other relevant laws and regulations. Improve the housing provident fund system, strengthen management and expand coverage. Strengthen market supervision and standardize the order of the real estate market. Accelerate the construction of housing information system and improve the information release system.
Chapter 36 doing a good job in population work in an all-round way
Control the total population, improve the quality of the population, optimize the population structure and promote the long-term balanced development of the population.
Section 1 Strengthening family planning services
Adhere to the basic national policy of family planning and gradually improve the policy. Improve the preferential policy system for family planning families and improve their development ability. Improve the family planning reward standard, "have fewer children and get rich quickly" project reward and special subsidy standard, expand the scope and establish a dynamic adjustment mechanism. We will continue to promote the construction of the population and family planning service system and expand the scope of services. Comprehensively control the problem of high sex ratio at birth. Strengthen the prevention of birth defects, do a good job in health education, eugenics consultation, guidance for high-risk groups, pre-pregnancy screening, nutritional supplements and other services, and reduce the incidence of birth defects and the growth retardation rate of children under 5 years old in rural areas. Strengthen the management of family planning services for floating population.
Section 2 Promoting the All-round Development of Women
Carry out the basic national policy of equality between men and women, implement the outline of women's development, comprehensively develop women's human resources, effectively protect women's legitimate rights and interests, promote women's employment and entrepreneurship, and improve women's ability to participate in economic development and social management. Strengthen women's labor protection, social welfare, medical and health care, poverty alleviation and legal aid, improve the gender statistics system and improve the environment for women's development. Severely crack down on illegal and criminal acts such as violence against women and trafficking in women.
Section 3 Ensuring Children's Priority Development
Adhere to the principle of giving priority to children, implement the outline of children's development, and protect children's rights to survival, development, protection and participation according to law. Improve children's growth environment, improve children's welfare level, eliminate discrimination against girls, and promote children's physical and mental health development. Strengthen early enlightenment education for infants and children and social behavior education for only children. Effectively solve the problems of left-behind children's education, orphans and disabled children, AIDS orphans and homeless minors. Severely crack down on illegal and criminal acts such as abducting and selling children and abandoning babies.
Section IV Actively Respond to the Aging of Population
Establish an old-age service system based on home, supported by community and supported by institutions. Accelerate the development of social pension services, cultivate and expand pension undertakings and industries, strengthen the construction of public welfare pension service facilities, encourage social capital to set up pension service institutions with nursing functions, and reach 30 beds for every thousand elderly people. Expand the field of old-age service, and realize the extension of old-age service from basic life care to medical health, auxiliary equipment configuration, spiritual comfort, legal service and emergency assistance. Increase the venues and facilities for the elderly in the community. Development and utilization of human resources for the aged.
Section 5: Accelerate the development of the cause of the disabled
Improve the social security system and service system for the disabled, and provide stable institutional guarantee for their life and development. We will implement key rehabilitation nursing projects, rescue rehabilitation projects for disabled children aged 0-6, and the "Sunshine Home" plan to promote "rehabilitation services for all" for the disabled. Vigorously carry out employment services and vocational training for the disabled. Increase production assistance and life assistance for rural disabled people. Enrich the cultural and sports life of the disabled. Construct an adaptive system for assistive devices and promote barrier-free construction. Formulate and implement a national action plan to prevent disability, and effectively control the occurrence and development of disability.