Health Bureau and Hospital Authority Brief Public on Healthcare Fees Reform Measures

Health Bureau and Hospital Authority jointly organise first District Council briefing on fees and charges reform for public healthcare

The Health Bureau (HHB), together with the Hospital Authority (HA), organised the first District Council (DC) briefing on fees and charges reform for public healthcare today (April 29) to explain the details of the fees and charges reform for public healthcare, particularly the measures for enhancing patient protection, to over 200 DC members and local community members.

The Secretary for Health, Professor Lo Chung-mau, said, "The fees and charges reform for public healthcare aims to enhance healthcare protection for 'poor, acute, serious, critical' patients, rationalise the subsidy levels of public hospital services, and reduce wastage and abuse, while enhancing the sustainability of the public healthcare system. Through this briefing, we hope to elaborate details of the reform to DC members, and leverage the role of DC as a bridge to help members of the public better understand that the reform is pursued for their benefits."

The Deputising Chief Executive of the HA, Dr Simon Tang, highlighted the three key measures for strengthening healthcare protection, namely, enhancing the medical fee waiver mechanism, introducing an annual cap of $10,000 for public healthcare fees and charges, and optimising the application and subsidisation of innovative drugs and medical devices. He said, "The HA will streamline the application procedures for the medical fee waiver and safety net to ensure the smooth implementation of the reform."

Since the announcement of the fees and charges reform for public healthcare, the HHB and the HA have been explaining the reform to the Legislative Council, members of the public, and stakeholders of various sectors, and have produced various information packs, short videos and promotional materials to help the public understand the new healthcare protection measures. In particular, the HA website and the HA mobile app "HA Go" have launched a means test calculator, where users only need to input their information, such as household income and assets, for a preliminary assessment of their eligibility for the enhanced medical fee waiver and the Samaritan Fund.

The new fees and charges for public healthcare will take effect on January 1 next year. The HHB and the HA will organise another DC briefing next week and will continue to actively explain the details to members of the public.

Health Bureau and Hospital Authority jointly organise first District Council briefing on fees and charges reform for public healthcare Source: HKSAR Government Press Releases

Health Bureau and Hospital Authority jointly organise first District Council briefing on fees and charges reform for public healthcare Source: HKSAR Government Press Releases

Health Bureau and Hospital Authority jointly organise first District Council briefing on fees and charges reform for public healthcare Source: HKSAR Government Press Releases

Health Bureau and Hospital Authority jointly organise first District Council briefing on fees and charges reform for public healthcare Source: HKSAR Government Press Releases

Health Bureau and Hospital Authority jointly organise first District Council briefing on fees and charges reform for public healthcare Source: HKSAR Government Press Releases

Health Bureau and Hospital Authority jointly organise first District Council briefing on fees and charges reform for public healthcare Source: HKSAR Government Press Releases

Making of subsidiary legislation under Safeguarding National Security Ordinance

The Acting Chief Executive in Council today (May 13) approved the making of the Safeguarding National Security (Office for Safeguarding National Security of the Central People's Government in the Hong Kong Special Administrative Region) Regulation (the Regulation) under section 110 of the Safeguarding National Security Ordinance (SNSO) and the making of the Safeguarding National Security (Declaration of Prohibited Places) Order (the Order) by the Acting Chief Executive under section 42 of the SNSO, to provide for specific details in respect of the provisions in Chapter V of the Law of the People's Republic of China on Safeguarding National Security in the Hong Kong Special Administrative Region (HKNSL) concerning the mandate of the Office for Safeguarding National Security of the Central People's Government in the Hong Kong Special Administrative Region (OSNS), in order to fulfil the Hong Kong Special Administrative Region (HKSAR)'s constitutional duty to further improve the legal system and enforcement mechanisms for safeguarding national security. Both pieces of subsidiary legislation were gazetted on the same day and came into effect immediately.

National security is within the purview of the Central Authorities. Article 48 of the HKNSL provides that the Central People's Government (CPG) shall establish in the HKSAR the OSNS, which shall perform its mandate for safeguarding national security in accordance with the law. Chapter V of the HKNSL provides for the mandate of the OSNS, including overseeing, guiding, co-ordinating with, and providing support to the HKSAR in the performance of its duties for safeguarding national security. Also, the OSNS shall, upon approval by the CPG, exercise jurisdiction over a case concerning an offence endangering national security under the HKNSL in a circumstance specified in Article 55 of the HKNSL. According to Article 61 of the HKNSL, the relevant departments of the HKSAR Government shall provide necessary facilitation and support to the OSNS in performing its mandate in accordance with the HKNSL, and shall stop any act obstructing the performance of such mandate and hold those who commit such act liable in accordance with the law. The HKSAR Government must perform its constitutional duty to enact local legislation for the better carrying into effect of the relevant provisions of the HKNSL.

The four major areas of the subsidiary legislation are:

First, Article 49 of the HKNSL provides that the mandate of the OSNS includes overseeing and guiding the HKSAR in the performance of its duties for safeguarding national security, demonstrating the overarching responsibility of the Central Authorities for national security affairs relating to the HKSAR. The subsidiary legislation clearly outlines the Committee for Safeguarding National Security of the Hong Kong Special Administrative Region (CSNS) making an overall plan for, and co-ordinating, the implementation of the opinions provided by the OSNS on the OSNS's oversight and guidance, and the CSNS Secretariat's assistance in giving effect thereto, for the better carrying into effect of the relevant provisions of the HKNSL.

Second, Article 55 of the HKNSL provides that the OSNS shall, upon approval by the CPG, exercise jurisdiction over a case concerning the four types of offences endangering national security under the HKNSL (namely secession, subversion, terrorist activities and collusion with a foreign country or with external elements to endanger national security), under any of the three specified special circumstances, i.e. (1) the case is complex due to the involvement of a foreign country or external elements, thus making it difficult for the HKSAR to exercise jurisdiction over the case; (2) a serious situation occurs where the Government of the Hong Kong Special Administrative Region (HKSAR Government) is unable to effectively enforce the HKNSL; or (3) a major imminent threat to national security has occurred. Those circumstances target a very small number of endangering national security cases that are of a serious and egregious nature and involve a significant impact. For this purpose, the subsidiary legislation provides for the implementation details, including requirements on public servants to provide all necessary and reasonable assistance to the OSNS in a timely manner; any person must comply with legal instrument issued by the OSNS under Article 57 of the HKNSL; and the provision of immunity from civil liability for complying with the OSNS's legal instrument. Furthermore, the subsidiary legislation provides for relevant offences, including offences for failing to comply with legal instrument, providing false or misleading information, and disclosing information on the OSNS's investigation. The relevant offences are based on similar offences that already exist and are common in the legislation of Hong Kong.

Third, the subsidiary legislation provides for specific details in respect of the provisions of the HKNSL regarding protection in respect of the OSNS and its staff in the performance of its mandate, including requirements on the HKSAR Government and any public servant to provide, in accordance with the law and in a timely manner, all necessary and reasonable assistance, facilitation, support, backing and protection; admissibility of an identification document or a document of certification created or issued by the OSNS to be in evidence in legal proceedings; making the acts of wilfully resisting or obstructing the OSNS in the performance of a duty, impersonating a staff member of the OSNS, or forging documents of the OSNS, an offence; and the obligation of any person to keep confidential the work-related information in connection with the OSNS.

Fourth, the premises where the OSNS performs its mandate are declared as prohibited places. The subsidiary legislation clearly sets out the detailed addresses of the prohibited places and the clear coordinates of the points that can be linked to clearly define the entire prohibited area. The relevant prohibited places are all premises solely occupied by the OSNS to perform its mandate and do not involve private residences. The declaration will not cause any unreasonable impact on the surrounding community.

An HKSAR Government spokesperson said, "Against the increasingly turbulent global geopolitical landscape, national security risks to which the HKSAR is exposed can arise all of a sudden. Therefore, the HKSAR Government must perform its constitutional duty to continue to improve the legal system and enforcement mechanisms for safeguarding national security and to formulate comprehensive measures for safeguarding national security, including the making of subsidiary legislation for the provisions of the HKNSL concerning the OSNS's mandate in order to better implement the mechanisms for safeguarding national security, and prevent and tackle in a timely manner national security risks that may arise unexpectedly.

"The two pieces of subsidiary legislation are essential from the perspective of protection in respect of the OSNS's effective performance of its mandate under the requirements of the HKNSL. The subsidiary legislation will go through the negative vetting procedure at the Legislative Council. The HKSAR Government will make every effort for the early completion of the scrutiny with a view to effectively safeguarding national security as soon as possible - the earlier the better.

"The subsidiary legislation made under the SNSO only aims to provide for specific details in respect of the provisions of the HKNSL concerning the mandate of the OSNS at the local law level. The subsidiary legislation will not affect the lives of the general public, nor will the normal operation of any institution and organisation be affected. The places designated as prohibited places do not involve private residences and will not cause any unreasonable impact on the surrounding community."