パパ・ママに朗報？ 窓口無料化へ ０～６歳の医療費、沖縄全県で導入検討（日本）Good news for daddy moms? Considering introduction of medical expenses for 0-6 years old in all prefectures of Okinawa (Japan)

https://www.okinawatimes.co.jp/articles/-/148888
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2017年9月28日 09:48

　沖縄県が未就学児（０～６歳）を対象に入院・通院ともに、医療機関の窓口で支払いの必要がない「現物給付方式」（窓口無料化）を全市町村で導入する方向で検討していることが分かった。来年１０月の導入を目指し、子どもの医療費を公費で負担する「こども医療費助成事業」の制度を見直す。来年１月までに最終的な内容を固める方針。

拡大する

　砂川靖保健医療部長が２７日の県議会代表質問で、亀濱玲子氏（社民・社大・結）の質問に答えた。

　現行制度は、窓口で一時立て替え後、指定口座に振り込まれる自動償還方式が原則。入院は中学生以下が無料、通院は０～２歳が無料、３～６歳で１医療機関につき月額千円の負担がある。

　見直し案では未就学児の通院・入院を現物給付に変更する一方、小学１年～中学３年までの入院は現行制度と同じく自動償還で給付する。

　県は４月、子どもの貧困対策の一環として、低所得層に中学卒業までの入院・通院の現物給付を導入する案を検討。所得区分を設け、中間・高所得層を負担増とする考えを示していた。

　県によると、７月下旬～８月にかけての市町村への意向調査で、現行制度をベースに未就学児への現物給付方式を希望したのが３１市町村、残る１０市町村は現行制度の継続や所得区分の導入を支持。所得区分の導入は、区分の事務作業が増えることなどを理由に市町村からの反発が強かった。

　砂川部長は答弁で、見直しの方向を転換した理由について「市町村の意向を考慮した」と述べた。要望が多かった「通院の一部負担金の廃止」や「通院の対象年齢を自動償還方式で拡大」も検討するとした。

　今回の見直し案を導入した場合、事業費は既存の約１３億円から約７億５千万円増える見込み。一部負担金を廃止した場合には１０億円以上増えると試算している。

Good news for daddy moms? Good news for daddy moms? Considering introduction of medical expenses for 0-6 years old in all prefectures of Okinawa (Japan)

https://www.okinawatimes.co.jp/articles/-/148888 We
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September 28, 2017 09:48

　Considering that Okinawa Prefecture will introduce prepaid children (0 to 6 years old) to all municipalities for both inpatient and outpatient care, without having to pay at medical institution counters. I found out. Aiming for introduction in October next year, we will review the system of the "Child Medical Expenses Subsidy Project", in which medical expenses for children are covered by public expenses. The policy is to finalize the final content by January next year.

Expanding

　Mr. Yasushi Sunagawa, Director of Health and Medical Affairs, answered the question from Reiko Kamehama (company citizen, company university, Yui) on the 27th.

　The current system is, in principle, an automatic reimbursement method that is temporarily transferred at the counter and then transferred to a designated account. Hospitalization is free for junior high school students and younger, free for hospitalization between 0 and 2 years old, and 3 to 6 years old with a monthly burden of 1,000 yen per medical institution.

　Under the revised plan, hospitalization/hospitalization for preschoolers will be changed to in-kind benefits, while hospitalization from the first year of elementary school to the third year of junior high school will be automatically reimbursed as in the current system.

　In April, the prefecture considered a plan to introduce in-kind in-situ benefits to low-income earners until they graduated from junior high school as part of measures against poverty of children. He indicated that he would set up income categories and increase the burden on middle- and high-income groups.

　According to the prefecture, in the intention survey for municipalities from late July to August, 31 municipalities requested that they provide in-kind benefits to preschoolers based on the current system, while the remaining 10 municipalities continue the current system and earn income. Support the introduction of divisions. The introduction of the income category was strongly repelled by the municipalities because of the increase in office work for the category.

　Sunagawa said in a reply that he "considered the intentions of the municipalities" as to the reason for changing the direction of the review. He said that he would consider "abolition of partial contributions to hospital visits" and "expansion of the target age for hospital visits through automatic reimbursement", which were often requested.

　If this revised plan is introduced, the project cost is expected to increase by approximately 750 million yen from the existing 1.3 billion yen. It is estimated that if the partial contribution is abolished, it will increase by 1 billion yen or more.