Fraudulent insurance fraud will be strictly cracked down upon, and the detailed implementation rules of the supervision and management of medical insurance funds will come into effect today.

date
01/04/2026
Today, the detailed rules for the implementation of the Regulations on Supervision and Management of the Use of Medical Security Funds came into effect. Fraudulent behaviors such as selling backflow drugs, swapping medical insurance drugs, and false medical treatment will be targeted. According to the detailed rules, designated medical institutions will be targeted for insurance fraud through methods such as "car pick-up and drop-off, reducing fees, giving benefits, and giving gifts such as rice, noodles, and oil." Gu Rong, director of the Fund Supervision Department of the National Medical Security Administration, stated that designated medical institutions who use persuasion and false advertising to illegally reduce fees, provide additional goods or services, and induce others to falsely use medical services and buy medicine, will be considered as committing insurance fraud. According to Article 32, item two of the detailed rules, individuals who knowingly participate in illegal activities organized by others engaging in insurance fraud, and accept gifts or reduced fees or provide extra services, will be punished for insurance fraud.