EVENT DOSSIER
On September 8, the National Healthcare Security Administration, in conjunction with the Ministry of Finance and six other departments, issued the “Notice on Implementing Special Measures to Improve Basic Medical Insurance Participation by Flexible Workers, Migrant Workers, and People Working in New Employment Forms”. The aim is to systematically improve the insurance participation level of this group over three years. As the first such special measure at the national level, the Notice requires the elimination of household registration restrictions for participation in this program in megacities and explores the “individual payment + platform subsidy” model to address the difficulties in paying premiums. To address issues related to transfer continuity and calculation of insurance duration, the policy allows for cumulative monthly payment periods and converts the duration of resident medical insurance into that of employee medical insurance. Local governments are also encouraged to set lower payment bases. Currently, pilot programs have been launched in industries such as food delivery and courier services. By 2025, the number of flexible workers participating in employee medical insurance nationwide will reach 69.8218 million, a year-on-year increase of 5.54%. Many regions, including Jiangsu and Anhui, are currently developing specific plans based on local conditions. Once conditions are ripe, the platform subsidy model will be gradually institutionalized.
9 月 8 日，国家医保局、财政部等七部门联合发布《关于开展灵活就业人员、农民工、新就业形态人员参加基本医疗保险提质专项行动的通知》，用 3 年左右时间持续提高灵活就业人员参加基本医保人数。此次《通知》是国家层面首个系统推进相关群体参加职工医保的专项行动，要求推动超大城市取消参保户籍限制，探索“个人缴费 + 平台补贴”等缴费模式。针对从业人员担心交不起、转移接续难及户籍门槛高等痛点，《通知》明确允许按月累计缴费年限、将居民医保年限折算为职工医保年限，并鼓励地方按较低比例确定缴费基数。目前外卖、快递等行业已开展试点，2025 年全国灵活就业人员参加职工医保 6982.18 万人，同比增长 5.54%。《通知》强调条件成熟后将逐步将平台补贴模式制度化，多地如江苏、安徽等地正结合实际探索具体推进方案。