Insurance Authority · Public Consultation · Standards for requesting approval to cover treatment costs · 2026
Published:
The Insurance Authority put forward a draft amendment to Annex (2) (Standards for Requesting Approval for Treatment Costs), as stipulated in Article (90) of the Executive Regulations of the Cooperative Health Insurance Law, for public consultation on August 25, 2026.
At a glance
- Issuing authority
- Insurance Authority (IA)
- Consultation closes
- September 25, 2026
- Scope
- A public consultation from the Insurance Authority covering a draft amendment to Annex (2) standards for requesting approval to cover treatment costs, affecting insured individuals and the quality of medical services provided to them under the Cooperative Health Insurance system.
What it requires
| Who | Obligation | By when |
|---|---|---|
| Insurance Authority (IA) | Put forward the draft amendment to Annex (2) (Standards for Requesting Approval for Treatment Costs) as stipulated in Article (90) of the Executive Regulations of the Cooperative Health Insurance Law, for public consultation. | August 25, 2026 |
| Insured individuals and the healthcare services provided to them under the Cooperative Health Insurance system | Stand to gain from the amended medical approval and denied-case evaluation mechanism, aimed at greater protection and service quality. | — |
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What amendment did the Insurance Authority put forward for public consultation?
The Insurance Authority put forward a draft amendment to Annex (2) (Standards for Requesting Approval for Treatment Costs), as stipulated in Article (90) of the Executive Regulations of the Cooperative Health Insurance Law, for public consultation on August 25, 2026.
What are the aims of amending the standards for requesting approval for treatment costs?
The amendment aims to increase the efficiency of medical approval processes and accelerate beneficiaries' access to healthcare services, as well as to improve the mechanism for evaluating denied medical cases, ensuring greater impartiality and independence when there are medical disagreements.
What is the Insurance Authority's broader purpose in developing the insurance sector's regulatory environment?
The Insurance Authority is keen on continuously developing the regulatory environment for the insurance sector to keep up with new developments and achieve a balance between the interests of all parties involved, in its effort to enhance the protection level for insured individuals, improve the quality of medical services provided to them, and facilitate healthcare procedures without compromising oversight and quality standards.
What regulatory text does Annex (2) covered by the amendment rest on?
Annex (2) (Standards for Requesting Approval for Treatment Costs) is stipulated in Article (90) of the Executive Regulations of the Cooperative Health Insurance Law.
Frequently asked questions
Which authority put forward the amendment to Annex (2) of the standards for requesting approval for treatment costs?
The Insurance Authority put forward the draft amendment to Annex (2) for public consultation on August 25, 2026.
What is the purpose of amending the standards for requesting approval for treatment costs?
The amendment aims to increase the efficiency of medical approval processes and accelerate beneficiaries' access to healthcare services, and to improve the mechanism for evaluating denied medical cases, ensuring greater impartiality and independence when there are medical disagreements.
What regulatory text does Annex (2) rest on?
Annex (2) is stipulated in Article (90) of the Executive Regulations of the Cooperative Health Insurance Law.
Issuances referenced
Official sources
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