国家外管局


对侨资企业、外资企业、中外合资经营企业外汇管理施行细则(附英文)

一九八三年七月十九日国务院批准

一、为贯彻执行《中华人民共和国外汇管理暂行条例》第五章的规定，特制定本细则。
二、《中华人民共和国外汇管理暂行条例》第五章所称侨资企业，是指在中国境内注册登记，独立经营或者同国内企业合作生产、合作经营的华侨或港澳同胞资本的公司、企业和其他经济组织；外资企业，是指在中国境内注册登记，独立经营或者同中国企业合作生产、合作经营的外国资本的公司、企业和其他经济组织；中外合资经营企业，是指华侨或港澳同胞资本的或外国资本的公司、企业和其他经济组织或个人，在中国境内同中国的公司、企业或其他经济组织共同举办、合资经营的企业。
三、侨资企业、外资企业、中外合资经营企业的一切外汇收付，必须遵照《中华人民共和国外汇管理暂行条例》和本细则的规定办理。
四、侨资企业、外资企业、中外合资经营企业，应在中国境内的中国银行或者经国家外汇管理局或其分局批准的其他银行开立人民币存款帐户和外汇存款帐户，由开户银行监督收付。在申请开户时，应交验中华人民共和国工商行政管理局发给的营业执照。
五、在中国从事合作开采海洋石油资源的外资企业，其独自承担的勘探资金和合作开发、合作生产的资金，准许存放在经中方同意的外国或者港澳地区的银行。
六、除本细则第五条规定者外，侨资企业、外资企业、中外合资经营企业，如需在外国或者港澳地区开立外汇存款帐户，必须向国家外汇管理局或其分局申请批准。经批准在外国或港澳地区开立外汇存款帐户者，须于每季度终了后三十天内向国家外汇管理局或其分局报告外汇存款帐户的收付情况。
七、按本细则第四条规定在中国境内的银行开立外汇存款帐户者，一切外汇收入都必须存入其外汇存款帐户，其正常业务的外汇支出，可以从其外汇存款帐户中支付。
八、在中国从事合作开采海洋石油资源的外资企业，为执行合同规定的石油作业，可以在中国境外直接向其外籍职工、外国承包者和供应商支付工资、薪金、采购物品货款和各项劳务、服务费用。外籍职工、外国承包者在中国境内取得的收入，应当按照中华人民共和国税法规定缴纳税款。
九、侨资企业、外资企业、中外合资经营企业必须按期向国家外汇管理局或其分局报送下列报表，并附详细文字说明。
1．每年三月三十一日前报送上年十二月三十一日的资产负债表、上年度损益计算书和外汇收支报告表；随附在中华人民共和国登记注册的会计师的查帐报告。
2．每年十二月一日以前报送下年度外汇收支预算表（遇有修改，应随时补报）。
国家外汇管理局或其分局有权要求侨资企业、外资企业、中外合资经营企业提供有关外汇业务的情况并检查其外汇收支情况。
十、侨资企业、外资企业、中外合资经营企业必须按照国家外汇管理局公布的外汇牌价办理外汇兑换；企业的产品出口可按中国进出口贸易结汇的有关规定办理。
十一、侨资企业、外资企业、中外合资经营企业出口所得的外汇，除经国家外汇管理局或其分局批准者外，应调回存入开户银行帐户，并办理出口外汇核销手续。
十二、侨资企业、外资企业、中外合资经营企业与中国境内的机关、企业（包括侨资企业、外资企业、中外合资经营企业）或者个人之间的结算，除下列情况外，都应当使用人民币。
1．生产的产品如系中国需要进口的商品，售给中国经营外贸业务的单位或者其他企业，经中国外贸主管机关批准，供需双方商定，可参照国际市场价格，以外币计价、结算。
2．因生产需要购买中国经营外贸业务单位经营的出口商品和进口商品，经中国外贸主管机关批准，供需双方商定，可参照国际市场价格，以外币计价、结算。
3．同中国建筑单位签订建筑合同，经国家外汇管理局或其分局批准，可以外币计价、结算。
4．根据国务院规定，或者经国家外汇管理局或其分局批准，可以外币计价、结算的其他项目。
凡经批准以外币计价、结算者，均可通过其外汇存款帐户办理收付。
十三、侨资企业、外资企业、中外合资经营企业的华侨投资者或者外国投资者依法纳税后的纯利润和其它正当收益，可以向开户银行申请，汇出境外，从其外汇存款帐户中支付。申请时，应提交企业董事会或相当于董事会的权力机构的分配利润的决议书、纳税凭证以及载有收益分配条款的合同。
侨资企业、外资企业、中外合资经营企业的华侨投资者或者外国投资者，如要将外汇资本转移到中国境外，须向国家外汇管理局或其分局申请，从企业的外汇存款帐户中支付汇出。
十四、在中国从事合作开采海洋石油、煤炭等资源和从事其他合作、合资经营的侨资企业、外资企业、中外合资经营企业，按照中外双方合同规定用产品回收资本和分配利润的，华侨投资者或者外国投资者提取和拥有的其份额内的产品可以运出，但必须汇回应在中华人民共和国缴纳的税款和其他应付的款项。如在中国境内出售，应当按照本细则第十二条的规定办理；其销售所得的外汇，在缴纳税款和其他应付的款项后可以汇出。
十五、侨资企业、外资企业、中外合资经营企业中的外籍职工或港澳职工的工资和其他正当收益，依法纳税后可以汇出，汇出金额超过百分之五十的比例时，可以向国家外汇管理局或其分局申请，汇出外汇均从其企业的外汇存款帐户中支付。
十六、侨资企业、外资企业、中外合资经营企业，经批准在外国或港澳地区设立的分支机构或办事机构，其所需外汇经费，经国家外汇管理局或其分局批准，可以按期从其外汇存款帐户中支付汇出。
十七、侨资企业、外资企业、中外合资经营企业可以直接向外国或港澳地区的银行或企业借入外汇资金，但是应报国家外汇管理局或其分局备案。
十八、依法停业的侨资企业、外资企业和中外合资经营企业，应当在中国财政、税务和外汇管理机关的共同监督下，按期清理。华侨投资者或外国投资者，应对其在中国境内的未了税务债务事项负责。清理结束后，华侨投资者或外国投资者所有的或所分得的资金，如要求汇出境外，可以向国家外汇管理局或其分局申请，从原企业的外汇存款帐户中支付汇出。
十九、在中国境内设立的侨资银行、外资银行、中外合资银行和其他金融机构，其外汇收支的管理办法由国家外汇管理局另行规定。
二十、本细则经国务院批准，由国家外汇管理局发布施行。(附英文)

RULES FOR THE IMPLEMENTATION OF FOREIGN EXCHANGE CONTROL REGULA-TIONS RELATING TO ENTERPRISES WITH OVERSEAS CHINESE CAPITAL, FOREIGN-CAPITAL ENTERPRISES AND CHINESE-FOREIGN EQUITY JOINT VENTURES

Important Notice: (注意事项)
英文本源自中华人民共和国务院法制局编译, 中国法制出版社出版的《中华人民共和国涉外法规汇编》(1991年7月版).
当发生歧意时, 应以法律法规颁布单位发布的中文原文为准.
This English document is coming from the "LAWS AND REGULATIONS OF THE
PEOPLE'S REPUBLIC OF CHINA GOVERNING FOREIGN-RELATED MATTERS" (1991.7)
which is compiled by the Brueau of Legislative Affairs of the State
Council of the People's Republic of China, and is published by the China
Legal System Publishing House.
In case of discrepancy, the original version in Chinese shall prevail.

Whole Document (法规全文)
RULES FOR THE IMPLEMENTATION OF FOREIGN EXCHANGE CONTROL REGULA-
TIONS RELATING TO ENTERPRISES WITH OVERSEAS CHINESE CAPITAL, FOREIGN-
CAPITAL ENTERPRISES AND CHINESE-FOREIGN EQUITY JOINT VENTURES
(Approved by the State Council of the People's Republic of China
on July 19, 1983 and promulgated by the State Administration of Foreign
Exchange Control on August 1, 1983)
Article 1
These Rules are formulated for implementing the provisions of Chapter V of
the Interim Regulations on Foreign Exchange Control of the People's
Republic of China.
Article 2
In Chapter V of the Interim Regulations on Foreign Exchange Control of the
People's Republic of China, the term "enterprises with overseas Chinese
capital" refers to corporations, enterprises or other economic entities
registered in China with overseas Chinese capital or capital of
compatriots in the Hongkong and Macao regions, and managed independently
or jointly with Chinese enterprises; the term "foreign-capital
enterprises" refers to corporations, enterprises or other economic
entities registered in China with foreign capital, and managed
independently or jointly with Chinese enterprises; the term "Chinese-
foreign equity joint ventures" refers to enterprises jointly established,
owned and run in China by corporations, enterprises, other economic
entities or individuals with overseas Chinese capital, capital of
compatriots in the Hongkong and Macao regions or foreign capital and
Chinese corporations, enterprises or other economic entities.
Article 3
For all foreign exchange receipts and payments, enterprises with overseas
Chinese capital, foreign-capital enterprises and Chinese-foreign equity
joint ventures must act in accordance with the provisions in the Interim
Regulations on Foreign Exchange Control of the People's Republic of China
as well as these Rules.
Article 4
Enterprises with overseas Chinese capital, foreign-capital enterprises and
Chinese-foreign equity joint ventures shall open Renminbi deposit accounts
and foreign exchange deposit accounts in China with the Bank of China or
its branch banks or any other banks approved by the State Administration
of Foreign Exchange Control (SAFEC) or its branch offices, payments and
receipts in these accounts being subject to the supervision of the bank
with which the enterprises have established accounts. When applying for
the opening of the accounts, the enterprises shall submit for verification
their business licenses issued by the State Administration for Industry
and Commerce of the People's Republic of China.
Article 5
The exploration fund and the fund for cooperative development and
cooperative production provided unilaterally by a foreign-capital
enterprise engaged in cooperative exploitation of offshore petroleum
resources in China are permitted to be deposited with the agreement of the
Chinese side in a bank, of a foreign country or of the Hongkong or Macao
region.
Article 6
Should they find it necessary to open foreign exchange deposit accounts
with banks abroad or in the Hongkong and Macao regions other than the
accounts opened in accordance with Article 5 of these Rules, enterprises
with overseas Chinese capital, foreign-capital enterprises and Chinese-
foreign equity joint ventures shall apply to SAFEC or its branch offices
for approval. The enterprises concerned shall submit to SAFEC or its
branch offices quarterly statements of payments into and withdrawal from
such accounts within 30 days as of the end of each and every quarter.
Article 7
All foreign exchange receipts of enterprises maintaining foreign exchange
accounts with banks in China in accordance with Article 4 of these Rules,
must be deposited in the said accounts and all their foreign exchange
disbursements incurred in normal business operations can be effected
through these accounts.
Article 8
For the implementation of the petroleum operations specified in their
contracts, the foreign-capital enterprises engaged in cooperative
exploitation of offshore petroleum resources may pay directly outside
China wages, salaries, cost of procurements, various labour costs and
service charges to foreign workers and staff members, foreign
subcontractors and suppliers. The foreign workers and staff members and
foreign subcontractors shall pay taxes on their income derived from China
in accordance with the provisions of the tax law of the People's Republic
of China.
Article 9
Enterprises with overseas Chinese capital, foreign-capital enterprises and
Chinese-foreign equity joint ventures shall submit within the prescribed
time limit to the SAFEC or its branch offices the following statements
with explanatory notes in detail:
(1) Balance sheet as of December 31 of the previous year, profit and loss
statement and statement of receipts and payments of foreign exchange for
the previous year shall be submitted before March 31 of each year, along
with audit reports by accountants registered in the People's Republic of
China.
(2) Budget of foreign exchange receipts and payments for the coming year
shall be submitted before December 1 of each year (subsequent amendments,
if any, shall be reported immediately).
The SAFEC and its branch offices are authorized to request the enterprises
with overseas Chinese capital, foreign-capital enterprises and Chinese-
foreign equity joint ventures to provide information about their business
activities involving foreign exchange, and to check on their foreign
exchange incomes and expenditures.
Article 10
Any currency conversion of enterprises with overseas Chinese capital,
foreign-capital enterprises and Chinese-foreign equity joint ventures must
be conducted according to the official rates of foreign exchange quoted by
the SAFEC; the export of the products of these enterprises may be dealt
with in accordance with the relevant provisions governing China's foreign
trade exchange conversions.
Article 11
Except where otherwise approved by the SAFEC or its branch offices, the
foreign exchange receipts realized from exports by the enterprises with
overseas Chinese capital, foreign-capital enterprises and Chinese-foreign
equity joint ventures shall be transferred back and credited to their
foreign exchange deposit accounts with banks in China and the enterprises
shall also go through the procedure of cancelling their commitments for
foreign exchange receipts from these exports.
Article 12
Renminbi shall be used in the settlement of accounts between enterprises
with overseas Chinese capital, foreign-capital enterprises or Chinese-
foreign equity joint ventures on the one hand, and agencies, enterprises
(including enterprises with overseas Chinese capital, foreign-capital
enterprises, Chinese-foreign equity joint ventures), or individuals in
China on the other, except in the following cases:
(1) For products manufactured by these enterprises and sold to Chinese
entities or enterprises engaged in foreign trade which would otherwise
have to import, foreign currencies may be used in pricing and in
settlement of accounts, provided that prior approval by Chinese foreign
trade authorities has been obtained and that agreement on this arrangement
has been reached between seller and buyer; the prices of the products may
be such as to be commensurate with those current in world markets.
(2) If enterprises with overseas Chinese capital, foreign-capital
enterprises and Chinese-foreign equity joint ventures purchase, for the
sake of production, the commodities to be exported or imported by Chinese
entities engaged in foreign trade, foreign currencies may be used in
pricing the said commodities with reference to those current in world
markets and in settlement of accounts, with prior approval of Chinese
foreign trade authorities and arrangement between seller and buyer.
(3) Foreign currencies may be used in pricing and in the settlement of
accounts related to construction work performed by Chinese construction
entities according to contracts, provided that prior approval from the
SAFEC or its branch offices has been obtained.
(4) Other items which can be priced and settled in foreign currencies are
prescribed by the State Council or approved by the SAFEC or its branch
offices.
For all transactions which can be priced and settled in foreign currencies
as approved, the receipts and payments may be made through foreign
exchange deposit accounts.
Article 13
Overseas Chinese investors of enterprises with overseas Chinese capital or
foreign investors of foreign-capital enterprises or of Chinese-foreign
equity joint ventures may apply to the banks with which they have opened
accounts for remitting abroad their profits as well as other justified
earnings after taxation, by debiting the foreign exchange deposit accounts
of the enterprise concerned. At the time of application, the investors
concerned shall submit for examination the written decision on profit
distribution adopted by the board of directors or by another organ of
power equivalent to the board of directors, documentary evidence showing
that all taxes have been duly paid as well as the contracts containing
stipulations with regard to the distribution of profits or earnings.
Overseas Chinese investors of enterprises with overseas Chinese capital or
foreign investors of foreign-capital enterprises or of Chinese-foreign
equity joint ventures shall apply to the SAFEC or its branch offices for
transferring their foreign exchange capital abroad by debiting the foreign
exchange deposit accounts of the enterprises concerned.
Article 14
Enterprises with overseas Chinese capital, foreign-capital enterprises and
Chinese-foreign equity joint ventures engaged in cooperative exploitation
of such resources as offshore petroleum and coal, and in other contractual
or equity joint ventures, whose capital is to be recovered and profits to
be realized in kind as stipulated in their contracts, may transport out of
China the products as their shares of recovered capital and realized
profits, but such enterprises shall remit back the amount of tax to be
paid in the People's Republic of China as well as other required payments.
If the products are to be sold within China, the case shall be handled in
accordance with provisions of Article 12 of these Rules, and the foreign
exchange proceeds derived from these sales may be remitted out after
taxation and other required payments.
Article 15
Staff members and workers of foreign nationality and those from the
Hongkong and Macao regions employed by enterprises with overseas Chinese
capital, foreign-capital enterprises and Chinese-foreign equity joint
ventures may remit abroad their wages and other justified earnings, after
taxation according to law, and if the remittance exceeds 50% of their
wages and other earnings, they may apply to the SAFEC or its branch
offices. The amounts remitted shall all be debited to the foreign exchange
deposit accounts of the enterprises concerned.
Article 16
Foreign exchange expenses required in the normal business operations of
the branches or offices abroad or in the Hongkong and Macao regions set up
with the approval of competent authorities by enterprises with overseas
Chinese capital, foreign-capital enterprises and Chinese-foreign equity
joint ventures may be remitted to these branches or offices, debiting to
the foreign exchange deposit accounts of the enterprises concerned, with
the approval of the SAFEC or its branch offices.
Article 17
Enterprises with overseas Chinese capital, foreign-capital enterprises,
and Chinese-foreign equity joint ventures may borrow foreign exchange
directly from banks or enterprises of foreign countries or of the Hongkong
and Macao regions, but they must report such borrowing to the SAFEC or its
branch offices for the record.
Article 18
Enterprises with overseas Chinese capital, foreign-capital enterprises and
Chinese-foreign equity joint ventures winding up operations in accordance
with legal procedures, shall carry out liquidation within the scheduled
period, under the joint supervision of China's finance, taxation and
foreign exchange control authorities. Overseas Chinese investors or
foreign investors shall be responsible for their taxes due and their
outstanding liabilities within China. After completion of the liquidation,
overseas Chinese investors and foreign investors may apply to the SAFEC or
its branch offices for remitting out the funds owned by or distributed to
them. And the remittance shall be debited to the foreign exchange accounts
of the liquidated enterprises.
Article 19
The measures to control foreign exchange receipts and payments of banks
with overseas Chinese capital, banks with foreign capital, Chinese-foreign
equity joint banks and other financial institutions shall be formulated by
the SAFEC separately.
Article 20
These Rules shall be promulgated and put into effect by the SAFEC upon
approval of the State Council.


河北省唐山市人民政府


唐山市人民政府办公厅关于印发《唐山市城镇职工生育保险暂行办法》的通知



各县（市）、区人民政府，各开发区（管理区、工业区）管委会，市政府各部门，市直各单位：

《唐山市城镇职工生育保险暂行办法》已经市政府第13届53次常务会议审议通过，现印发给你们，请认真遵照执行。



二○一一年七月七日



唐山市城镇职工生育保险暂行办法

第一章 总则
第一条 为了维护女职工合法权益，保障城镇职工计划生育期间的基本生活和医疗保障，根据《中华人民共和国社会保险法》、《中华人民共和国劳动法》、《中华人民共和国妇女权益保障法》、《河北省城镇职工生育保险暂行办法》（冀政〔2007〕34号）等有关法律法规，结合唐山实际，制定本办法。
第二条 生育保险的统筹层次、参保范围与现行城镇职工基本医疗保险的统筹层次、参保范围相一致。
用人单位应当按照属地管理原则参加医疗保险的同时参加生育保险，并按规定缴纳生育保险费，其职工享受生育保险待遇。参加职工医疗保险的灵活就业人员必须同时参加生育保险。医疗保险经办机构应当保证为参加生育保险并正常缴费的职工兑现生育保险待遇。
第三条 县级以上人力资源和社会保障行政部门负责本行政区域内生育保险的管理工作，医疗保险经办机构具体办理生育保险业务。人口和计划生育、卫生、财政等行政管理部门在各自职责范围内负责生育保险的其他有关工作。

第二章 生育保险基金
第四条 生育保险基金由以下各项构成：（一）用人单位缴纳的生育保险费；（二）生育保险基金利息；（三）延迟缴纳生育保险费的滞纳金；（四）依法纳入生育保险基金的其他资金。
第五条 生育保险费根据“以支定收，收支平衡”的原则筹集。用人单位缴纳生育保险费，与职工基本医疗保险的缴费基数相同。机关和财政全额拨款事业单位生育保险缴费比例为职工工资总额的0.25％，其他用人单位为0.8％，灵活就业人员缴费比例为0.25%。生育保险费的列支渠道与基本医疗保险规定相同。
第六条 用人单位必须如实申报职工人数、工资总额，按时、足额缴纳生育保险费。职工个人不缴纳生育保险费。
第七条 退休人员不缴纳生育保险费，参保人员退休后也不再享受生育保险待遇。
第八条 生育保险基金用于下列支出：（一）女职工孕产休假期间的生育津贴；（二）女职工生育医疗费用；（三）职工计划生育手术医疗费用。
第九条 生育保险基金存入社会保障基金财政专户、单独建账、专款专用，实行收支两条线。任何单位或者个人不得将生育保险基金挪作他用。
第十条 人力资源和社会保障行政部门依法对生育保险费的征缴和生育保险基金的管理使用情况进行监督检查；财政和审计部门依法对生育保险基金的收支、管理情况进行监督。

第三章 生育保险待遇
第十一条 职工享受生育保险待遇，应当符合国家、省、市的计划生育政策和有关规定。
第十二条 用人单位参加生育保险后，其职工从缴费当月起享受生育保险待遇。以灵活就业形式参加生育保险的人员，本办法出台前已将职工医保费缴至2011年12月31日的，享受职工医疗保险待遇的同时享受生育保险待遇，生育保险费从2012年1月1日起缴纳。本办法出台后新参加医疗、生育保险的，等待期与职工医疗保险一致，等待期满后享受生育保险待遇。
第十三条 用人单位中断缴费期间职工不享受生育保险待遇，后续补缴的，中断期间发生的各项生育医疗费用生育保险基金不予支付；以灵活就业形式参加生育保险的人员断保后，续保缴费、等待期等规定与职工医保一致，中断缴费期间不享受生育保险待遇。
第十四条 机关、财政全额拨款事业单位女职工和以灵活就业形式参加生育保险的人员生育或终止妊娠，其生育津贴为本人工资，由原渠道支付。
第十五条 用人单位女职工计划内生育或终止妊娠，下列情况享受生育津贴：
（一）怀孕不满2个月终止妊娠，享受20天生育津贴；
（二）怀孕满2个月不满4个月终止妊娠，享受30天生育津贴；
（三）怀孕满4个月不满6个月终止妊娠，享受42天生育津贴；
（四）怀孕满6个月以上分娩或终止妊娠，享受90天生育津贴；
（五）下列情况下增加生育津贴：
1、难产的（指剖宫产、人工干预分娩），增加15天生育津贴；
2、多胞胎生育的，每多生育一个婴儿，增加15天生育津贴；
3、女职工晚育（满24周岁以上第一次生育的），增加45天生育津贴；
4、产假期间领取《独生子女父母光荣证》的增加30天生育津贴。
生育津贴计算：职工所在用人单位上年度职工月平均工资除以30再乘以生育津贴天数。生育津贴低于女职工本人工资标准的，差额部分由用人单位补足。
生育津贴是女职工产假期间的工资，女职工休产假期间单位要为其缴纳社会保险，其中职工个人缴费部分可由企业从生育保险津贴中代扣代缴。
生育津贴不得低于当地职工最低工资标准。
第十六条 女职工计划内生育或终止妊娠，生育津贴由所在单位负责办理申领手续，医疗保险经办机构核准后按规定拨付到用人单位，由用人单位支付本人或家属。女职工生育过程中或生育后在享受生育津贴时间内死亡（包括终止妊娠后死亡），生育津贴计算为生育前半个月起至死亡之日止。
第十七条 女职工计划内生育在妊娠期、分娩期、产褥期内，因生育所发生的检查费、接生费、手术费、住院费、药费等生育医疗费用，从生育保险基金中按标准支付。
女职工因计划内生育引起并发症的（标准另行制定），治疗并发症的医疗费用，或者休假期间治疗其他疾病的医疗费用，按照基本医疗保险有关规定执行。
第十八条 生育保险基金支付计划内生育医疗费用，实行限额支付。
孕期产前检查费用补贴标准如下：
1、怀孕四个月不满七个月终止妊娠的除享受生育津贴外，产前门诊检查费每次补贴100元，不超过5次；
2、怀孕七个月以上生育或终止妊娠的除享受生育津贴外，产前门诊检查费每次补贴100元，不超过8次；
住院生育费用支付标准如下：
1、顺产（含7个月以上引产）最高支付1800元；
2、人工干预分娩:⑴手剥胎盘术、人工破膜术、人工剥膜术、静脉点滴催产术引产等项目的最高支付2100元；⑵子宫破裂修补术、产钳术、臀位牵引术、胎头吸引术、毁胎手术分娩等项目的最高支付2300元；⑶子宫破裂次全切术、子宫破裂全切术的最高支付2500元;
3、剖宫产最高支付2800元；
4、多胞胎生育，每多生育一胎增加补贴500元。
第十九条 职工实施下列计划生育手术所发生的医疗费用，从生育保险基金中支付：（一）孕情、环情检查，放置、取出宫内节育器及技术常规所规定的各项医学检查；（二）终止妊娠手术及技术常规所规定的各项医学检查；（三）输精(卵)管结扎手术及技术常规所规定的各项医学检查；（四）实施计划生育手术所致，并经县级以上人口和计划生育部门组织专家组鉴定，确定为并发症的诊断及治疗费用(个体医疗机构实施节育手术或者恢复生育手术造成并发症的诊治除外)。
第二十条 生育保险基金支付计划生育手术医疗费用，实行限额支付（符合国家政策规定超过限额部分由原渠道解决）。具体支付标准如下：
1、妊娠两个月以上7个月以下住院引产补贴最高支付800元（7个月以上引产按生育处理），两个月以上7个月以下门诊引产补贴最高支付400元；
2、节育手术每例最高补贴1500元；
3、复通手术每例最高补贴2500元；
4、门诊戴环、取环每次补贴50元；发生环镶嵌等住院按基本医疗保险有关规定支付。
5、实施计划生育手术所致并发症的诊断及治疗费用每年最高支付3000元。
第二十一条 因急诊、转院、常驻外地、出差探亲在非定点医疗机构发生的生育保险费用，按照本办法的规定享受生育保险待遇。
第二十二条 生育保险基金不予支付下列费用：
（一）早孕反应及保胎发生的费用；
（二）不孕症治疗发生的费用；
（三）因犯罪、酗酒、自伤、他伤、交通事故造成妊娠终止的医疗费用；
（四）职工计划内生育或者实施计划生育手术，因医疗事故发生的医疗费用；
（五）未采取避孕节育措施怀孕而实施终止妊娠的医疗费用；
（六）胚胎移植的医疗费用；
（七）婴儿发生的各项费用；
（八）不具备临床剖宫产手术指征，职工个人要求实施剖宫产术超出自然分娩定额标准的医疗费用；
（九）女职工出国以及赴港、澳、台地区期间发生的生育费用；
（十）未经批准自行恢复生育手术的；
（十一）违反国家、省、市计划生育规定生育或者实施生育手术的医疗费用。
第二十三条 参保男职工配偶未参加生育保险的，从男职工享受生育保险待遇之日起，符合国家和省计划生育规定，生育或者实施计划生育手术所发生的医疗费用，按照男职工所在统筹地生育医疗费、计划生育手术费定额补贴标准的50％，从生育保险基金中支付，不享受生育津贴待遇。
符合上述规定的，凭男职工配偶居住地社区、村委员会出具的无工作单位的证明、结婚证、出生证、生育或者实施计划生育手术的证明以及所发生医疗费用的有效凭据，到医疗保险经办机构按规定报销医疗费。

第四章 生育保险管理
第二十四条 生育保险医疗服务实行定点医疗管理。城镇职工基本医疗保险定点医疗机构中经卫生部门批准设置妇产科的，可申请生育保险定点医疗机构，经市人力资源和社会保障局批准后，应与医疗保险经办机构签订生育保险服务协议。职工计划内生育或者实施计划生育手术，应到与医疗保险经办机构签订服务协议的定点医疗机构就医。
第二十五条 在定点医疗机构发生的生育保险医疗费用，由医疗保险经办机构与定点医疗机构按规定结算。
第二十六条 生育保险基金支付计划内生育、计划生育手术医疗费的范围，按照《河北省基本医疗保险、工伤保险和生育保险药品目录》、诊疗项目目录、医疗服务设施范围和标准等有关规定执行，超出范围的医疗费用，生育保险基金不予支付，低于补贴标准的部分据实结算。
第二十七条 女职工领取生育津贴，由单位专管员到参保登记地医疗保险经办机构办理手续，并提交人口和计划生育部门出具的计划生育证明和定点医疗机构或定点计划生育技术服务机构出具的婴儿出生、死亡或者孕妇流产的医学证明。

第五章 法律责任
第二十八条 人力资源和社会保障部门对违反生育保险政策的行为视情节轻重可给予行政处罚，违反政策行为方对处罚决定不服的，可以依法申请行政复议，对复议决定不服的，可以依法提起行政诉讼。
第二十九条 用人单位未按规定缴纳生育保险费的，由人力资源和社会保障部门责令限期缴纳；逾期仍不缴纳的，除补缴欠缴数额外，从欠缴之日起，按社会保险法规定加收滞纳金。滞纳金并入生育保险基金。
第三十条 职工以非法手段骗取生育保险待遇，虚报、冒领生育津贴、生育医疗费、计划生育手术费的，由人力资源和社会保障部门依法如数追回虚报、冒领的金额。情节严重的，依法追究用人单位、当事人及有关人员的责任。
第三十一条 医疗保险经办机构及其工作人员，有下列行为之一的，由人力资源和社会保障部门责令改正。造成生育保险基金流失的，由人力资源和社会保障部门追回流失的生育保险基金，并依法对主管人员、直接责任人或者其法定代表人给予行政处分，涉嫌犯罪的，依法移送司法机关处理：（一）擅自多收或减免应当缴纳生育保险费用的；（二）无故延期拨付、擅自增加或减发、停发应由医疗保险经办机构支付生育保险金的；（三）滥用职权、徇私舞弊、玩忽职守，致使生育保险基金流失的；（四）截留、侵占、挪用、贪污生育保险基金的。
第三十二条 定点医疗机构有下列行为之一，造成生育保险基金损失的，追回违规资金，给予行政处罚，情节严重的，由人力资源和社会保障行政部门取消其定点资格：（一）将未参加生育保险人员的医疗费用由生育保险基金支付的；（二）将超出统筹地区规定的生育保险基金支付项目和补贴标准的医疗费用，由生育保险基金支付的；（三）采取其他手段骗取生育保险基金的。

第六章 附则
第三十三条 生育保险缴费标准和待遇水平需调整时，由市人力资源和社会保障部门会同相关部门根据基金收支情况适度调整。
第三十四条 《中华人民共和国社会保险法》实施细则出台后，本办法适情进行相应调整。
第三十五条 本办法自2011年7月1日起施行，原《唐山市城镇职工生育保险暂行办法》（唐医组〔2004〕3号）文件自行废止。
第三十六条 本办法由唐山市人力资源和社会保障局负责解释。