法學期刊
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論著名稱:
全民健康保險停復保爭議之研究(A Study on the Suspension and Resumption of Coverage in National Health Insurance)
文獻引用
編著譯者: 林依仁
出版日期: 2022.12
刊登出處: 台灣/月旦醫事法報告第 74 期
頁  數: 15 點閱次數: 465
下載點數: 60 點 銷售明細: 權利金查詢 變更售價
授 權 者: 林依仁
關 鍵 詞: 地域原則負擔公平性停復保健康權實物給付原則
中文摘要: 本文以憲法法庭新近受理一則案件(109 年度憲二字第 192 號)為楔子,探究國人返國復保繳納保費的課題。文中先處理全民健保制度作為生存權保障的方式,以及財務穩定性之重要性。其次從法律關係切入,分析爭議中停復保規定對人民權益的影響。其次,剖析停復保規定的合憲性爭議,先論究社會保險立法者所為制度建構時,應注意之財務原則、給付原則與其地域限定性。並接續從授權明確性、比例原則與差別對待等三點,分析相關規定對停保者、復保者、再申請停保者之合憲性議題。整體而言,歷來憲法解釋忽略健康權之制度性保障觀點;有關財產權之案例僅從特別法律保留審查。相關規定尚不至違憲,但對復保者提供給付已近似社會救助,理應考慮是否使停保者負擔一定費用。
英文關鍵詞: territorial principleequality of burdensuspension and resumption of coverageright to healthprinciple of payment-in-kind
英文摘要: This study investigated the resumption of Taiwan national health insurance (NHI) coverage and the payment of premiums by overseas Taiwanese upon their return based on a case recently handled by the Constitutional Court (109 Xian Er Zi No. 192). The article first addressed the importance of the NHI system as a means of protecting the right to health and importance of its financial stability. Second, the impact of the controversial regulations concerning the suspension and resumption of NHI coverage on the rights and interests of the people was analyzed from the perspective of jural relations. Furthermore, the constitutionality controversies surrounding the regulations for the suspension and resumption of NHI coverage were examined. In this regard, the principles of finance, payment, and territorial restrictiveness that should receive special attention from social insurance legislators during system construction are first discussed. Moreover, the constitutionality of relevant regulations governing those suspending, resuming, and re-applying for suspension of coverage was investigated from three angles - the principle of the explicit delegation, principle of proportionality, and differential treatment. All in all, previous constitutional interpretations have neglected the perspective of institutional guarantee of the right to health; cases in relation to property rights have been reserved for review as per special legislation. Although the relevant regulations are not unconstitutional, the benefits provided to individuals resuming coverage are tantamount to social assistance. Therefore, whether to oblige individuals suspending coverage to pay a specific amount of premiums should be considered.
目  次: 壹、事實背景
貳、健康與制度
一、生存權的制度保障
二、全民健保財務穩定性
參、法律關係之停止與恢復
一、相鄰法律領域之比較
二、申辦停保之法律效果
三、復保與註銷復保之法律效果
四、再停保之限制
肆、停復保規定之合憲性
一、權利主張與系爭規定之關係
二、立法裁量與憲法框架
三、法律保留與授權明確性
四、比例原則
五、差別對待之合憲性
伍、結論
相關法條:
相關判解:
相關函釋:
相關論著:
林依仁,全民健康保險停復保爭議之研究,月旦醫事法報告,第 74 期,2022年12月。
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