National Health Insurance Act Article 61

The NHIC shall negotiate and reach the agreement on, no later than 3 months prior to the commencement of each fiscal year, the aggregate amount of the medical payment and the method of allocation within the range of the total amount of the medical payment approved by the Executive Yuan under the preceding article, and report to the Competent Authority for approval. The Competent Authority shall decide at its own discretion in case the NHIC does not reach an agreement in time.The allotment for ambulatory care and hospitalization expenses of the budget for the aggregate payment described in the preceding paragraph may be specified by the district.The allocation ratio and a system of separating accounts for medical and pharmaceutical expenses may be established in regard to the budget for payment of the ambulatory care described in the preceding paragraph, according to the ambulatory care services provided by physicians, doctors of Chinese medicine, and dentists, pharmaceutical services and expense of drugs.After the benefit expense package in Paragraph 1 has been drafted, the Insurer shall ask insurance premium payer representatives, contracted medical care provider representatives, and experts to study and promote the global budget payment system.The agenda for the study process in the preceding paragraph shall be announced seven days before, and the list of attendees and minutes of the meeting shall be made public within ten days after the meeting.The scope of the district mentioned in Paragraph 2 shall be determined by the Insurer and submitted to the Competent Authority for approval.