[
  {
    "id": "ltc16",
    "title": "开展长期护理保险制度试点的指导意见",
    "issuer": "人社部办公厅",
    "year": 2016,
    "url": "https://www.mohrss.gov.cn/xxgk2020/fdzdgknr/zlbmxgwj/ylbx/201607/t20160705_242951.html",
    "note": "试点起点；实施日期仍需逐地核对",
    "checked": "2026-10-23",
    "verification_state": "verified",
    "verification_scope": "官方页面、官方转载或索引可核；不是逐地方现行政策审查"
  },
  {
    "id": "ltc20",
    "title": "扩大长期护理保险制度试点的指导意见",
    "issuer": "国家医保局、财政部",
    "year": 2020,
    "url": "https://www.nhsa.gov.cn/art/2020/9/16/art_53_3587.html",
    "note": "医保发〔2020〕37号；签发2020-09-10，发布2020-09-16",
    "checked": "2026-10-23",
    "verification_state": "verified",
    "verification_scope": "官方页面、官方转载或索引可核；不是逐地方现行政策审查"
  },
  {
    "id": "ltc23",
    "title": "长期护理保险失能等级评估管理办法（试行）",
    "issuer": "国家医保局、财政部",
    "year": 2023,
    "url": "https://www.nhsa.gov.cn/art/2023/12/15/art_104_11715.html",
    "note": "医保发〔2023〕29号；评估与资格衔接",
    "checked": "2026-10-23",
    "verification_state": "verified",
    "verification_scope": "官方页面、官方转载或索引可核；不是逐地方现行政策审查"
  },
  {
    "id": "ltc25",
    "title": "国家长期护理保险服务项目目录（试行）",
    "issuer": "国家医保局",
    "year": 2025,
    "url": "https://www.nhsa.gov.cn/art/2025/9/25/art_104_18020.html",
    "note": "医保发〔2025〕24号；目录与地方衔接",
    "checked": "2026-10-23",
    "verification_state": "verified",
    "verification_scope": "官方页面、官方转载或索引可核；不是逐地方现行政策审查"
  },
  {
    "id": "ltc26",
    "title": "关于加快建立长期护理保险制度的意见",
    "issuer": "中共中央办公厅、国务院办公厅；司法部官方转载",
    "year": 2026,
    "url": "https://legalinfo.moj.gov.cn/pub/sfbzhfx/zhfxfzzx/fzzxyw/202603/t20260326_533140.html",
    "note": "建制阶段；目标不等于已全部落地",
    "checked": "2026-10-23",
    "verification_state": "verified",
    "verification_scope": "官方页面、官方转载或索引可核；不是逐地方现行政策审查"
  },
  {
    "id": "ltc-plan",
    "title": "加快建立长期护理保险制度实施方案",
    "issuer": "八部门；上海税务官方转载",
    "year": 2026,
    "url": "https://shanghai.chinatax.gov.cn/zcfw/zcfgk/sbf/202603/t479854.html",
    "note": "过渡、筹资、待遇和服务目录配套",
    "checked": "2026-10-23",
    "verification_state": "verified",
    "verification_scope": "官方页面、官方转载或索引可核；不是逐地方现行政策审查"
  },
  {
    "id": "ltc-local",
    "title": "各地建立长护险制度实施方案汇总",
    "issuer": "国家医保局",
    "year": 2026,
    "url": "https://www.nhsa.gov.cn/art/2026/7/14/art_14_21427.html",
    "note": "官方地方检索入口；不是全国实际待遇启动日期表",
    "checked": "2026-10-23",
    "verification_state": "verified",
    "verification_scope": "官方页面、官方转载或索引可核；不是逐地方现行政策审查"
  },
  {
    "id": "ltc-sh",
    "title": "上海市长期护理保险试点办法（修订）",
    "issuer": "上海市政府办公厅",
    "year": 2025,
    "url": "https://www.shanghai.gov.cn/nw12344/20251231/51cafb297f0a4397ad30afe0d91ad104.html",
    "note": "文件载明2026-01-01施行；地方案例需结合后续过渡安排",
    "checked": "2026-10-23",
    "verification_state": "verified",
    "verification_scope": "官方页面、官方转载或索引可核；不是逐地方现行政策审查"
  },
  {
    "id": "home20",
    "title": "关于加强老年人居家医疗服务工作的通知",
    "issuer": "国家卫生健康委办公厅",
    "year": 2020,
    "url": "https://www.nhc.gov.cn/wjw/c100175/202012/740e7b5f686c447797e6b1e02ae163e2.shtml",
    "note": "国卫办医发〔2020〕24号；居家医疗供给",
    "checked": "2026-10-23",
    "verification_state": "verified",
    "verification_scope": "官方页面、官方转载或索引可核；不是逐地方现行政策审查"
  },
  {
    "id": "bed26",
    "title": "家庭病床服务指南（试行）",
    "issuer": "国家卫生健康委、国家中医药局；辽宁卫健委官方转载",
    "year": 2026,
    "url": "https://wsjk.ln.gov.cn/wsjk/zfxxgk/zc/gjjwj/2026052921070163217/index.shtml",
    "note": "国卫基层发〔2026〕15号；署名2026-05-11，官方目录发布2026-05-14；不推定生效日",
    "checked": "2026-10-23",
    "verification_state": "verified",
    "verification_scope": "官方页面、官方转载或索引可核；不是逐地方现行政策审查"
  },
  {
    "id": "primary26",
    "title": "医保支持基层医疗卫生服务发展的指导意见",
    "issuer": "国家医保局、国家发展改革委、国家卫生健康委",
    "year": 2026,
    "url": "https://www.nhsa.gov.cn/art/2026/3/16/art_104_19931.html",
    "note": "医保发〔2026〕7号；网页含文件下载入口",
    "checked": "2026-10-23",
    "verification_state": "verified",
    "verification_scope": "官方页面、官方转载或索引可核；不是逐地方现行政策审查"
  },
  {
    "id": "primary-explain",
    "title": "医保支持基层医疗卫生服务发展的指导意见政策解读",
    "issuer": "国家医保局",
    "year": 2026,
    "url": "https://www.nhsa.gov.cn/art/2026/3/16/art_105_19933.html",
    "note": "与正文并读；解读不替代地方价格和支付细则",
    "checked": "2026-10-23",
    "verification_state": "verified",
    "verification_scope": "官方页面、官方转载或索引可核；不是逐地方现行政策审查"
  },
  {
    "id": "bed-sh",
    "title": "医保如何支付职工家庭病床的费用？",
    "issuer": "上海市医保局",
    "year": 2026,
    "url": "https://ybj.sh.gov.cn/cb_jbdyl/20260629/1e69bab8735e46bba0876130dd2f81aa.html",
    "note": "地方特定参保人群口径，不外推全国",
    "checked": "2026-10-23",
    "verification_state": "verified",
    "verification_scope": "官方页面、官方转载或索引可核；不是逐地方现行政策审查"
  },
  {
    "id": "elder-hb",
    "title": "湖北省养老服务条例",
    "issuer": "湖北省民政厅官方发布",
    "year": 2026,
    "url": "https://mzt.hubei.gov.cn/fbjd/zcwj/zcfg/202603/t20260301_5882457.shtml",
    "note": "省级衔接案例；具体费用仍核地方实施规则",
    "checked": "2026-10-23",
    "verification_state": "verified",
    "verification_scope": "官方页面、官方转载或索引可核；不是逐地方现行政策审查"
  },
  {
    "id": "nurse19",
    "title": "开展“互联网+护理服务”试点工作的通知",
    "issuer": "国家卫生健康委办公厅",
    "year": 2019,
    "url": "https://www.nhc.gov.cn/yzygj/c100068/201902/5b2c18d54d0c487db84562fe2c780114.shtml",
    "note": "历史试点文件；定义供给方式与安全责任",
    "checked": "2026-10-23",
    "verification_state": "verified",
    "verification_scope": "官方页面、官方转载或索引可核；不是逐地方现行政策审查"
  },
  {
    "id": "nurse20",
    "title": "进一步推进“互联网+护理服务”试点工作的通知",
    "issuer": "国家卫生健康委办公厅",
    "year": 2020,
    "url": "https://www.nhc.gov.cn/wjw/c100175/202012/5888310873ae422c98f1365a033f1324.shtml",
    "note": "后续推进；地方项目和支付另核",
    "checked": "2026-10-23",
    "verification_state": "verified",
    "verification_scope": "官方页面、官方转载或索引可核；不是逐地方现行政策审查"
  },
  {
    "id": "fd22",
    "title": "推进家庭医生签约服务高质量发展的指导意见",
    "issuer": "国家卫生健康委等六部门",
    "year": 2022,
    "url": "https://www.nhc.gov.cn/jws/c100073/202203/ae7fd08b2d4545a9a2032a4cb8de5951.shtml",
    "note": "国卫基层发〔2022〕10号；有效签约与规范履约",
    "checked": "2026-10-23",
    "verification_state": "verified",
    "verification_scope": "官方页面、官方转载或索引可核；不是逐地方现行政策审查"
  },
  {
    "id": "fd25",
    "title": "提升家庭医生签约服务感受度若干措施",
    "issuer": "国家卫生健康委；中国政府网",
    "year": 2025,
    "url": "https://app.www.gov.cn/govdata/gov/202508/19/534967/article.html",
    "note": "2025—2027举措；签约向服务感受延伸",
    "checked": "2026-10-23",
    "verification_state": "verified",
    "verification_scope": "官方页面、官方转载或索引可核；不是逐地方现行政策审查"
  },
  {
    "id": "medelder20",
    "title": "医养结合机构管理指南（试行）",
    "issuer": "国家卫生健康委、民政部、国家中医药局",
    "year": 2020,
    "url": "https://www.nhc.gov.cn/lljks/c100158/202010/e1038f88d7f54da1aefea2ece138cce3.shtml",
    "note": "机构管理基础文件；不把机构认定当整合效果",
    "checked": "2026-10-23",
    "verification_state": "verified",
    "verification_scope": "官方页面、官方转载或索引可核；不是逐地方现行政策审查"
  },
  {
    "id": "hospice25",
    "title": "安宁疗护实践指南（2025年版）",
    "issuer": "国家卫生健康委办公厅",
    "year": 2025,
    "url": "https://www.nhc.gov.cn/cms-search/xxgk/getManuscriptXxgk.htm?id=77bbbf599f894e40bbeffff938e8a577",
    "note": "2025版更新；历史2017版不能标为最新版",
    "checked": "2026-10-23",
    "verification_state": "verified",
    "verification_scope": "官方页面、官方转载或索引可核；不是逐地方现行政策审查"
  },
  {
    "id": "drg24",
    "title": "按病组和病种分值付费2.0版分组方案及相关工作通知",
    "issuer": "国家医保局办公室",
    "year": 2024,
    "url": "https://www.nhsa.gov.cn/art/2024/7/23/art_53_13314.html",
    "note": "DRG/DIP2.0分组；真实结算和切换日期逐地核",
    "checked": "2026-10-23",
    "verification_state": "verified",
    "verification_scope": "官方页面、官方转载或索引可核；不是逐地方现行政策审查"
  },
  {
    "id": "outpatient21",
    "title": "建立健全职工基本医疗保险门诊共济保障机制的指导意见",
    "issuer": "国务院办公厅",
    "year": 2021,
    "url": "https://app.www.gov.cn/govdata/gov/202104/22/470627/article.html",
    "note": "国办发〔2021〕14号；签发2021-04-13，发布2021-04-22",
    "checked": "2026-10-23",
    "verification_state": "verified",
    "verification_scope": "官方页面、官方转载或索引可核；不是逐地方现行政策审查"
  },
  {
    "id": "aid21",
    "title": "健全重特大疾病医疗保险和救助制度的意见",
    "issuer": "国务院办公厅；国家医保局转载",
    "year": 2021,
    "url": "https://www.nhsa.gov.cn/art/2021/11/19/art_104_7359.html",
    "note": "基本医保、大病保险、医疗救助衔接",
    "checked": "2026-10-23",
    "verification_state": "verified",
    "verification_scope": "官方页面、官方转载或索引可核；不是逐地方现行政策审查"
  },
  {
    "id": "county23",
    "title": "全面推进紧密型县域医疗卫生共同体建设的指导意见",
    "issuer": "国家卫生健康委等十部门",
    "year": 2023,
    "url": "https://www.nhc.gov.cn/jws/c100073/202312/f12f9fab972746438a4ed452ce946d5e.shtml",
    "note": "国卫基层发〔2023〕41号；县乡村整合",
    "checked": "2026-10-23",
    "verification_state": "verified",
    "verification_scope": "官方页面、官方转载或索引可核；不是逐地方现行政策审查"
  },
  {
    "id": "city23",
    "title": "开展紧密型城市医疗集团建设试点工作的通知",
    "issuer": "国家卫生健康委等部门",
    "year": 2023,
    "url": "https://www.nhc.gov.cn/yzygj/c100068/202302/6fddbeea30ea49f1b6ba2cbaec788580.shtml",
    "note": "国卫医政函〔2023〕27号；城市网格与协同",
    "checked": "2026-10-23",
    "verification_state": "verified",
    "verification_scope": "官方页面、官方转载或索引可核；不是逐地方现行政策审查"
  },
  {
    "id": "city-list",
    "title": "紧密型城市医疗集团试点城市名单",
    "issuer": "国家卫生健康委等部门",
    "year": 2023,
    "url": "https://www.nhc.gov.cn/yzygj/c100068/202306/885bf24e14b6444db1dcb8c6723a8598.shtml",
    "note": "试点名单，不等于地方实际运转日期",
    "checked": "2026-10-23",
    "verification_state": "verified",
    "verification_scope": "官方页面、官方转载或索引可核；不是逐地方现行政策审查"
  },
  {
    "id": "tier15",
    "title": "推进分级诊疗制度建设的指导意见",
    "issuer": "国务院办公厅；财政部官方转载",
    "year": 2015,
    "url": "https://www.mof.gov.cn/zhengwuxinxi/zhengcefabu/201509/t20150911_1458121.htm",
    "note": "国办发〔2015〕70号；历史基础框架",
    "checked": "2026-10-23",
    "verification_state": "verified",
    "verification_scope": "官方页面、官方转载或索引可核；不是逐地方现行政策审查"
  }
]