On December 6th, the National Health Commission, the State Administration of Traditional Chinese Medicine, and the National Bureau of Disease Control and Prevention jointly formulated the "Norms for Medical Supervision and Law Enforcement Work (Trial)" (hereinafter referred to as the "Norms"), which will be implemented on a trial basis from December 6th, 2023.

The Norms clearly define the scope and content of medical supervision, refine and decompose supervision and law enforcement responsibilities, and propose work requirements. They provide guidance on supervision and law enforcement content and methods in seven aspects, including institutional qualifications, and further regulate the handling of supervision and law enforcement situations. It is divided into five chapters and thirty-four articles, including general provisions, supervisory and law enforcement responsibilities and requirements, supervisory and law enforcement content and methods, handling of supervisory and law enforcement situations, and supplementary provisions.

The Health County Communication Platform has noted that the Norms have refined the main content of supervision and law enforcement for maternal and child health technology services, especially making provisions for the supervision and law enforcement of projects related to human assisted reproductive technology.

For example, in Chapter 3, Section 4, Article 22 of the Regulations, eight main methods for supervising and enforcing maternal and child health technology services are stipulated:

1. View information such as license verification, system establishment, and cooperation agreements with third-party testing institutions for maternal and child health technology services;

2. Spot check outpatient logs, surgical records, hospitalization medical records, ultrasound medical imaging examination records, prenatal screening and diagnosis related records, management and issuance of birth medical certificates, newborn disease screening records, and medication records for terminating pregnancy;

3. Check the verification status of the human assisted reproductive technology service license and the ethical discussion records of the medical ethics committee;

4. Spot check medical records, laboratory records, and records of the freezing and destruction of gametes, zygotes, and embryos provided by human assisted reproductive technology services;

5. Check the identity recognition, sperm (egg) retrieval process, operation of facilities and equipment, and use of reagents and consumables in the application of human assisted reproductive technology;

6. Randomly check the screening records of human sperm bank donors, semen collection, testing, freezing, sperm supply, transportation, and feedback on pregnancy outcomes of fertilized individuals; View the management and preservation status of human sperm bank archives;

7. Spot check relevant records of premarital medical examinations;

8. View the establishment of artificial termination of pregnancy system and marker settings for non medical fetal sex identification and gender selection; Randomly check the registration and verification of the patient's identity information, as well as the registration of medication records for terminating pregnancy; View medical information such as fetal gender identification and diagnostic reports.

Starting from November this year, Guangxi will include some therapeutic assisted reproductive medical services such as egg retrieval surgery in the payment scope of basic medical insurance and work-related injury insurance funds. News such as "Guangxi will include IVF in medical insurance starting from November" and "Two places have already included IVF in medical insurance" quickly surged on the hot search.

The Regulations have refined the main content of supervision and law enforcement for maternal and child health technology services, and made provisions for the supervision and law enforcement of human assisted reproductive technology related projects. Undoubtedly, they will escort the implementation of the above-mentioned medical insurance policy reforms in Guangxi, Beijing, and other places, further promoting the inclusion of some assisted reproductive medical service projects in medical insurance.

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