{"error":false,"id":["166275"],"data":{"IVOD_ID":166275,"IVOD_URL":"https://ivod.ly.gov.tw/Play/Clip/1M/166275","日期":"2025-12-10","會議資料":{"會議代碼":"委員會-11-4-26-15","會議代碼:str":"第11屆第4會期社會福利及衛生環境委員會第15次全體委員會議","屆":11,"會期":4,"會次":15,"臨時會會次":null,"種類":"委員會","委員會代碼":[26],"委員會代碼:str":["社會福利及衛生環境委員會"],"標題":"第11屆第4會期社會福利及衛生環境委員會第15次全體委員會議"},"影片種類":"Clip","開始時間":"2025-12-10T09:53:28+08:00","結束時間":"2025-12-10T10:02:17+08:00","影片長度":"00:08:49","支援功能":["ai-transcript"],"video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/a128e1119a2c25c09ccdb0835d765a1dff56a78bd28eb12244a569ea12001d97db95e054bd3dacb45ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"邱鎮軍","委員發言時間":"09:53:28 - 10:02:17","會議時間":"2025-12-10T09:00:00+08:00","會議名稱":"立法院第11屆第4會期社會福利及衛生環境委員會第15次全體委員會議（事由：邀請衛生福利部部長、勞動部及教育部就「身心障礙者特教融合、就業服務及自立生活現況」進行專題報告，並備質詢。\n(討論事項)\n一、繼續審查\n(一) 委員范雲等17人、委員何欣純等17人、委員羅廷瑋等16人、委員廖偉翔等19人、委員陳菁徽等16人、委員羅美玲等16人及委員劉建國等17人分別擬具「身心障礙者權益保障法部分條文修正草案」案。\n(二) 委員郭昱晴等19人擬具「身心障礙者權益保障法第十六條條文修正草案」案。\n(三) 委員陳冠廷等16人擬具「身心障礙者權益保障法第三十八條條文修正草案」案。\n(四) 委員陳冠廷等20人擬具「身心障礙者權益保障法第二條、第五十三條及第九十九條條文修正草案」案。\n(五) 委員徐富癸等18人擬具「身心障礙者權益保障法第十條條文修正草案」案。\n(六) 委員黃捷等17人擬具「身心障礙者權益保障法第七十一條條文修正草案」案。\n(七) 委員王鴻薇等20人擬具「身心障礙者權益保障法增訂第四十條之一條文草案」案。\n(八) 委員柯志恩等18人擬具「身心障礙者權益保障法增訂第四十條之一條文草案」案。\n(九) 委員柯志恩等17人擬具「身心障礙者權益保障法第六十條之一條文修正草案」案。\n(十) 委員馬文君等19人擬具「身心障礙者權益保障法第三十條之一、第五十條及第五十二條條文修正草案」案。\n(十一) 委員廖偉翔等21人擬具「身心障礙者權益保障法增訂第五十條之一條文草案」案。\n(十二) 委員林楚茵等20人擬具「身心障礙者權益保障法第十條條文修正草案」案。\n(十三) 委員洪孟楷等18人擬具「身心障礙者權益保障法增訂第四十條之一條文草案」案。\n(十四) 委員陳俊宇等18人擬具「身心障礙者權益保障法第七十一條條文修正草案」案。\n(十五) 委員林楚茵等17人擬具「身心障礙者權益保障法第七十一條條文修正草案」案。\n(十六) 委員劉建國等17人擬具「身心障礙者權益保障法第七十一條條文修正草案」案。\n(十七) 委員邱若華等17人擬具「身心障礙者權益保障法第七十一條條文修正草案」案。\n二、審查\n(一) 委員林月琴等18人擬具「身心障礙者權益保障法部分條文修正草案」案。\n(二) 委員伍麗華Saidhai Tahovecahe等18人擬具「身心障礙者權益保障法部分條文修正草案」案。\n(三) 委員王育敏等17人擬具「身心障礙者權益保障法部分條文修正草案」案。\n(四) 台灣民眾黨黨團擬具「身心障礙者權益保障法部分條文修正草案」案。\n【第二(四)案，如經復議，則不予審查】\n【專題報告及討論事項，綜合詢答】）","transcript":{"pyannote":[{"speaker":"SPEAKER_02","start":5.95409375,"end":8.114093750000002},{"speaker":"SPEAKER_02","start":8.62034375,"end":9.329093750000002},{"speaker":"SPEAKER_02","start":12.51846875,"end":28.262843750000002},{"speaker":"SPEAKER_00","start":13.36221875,"end":13.817843750000002},{"speaker":"SPEAKER_01","start":28.836593750000002,"end":41.56034375},{"speaker":"SPEAKER_01","start":41.96534375,"end":43.21409375},{"speaker":"SPEAKER_01","start":43.298468750000005,"end":47.078468750000006},{"speaker":"SPEAKER_02","start":46.454093750000006,"end":47.58471875},{"speaker":"SPEAKER_02","start":47.77034375,"end":47.90534375},{"speaker":"SPEAKER_01","start":47.90534375,"end":47.98971875},{"speaker":"SPEAKER_02","start":47.98971875,"end":48.09096875},{"speaker":"SPEAKER_02","start":48.32721875,"end":49.103468750000005},{"speaker":"SPEAKER_01","start":50.01471875,"end":50.048468750000005},{"speaker":"SPEAKER_02","start":50.048468750000005,"end":50.82471875},{"speaker":"SPEAKER_01","start":51.26346875,"end":55.38096875},{"speaker":"SPEAKER_02","start":53.204093750000006,"end":61.540343750000005},{"speaker":"SPEAKER_01","start":62.164718750000006,"end":64.02096875000001},{"speaker":"SPEAKER_02","start":64.02096875000001,"end":73.48784375000001},{"speaker":"SPEAKER_01","start":68.39159375,"end":68.50971875},{"speaker":"SPEAKER_02","start":73.58909375,"end":73.63971875},{"speaker":"SPEAKER_01","start":73.63971875,"end":82.97159375000001},{"speaker":"SPEAKER_02","start":75.15846875000001,"end":76.18784375},{"speaker":"SPEAKER_02","start":76.89659375000001,"end":77.14971875},{"speaker":"SPEAKER_02","start":81.19971875,"end":82.04346875},{"speaker":"SPEAKER_02","start":82.97159375000001,"end":83.44409375000001},{"speaker":"SPEAKER_01","start":83.44409375000001,"end":83.46096875},{"speaker":"SPEAKER_02","start":83.46096875,"end":83.61284375000001},{"speaker":"SPEAKER_01","start":83.61284375000001,"end":83.62971875000001},{"speaker":"SPEAKER_01","start":84.50721875,"end":123.94409375000001},{"speaker":"SPEAKER_00","start":91.47659375,"end":91.57784375},{"speaker":"SPEAKER_02","start":91.57784375,"end":91.74659375},{"speaker":"SPEAKER_00","start":91.74659375,"end":91.81409375000001},{"speaker":"SPEAKER_01","start":124.28159375000001,"end":124.43346875},{"speaker":"SPEAKER_02","start":124.45034375,"end":124.48409375000001},{"speaker":"SPEAKER_02","start":124.51784375000001,"end":140.29596875000001},{"speaker":"SPEAKER_01","start":126.35721875,"end":130.27221875},{"speaker":"SPEAKER_01","start":140.29596875000001,"end":153.44159375},{"speaker":"SPEAKER_02","start":153.59346875,"end":164.14034375},{"speaker":"SPEAKER_01","start":159.14534375000002,"end":159.56721875000002},{"speaker":"SPEAKER_01","start":164.15721875,"end":168.10596875000002},{"speaker":"SPEAKER_02","start":168.61221875,"end":189.06471875000003},{"speaker":"SPEAKER_00","start":178.06221875,"end":178.34909375},{"speaker":"SPEAKER_00","start":179.02409375000002,"end":179.68221875},{"speaker":"SPEAKER_02","start":189.94221875000002,"end":192.76034375},{"speaker":"SPEAKER_01","start":192.76034375,"end":203.52659375000002},{"speaker":"SPEAKER_01","start":203.67846875,"end":206.14221875},{"speaker":"SPEAKER_02","start":204.82596875000002,"end":207.22221875000002},{"speaker":"SPEAKER_01","start":206.63159375,"end":208.52159375000002},{"speaker":"SPEAKER_02","start":207.94784375,"end":209.39909375000002},{"speaker":"SPEAKER_01","start":209.90534375000001,"end":214.37721875000003},{"speaker":"SPEAKER_02","start":213.58409375000002,"end":217.00971875000002},{"speaker":"SPEAKER_01","start":217.60034375,"end":222.49409375000002},{"speaker":"SPEAKER_02","start":221.00909375,"end":225.73409375000003},{"speaker":"SPEAKER_01","start":226.71284375000002,"end":251.26596875},{"speaker":"SPEAKER_02","start":251.45159375000003,"end":283.63221875},{"speaker":"SPEAKER_00","start":273.67596875000004,"end":274.11471875},{"speaker":"SPEAKER_00","start":275.00909375000003,"end":275.46471875000003},{"speaker":"SPEAKER_02","start":283.80096875000004,"end":285.87659375000004},{"speaker":"SPEAKER_02","start":285.97784375000003,"end":301.85721875},{"speaker":"SPEAKER_00","start":288.76221875000005,"end":289.11659375},{"speaker":"SPEAKER_01","start":303.22409375,"end":306.04221875},{"speaker":"SPEAKER_02","start":304.16909375,"end":305.48534375},{"speaker":"SPEAKER_02","start":305.67096875000004,"end":305.90721875},{"speaker":"SPEAKER_01","start":306.32909375,"end":310.12596875},{"speaker":"SPEAKER_02","start":309.56909375000004,"end":314.26034375},{"speaker":"SPEAKER_01","start":311.86409375,"end":316.67346875000004},{"speaker":"SPEAKER_02","start":315.44159375000004,"end":316.84221875000003},{"speaker":"SPEAKER_01","start":316.74096875000004,"end":323.00159375000004},{"speaker":"SPEAKER_01","start":323.74409375000005,"end":325.46534375000005},{"speaker":"SPEAKER_02","start":323.91284375000004,"end":327.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我們一樣請部長邱委員部長好 一樣是我們身心障礙者權益保障法那我們這部保障法今年6月召委排審的時候你們的院版還在行政院像半年過去的召委在排審你們的還是一樣在行政院嗎"},{"start":29.071,"end":48.892,"text":"现在是在行政院做最后的确认因为上个礼拜有一些团体有来表示一些意见所以我们就重新检视一下再修一个版本应该预计在本月底或者是下个月初就会送到这是最快的对会最慢吗"},{"start":50.169,"end":61.32,"text":"會不會再慢應該差不多就是這個時間了我看是立法院修完了行政院才準備把自己的版本送過來部長你的角色是主管機關還是遲到的學生"},{"start":62.376,"end":81.561,"text":"當然我們是儲管機關我想說你們這次準備送進立法院的版本那內容跟你們2024年8月的公告修正的草案有沒有一樣不一樣不一樣因為當時候預告的時候那麼因為收到很多的意見所以我們才會又做很多的討論團體的討論改了什麼東西"},{"start":84.894,"end":113.057,"text":"包含这个在这个身心障碍的相关委员会的这个参与这个参与度我们会让他提高这个代表的比例会让他提高那另外呢把这个通用设计路法各级政府都要导入那另外在这个自立生活支持服务的部分我们也会有所琢磨那另外对于身心障碍服务机构"},{"start":115.538,"end":139.25,"text":"受服務者的權益保障消極條件等等我們也都有納入還有一些交通無障礙設施的部分也都會所以都是我們身障團體的一些訴求都進來了嗎像自力生活個人助理制度長照整合統一時數標準身障者的參與政策路法這些都已經進來了嗎"},{"start":140.63,"end":167.973,"text":"對就是說參與入法的部分就是說需要入法的我們把他進來那是執行面的東西像如何去整合執行面的東西我們會從我們的行政作業面來執行那部長我再確認一件事情這個胰臟酵素製劑卡麗硝有沒有列入這個藥事法第27條之二所講的必要藥品這個目前是這個基本藥物就是那個必要藥品"},{"start":168.652,"end":188.727,"text":"那現在的規定的必要藥品只要預期供應不足至少要提前6個月通報或者是天災不可規則的突發事件要在事發後30天來通報嘛對不對那你們11月25號就把這個卡麗硝放在缺藥平台照理來講卡麗硝是必要藥品應該有6個月以上的庫存安全期"},{"start":189.963,"end":216.861,"text":"可是你們又現在說只剩下一個月不然這怎麼回事因為這個法還沒有修過我們現在目前有提出這個藥事法的修法所以他那個庫存的情形沒有到六個月是這個還沒有但是我們現在已經你們是什麼時候接到通報的確認的時間我要再請這個食藥署去查一下是醫院反映的還是這個平台反映"},{"start":217.799,"end":225.405,"text":"我們這個是由這個業者業者直接那為什麼你要等到這個一個月後才公報啊"},{"start":227.275,"end":250.942,"text":"應該是說他會進行一些作業程序去確認這個沒有可替代性就是說他通報之後他先通報說我可能要停止供貨或者是供應量會下降然後就會進入這個專家的討論說有沒有其他的可替代性如果沒有可替代性就會啟動專案製造或專案輸入像這個就是要專案輸入了"},{"start":252.162,"end":279.307,"text":"那我因為我看台灣現在缺藥大家已經見怪不怪了像外科手術用的那個CHG的那個劑型都在缺這就不是一般的問題了這張照片是我們苗栗外科手這個醫師的手原本他們進手術前都要消毒用的是隨意M的那個乾式刷手液比較不傷手但是7年開始全台大缺貨醫生護理人員至少被迫"},{"start":279.987,"end":300.587,"text":"回到過去用刺激性更強的這個CHG的刷手藝那甚至優點來手藝來洗手那外科醫師排班比較多的話他可能一天刷十幾次 二十幾次長期使用刺激性的產品手就會變成這樣子破皮龜裂結果我看到你們11月28號缺藥平台連這個也缺啦"},{"start":304.355,"end":321.469,"text":"這個刷手液是相當普遍的一個產品應該有很多的你之前不商售的3M的那個也缺貨現在這個也缺貨相類似的產品這中間發生什麼問題是不是這個品項有它的什麼特殊性可能都要經過專家會議去討論為什麼這種東西都會缺呢"},{"start":328.342,"end":351.484,"text":"不應該是缺的 因為它有很多類似的產品刷手藝的產品很多我們勞動部也在嘛那我請問一下 這個算紙災嗎報告委員 這個不是我所負責的業務很難回答 很抱歉好 請回序談"},{"start":352.526,"end":367.605,"text":"那部長我覺得你們對藥品的政策邏輯真的很奇怪因為我發現一個問題最近我們常缺藥就是你常把健保藥價壓到全球最低壓到藥商沒有利潤 沒有誘因最後只能退出台灣市場"},{"start":368.726,"end":388.292,"text":"那 然後就開始缺藥了那缺藥的時候一開始缺一種 兩種現在變成常態接著你們的解方永遠就是只有一個啟動這個專案輸入而我們陳時中政委急著要把這個藥師法大修進一步放寬這個專案輸入的條件你不覺得這個很奇怪嗎"},{"start":390.373,"end":408.488,"text":"跟委員說明這個我們在這個必要藥品上都有它的一些作業的機制那麼都會先去評估這個同類品的藥同類項我們列在同項的項下還有多少種品項"},{"start":409.409,"end":421.522,"text":"不是 我現在講這個是就是說你們先把藥價砍到沒人要做然後在後面再花更多的錢去國外買急單最後還是全民買單啊 對不對你們從壓價 缺藥 然後開專案買更貴 再修法"},{"start":428.615,"end":454.454,"text":"然後再更多的專案我在想 我在想是現在民進黨政府他是這個光電的這個錢賺不夠現在要改當藥頭了是嗎不會啦 因為這些藥啊我們都是經過市場的藥價調查那麼他有一定的藥價差黑箱就越多啊黑箱越多利益分配就越大嘛那一問到專案價格你們就說是機密嘛"},{"start":455.282,"end":479.355,"text":"對不對那如果機密價格進口商少數流程快速採購不透明你們靠專案輸入就能繞過健保的購買繞過審查的流程也繞過監督的機制跟委員說明普通在專案輸入進口的時候他都是跟現行的幾戶的要價是相同的為優先對因為開了要價之後哪一家拿到好像是"},{"start":480.436,"end":493.562,"text":"你們說了算嘛沒有 他是公開徵求他是會 他會上網公開徵求然後我們要價的部分呢原則上說會跟現行的要價是相同的為原則那為什麼每次問到多少錢你們都說是機密勒"},{"start":494.885,"end":520.484,"text":"那個是實際上這個供貨的價格跟我們給付價格我們會公告的是給付價格就是跟大家都是一樣但是醫院的採購價那個是醫院的採購價我這樣講啦部長這個遊戲不要再玩了就是說專案輸入永遠比這個之前的都貴啦也比較黑箱我希望以後我們這個部分能夠更透明更公開絕對不要變成常態"},{"start":521.485,"end":525.052,"text":"我們一定是採取公開透明的原則好 謝謝部長好 謝謝邱委員"}]}},"supported_relations":[],"relations":[]}