{"error":false,"id":["166896"],"data":{"IVOD_ID":166896,"IVOD_URL":"https://ivod.ly.gov.tw/Play/Clip/1M/166896","日期":"2026-01-07","會議資料":{"會議代碼":"聯席會議-11-4-36,26-1","會議代碼:str":"第11屆第4會期司法及法制、社會福利及衛生環境委員會第1次聯席會議","屆":11,"會期":4,"會次":1,"臨時會會次":null,"種類":"聯席會議","委員會代碼":[36,26],"委員會代碼:str":["司法及法制委員會","社會福利及衛生環境委員會"],"標題":"第11屆第4會期司法及法制、社會福利及衛生環境委員會第1次聯席會議"},"影片種類":"Clip","開始時間":"2026-01-07T11:00:19+08:00","結束時間":"2026-01-07T11:07:14+08:00","影片長度":"00:06:55","支援功能":["ai-transcript"],"video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/8a4de0f3676b468ffb78180887cad4ae91c86f75780029905aa3b5816bd951ef86e46e02d761d5dd5ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"沈發惠","委員發言時間":"11:00:19 - 11:07:14","會議時間":"2026-01-07T09:00:00+08:00","會議名稱":"立法院第11屆第4會期司法及法制、社會福利及衛生環境委員會第1次聯席會議（事由：一、併案審查行政院函請審議「衛生福利部組織法第二條、第五條及第八條條文修正草案」案等10案。\n二、併案審查行政院函請審議「衛生福利部兒少及家庭支持署組織法草案」案等7案。\n三、併案審查行政院函請審議「衛生福利部長期照顧及社會發展署組織法草案」案等6案。\n四、併案審查行政院函請審議「衛生福利部中央健康保險署組織法第二條條文修正草案」案等5案。\n五、併案審查行政院函請審議「國家醫療科技評估中心設置條例草案」案等4案。\n六、併案審查行政院函請審議「國家中醫研究院設置條例草案」案等10案。\n【詳見議事日程】）","transcript":{"pyannote":[{"speaker":"SPEAKER_01","start":12.974093750000002,"end":13.024718750000002},{"speaker":"SPEAKER_00","start":13.024718750000002,"end":15.94409375},{"speaker":"SPEAKER_00","start":17.496593750000002,"end":18.35721875},{"speaker":"SPEAKER_01","start":18.47534375,"end":19.504718750000002},{"speaker":"SPEAKER_01","start":19.96034375,"end":68.99909375},{"speaker":"SPEAKER_00","start":43.33221875,"end":43.90596875},{"speaker":"SPEAKER_00","start":45.89721875,"end":46.08284375},{"speaker":"SPEAKER_00","start":58.33409375,"end":58.587218750000005},{"speaker":"SPEAKER_00","start":62.586593750000006,"end":62.87346875},{"speaker":"SPEAKER_01","start":69.50534375000001,"end":99.55971875},{"speaker":"SPEAKER_01","start":99.89721875000001,"end":160.49534375000002},{"speaker":"SPEAKER_00","start":105.24659375,"end":105.53346875000001},{"speaker":"SPEAKER_00","start":111.76034375,"end":112.24971875000001},{"speaker":"SPEAKER_00","start":146.03346875,"end":147.83909375000002},{"speaker":"SPEAKER_00","start":149.18909375,"end":149.47596875000002},{"speaker":"SPEAKER_00","start":160.03971875000002,"end":160.39409375},{"speaker":"SPEAKER_01","start":161.18721875,"end":162.62159375000002},{"speaker":"SPEAKER_01","start":162.97596875000002,"end":164.32596875000002},{"speaker":"SPEAKER_01","start":164.68034375000002,"end":171.05909375000002},{"speaker":"SPEAKER_00","start":170.13096875000002,"end":170.19846875000002},{"speaker":"SPEAKER_00","start":170.33346875,"end":170.43471875},{"speaker":"SPEAKER_01","start":171.41346875000002,"end":172.22346875000002},{"speaker":"SPEAKER_01","start":172.96596875,"end":186.14534375000002},{"speaker":"SPEAKER_01","start":186.33096875,"end":193.72221875000002},{"speaker":"SPEAKER_01","start":193.87409375000001,"end":194.14409375000002},{"speaker":"SPEAKER_01","start":194.27909375000002,"end":203.03721875000002},{"speaker":"SPEAKER_00","start":203.03721875000002,"end":211.81221875},{"speaker":"SPEAKER_00","start":211.91346875000002,"end":219.40596875000003},{"speaker":"SPEAKER_01","start":218.89971875,"end":220.90784375},{"speaker":"SPEAKER_01","start":221.09346875000003,"end":222.34221875},{"speaker":"SPEAKER_01","start":223.37159375000002,"end":233.83409375000002},{"speaker":"SPEAKER_00","start":224.50221875000003,"end":225.10971875},{"speaker":"SPEAKER_00","start":226.79721875,"end":226.83096875},{"speaker":"SPEAKER_00","start":233.14221875,"end":238.45784375000002},{"speaker":"SPEAKER_01","start":235.80846875,"end":236.07846875},{"speaker":"SPEAKER_01","start":238.55909375000002,"end":264.14159375},{"speaker":"SPEAKER_00","start":239.40284375000002,"end":240.11159375000003},{"speaker":"SPEAKER_00","start":241.54596875000001,"end":242.33909375000002},{"speaker":"SPEAKER_00","start":244.21221875,"end":244.46534375000002},{"speaker":"SPEAKER_00","start":247.80659375000002,"end":248.07659375000003},{"speaker":"SPEAKER_00","start":262.36971875,"end":263.51721875000004},{"speaker":"SPEAKER_01","start":264.49596875000003,"end":269.79471875},{"speaker":"SPEAKER_01","start":270.95909375,"end":272.79846875000004},{"speaker":"SPEAKER_01","start":273.03471875,"end":297.26721875000004},{"speaker":"SPEAKER_01","start":297.92534375,"end":313.75409375000004},{"speaker":"SPEAKER_01","start":314.59784375000004,"end":323.45721875000004},{"speaker":"SPEAKER_00","start":318.64784375,"end":318.79971875},{"speaker":"SPEAKER_00","start":323.45721875000004,"end":359.62034375},{"speaker":"SPEAKER_01","start":334.12221875,"end":334.54409375},{"speaker":"SPEAKER_01","start":335.80971875,"end":336.23159375},{"speaker":"SPEAKER_01","start":358.96221875000003,"end":372.44534375},{"speaker":"SPEAKER_00","start":366.06659375000004,"end":366.67409375},{"speaker":"SPEAKER_00","start":366.69096875,"end":366.82596875},{"speaker":"SPEAKER_00","start":367.26471875000004,"end":368.46284375000005},{"speaker":"SPEAKER_01","start":372.95159375000003,"end":388.15596875},{"speaker":"SPEAKER_00","start":384.44346875,"end":385.13534375},{"speaker":"SPEAKER_01","start":388.74659375000005,"end":393.38721875000005},{"speaker":"SPEAKER_01","start":393.89346875,"end":397.03221875},{"speaker":"SPEAKER_01","start":397.25159375000004,"end":413.53596875000005},{"speaker":"SPEAKER_00","start":399.46221875000003,"end":402.24659375000005},{"speaker":"SPEAKER_00","start":405.25034375,"end":407.39346875},{"speaker":"SPEAKER_00","start":411.71346875,"end":414.97034375000004},{"speaker":"SPEAKER_00","start":415.08846875,"end":415.10534375000003},{"speaker":"SPEAKER_01","start":415.10534375000003,"end":415.98284375000003},{"speaker":"SPEAKER_00","start":415.54409375,"end":417.53534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主席我們請 石部長石部長請孫委員好部長早我想我們今天委員會所安排大概有六個法案這六個法案大概都是主要就是因為我們有關衛福部的組織架構的調整所以有這六個法案我看這六個法案裡面我們衛福部的組織架構調整大概是新設兩個"},{"start":42.385,"end":67.911,"text":"這個三級機關就是兒少級家庭支持署跟這個長照級社會發展署這兩個三級機關那另外這個新設一個行政法人就是國家醫療科技評估中心這個新設的行政法人另外是國家中醫研究院的一個改制大概就是比較大的重點大概是這個其他更名跟這個法治處這個比較問題比較小"},{"start":70.611,"end":74.513,"text":"有關兒少及家庭支持署還有長照跟社會發展署這兩個新設機構都是賴總統在選舉的時候所提出的政見"},{"start":87.857,"end":111.325,"text":"現在在希望說能夠透過這次的修法能夠落實這樣子的想法那這部分我們一定是全力支持的那至於這兩個一個改制的一個新設的這兩個這兩個行政法人這部分我大概今天有一些中間有一些細節我想就跟署長這邊來了解一下首先是有關這個國家醫療科技評估中心這個新設單位"},{"start":115.068,"end":127.207,"text":"這個大概就是依照全民健保法第42條的第一項跟第二項有關這些相關的評估我們都設置國家醫療科技評估中心來加以規範"},{"start":129.67,"end":149.287,"text":"所以我也參考其實這個東西我也參考其他世界各國因為現在我們的限制現在這個是在國家醫療科技評估中心現在目前是一個附屬的單位是一個附屬的單位專案辦公室對 它只是一個辦公室"},{"start":149.727,"end":169.544,"text":"那我看這全世界對照全世界基本上不管英國 加拿大 韓國 德國 法國 日本這些都是一些獨立的機構或是一些專責機構只是我們現在還是一個副主單位所以我想這樣子的改制 最主要是希望能夠提高我們HTA的量能還有提高它的影響力"},{"start":173.247,"end":193.175,"text":"這個部分但是有一個重點也是一般現在目前社會以及這個相關的這些業界大家比較關心的就是說我們從這個從我們今天送出來法案的設置條例的第三條我們來看有關於這些這強烈我們中心應該辦理的這些醫療科技評估政策研究人才培育國際合作諮詢等等相關業務"},{"start":194.515,"end":221.537,"text":"這些相關的對於這些評估的結果是不是對外公開在我們這個規範裡面沒有是不是能夠請部長說明一下未來這些評估是不是能夠對外公開跟委員報告我們目前對於這個健保要收載的這個新藥或新科技的醫療科技評估報告是有公開目前就有公開所以未來在執行這些的時候也一樣會做公開這個絕對沒有問題那這個公開是只有這個"},{"start":224.714,"end":237.946,"text":"這個對於這個醫界並有團體社會大眾他是指公開結論呢還是包括他評估方法資料來源所有重要假設這些通通一定公開就是整份的報告不是只有結論就是整份的報告我們在網路上公開"},{"start":238.767,"end":262.879,"text":"都會公開因為這個沒有在法條裡面呈現所以這各界比較關心所以這部分我就是很高興今天署長部長都在這邊做清楚的說明那接下來這個另外一個就是我們這次要改制的這個國家中醫研究院我們這個國家中醫研究院過去其實在民國四十幾年那時候就在教育那時候一開始是隸屬於教育部"},{"start":265.183,"end":268.334,"text":"到2013年我們才改立衛福部"},{"start":271.344,"end":296.294,"text":"這個我比較這個其實設施這個國家中醫研究院這個部分其實它最真正的根據是來自憲法徵修條文憲法徵修條文的第十條第五項它就明白規定說國家應該促進現代跟傳統醫藥研究發展是以這個憲法這個徵修條文的依據但是我這裡面比較有興趣的就是說跟改之前跟改之後有一個部分特別"},{"start":297.995,"end":308.691,"text":"注意到這是在我們的這個設置條例的草案第三條的第一項裡面提到說中醫這個醫療業務之執行這本院的業務範圍包括醫療業務之執行"},{"start":314.673,"end":336.269,"text":"也就是未來會不會有門診你未來這個是有附設醫院嗎有沒有門診這個部分我想要講清楚因為如果有就跟現在的限制很不一樣囉對就是跟委員也說明確實這個委員非常的仔細的看到我們未來現在的在機關我們現在是一個機關中醫藥研究所他只單純就是"},{"start":337.871,"end":363.79,"text":"單純就是研究而已可是在研究的過程需要做臨床試驗所以我們現在都採取合作的方式但是未來如果能夠透過行政法人那麼讓用人更有彈性那未來有需要的時候也可以我們預留了空間可能也可以設立這個附屬的醫療院所以你現在變成要執行醫療業務未來是不是設置門診是不是變成一個提供醫療服務的機構"},{"start":366.452,"end":393.125,"text":"這個就很不一樣了你如果說提供一個有提供醫療服務的機構的話未來是醫療的機構還是輻射的醫院還是研究單位還是一個臨床的場域這個都完全是不一樣他是不是會納入醫療法的規範等等的相關的這些問題其實牽涉蠻大這部分是我看到我們未來這次改制可能特別注意我特別注意到這個部分這部分希望"},{"start":394.005,"end":412.604,"text":"是不是有完整的配套齁或者說只是預目前什麼配套都還沒有只是預留在法案預留這個空間而已其實這個八字都一點都還沒有還沒有還沒有那如果未來未來真的要設置相關的醫療機構那我想又是大問題了好 謝謝謝謝部長我們會再詳細的評估這樣好 謝謝部長好 謝謝沈"}]}},"supported_relations":[],"relations":[]}