{"error":false,"id":["168522"],"data":{"IVOD_ID":168522,"IVOD_URL":"https://ivod.ly.gov.tw/Play/Clip/1M/168522","日期":"2026-04-15","會議資料":{"會議代碼":"委員會-11-5-26-6","會議代碼:str":"第11屆第5會期社會福利及衛生環境委員會第6次全體委員會議","屆":11,"會期":5,"會次":6,"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5會期社會福利及衛生環境委員會第6次全體委員會議"},"影片種類":"Clip","開始時間":"2026-04-15T09:29:51+08:00","結束時間":"2026-04-15T09:43:47+08:00","影片長度":"00:13:56","支援功能":["ai-transcript"],"video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/3ec77822e2e6eae3b5045539de68235b8ea785098ebfecd5957eaa2632da1fa16b54fa05dac5ead05ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"陳菁徽","委員發言時間":"09:29:51 - 09:43:47","會議時間":"2026-04-15T09:00:00+08:00","會議名稱":"立法院第11屆第5會期社會福利及衛生環境委員會第6次全體委員會議（事由：邀請衛生福利部部長、行政院經貿談判辦公室、經濟部、農業部、教育部就「美國貿易代表署發布《2026年各國貿易評估報告》（2026NTE）提及技術性貿易壁壘或食品安全檢驗與動植物防疫檢疫SPS）壁壘之豬肉、牛肉與牛肉產品、β促進劑的最大殘留容許量等各項食農相關產品及技術之要求，我國所承諾之措施、移除產品禁令或取消輸入口岸檢疫程序等，並特就其中開放切片馬鈴薯帶芽（或腐爛或發黴）仍能整批進口與其敦促撤銷基改食品進校園，對我國食品安全造成之衝擊與因應作為」進行專題報告，並備質詢。\n\n邀請衛生福利部、農業部、行政院消費者保護處就「寵物用藥新制上路在即，犬貓及非經濟動物急重症醫療銜接、藥品流向管理、飼主取得可近性與消費權益保障之整體配套」進行專題報告，並備質詢。\n\n【專題報告綜合詢答】）","transcript":{"pyannote":[{"speaker":"SPEAKER_00","start":0.03096875,"end":1.0265937500000002},{"speaker":"SPEAKER_02","start":5.549093750000001,"end":10.94909375},{"speaker":"SPEAKER_00","start":11.37096875,"end":13.58159375},{"speaker":"SPEAKER_00","start":15.57284375,"end":16.33221875},{"speaker":"SPEAKER_02","start":16.82159375,"end":17.344718750000002},{"speaker":"SPEAKER_02","start":17.88471875,"end":18.42471875},{"speaker":"SPEAKER_02","start":18.77909375,"end":52.579718750000005},{"speaker":"SPEAKER_00","start":54.87471875000001,"end":108.53721875000001},{"speaker":"SPEAKER_01","start":61.48971875,"end":61.860968750000005},{"speaker":"SPEAKER_02","start":63.852218750000006,"end":63.97034375000001},{"speaker":"SPEAKER_01","start":63.97034375000001,"end":63.98721875000001},{"speaker":"SPEAKER_02","start":90.24471875,"end":91.05471875},{"speaker":"SPEAKER_02","start":106.79909375000001,"end":107.54159375},{"speaker":"SPEAKER_02","start":108.18284375,"end":114.73034375},{"speaker":"SPEAKER_00","start":115.33784375,"end":122.18909375000001},{"speaker":"SPEAKER_02","start":117.76784375000001,"end":117.98721875000001},{"speaker":"SPEAKER_02","start":121.71659375,"end":127.94346875000001},{"speaker":"SPEAKER_01","start":127.87596875000001,"end":128.29784375},{"speaker":"SPEAKER_02","start":128.19659375,"end":158.65596875},{"speaker":"SPEAKER_01","start":159.49971875,"end":159.53346875},{"speaker":"SPEAKER_01","start":159.80346875,"end":162.41909375},{"speaker":"SPEAKER_01","start":162.82409375,"end":164.69721875000002},{"speaker":"SPEAKER_01","start":165.10221875000002,"end":173.25284375},{"speaker":"SPEAKER_00","start":170.18159375000002,"end":170.45159375},{"speaker":"SPEAKER_01","start":173.84346875,"end":197.75534375},{"speaker":"SPEAKER_02","start":180.01971875,"end":181.42034375},{"speaker":"SPEAKER_02","start":191.57909375,"end":191.93346875},{"speaker":"SPEAKER_01","start":198.02534375000002,"end":216.99284375000002},{"speaker":"SPEAKER_02","start":198.48096875000002,"end":201.53534375},{"speaker":"SPEAKER_02","start":211.50846875000002,"end":212.14971875},{"speaker":"SPEAKER_02","start":213.56721875000002,"end":214.10721875000002},{"speaker":"SPEAKER_02","start":214.83284375000002,"end":218.37659375},{"speaker":"SPEAKER_01","start":218.71409375000002,"end":219.10221875000002},{"speaker":"SPEAKER_01","start":219.79409375,"end":229.61534375000002},{"speaker":"SPEAKER_01","start":229.95284375000003,"end":233.27721875},{"speaker":"SPEAKER_01","start":233.68221875,"end":233.91846875000002},{"speaker":"SPEAKER_01","start":234.27284375000002,"end":237.66471875000002},{"speaker":"SPEAKER_02","start":237.66471875000002,"end":237.73221875000002},{"speaker":"SPEAKER_01","start":238.10346875000002,"end":238.13721875000002},{"speaker":"SPEAKER_02","start":238.13721875000002,"end":246.27096875},{"speaker":"SPEAKER_01","start":246.27096875,"end":246.49034375000002},{"speaker":"SPEAKER_02","start":246.49034375000002,"end":246.82784375000003},{"speaker":"SPEAKER_01","start":246.82784375000003,"end":246.96284375000002},{"speaker":"SPEAKER_02","start":246.96284375000002,"end":247.03034375000001},{"speaker":"SPEAKER_01","start":247.03034375000001,"end":251.14784375000002},{"speaker":"SPEAKER_02","start":248.07659375000003,"end":249.20721875},{"speaker":"SPEAKER_01","start":251.16471875000002,"end":253.40909375},{"speaker":"SPEAKER_01","start":253.56096875000003,"end":257.99909375000004},{"speaker":"SPEAKER_00","start":256.46346875,"end":256.80096875000004},{"speaker":"SPEAKER_01","start":258.30284375,"end":264.73221875},{"speaker":"SPEAKER_02","start":262.06596875,"end":262.74096875000004},{"speaker":"SPEAKER_02","start":264.73221875,"end":270.03096875},{"speaker":"SPEAKER_01","start":268.71471875000003,"end":269.32221875},{"speaker":"SPEAKER_01","start":270.03096875,"end":270.11534375},{"speaker":"SPEAKER_02","start":270.11534375,"end":270.36846875000003},{"speaker":"SPEAKER_01","start":270.36846875000003,"end":270.85784375000003},{"speaker":"SPEAKER_01","start":270.89159375,"end":272.52846875},{"speaker":"SPEAKER_02","start":271.81971875,"end":276.64596875},{"speaker":"SPEAKER_01","start":274.03034375000004,"end":274.90784375000004},{"speaker":"SPEAKER_01","start":276.03846875,"end":284.59409375},{"speaker":"SPEAKER_02","start":277.59096875,"end":277.82721875000004},{"speaker":"SPEAKER_02","start":283.49721875,"end":368.37846875},{"speaker":"SPEAKER_00","start":368.58096875,"end":403.17471875},{"speaker":"SPEAKER_02","start":370.38659375000003,"end":371.29784375},{"speaker":"SPEAKER_00","start":403.73159375,"end":407.15721875},{"speaker":"SPEAKER_02","start":403.81596875,"end":404.23784375},{"speaker":"SPEAKER_02","start":407.15721875,"end":426.56346875},{"speaker":"SPEAKER_01","start":426.88409375000003,"end":429.56721875000005},{"speaker":"SPEAKER_01","start":429.76971875000004,"end":452.36534375},{"speaker":"SPEAKER_01","start":452.56784375,"end":459.90846875000005},{"speaker":"SPEAKER_01","start":460.27971875000003,"end":474.01596875},{"speaker":"SPEAKER_00","start":473.86409375000005,"end":498.87284375},{"speaker":"SPEAKER_02","start":495.00846875,"end":511.41096875000005},{"speaker":"SPEAKER_02","start":511.88346875,"end":517.8572187500001},{"speaker":"SPEAKER_02","start":518.8190937500001,"end":564.63471875},{"speaker":"SPEAKER_02","start":564.73596875,"end":633.6028437500001},{"speaker":"SPEAKER_02","start":634.1259687500001,"end":658.8647187500001},{"speaker":"SPEAKER_02","start":659.1515937500001,"end":670.8290937500001},{"speaker":"SPEAKER_02","start":670.9640937500001,"end":671.8584687500002},{"speaker":"SPEAKER_02","start":672.43221875,"end":675.03096875},{"speaker":"SPEAKER_00","start":675.03096875,"end":677.22471875},{"speaker":"SPEAKER_00","start":677.6128437500001,"end":689.8472187500001},{"speaker":"SPEAKER_02","start":689.05409375,"end":700.44471875},{"speaker":"SPEAKER_00","start":697.64346875,"end":709.30409375},{"speaker":"SPEAKER_02","start":710.28284375,"end":717.5390937500001},{"speaker":"SPEAKER_00","start":718.01159375,"end":735.6965937500001},{"speaker":"SPEAKER_02","start":736.1184687500001,"end":737.83971875},{"speaker":"SPEAKER_01","start":737.97471875,"end":738.1940937500001},{"speaker":"SPEAKER_01","start":738.68346875,"end":766.13909375},{"speaker":"SPEAKER_02","start":743.91471875,"end":744.4209687500002},{"speaker":"SPEAKER_02","start":765.14346875,"end":769.4128437500001},{"speaker":"SPEAKER_01","start":769.4128437500001,"end":773.6147187500001},{"speaker":"SPEAKER_02","start":769.5478437500001,"end":769.78409375},{"speaker":"SPEAKER_02","start":772.90596875,"end":773.0747187500001},{"speaker":"SPEAKER_01","start":773.9353437500001,"end":793.8647187500001},{"speaker":"SPEAKER_02","start":774.69471875,"end":774.96471875},{"speaker":"SPEAKER_02","start":792.27846875,"end":799.02846875},{"speaker":"SPEAKER_01","start":794.9953437500001,"end":795.8728437500001},{"speaker":"SPEAKER_01","start":799.02846875,"end":799.0790937500001},{"speaker":"SPEAKER_02","start":799.0790937500001,"end":799.2647187500002},{"speaker":"SPEAKER_01","start":799.2647187500002,"end":811.1953437500001},{"speaker":"SPEAKER_02","start":799.33221875,"end":799.90596875},{"speaker":"SPEAKER_01","start":811.43159375,"end":815.36346875},{"speaker":"SPEAKER_02","start":815.36346875,"end":822.23159375},{"speaker":"SPEAKER_01","start":818.73846875,"end":818.97471875},{"speaker":"SPEAKER_01","start":819.16034375,"end":819.3290937500001},{"speaker":"SPEAKER_02","start":822.8897187500002,"end":823.8684687500001},{"speaker":"SPEAKER_02","start":826.02846875,"end":827.59784375},{"speaker":"SPEAKER_02","start":827.83409375,"end":830.0109687500001},{"speaker":"SPEAKER_02","start":830.51721875,"end":833.45346875},{"speaker":"SPEAKER_00","start":834.3815937500001,"end":837.87471875}],"whisperx":[{"start":5.835,"end":11.762,"text":"謝謝主席 謝謝各位委員還有官員下一位我想請石部長還有杜署長請石總理部長 杜立華署長好 委員早"},{"start":18.859,"end":38.173,"text":"謝謝部長跟署長我想你們也注意到了4月10號你們在開會的時候外面有非常多這個爸爸媽媽帶他們的毛小孩直播看著你們的開會那我今天想問這一兩週引起這麼多的軒然大波有這麼多人在網路上發文串聯造成這一次這麼大的爭議還有民怨"},{"start":39.654,"end":52.354,"text":"最大的問題是你們所公布的這個管理辦法不夠貼近動物的臨床醫療那兩位是不是覺得這樣子7月1號貿然公布要上路兩位是否要為此而道歉呢"},{"start":55.132,"end":83.925,"text":"跟委員說明這個事實上是起源在102年的時候那麼一個檢舉案件開始那麼主要是涉及到這個藥事法裡面關於人用藥品的使用有一些規定供應也有一些限制那麼才引發這樣在這個人用藥品流到這個動物用藥它的使用安全跟管理"},{"start":84.645,"end":108.105,"text":"那麼才經過很多次的討論之後定出這個使用管理辦法當然這個那麼久之前這個又是兩年多以前那麼根據很多的團體大家一起討論出來的結果那麼結果在過去這兩年當中呢並沒有反應那麼到了最近才反應出來我也覺得訝異那不過呢我們即時的因應"},{"start":108.285,"end":114.5,"text":"我懂了所以你覺得最近大家在網路上吵得沸沸揚揚你覺得很訝異不需要道歉"},{"start":115.77,"end":131.783,"text":"這個不是道歉不道歉的問題這個是我們要回應到實際上的第一線的需要沒關係沒關係我們就是要一個答案而已因為可能很多關心這個議題的人也會看在眼裡啦那剛剛署長講得很清楚署長說到說主任長也關心這個議題所以現在是暫緩那我們想知道說4月10號你正式的會議記錄公文到底什麼時候會發出來這個暫緩的公文"},{"start":142.512,"end":158.445,"text":"那你們現在暫緩想要押多久的時間是一年兩年還是三年因為聽起來剛才石部長說經過兩年充分的討論結果這麼多人還是民怨沸騰你感到訝異嗎所以我想知道你下一次是要押多久"},{"start":160.278,"end":175.107,"text":"謝謝陳委員我首先先說明一下人用藥轉為保用藥那在過去來講確實是沒有一個有需求但是沒有個合法的一個位階所以這件事情一定是要正式而且去解決它那1302月26號的這個的辦法其實也是從104年開始"},{"start":179.79,"end":197.251,"text":"其實署長不好意思打斷你我也只是要問你說你們開會的結論什麼時候會出來然後你預計暫緩多久在4月10號的下午的時候我們就已經彙整了有逐字稿跟我們的重點的一個摘錄那所以說都已經開始依照我們的公文的程序在做呈報"},{"start":198.112,"end":214.019,"text":"那在這段時間 整個簽報准了以後其實對外就可以來轉送至少我想各界尤其開會的相關的利害關係的團體都收得到記錄不用到那麼久 這兩天應該就會記錄那裡面你們是壓暫緩多久"},{"start":220.401,"end":237.153,"text":"這個現在是逐一針對這個問題來做討論那現在有一個更新的版本就是這個的辦法直接用註銷那註銷以後用一個更確切實際的內容辦法跟合乎法規的位階"},{"start":239.055,"end":256.267,"text":"來做替代你的意思是說你們決定要把它註銷這件事情大概多久以內有可能會發生我想也是在這兩天因為昨天還要再開一次會其實不管行政院或是雙部長都相當重視這件事情所以大概都已經定案了"},{"start":256.727,"end":276.98,"text":"那現在就是針對這個註銷公文的文稿內容那等雙方確認以後對外就可以公告了所以等於是說你們兩個部門你們要再重新想出一個方法不用已經大致大致已經內容確認註銷以後你還是有要新的聽起來你們還是要有新的管理辦法是是是對"},{"start":277.6,"end":299.331,"text":"那這個就會針對所有的收集各界的意見都會有針對這個來做處理今天我們就稍微跟您兩位探討還有整理一下最近各界的意見這個是今天我們拿到的報告也就是農業部提出來的他說臨床動物治療長期存在需要使用人類的藥物人用的藥品"},{"start":300.311,"end":328.591,"text":"那現行藥施法規定動物診療機構並非人用藥物供應對象所以獸醫師臨床上雖有用藥需求缺合法的供應管道那因為藥施法的限制導致藥品供應中斷影響動物的醫療這個也是剛剛石部長有講到的所以我們就來探討其中的三條可能最相關的第六條它當然是對於藥品的定義所以它定義出什麼叫做人用藥品嘛"},{"start":329.051,"end":330.933,"text":"第三三條它是規定說可以賣給誰那裡面就排除掉了這些跟動物相關的機構第五十條是在講誰可以調劑 誰可以開處方這邊也沒有規範到有這個獸醫診療的機構所以這三項規就出來"},{"start":346.949,"end":369.755,"text":"就會引發剛剛杜署長所講的也是杜署長報告裡面講的空有這個急診深夜偏鄉醫用氣體注射劑等等供應情況取藥不便延誤動物的救治所以也有蠻多聲音導向說是不是要修藥事法這邊要請石部長給予您這邊的意見我的意見就是不宜不宜"},{"start":372.116,"end":388.383,"text":"在動保法這個動物保護法裡面寫得很清楚第4條他就提到在動物用藥不足的時候才以人用藥品補充之所以他是分流的那麼再從藥事法來看所有的規範都是在人用藥品這些藥品的開發是根據"},{"start":391.344,"end":402.712,"text":"人體的結構生理以及這個病理學的基礎之下所開發出來的並不是為動物設計所以從兩個法的基本精神來看"},{"start":403.826,"end":424.419,"text":"人用藥品用於動物只是不得已之措施我等一下跟您講一下世界上其他國家怎麼做但因為這個是農業部提出來的報告所以我現在也想要請杜署長講一下因為剛才石部長針對您提出來的報告您有提到說這是藥事法的限制但石部長認為說不宜修改藥事法這邊我想請問農業部的意見好 謝謝委員我首先先說明一下剛剛我們所討論的架構都是在原來的辦法之下"},{"start":433.655,"end":459.402,"text":"所以有它這個緊縮的一個地方所以可能要尋求到依照這個藥事法的相關的精神如何解就一定有一定的程序出來但現在我們討論的一個方向也就是說以目前過渡時期來講動物取得701項人品人用藥轉到動物用藥這個的部分就是可以用的這個部分那如果說"},{"start":460.362,"end":476.168,"text":"可以克服到藥事法第50條的束縛那我們就往這個方向來做處理就不一定要就是衛福部有困難的修法的部分就不一定來在藥事法第一條就寫得很清楚"},{"start":477.088,"end":495.954,"text":"那麼如果其他法律有規定者從其法律之規定所以藥事法是完整的規範人用藥品的製造、供應、使用所以這是一個完整的人藥管理所以動物用藥如果有不足要用人藥的部分要回到動物保護法去做規範我先跟您講一下"},{"start":498.655,"end":517.613,"text":"的問題並不是只有我們遇到這個其他國家有遇到那為什麼我們今天要來討論就是因為因應台灣的少子化超高齡化還有單身率等等的所以未來啊單身的人或是長者但他有一個陪伴動物會非常非常的"},{"start":518.857,"end":522.879,"text":"不罕見嘛就是常常會有這樣子的狀況所以對他們而言也許這個急診這個半夜需要就醫的需求一定會有的那這個需求你現在只會越來越大而已所以你必須要正面去面對他嘛那我們來看這些都知道了因為農業部的報告都寫了"},{"start":536.806,"end":544.089,"text":"你現在遇到的問題就是急救住院短缺這些藥品藥商的登錄意願低剛有講到了你現在登錄就只有兩成標示包裝跟成本問題這個業者不願意去承擔這個我們也可以理解因為其他國家也有發生還有偏鄉罕病藥物難取得然後還有石部長很關心的這個流向管理啊臨床效率啊等等等等的"},{"start":560.896,"end":584.812,"text":"好那我們就來看一下這邊想告訴您的是這個世界上都有這樣子的問題可是您剛說到的人用藥物大部分都已經經過動物實驗了所以允許人用藥在動物身上不管是美國歐盟或是日本就是這樣子好那美國他們怎麼做他們就是把陪伴動物跟經濟動物分開如果你是經濟動物的話他會列舉一些藥物擔心這個藥品殘留嘛這個也是農業部可能會擔心的"},{"start":591.377,"end":606.058,"text":"但是在這個陪伴動物的話他們就沒有這樣子的嚴格他們是採負面表列他們會尊重然後相信獸醫師在治療陪伴動物有高度專業所以他們負面表列就給他們彈性的空間然後尊重"},{"start":607.199,"end":633.287,"text":"世界上多數國家都是就是兩位都很懂就是off label use標籤外使用人用藥來治療動物還有經濟動物等等的所以石部長剛講的你一定要所有人都去登記成動物用藥其他國家他也沒有辦法做到他現在大部分的國家就是七成就是人用藥單純動物用藥就占三成先進國家的常態的藥物分布比例就是這樣子好那如果"},{"start":634.267,"end":658.372,"text":"署長部長很在意這個抗生素抗藥性等等的日本他就設計說日本的獸醫抗藥抗生素耐藥性的監控機制他規定所有的這些獸醫師不管你是治療經濟動物或是陪伴動物都一定要去回報使用的狀況來讓主管機關建立統計資料庫瞭解這個使用的狀況避免抗藥性那我已經告訴你"},{"start":659.292,"end":674.383,"text":"其他國家是這樣子做了所以最後具體也請您再回應一下這幾個建議都是從這個很多專家學者或是團體他們整理出來的第一個你應該是拒絕嗎調整藥師法這個沒有這個必要"},{"start":677.985,"end":689.609,"text":"剛剛提到只要從這個動保法的相關的規定去修正就可以供藥所以這個沒有問題所以不需要去修藥事法這樣這個邏輯上會那你們現在的管理辦法因為你說你們有可能要把它暫停再出一版新的"},{"start":694.81,"end":716.962,"text":"你們新的會參考這些意見嗎比如說把正面本業改成負面本業我想委員所提到的這些農業部都收集了足夠的這些相關的資訊他們會盡快的來嚴定那我們會積極來協助農業部訂定對 那你現在要改的就農業部啊 他的報告寫到三到六點你三到六點你要怎麼處理"},{"start":718.449,"end":719.13,"text":"那農業部這邊回應一下"},{"start":739.153,"end":744.239,"text":"謝謝委員 因為原來的報告是在之前就提供可是在這兩天的時候 因為政策的定已經拍板定案那都朝向你整個解決就是原來的這個法規註銷然後重新制定一個更貼切"},{"start":754.392,"end":759.154,"text":"那這些原先這個所擔心不管是市主或是公約所擔心的問題我們檢視出來應該都已經獲得解決了所以我們繼續把這個新的一個版本那你新的版本你可以稍微預告一下您新的版本最大的變革會如何我覺得在於目前來講的話大概"},{"start":775.26,"end":798.848,"text":"從藥商跟藥局的供應還是雙軌那藥商的部分已經由原來的144項已經可以提高到701項了那當然日後這個滾動階段還會再調升所以基本上所有的用藥乃至於特殊的用藥都有它的平台跟管道可以來做出所以你的意思是說未來藥品登入會到700多項那你還需要你原本在報告中提到的寄存備藥基準"},{"start":799.728,"end":819.544,"text":"是 所以這個計準原來是在原來辦法的架構之下那要有一個突破點但現在這個註銷以後那就沒有所謂的計準問題因為藥商可以直接供貨給我們的獸醫院跟獸醫師可以來做用藥好 那我們再來未來就期待你新的管理辦法版本好 謝謝署長 署長請回座請部長跟江署長"},{"start":826.189,"end":833.156,"text":"好好下次好謝謝那我們先回座因為劉昭偉好謝謝委員謝謝陳金輝委員發言"}]}},"supported_relations":[],"relations":[]}