LONG Hem XA HOI CHU NGHIA VIET NAM

DO 14p - Tv do - Hanh phtic

S6: 4312 /SYT-KHTC Cao Bang, ngay o24 thang 7 nam 2016 V/v: Huang dan xay dtmg (Iv toan NSNN nam 2017.

Kinh Cac don vi du toan true thuc S6 Y t6.

Can cir Thong to s6 91/2016/TT-BTC ngay 24/6/2016 dm BO Tai chinh huong dan xay dung du town nam 2017;

Thuc hien Cong van so 1492/UBND-TH ngdy 15/6/2016 cua UBND tinh Cao Bang ye viec xay dung 1(6 hoach phat trien kinh to - )(a h6i va Du toan Ngan sach nha nuac nam 2017; va Cong van so 689/STC-KHNS ngdy 19/7/2016 dm SO. Tai chinh Cao Bang ve vie‘c xay dung du toan Ngan sach nam 2017,

Trong khi chua c6 Quyet dinh cua UBND tinh ve ban hanh dinh mire phan bo du toan chi thuong xuyen ngan sach nha nu6c nam 2017, giai doan 2017 — 2020. De trien khai thuc hi.0 tot cong tae xay dung du toan thu, chi Ngan sad' nha nu6c nam 2017 theo dung quy dinh, SO. Y to Cao Bang huang dan cac dcm vi true thuc thuc hien danh gia tinh hinh thuc hien nhiem vu du toan ngan sach nam 2016 va xay dung du toan NSNN nam 2017 nhu sau:

I. Danh gia thvc hien nhiem NA, NSNN Ham 2016 - Danh gia viec thuc hien du toan thu, chi NSNN 6 thang dau nam va du kien ca

nam 2016. theo tong not dung, nhiem vu da. dugc Y to giao. Trong do tap trung danh gia tinh hinh thuc hien cac not dung va nhim vu quan trong; phan tich danh gia nhung nhan to anh huOng, tac Ong den .ket qua thu su nghi0 nhu tac d6ng cua ca che,, chinh sach va ca the quan VT den ket qua thu; nhang kh6 khan, vuang mac va de xuat bien phap xir

- Danh gia tong quat ket qua thuc hien tiet kiem tr* de cac khoan chi thuong xuyen, chi cho b6 may quail 13'T nha nuac, chi hoat d6ng cua dan vi su nghi0 cong theo huang dan chi tick tai Muc 2 — Cong van s6 3667/BTC-HCSN ngay 21/3/2016 dm BO Tai chinh; va Muc 2 — Cong van s6 801/UBND-TH ngay 19/4/2016 dm UBND tinh Cao Bang ye thuc hien nhiem vu chi thu6ng xuyen ngan sach nha nuot nam 2016 theo Nghi quyet s6 01/NQ-CP ngay. 07/01/2016 dm Chinh

- Danh gia tinh hinh va ket qua trien khai co. the to chu, Arc chiu trach nhiem ve sir dung bien ch6 va kinh phi quail 1y hanh chinh theo Nghi dinh so 130/2005/ND-CP ngay 17/10/2005 va b6 sung sir d'o'i tai Nghi dinh so 117/2013/ND-CP ngay 07/10/2013 cua Chinh phu; ket qua thuc hien ca ehe to chtl d6i vai cac dan vi su nghi0 cong theo Nghi dinh s6 43/2006/ND-CP ngay 25/4/2006, Nghi dinh so 16/2015/ND-CP ngay 14/02/2015, Nghi dinh s6 85/2012/ND-CP ngdy 15/10/2012.

UBND TINH CAO BANG

SOS Y TE

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- Danh gia k& qua thuc hi'e'n chinh sach uu dal trong linh vuc y te, tinh hinh thuc hit-tva tac d6ng dieu chinh gia dich vu kham Nnh, chila Nnh bao hiem y t6 theo Thong to lien tich so 37/2015/TTLT-BYT-BTC dm Lien B6 Y t6, 136 Tai chinh.

II. My dung du toil' NSNN nam 2017 1. Muc tieu, nguyen tac Nam 2017 la nam Co 3'7 nghia rat quan trong, la nam thir 2 thuc hie:n Nghi quye't

Dai h6i Dai biL lan thir XII dm Hang; Nghi quyet Dai h6i dai bieu Hang b6 tinh Cao Bang lAn thir XVIII, nhi'm kST 2015 — 2020; va 1(6 hoach phat trie'n kinh to - xa. h6i 5 nam 2016 - 2020 dm. tinh Cao Bang. D6ng thOri LI* Ngan sach Nha nuac so 83/2015/QH13 c6 hi'e'll luc thi hanh tir nam Ngan sach 2017. Vic xay dung du toan NSNN nam 2017 va giai (Joan 2017 -2020 phai dugc thuc hien theo dung quy dinh dm Lu4t Ngan sach Nha nu& 2015, va cac van ban huong clan thi hanh Lust. V6i mitt tieu on dinh kinh to vi mo, nang cao chat,luong tang truang va dam bao yeu cau tang tnremg ben ,vang phi' hop voi can doi nguon luc; huy d6ng cac nguOn luc ngan sach Ala cac nguon luc ngoai,ngan sach de dam bao cac can doi vi mo d6 thuc hirt tot cac nhi'e'm vu phat trie'n kinh to - xa h6i.

Vic xay dung du toan nam 2017 phai gan voi tong tac xay dung Ke hoach phat tri6n sr nghip y to nam 2017 dm nganh Y t6:

- ve du toan thu sr nghip phai dam bao tinh dung, tinh dit cac nguon thu; phi' hop voi 1'6 trinh thuc hien thuc h*1 Nghi dinh so 85/2012/ND-CP ngdy 15/10/2012 cita Chinh phi', Nghi dinh so 16/2015/ND-CP ngay 14/02/2015 dm Chinh phit.

- W du toan chi ngan sach phai thuc,hin trit de' tiet kirn, thong lang phi ngay tir khau xac dinh nhi'm vu, chit d6ng sap xep thir to cac nhi'e'm vu chi uu tien theo murc d6 quan trong, cap thiet va kha nang trien khai trong nam 2017. Cac don vi can phai chit d6ng du kie'n nhu cau kinh phi de thuc hin cac nhi'e'm vu duot giao, dam bao dUng chinh sach, the d6 trong pham vi du toan chi Ngan sach nha nu& theo dinh mire phan 1:6 du toan chi thuomg xuyen dm Ngan sach nha nu& nam 2017, tren cc sa dam bao nguyen tac can d6i giita nguon thu sit nghip va kha nang dap frng oh NSNN.

2. Mit so not dung chit y:eu - Cac khoan thu duot de lai chi theo the d6 (vW1 phi, BHYT, phi, l' phi, cac

khoan thu khac): Dan ,vi can cu so thuc to thuc hiO thu nam 2015, ink thuc hien thu nam 2016 va nhang yeu to tac d6ng den ngu6n thu nam 2017 de xay dung du toan thu nam 2017 cho phi' hop. Cac khoan thu sit nghip mang tinh chat gia dich vu kinh doanh cila don vi, kh6ng thu6c ngu6n thu NSNN, de nghi l'a'p du toan rieng, khong dua chung vao du toan thu phi, l' phi thuc NSNN.

- L'a'p du toan chi NSNN nam 2017 phai teen co. sa dinh mirc phan b6 du toan chi thuOng xuyen nam 2016; va cac co. ch6 chinh sach, che d'6 hi'e'n hanh, du kiL phat sinh nam 2017, &rig tiled phai gan vi& xay dung du toan ngan sach nam 2017 voi vi& thuc hi'e'n xay dip-ig 16 trinh tinh gia dich vu sit nghip ding sir dung kinh phi Ngan sach nha nu& theo huang tirng bulk tinh du chi phi lien luong, chi phi true tiep theo Nghi dinh s6 16/2015/ND-CP ngay 14/02/2015 dm Chinh pH.. Trong do, chi tiL lucmg, cac khoan

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phu cap Luang va cac khoan trich n0p theo luang (BHYT, BHXH, BHTN, KPCD) tinh theo mire luong co. so. 1.210.000 dO'ng/thang.

- Thuc hi'e'n day dit ca the giao quy& tir chit, to chiu trach nhi4'm v'e sir dung bien ch6 va kinh phi quan 15T hanh chinh tai Nghi dinh so 130/2005/ND-CP ngay 17/10/2005 cua Chinh phil; ca the to chit to chiu trach nhitn ve thuc hi@.1 nhiem vu, to chirc b0 may, bien the va tai chinh doi cac don vi sir nghip cong lap theo Nghi dinh so 43/2006/ND-CP ngay 25/04/2006 cua Chinh phit.

- Be) tri nguon ngan sach thuc hien cai each lien luang: Cac dan vi su nghi0 c6 thu, ngoai viec tie't ki4sm chi thuong xuyen 10% phai sir dung it nhat 35% doi thu phi, le phi; vien phi, BHYT (sau khi trir chi phi thuoc, mau, dich truy&i, hod chat, vat to tieu hao, vat tu,thay it va cac khoan thu dugc d6 Lai theo the dO. Cac dcm vi ch d0ng bo tri nguon thuc hien cai cach tien luang tir nguon thu 4e Lai theo the dO qui dinh, nguon tiet ki'm chi thuong xuyen, cac nguon thuc hi"e'n cai each tier' luang nam truck chua sir dung het (nett co) chuyen sang Warn 2017 de tiep tuc thuc hien tien luang ca so' 1.210.000 gong/ thang.Toan 1)0 cac nguon kinh phi nay phai dugc hach toan, quan 13'T rieng d'6 tao nguon tiep toe thuc hien cai cach tien luang theo 10 trinh, khong sir dung cho cac muc dich khac.

- Ngoai cac quy dinh chung neu tren dan vi can thuye't minh ro them doi voi mot so link \Tye sau:

+ So bien ch6 dugc du3* d6n th&i di6m lap du toan, trong d6 so bien the thuc t6 c6 mat d6n then diem lap du toan (30/6/2016).

+ So giu&ng Nnh ke hoach nam 2016, &Ong Nnh thuc hi.41 den thai di6'm lap du toan nam 2017.

+ Xac dinh quy tien luang, phu cap theo luang, cac khoan dOng g6p c6 mat tai th&i di6m 30/6/2016, va du ki6n qu'5, tien lucmg tang them do nang bac luang cua nam 2017 theo mire luang co. s& 1.210.000d/thang.

+ Xac dinh so doi tugng, va du toan nhu cAu ngan, sach dam bao d6 thuc cac the dO chinh sach an sinh xa hOi, chinh sach lien quan den con ngtrai do Trung trang va tinh ban hanh nhu phu cap cong vu 25 % theo Nghi dinh so 34/2012/ND-CP ngay 15/4/2012 cua Chinh phit va mire phu cap uu dai theo Nghi dinh so 64/2009/ND-CP ngay 30/7/2009, Nghi dinh so 116/2010/ND-CP ngay 24/12/2010, Nghi dinh so 56/2011/ND-CP ngay 04/7/2011 dm Chinh phit, Quye't dinh 73/2011/QD-TTg ngay 28/12/2011 ve the dO phu cap true, phAu thuat, thit thuat; cac ch6 dO phu cap theo Quyet dinh s(') 447/QD-UBDT ngay 19/9/2013, Quy6t dinh so 2405/QD-TTg ngay 10/12/2013... tinh cho dit 12 thang cua nam 2017 (sau khi trir cac nguon cai each tier' lucmg dam bao tir nguOn thu theo quy dinh).

+ Cac khoan chi, tir nguon kinh phi khong thuc to chit (kinh phi khong thuong xuyen): Do nguon kinh phi nay rat,han che,,nen vi& lap du toan nam 2017 can xay dung chi tit theo tong nOi dung cu the trong ke hoach mua sam, sira chlta cua dan vi phai co trong tam, trong di6m, co thir to uu tien va can doi \Teri kha Wang nguon ngan sach co the dap ung trong dinh

* BO sung vao du toan nam 2017 cac nOi dung chi dac thit can thie't cua tirng don vi nhu :

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+ Kinh phi mua Bao him filch nhiem trong kham china benh theo Nghi dinh s'(') 102/2011/ND-CP ngay14/11/2011 cua Chinh phii;

+ Kinh phi xay dung de an xin cap phep xa nu& thai vao moi tnr6ng + Kinh phi su nghiep moi twang ( phi quan trac moi truong) + Cac khoan chi doi img thuc hien cac du an: Giai trinh cci sa phap 1SI va thuyet

minh chi tiet, co. sa tinh toan cua timg Ichoan chi. 3.T6 chtrc thtrc hien 3.1 Giao Chi ctic Dan so - Ke hoach hod gia dinh tinh Cao Bang thuc hien xay

cltmg du toan ngan sach nam 2017 cho Van ph6ng Chi cuc, 13.6" sung them du toan kinh phi de thuc hien Thong tu so 07/2016/TTLT-BYT-BTC-BLDTBXH ngay 15/04/2016 cira Lien BO Y t - BO Tai chinh — BO Lao dOng thuong binh va xa h(ii; va du toan cho cac Trung tam DS-KIIHGD huyen, Thanh pht').

3.2 Ve Neu mau lap du toan NSNN nam 2017: Cac dan vi lap du toan thu, chi ngan sach day du theo cac bikr mau so 01; 02; 03; 04; 05a; 05b hung clan kern theo cong van nay.

3.3 Ngoai cac bie'u neu teen, cac don vi lap,bao cao them cac biL e mau: Biu so 13( cac not dung chi cac ciia don vi) ; Bieu so 16; Bieu so 17; Bleu so 18; Bieu so 19; Bie'u. so 21. Truong Trung cap Y to lap them Bieu so 25b; Cac Benh vien (con so' kham chira benh) lap them Bieu mau so 26a, 26b theo Thong tu so 91/2016/TT-BTC ngay 24/6/2016.

(Cac bie'u mau nay Phong K.6 hoach Tai chinh giri qua hOp thu dien tin cho don vi rieng).

3.4 Cac don vi can cir chirc Wang nhiem vu cua minh lap Bao cao danh gia tinh hinh thuc hien du toan nam 2016 va xay dung du toan thu, chi NSNN nam 2017, gfri dung th6i gian ye Y to 02 ban cho Phong Ke hoach - Tai chinh; va gi.ri file mem vao dia chi thu dien khtcsytcb@gmail.com truikc ngay 25/7/2016, de So. Y to tong hop va lam can cir lap Du toan Ngan sach Nha nuac nam 2017 nganh y to bao cao S6 Ke hoach — Dau tu, Sor Tai chinh, BO Y to truck khi thao Juan du toan ngan sach nam 2017.

, 3.5 Trong qua trinh xay dung du toan ngan sach nam 2017, neu có nhang vuang mac de nghi cac don vi phan anh ve So Y to (Phong Ke hoach — Tai chinh) theo so dien thoai 026 3 852 930 de" dugc huong dAn va giai dap kip th6i./.1,

Noi nhOn: - Nhu kinh - Website; eOffice SCr Y t6; - Ltru: VT, KHTC.

GIAM DOC

Luc Van D#i

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