CAJ | 학술논문

基于“二元”经济社会向“一体化”转型的开创性、灵活性、未定型制度背景，以及就业形式、劳动关系多元化、非就业人群普遍存在的民情，我国基本医保立法依循了“改革试验、政策构建、试点推行、法律总结”的路径，并以城乡“三三制”的“分割”制度呈现。城乡三项基本医保的政策构建和立法路径启示，“分割”城乡三项基本医保制度的逻辑中隐含着“整合”逻辑，《社会保险法》以参保人制度、筹资制度、待遇支付制度、管理制度为主要“区分”环节，“分割”并确立了城乡三项基本医保制度体系，这正是“整合”城乡三项基本医保制度的关键环节，也是整合式基本医保立法规范设计的着力点和逻辑框架。
기우“이원”경제사회향“일체화”전형적개창성、령활성、미정형제도배경，이급취업형식、노동관계다원화、비취업인군보편존재적민정，아국기본의보입법의순료“개혁시험、정책구건、시점추행、법률총결”적로경，병이성향“삼삼제”적“분할”제도정현。성향삼항기본의보적정책구건화입법로경계시，“분할”성향삼항기본의보제도적라집중은함착“정합”라집，《사회보험법》이삼보인제도、주자제도、대우지부제도、관리제도위주요“구분”배절，“분할”병학립료성향삼항기본의보제도체계，저정시“정합”성향삼항기본의보제도적관건배절，야시정합식기본의보입법규범설계적착력점화라집광가。
Based on groundbreaking ,flexible ,unshaped institutional context transforming dual‐economy and social structure to the “integration” ,as well as social situation of pluralism of employment forms with labor relations and prevalence of non‐employment population ,China's basic medical insurance leg‐islation follow s the path of “reform trials ,policy construction ,pilot implementation ,legal summary” , and shows a system divided into workers ,non‐working urban residents and the rural population .The policy construction and legislative path for three basic medical insurance system reveals integrated logic which implicits in the divided three basic medical insurance system for non‐working urban residents and the rural population .T he social insurance law established divided three basic medical insurance system and regulated insurance registration ,collection and payment of basic medical insurance premiums ,man‐agement system as the main distinction link ,w hich are the key aspects of integration of the three basic medical insurance system ,as well as the emphasis and logical framework for the integrated design of the basic health insurance legislation norms .