{"id":38871,"date":"2024-05-17T10:24:47","date_gmt":"2024-05-17T13:24:47","guid":{"rendered":"https:\/\/bonettiassociados.com.br\/?p=38871"},"modified":"2024-05-17T10:24:47","modified_gmt":"2024-05-17T13:24:47","slug":"reforma-tributaria-quais-os-beneficios-para-medicos-e-medicamentos","status":"publish","type":"post","link":"http:\/\/bonettiassociados.com.br\/index.php\/2024\/05\/17\/reforma-tributaria-quais-os-beneficios-para-medicos-e-medicamentos\/","title":{"rendered":"REFORMA TRIBUT\u00c1RIA: QUAIS OS BENEF\u00cdCIOS PARA M\u00c9DICOS E MEDICAMENTOS"},"content":{"rendered":"<p style=\"text-align: justify;\"><span style=\"font-family: arial, helvetica, sans-serif;\">O projeto de lei que regulamenta a reforma tribut\u00e1ria (PLP 68\/2024) prev\u00ea redu\u00e7\u00e3o de 60% e 100% da CBS (Contribui\u00e7\u00e3o sobre Bens e Servi\u00e7os) e do IBS (Imposto sobre Bens e Servi\u00e7os) para medicamentos, equipamentos e servi\u00e7os m\u00e9dicos.<\/span><\/p>\n<p style=\"text-align: justify;\"><!--more--><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: arial, helvetica, sans-serif;\">O Minist\u00e9rio da Fazenda dividiu o benef\u00edcio fiscal em dois grupos listados em anexos da proposta encaminhada ao Congresso Nacional.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: arial, helvetica, sans-serif;\">A equipe econ\u00f4mica diz que as desonera\u00e7\u00f5es s\u00e3o maiores que as concedidas atualmente por meio de PIS\/Cofins e ICMS, tributos que deixar\u00e3o de existir at\u00e9 2033.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: arial, helvetica, sans-serif;\">O projeto prev\u00ea, ainda, o mecanismo &#8220;fast track&#8221;, por meio do qual ser\u00e1 poss\u00edvel atualizar a lista de isen\u00e7\u00f5es fiscais anualmente ou em raz\u00e3o de emerg\u00eancias de sa\u00fade p\u00fablica.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: arial, helvetica, sans-serif;\">Todos os itens listados nos dois grupos ter\u00e3o al\u00edquota zerada quando adquiridos por meio de compras p\u00fablicas.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: arial, helvetica, sans-serif;\"><strong>CBS e IBS reduzidos em 60% para:<\/strong><\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li><span style=\"font-family: arial, helvetica, sans-serif;\">27 servi\u00e7os de sa\u00fade<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif;\">850 medicamentos<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif;\">71 tipos de composi\u00e7\u00f5es enterais e parenterais<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif;\">92 dispositivos m\u00e9dicos<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif;\">6 produtos de higiene pessoal e limpeza<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif;\">Produtos de cuidados b\u00e1sicos \u00e0 sa\u00fade menstrual<\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><span style=\"font-family: arial, helvetica, sans-serif;\"><strong>CBS e IBS zerados para:<\/strong><\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li><span style=\"font-family: arial, helvetica, sans-serif;\">383 medicamentos<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif;\">17 dispositivos m\u00e9dicos<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif;\">Compras p\u00fablicas de todos os itens acima<\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><span style=\"font-family: arial, helvetica, sans-serif;\"><strong>REDU\u00c7\u00c3O DE 60%<\/strong><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: arial, helvetica, sans-serif;\">Um primeiro grupo de itens ter\u00e1 redu\u00e7\u00e3o de 60% nos tributos (cerca de 10% de CBS + IBS). Esse benef\u00edcio fiscal valer\u00e1 para 850 tipos de medicamentos.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: arial, helvetica, sans-serif;\">Entre eles, losartana (usada para tratamento de hipertens\u00e3o arterial), insulina (medica\u00e7\u00e3o para diabetes) e nimesulida (anti-inflamat\u00f3rio). A lista completa est\u00e1 dispon\u00edvel no anexo V do projeto.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: arial, helvetica, sans-serif;\">A mesma isen\u00e7\u00e3o ser\u00e1 concedida a 92 dispositivos m\u00e9dicos (anexo IV do projeto). Entram na lista cateter, rins artificiais, luvas cir\u00fargicas e seringas.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: arial, helvetica, sans-serif;\">A proposta inclui tamb\u00e9m outros 71 tipos de composi\u00e7\u00f5es enterais e parenterais (alimenta\u00e7\u00e3o ou suplementa\u00e7\u00e3o por via oral, nasal ou venosa), al\u00e9m de 27 servi\u00e7os de sa\u00fade \u2013como fisioterapia, odontologia e psicologia (veja lista completa abaixo).<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: arial, helvetica, sans-serif;\">A redu\u00e7\u00e3o de 60% da CBS e do IBS ser\u00e1 concedida tamb\u00e9m sobre seis tipos de produtos de limpeza e higiene pessoal consumidos por fam\u00edlias de baixa renda.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: arial, helvetica, sans-serif;\">A lista (anexo IX do projeto) inclui \u00e1gua sanit\u00e1ria, escova de dentes e papel higi\u00eanico. Al\u00e9m de produtos de cuidados b\u00e1sicos \u00e0 sa\u00fade menstrual, como absorventes e tamp\u00f5es higi\u00eanicos, coletores e calcinhas absorventes.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: arial, helvetica, sans-serif;\"><strong>AL\u00cdQUOTA ZERO<\/strong><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: arial, helvetica, sans-serif;\">Um segundo grupo de itens ter\u00e1 isen\u00e7\u00e3o total da CBS e do IBS.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: arial, helvetica, sans-serif;\">S\u00e3o 383 medicamentos, como cefalotina (usado para tratar infec\u00e7\u00f5es), efavirenz (anti-retroviral usado no tratamento ao HIV) e propofol (anest\u00e9sico utilizado em cirurgias). A lista completa est\u00e1 no anexo XV.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: arial, helvetica, sans-serif;\">Os impostos ser\u00e3o zerados para 17 dispositivos m\u00e9dicos (anexo XIII), entre eles, aparelhos de raio-x, ortop\u00e9dicos, de radioterapia e tom\u00f3grafos.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: arial, helvetica, sans-serif;\"><strong>Servi\u00e7os m\u00e9dicos com al\u00edquota reduzida em 60%<\/strong><\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li><span style=\"font-family: arial, helvetica, sans-serif;\">Cir\u00fargicos<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif;\">Ginecol\u00f3gicos e obst\u00e9tricos<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif;\">Psiqui\u00e1tricos<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif;\">Prestados em UTI<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif;\">Atendimento de urg\u00eancia<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif;\">Hospitalares<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif;\">Cl\u00ednica m\u00e9dica<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif;\">M\u00e9dicos especializados<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif;\">Odontol\u00f3gicos<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif;\">Enfermagem<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif;\">Fisioterapia<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif;\">Laboratoriais<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif;\">Diagn\u00f3stico por imagem<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif;\">Bancos de material biol\u00f3gico humano<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif;\">Ambul\u00e2ncia<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif;\">Assist\u00eancia ao parto e p\u00f3s-parto<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif;\">Psicologia<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif;\">Vigil\u00e2ncia sanit\u00e1ria<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif;\">Epidemiologia<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif;\">Vacina\u00e7\u00e3o<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif;\">Fonoaudiologia<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif;\">Nutri\u00e7\u00e3o<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif;\">Optometria<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif;\">Instrumenta\u00e7\u00e3o cir\u00fargica<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif;\">Biomedicina<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif;\">Farmac\u00eauticos<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif;\">Cuidado e assist\u00eancia a idosos e pessoas com defici\u00eancia em unidades de acolhimento<\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><span style=\"font-family: arial, helvetica, sans-serif;\"><strong>FONTE: FOLHA DE S. PAULO \u2013 POR NIVALDO SOUZA<\/strong><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>O projeto de lei que regulamenta a reforma tribut\u00e1ria (PLP [&hellip;]<\/p>\n","protected":false},"author":14,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"footnotes":"","_jetpack_memberships_contains_paid_content":false,"jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false}}},"categories":[2,9],"tags":[],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paFpWR-a6X","_links":{"self":[{"href":"http:\/\/bonettiassociados.com.br\/index.php\/wp-json\/wp\/v2\/posts\/38871"}],"collection":[{"href":"http:\/\/bonettiassociados.com.br\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/bonettiassociados.com.br\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/bonettiassociados.com.br\/index.php\/wp-json\/wp\/v2\/users\/14"}],"replies":[{"embeddable":true,"href":"http:\/\/bonettiassociados.com.br\/index.php\/wp-json\/wp\/v2\/comments?post=38871"}],"version-history":[{"count":1,"href":"http:\/\/bonettiassociados.com.br\/index.php\/wp-json\/wp\/v2\/posts\/38871\/revisions"}],"predecessor-version":[{"id":38872,"href":"http:\/\/bonettiassociados.com.br\/index.php\/wp-json\/wp\/v2\/posts\/38871\/revisions\/38872"}],"wp:attachment":[{"href":"http:\/\/bonettiassociados.com.br\/index.php\/wp-json\/wp\/v2\/media?parent=38871"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/bonettiassociados.com.br\/index.php\/wp-json\/wp\/v2\/categories?post=38871"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/bonettiassociados.com.br\/index.php\/wp-json\/wp\/v2\/tags?post=38871"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}