A proposed second-generation National Health Insurance (NHI) program became the main topic of discussion Sunday during a ceremony to mark the changeover of the head of the Bureau of National Health Insurance (BNHI). Department of Health (DOH) Minister Yaung Chih-liang expressed regret during the ceremony that the second-generation NHI program has yet to be approved by the Legislative Yuan, adding that more needs to be done to push for the program's legislation. For her part, new BNHI Director-General Day Guey-ing said the program will be the biggest challenge facing her in her new job. Day said she will listen and watch to get a feel for what the public needs after assuming the post. Yuang thanked Day for taking the job, saying that Day, the first female head since the reorganization of the BNHI, had originally planned to retire. Day has previously served as a BNHI Taipei branch manager, director of the DOH's planning division, and a DOH section manager. Yaung reportedly appointed Day to the post because as a major planner of the first version of plans for the second-generation NHI program, she is familiar with relevant issues. During the ceremony, Yaung also said he hopes the BNHI will address the range of challenges and problems it faces. For example, the BNHI should collaborate with the DOH to create an environment for fair competition among physicians and hospitals. The outgoing BNHI head, Cheng Shou-hsia, who will return to his teaching position at National Taiwan University's College of Public Health, thanked Yaung for his support during his stint and expressed hope that the second-generation NIH program will soon clear the legislature. The second-generation NHI refers to a new scheme of calculating premiums based on total household incomes rather than the existing system, which considers only individuals' salaries and wages. 