Medical and health care is a major project related to people’s livelihood，and it is the core link of building the bottom line of people’s wellbeing. Since 2020，under “Six Stabilities” and “Six Guarantees” policies，the proportion of local government project income special bonds in medical field has been continuously increased，providing strong support for bolstering weak spots of people’s livelihood. In the first half of 2020，the income special bonds of medical projects were issued mainly in terms of 10 and 15 years，and most of them were issued in aggregate type. The single type of medical special bonds were mainly issued in western provinces. Besides，the projects were mainly in districts and counties，the project construction cycle was generally short，and the project income was mainly from the operation of hospitals. On the whole，there was little pressure for the medical special bonds projects to get the funds，and the construction risks were under overall control. However，the projects may be faced with debt repayment risks caused by income deviation. In the future，the development of medical special bonds should further play an important role in reinforcing weak spots by allocating bond funds according to needs，paying attention to the reliability and rationality of income sources，reasonably arranging bond maturity structure and standardizing project income measurement.