第一条この法律は、昭和三十四年一月一日から施行する。

Article 1This Act shall come into effect as of January 1, 1959.

第二条この法律の施行の際現に国民健康保険を行つていない市町村は、第三条第一項の規定にかかわらず、昭和三十六年四月一日までに国民健康保険事業を開始するをもつて足りる。

Article 2For any Municipality which doesn't actually provide any national health insurance program at the time when this Act comes into effect, it shall be sufficient to commence national health insurance services no later than April 1, 1961, notwithstanding the provisions of Article 3, paragraph (1).

第三条前条の市町村で、特別の事情があるものは、第三条第一項及び前条の規定にかかわらず、昭和三十六年四月一日以後も当分の間、厚生大臣の承認を受けて、国民健康保険を行わないことができる。

Article 3Any Municipality as referred to in the preceding Article may, if in special circumstances and upon the approval of the Minister of Health and Welfare, choose to remain with no national health insurance program after April 1, 1961 until otherwise provided for in law, notwithstanding the provisions of Article 3, paragraph (1) and the preceding Article.

第四条第十一条の規定は、前二条の規定により国民健康保険を行わない市町村には、適用しない。

Article 4The provisions of Article 11 shall not apply to any Municipality which provides no national health insurance program pursuant to the provisions of the two preceding Articles.

第五条前三条に規定するもののほか、この法律の施行に関して必要な事項は、別に法律で定める。

Article 5In addition to what is provided for in the three preceding Articles, necessary particulars concerning the enforcement of this Act shall be prescribed by law.

第五条の二指定介護老人福祉施設（介護保険法第四十八条第一項第一号に規定する指定介護老人福祉施設をいう。以下この項において同じ。）に入所をすることにより当該指定介護老人福祉施設の所在する場所に住所を変更したと認められる被保険者であつて、当該指定介護老人福祉施設に入所をした際他の市町村（当該指定介護老人福祉施設が所在する市町村以外の市町村をいう。）の区域内に住所を有していたと認められるものは、当該指定介護老人福祉施設が入所定員の減少により同法第八条第二十一項に規定する地域密着型介護老人福祉施設（同項に規定する地域密着型介護老人福祉施設入所者生活介護の事業を行う事業所に係る同法第四十二条の二第一項本文の指定を受けているものに限る。以下この条において「変更後地域密着型介護老人福祉施設」という。）となつた場合においても、当該変更後地域密着型介護老人福祉施設に継続して入所をしている間は、第五条の規定にかかわらず、当該他の市町村が行う国民健康保険の被保険者とする。ただし、変更後地域密着型介護老人福祉施設となつた指定介護老人福祉施設（以下この条において「変更前介護老人福祉施設」という。）を含む二以上の病院等（第百十六条の二第一項に規定する病院等をいう。以下この条において同じ。）に継続して入院、入所又は入居（以下この条において「入院等」という。）をしていた被保険者（当該変更後地域密着型介護老人福祉施設に継続して入所をしている者に限る。）であつて、当該変更前介護老人福祉施設に入所をする直前に入院等をしていた病院等（以下この項において「直前入院病院等」という。）及び変更前介護老人福祉施設のそれぞれに入院等をすることにより直前入院病院等及び変更前介護老人福祉施設のそれぞれの所在する場所に順次住所を変更したと認められるもの（次項において「特定継続入院等被保険者」という。）については、この限りでない。

Article 5-2(1)An insured person whose domicile is found to have been changed to the location of a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly (meaning a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly as set forth in Article 48, paragraph (1), item (i) of the Long-Term Care Insurance Act; hereinafter the same shall apply in this paragraph), due to the fact that said person was admitted thereto, and who is found to have been domiciled in the area of another Municipality (meaning any Municipality other than that in which such Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly is located) at the time of admission to such Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly shall, even if said Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly becomes a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care as set forth in Article 8, paragraph (21) of the same Act (limited to a facility designated under the main clause of paragraph (1) of Article 42-2 of the same Act as a provider engaged in the business of providing Admission to a Community-Based Facility for Preventive Daily Long-Term Care of the Elderly Covered by Public Aid as set forth in Article 8, paragraph (21) of the same Act; hereinafter referred to as the "Converted Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care" in this Article) due to a decrease in its capacity, be an insured person covered by the national health insurance program provided by such other Municipality notwithstanding the provisions of Article 5, as long as said person continuously stays at such Converted Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care; provided, however, that this shall not apply to an insured person who has continuously been hospitalized in or stayed or resided at (hereinafter referred to as "Hospitalized, etc." in this Article) two or more Hospitals, etc. (meaning Hospitals, etc. as set forth in Article 116-2, paragraph (1); hereinafter the same shall apply in this Article) which include a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly which became a Converted Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care (hereinafter referred to as the "Former Facility Covered by Public Aid Providing Long-Term Care to the Elderly" in this Article) (limited to an insured person who has continuously stayed at such Converted Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care and whose domicile is, due to the fact that said person was Hospitalized, etc. in the Hospital immediately before being Hospitalized, etc. in said Former Facility Covered by Public Aid Providing Long-Term Care to the Elderly (hereinafter referred to as the "Last Hospital, etc." in this paragraph) and then in the Former Facility Covered by Public Aid Providing Long-Term Care to the Elderly, found to have sequentially been changed to the location of the Last Hospital, etc. and then to that of the Former Facility Covered by Public Aid Providing Long-Term Care to the Elderly (in the following paragraph referred to as a "Specified Continuously Hospitalized Insured Person").

２特定継続入院等被保険者のうち、次の各号に掲げるものは、第五条の規定にかかわらず、当該各号に定める市町村が行う国民健康保険の被保険者とする。

(2)Notwithstanding the provisions of Article 5, a Specified Continuously Hospitalized Insured Person who falls under any of the following items shall be an insured person covered by the national health insurance program provided by the Municipality set forth in the relevant item:

３前二項の規定の適用を受ける被保険者については、変更後地域密着型介護老人福祉施設を病院等とみなして、第百十六条の二の規定を適用する。

(3)The provisions of Article 116-2 shall apply to an insured person to whom the provisions of the two preceding paragraphs shall apply, as if the Converted Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care were a Hospital, etc.

第六条平成二十六年度までの間において、市町村が行う国民健康保険の被保険者（六十五歳に達する日の属する月の翌月以後であるものを除く。）のうち、次に掲げる法令に基づく老齢又は退職を支給事由とする年金たる給付を受けることができる者であつて、これらの法令の規定による被保険者、組合員若しくは加入者であつた期間（当該期間に相当するものとして政令で定める期間を含む。）又はこれらの期間を合算した期間（以下この項及び附則第二十条において「年金保険の被保険者等であつた期間」という。）が二十年（その受給資格期間たる年金保険の被保険者等であつた期間が二十年未満である当該年金たる給付を受けることができる者にあつては、当該年金たる給付の区分に応じ政令で定める期間）以上であるか、又は四十歳に達した月以後の年金保険の被保険者等であつた期間が十年以上であるものに該当する者は、退職被保険者とする。ただし、当該年金たる給付の支給がその者の年齢を事由としてその全額につき停止されている者については、この限りでない。

Article 6(1)During the period up to fiscal 2014, an insured person covered by the national health insurance program provided by a Municipality (excluding a person whose 65th birthday falls on any month before the present month) who is eligible for any benefit in the form of a pension provided due to old age or retirement under any of the laws and regulations listed below and: (i) who was an insured person, association member or subscriber pursuant to the provisions of the relevant law or regulation for a period (including any period prescribed by Cabinet Order as equivalent to such period) or total period (hereinafter referred to as "Period During Which the Person was an Insured Person, etc. of Pension Insurance" in this paragraph and Article 20 of the Supplementary Provisions) of twenty years (or, in the case of a person who is eligible for such benefit in the form of a pension and who was an insured person, etc. of pension insurance and was eligible for benefits thereunder for less than twenty years, a period prescribed by Cabinet Order according to the type of such benefit in the form of a pension) or more; or (ii) whose Period During Which the Person was an Insured Person, etc. of Pension Insurance in and after the month in which such person reached forty years of age is ten years or more, shall be a retired insured person; provided, however, that this shall not apply to any person to whom the payment of such benefit in the form of a pension has been suspended in whole due to said person's age.

２市町村が行う国民健康保険の被保険者（六十五歳に達する日の属する月の翌月以後であるものを除く。）であつて、次の各号のいずれかに該当するものは、退職被保険者の被扶養者とする。

(2)An insured person covered by the national health insurance program provided by a Municipality (excluding any person whose 65th birthday falls on any month before the present month) who falls under any of the following items shall be a dependent of the retired insured person:

第七条退職被保険者及びその被扶養者（以下「退職被保険者等」という。）の住所の存する市町村（第百十六条又は第百十六条の二の規定により他の市町村の行う国民健康保険の被保険者である場合については、当該他の市町村とする。以下「退職被保険者等所属市町村」という。）が負担する費用のうち、第一号及び第二号に掲げる額の合算額から第三号に掲げる額を控除した額（以下「被用者保険等拠出対象額」という。）については、政令で定めるところにより、社会保険診療報酬支払基金（以下「支払基金」という。）が退職被保険者等所属市町村に対して交付する療養給付費等交付金をもつて充てる。

Article 7(1)Of the expenses borne by a Municipality in which retired insured persons or their dependents (hereinafter referred to as a "Retired Insured Persons, etc.") are domiciled (or, in cases where such persons are insured persons covered by the national health insurance program provided by another Municipality pursuant to the provisions of Article 116 or 116-2, said other Municipality; hereinafter referred to as the "Municipality to Which the Retired Insured Persons, etc. Belong"), the amount calculated by deducting the amount listed in item (iii) from the total sum of the amounts listed in items (i) and (ii) (hereinafter referred to as the "Amount for Which Contributions Shall be Made from Employees' Insurance, etc.") shall be, pursuant to Cabinet Order provisions, covered by grants for medical treatment benefit expenses, etc. to be provided by the Health Insurance Claims Review and Reimbursement Services (hereinafter referred to as the "Reimbursement Services") to the Municipality to Which Retired Insured Persons, etc. Belong:

２前項の療養給付費等交付金（以下「療養給付費等交付金」という。）は、附則第十条の規定により支払基金が徴収する療養給付費等拠出金をもつて充てる。

(2)The grants for medical treatment benefit expenses, etc. as referred to in the preceding paragraph (hereinafter referred to as "Grants for Medical Treatment Benefit Expenses, etc.") shall be covered by contributions for medical treatment benefit expenses, etc. collected by the Reimbursement Services pursuant to the provisions of Article 10 of the Supplementary Provisions.

３第一項第二号に規定する調整対象基準額は、療養給付費等交付金の交付を受ける年度の概算調整対象基準額（高齢者の医療の確保に関する法律第三十四条第三項に規定する概算調整対象基準額をいう。以下この項において同じ。）とする。ただし、当該年度の前々年度の概算調整対象基準額が当該年度の前々年度の確定調整対象基準額（同法第三十五条第三項に規定する確定調整対象基準額をいう。以下この項において同じ。）を超えるときは、当該年度の概算調整対象基準額からその超える額とその超える額に係る調整対象基準調整金額（当該年度の前々年度におけるすべての退職被保険者等所属市町村に係る概算調整対象基準額と確定調整対象基準額との過不足額につき生ずる利子その他の事情を勘案して厚生労働省令で定めるところにより各退職被保険者等所属市町村ごとに算定される額をいう。以下この項において同じ。）との合計額を控除して得た額とするものとし、当該年度の前々年度の概算調整対象基準額が当該年度の前々年度の確定調整対象基準額に満たないときは、当該年度の概算調整対象基準額にその満たない額とその満たない額に係る調整対象基準調整金額との合計額を加算して得た額とする。

(3)The Base Amount for Adjustment as set forth in paragraph (1), item (ii) shall be the estimated base amount for adjustment (meaning the estimated base amount for adjustment as set forth in Article 34, paragraph (3) of the Act on Assurance of Medical Care for Elderly People; hereinafter the same shall apply in this paragraph) for the fiscal year for which the Grants for Medical Treatment Benefit Expenses, etc. are provided; provided, however, that when the estimated base amount for adjustment for the fiscal year before the fiscal year immediately preceding the fiscal year for which the Grants for Medical Treatment Benefit Expenses, etc. are provided exceeds the fixed base amount for adjustment (meaning the fixed base amount for adjustment as set forth in Article 35, paragraph (3) of the same Act; hereinafter the same shall apply in this paragraph) for the fiscal year before the fiscal year immediately preceding the fiscal year for which the Grants for Medical Treatment Benefit Expenses, etc. are provided, said Base Amount for Adjustment shall be the amount obtained by deducting, from the estimated base amount for adjustment for the fiscal year for which the Grants for Medical Treatment Benefit Expenses, etc. are provided, the total sum of the amount of such excess and the base adjustment amount for adjustment (meaning the amount to be calculated for each Municipality to Which Retired Insured Persons, etc. Belong pursuant to the provisions of Ordinance of the Ministry of Health, Labour and Welfare, by taking into consideration interest accruing with respect to the amount of difference between the estimated base amount for adjustment and the fixed base amount for adjustment, both for all Municipalities to Which Retired Insured Persons, etc. Belong and for the fiscal year before the fiscal year immediately preceding the fiscal year for which the Grants for Medical Treatment Benefit Expenses, etc. are provided, as well as other circumstances; hereinafter the same shall apply in this paragraph) relating to said amount of such excess, whereas when the estimated base amount for adjustment for the fiscal year before the fiscal year immediately preceding the fiscal year for which the Grants for Medical Treatment Benefit Expenses, etc. are provided falls short of the fixed base amount for adjustment for the fiscal year before the fiscal year immediately preceding the fiscal year for which the Grants for Medical Treatment Benefit Expenses, etc. are provided, said Base Amount for Adjustment shall be the amount obtained by adding, to the estimated base amount for adjustment for the fiscal year for which the Grants for Medical Treatment Benefit Expenses, etc. are provided, the total sum of the amount of such shortfall and the base adjustment amount for adjustment relating to said amount of such shortfall.

第八条厚生労働大臣は、退職被保険者等所属市町村の退職被保険者等に係る国民健康保険事業の運営に関し、退職被保険者等所属市町村が確保すべき収入を不当に確保しなかつた場合又は退職被保険者等所属市町村が支出すべきでない経費を不当に支出した場合においては、政令の定めるところにより、支払基金に対し、前条第一項の規定により当該退職被保険者等所属市町村に対して交付する同項の療養給付費等交付金の額を減額することを命ずることができる。

Article 8(1)When a Municipality to Which Retired Insured Persons, etc. Belong has unjustly failed to secure the income that it should have secured or has unjustly incurred expenses that it should not have incurred, in each case in relation to the carrying out of national health insurance services for Retired Insured Person, etc. of said Municipality to Which Retired Insured Persons, etc. Belong, the Minister of Health, Labour and Welfare may, pursuant to Cabinet Order provisions, order the Reimbursement Services to reduce the amount of Grants for Medical Treatment Benefit Expenses, etc. to be provided to said Municipality to Which Retired Insured Persons, etc. Belong pursuant to the provisions of paragraph (1) of the preceding Article.

２前項の規定により減額する額は、不当に確保しなかつた額又は不当に支出した額を超えることができない。

(2)The amount of reduction permitted pursuant to the preceding paragraph may not exceed the amount of income which unjustly failed to be secured or the amount of expenses which were unjustly incurred.

第九条退職被保険者等所属市町村については、第七十条第一項第一号中「被保険者」とあるのは「一般被保険者（附則第六条の規定による退職被保険者又は退職被保険者の被扶養者以外の被保険者をいう。第七十二条の三第一項において同じ。）」と、同項第二号中「後期高齢者支援金」とあるのは「後期高齢者支援金の納付に要する費用の額から、附則第七条第一項第二号に規定する調整対象基準額及び後期高齢者支援金の額の合算額に同号に規定する退職被保険者等所属割合を乗じて得た額を控除した額」と、第七十二条の三第一項中「被保険者」とあるのは「一般被保険者」とする。

Article 9(1)In a Municipality to Which Retired Insured Persons, etc. Belong, the term "insured persons" in Article 70, paragraph (1), item (i) shall be deemed to be replaced with "General Insured Persons (meaning all insured persons other than retired insured persons or their dependents as set forth in Article 6 of the Supplementary Provisions; the same shall apply in Article 72-3, paragraph (1))," the term "Old-Old Aid" in item (ii) of the same paragraph shall be deemed to be replaced with "the amount calculated by deducting, from the amount of expenses incurred in paying Old-Old Aid, the amount obtained by multiplying the total sum of the Base Amount for Adjustment and the amount of Old-Old Aid as set forth in Article 7, paragraph (1), item (ii) of the Supplementary Provisions by the Ratio of Retired Insured Persons, etc. as set forth in the same item," and the term "insured persons" in Article 72-3, paragraph (1) shall be deemed to be replaced with "General Insured Persons."

２次条第三項の規定により厚生労働大臣が定める組合にあつては、第七十六条第一項中「保険者」とあるのは「附則第十条第三項の規定により厚生労働大臣が定める組合」と、「並びに介護納付金の納付に要する費用を含み、健康保険法第百七十九条に規定する組合にあつては、同法」とあるのは「、介護納付金、同条第一項の規定による拠出金並びに健康保険法」とする。

(2)In the case of a Society specified by the Minister of Health, Labour and Welfare pursuant to the provisions of paragraph (3) of the following Article, the term "Insurer" in Article 76, paragraph (1) shall be deemed to be replaced with "Society specified by the Minister of Health, Labour and Welfare pursuant to the provisions of Article 10, paragraph (3) of the Supplementary Provisions," and the phrase "and Long-Term Care Payments and, in the case of a Society set forth in Article 179 of the Health Insurance Act, including expenses incurred in paying day worker contributions collected pursuant to the provisions of the same Act" in the same paragraph shall be deemed to be replaced with ", Long-Term Care Payments, the Contributions collected pursuant to the provisions of paragraph (1) of the same Article, and day worker contributions collected pursuant to the provisions of the Health Insurance Act."

第十条支払基金は、附則第十七条に規定する業務及び当該業務に関する事務の処理に要する費用に充てるため、年度（毎年四月一日から翌年三月三十一日までをいう。以下同じ。）ごとに、被用者保険等保険者から、療養給付費等拠出金及び事務費拠出金（以下この条、附則第十六条及び第十七条において「拠出金」という。）を徴収する。

Article 10(1)Reimbursement Services shall, in order cover the expenses incurred in handling the functions set forth in Article 17 of the Supplementary Provisions and of affairs relating to such functions, collect contributions for medical treatment benefit expenses, etc. and affairs expense contributions (hereinafter referred to as "Contributions" in this Article and Articles 16 and 17 of the Supplementary Provisions) from Insurers of Employees' Insurance, etc. for each fiscal year (meaning the period from April 1 of each year to March 31 of the following year; hereinafter the same shall apply).

２被用者保険等保険者は、拠出金を納付する義務を負う。

(2)Each Insurer of Employees' Insurance, etc. shall have the obligation to pay Contributions.

３第一項の被用者保険等保険者は、健康保険法の規定による保険者、船員保険法の規定による保険者、第六条第三号に規定する共済組合、日本私立学校振興・共済事業団及び健康保険法第三条第一項第八号の規定による承認を受けて同法の被保険者とならない者を組合員とする組合であつて厚生労働大臣が定めるものとする。

(3)The Insurers of Employees' Insurance, etc. as referred to in paragraph (1) shall be the Insurers under the provisions of the Health Insurance Act, the Insurers under the provisions of the Seaman's Insurance Act, the mutual aid associations set forth in Article 6, item (iii), the Promotion and Mutual Aid Corporation for Private Schools of Japan, and such Societies as specified by the Minister of Health, Labour and Welfare whose members consist of persons who are not eligible as insured persons under the Health Insurance Act upon the approval under the provisions of Article 3, paragraph (1), item (viii) of the same Act.

第十一条前条第一項の規定により被用者保険等保険者から徴収する療養給付費等拠出金の額は、当該年度の概算療養給付費等拠出金の額とする。ただし、前々年度の概算療養給付費等拠出金の額が前々年度の確定療養給付費等拠出金の額を超えるときは、当該年度の概算療養給付費等拠出金の額からその超える額とその超える額に係る拠出金調整金額との合計額を控除して得た額とするものとし、前々年度の概算療養給付費等拠出金の額が前々年度の確定療養給付費等拠出金の額に満たないときは、当該年度の概算療養給付費等拠出金の額にその満たない額とその満たない額に係る拠出金調整金額との合計額を加算して得た額とする。

Article 11(1)The amount of contributions for medical treatment benefit expenses, etc. to be collected from Insurers of Employees' Insurance, etc. pursuant to the provisions of paragraph (1) of the preceding Article shall be the amount of estimated contributions for medical treatment benefit expenses, etc. for the relevant fiscal year; provided, however, that when the amount of estimated contributions for medical treatment benefit expenses, etc. for the fiscal year before the last exceeds the actual amount of fixed contributions for medical treatment benefit expenses, etc. for the fiscal year before the last, the amount of contributions for medical treatment benefit expenses, etc. to be so collected shall be the amount obtained by deducting, from the amount of estimated contributions for medical treatment benefit expenses, etc. for the relevant fiscal year, the total sum of the amount of such excess and the Contribution Adjustment Amount relating to said amount of such excess, whereas when the amount of estimated contributions for medical treatment benefit expenses, etc. for the fiscal year before the last falls short of the amount of fixed contributions for medical treatment benefit expenses, etc. for the fiscal year before the last, the amount of contributions for medical treatment benefit expenses, etc. to be so collected shall be the amount obtained by adding, to the amount of estimated contributions for medical treatment benefit expenses, etc. for the relevant year, the total sum of the amount of such shortfall and the Contribution Adjustment Amount relating to said amount of such shortfall.

２前項に規定する拠出金調整金額は、前々年度におけるすべての被用者保険等保険者に係る概算療養給付費等拠出金の額と確定療養給付費等拠出金の額との過不足額につき生ずる利子その他の事情を勘案して厚生労働省令で定めるところにより各被用者保険等保険者ごとに算定される額とする。

(2)The Contribution Adjustment Amount as referred to in the preceding paragraph shall be the amount to be calculated for each Insurer of Employees' Insurance, etc. pursuant to the provisions of Ordinance of the Ministry of Health, Labour and Welfare, by taking into consideration interest accruing with respect to the amount of difference between the estimated contributions for medical treatment benefit expenses, etc. and the amount of fixed contributions for medical treatment benefit expenses, etc., both for all Insurers of Employees' Insurance, etc. and for the fiscal year before the last, as well as other circumstances.

第十二条前条第一項の概算療養給付費等拠出金の額は、被用者保険等保険者ごとの当該年度の標準報酬総額（健康保険法の規定による保険者又は船員保険法の規定による保険者にあつては、被保険者ごとのこれらの法律に規定する標準報酬（標準報酬月額及び標準賞与額をいう。）の当該年度の合計額の総額とし、第六条第三号に規定する共済組合にあつては、組合員ごとの同号に規定する法律に規定する標準報酬の月額及び標準期末手当等の額又は給料の月額及び期末手当等の額の当該年度の合計額の総額を、日本私立学校振興・共済事業団にあつては、加入者ごとの私立学校教職員共済法に規定する標準給与の月額及び標準賞与の額の当該年度の合計額の総額を、組合にあつては、組合員ごとのこれらの報酬に相当するものとして厚生労働省令で定めるものの当該年度の合計額の総額を、それぞれ政令で定めるところにより補正して得た額とする。以下同じ。）の見込額として厚生労働省令で定めるところにより算定される額に概算拠出率を乗じて得た額とする。

Article 12(1)The amount of estimated contributions for medical treatment benefit expenses, etc. as referred to in paragraph (1) of the preceding Article shall be the amount obtained by multiplying the amount calculated pursuant to the provisions of Ordinance of the Ministry of Health, Labour and Welfare as the estimated Total Amount of Standard Remuneration of each Insurer of Employees' Insurance, etc. for the relevant fiscal year (or, in the case of an Insurer under the provisions of the Health Insurance Act or the Seaman's Insurance Act, the estimated total sum, for the relevant fiscal year, of the respective total amounts of the Standard Remuneration as set forth in said Acts (meaning the amount of standard monthly remuneration and the amount of standard bonus) for all insured persons or, in the case of a mutual aid association set forth in Article 6, item (iii), the amount obtained by adjusting, pursuant to Cabinet Order provisions, the estimated total sum, for the relevant year, of respective total amounts of monthly Standard Remuneration and standard end-of-term expenses, etc. or monthly salary and end-of-term expenses, etc. as set forth in the Acts listed in the same item for all Society members or, in the case of the Promotion and Mutual Aid Corporation for Private Schools of Japan, the amount obtained by adjusting, pursuant to Cabinet Order provisions, the estimated total sum, for the relevant year, of respective total amounts of monthly standard salary and of standard bonuses as set forth in the Private School Personnel Mutual Aid Association Act for all subscribers or, in the case of a Society, the amount obtained by adjusting, pursuant to Cabinet Order provisions, the estimated total sum, for the relevant year, of respective total amounts of items specified by Ordinance of the Ministry of Health, Labour and Welfare as corresponding to the above types of remuneration for all Society members; hereinafter the same shall apply) by the Estimated Contribution Rate.

２前項の概算拠出率は、厚生労働省令で定めるところにより、当該年度の各退職被保険者等所属市町村における被用者保険等拠出対象額の見込額の合計額を当該年度の被用者保険等保険者の標準報酬総額の見込額の合計額で除して得た率とする。

(2)The Estimated Contribution Rate as referred to in the preceding paragraph shall be the rate obtained, pursuant to the provisions of Ordinance of the Ministry of Health, Labour and Welfare, by dividing the total sum of the respective estimated Amounts for Which Contributions Shall be Made from Employees' Insurance, etc. for all Municipalities to Which Retired Insured Persons, etc. Belong for the relevant fiscal year, by the total sum of the estimated Total Amounts of Standard Remuneration for all Insurers of Employees' Insurance for the relevant fiscal year.

第十三条附則第十一条第一項の確定療養給付費等拠出金の額は、各被用者保険等保険者の前々年度の標準報酬総額に確定拠出率を乗じて得た額とする。

Article 13(1)The amount of fixed contributions for medical treatment benefit expenses, etc. as referred to in Article 11, paragraph (1) of the Supplementary Provisions shall be the amount obtained by multiplying the Total Amount of Standard Remuneration for the fiscal year before the last for each Insurer of Employees' Insurance by the Fixed Contribution Rate.

２前項の確定拠出率は、厚生労働省令で定めるところにより、前々年度の各退職被保険者等所属市町村における被用者保険等拠出対象額の合計額を前々年度の被用者保険等保険者の標準報酬総額の合計額で除して得た率とする。

(2)The Fixed Contribution Rate as referred to in the preceding paragraph shall be the rate obtained, pursuant to the provisions of Ordinance of the Ministry of Health, Labour and Welfare, by dividing the total sum of the respective Amounts for Which Contributions Shall be Made from Employees' Insurance, etc. for all Municipalities to Which Retired Insured Persons, etc. Belong for the fiscal year before the last, by the total sum of the Total Amounts of Standard Remuneration for all Insurers of Employees' Insurance for the fiscal year before the last.

第十四条附則第十条第一項の規定により各被用者保険等保険者から徴収する事務費拠出金の額は、厚生労働省令で定めるところにより、当該年度における附則第十七条に規定する支払基金の業務に関する事務の処理に要する費用の見込額に前々年度の各被用者保険等保険者の標準報酬総額を前々年度の被用者保険等保険者の標準報酬総額の合計額で除して得た率を乗じて得た額とする。

Article 14The amount of affairs expense contributions to be collected from each Insurer of Employees' Insurance, etc. pursuant to the provisions of Article 10, paragraph (1) of the Supplementary Provisions shall be, pursuant to the provisions of Ordinance of the Ministry of Health, Labour and Welfare, the amount obtained by multiplying the estimated amount of expenses incurred in handling affairs concerning the Reimbursement Services' functions performed during the relevant fiscal year pursuant to the provisions of Article 17 of the Supplementary Provisions by the ratio obtained by dividing the Total Amount of Standard Remuneration of each Insurer of Employees' Insurance, etc. for the fiscal year before the last by the total sum of the Total Amounts of Standard Remuneration of all Insurers of Employees' Insurance, etc. for the fiscal year before the last.

第十五条退職被保険者等所属市町村は、厚生労働省令で定めるところにより、支払基金に対し、各年度における被用者保険等拠出対象額その他厚生労働省令で定める事項を通知しなければならない。

Article 15(1)Each Municipality to Which Retired Insured Persons, etc. Belong must, pursuant to the provisions of Ordinance of Ministry of Health, Labour and Welfare, notify the Reimbursement Services of its Amount for Which Contributions Shall be Made from Employees' Insurance, etc. for each fiscal year and all other matters prescribed by Ordinance of Ministry of Health, Labour and Welfare.

２退職被保険者等所属市町村は、前項の規定による通知の事務を第四十五条第五項に規定する者に委託することができる。

(2)A Municipality to which Retired Insured Persons, etc. Belong may entrust its affairs concerning the notification to be made pursuant to the preceding paragraph to any of the persons set forth in Article 45, paragraph (5).

第十六条高齢者の医療の確保に関する法律第四十一条及び第四十三条から第四十六条まで、第百三十四条第二項及び第三項並びに第百五十九条の規定は、拠出金に関して準用する。この場合において、これらの規定中「保険者」とあるのは、「被用者保険等保険者」と読み替えるものとする。

Article 16The provisions of Article 41, Articles 43 through 46, paragraphs (2) and (3) of Article 134 and Article 159 of the Act on Assurance of Medical Care for Elderly People shall apply mutatis mutandis to Contributions.In this case, the terms "Insurer" and "Insurers" in these provisions shall be deemed to be replaced with "Insurer of Employees' Insurance, etc." and "Insurers of Employees' Insurance, etc.," respectively.

第十七条支払基金は、社会保険診療報酬支払基金法第十五条に規定する業務のほか、この法律の目的を達成するため、次の業務（以下「退職者医療関係業務」という。）を行う。

Article 17In addition to the functions as set forth in Article 15 of the Health Insurance Claims Review and Reimbursement Services Act, the Reimbursement Services shall perform the following functions in order to achieve the purpose of this Act (hereinafter referred to as the "Functions Relating to Medical Services for Retired Persons"):

第十八条附則第八条第一項に規定する命令は、社会保険診療報酬支払基金法第十一条第二項及び第三項の規定の適用については、同法第二十九条に規定する命令とみなし、退職者医療関係業務は、同法第三十二条第二項の規定の適用については、同法第十五条に規定する業務とみなす。

Article 18An order issued as set forth in Article 8, paragraph (1) of the Supplementary Provisions shall be deemed to constitute an order as set forth in Article 29 of the Health Insurance Claims Review and Reimbursement Services Act for the purpose of the application of Article 11, paragraphs (2) and (3) of the same Act, and the Functions Relating to Medical Services for Retired Persons shall be deemed to constitute the functions set forth in Article 15 of the same Act for the purpose of the application of Article 32, paragraph (2) of the same Act.

第十九条高齢者の医療の確保に関する法律第百四十条から第百五十二条まで、第百五十四条、第百六十八条及び第百七十条第一項の規定は、支払基金の退職者医療関係業務に関して準用する。この場合において、必要な技術的読替えは、政令で定める。

Article 19The provisions of Articles 140 through 152, Articles 154 and 168 and Article 170, paragraph (1) of the Act on Assurance of Medical Care for Elderly People shall apply mutatis mutandis to the Reimbursement Services' Functions Relating to Medical Services for Retired Persons.In this case, any necessary technical replacement of terms shall be specified by Cabinet Order.

第二十条退職被保険者等所属市町村は、退職被保険者の資格に関し必要があると認めるときは、退職被保険者の年金保険の被保険者等であつた期間又は退職被保険者に対する附則第六条第一項各号に掲げる法令に基づく老齢又は退職を支給事由とする年金たる給付の支給状況につき、当該年金たる給付の支払をする者に対し、必要な書類の閲覧又は資料の提供を求めることができる。

Article 20When a Municipality to Which Retired Insured Persons, etc. Belong finds it necessary in relation to a retired insured person's eligibility, it may request access to necessary documents or to provide necessary materials concerning said retired insured person's Period During Which the Person was an Insured Person, etc. of Pension Insurance or concerning the status of payment of any benefit in the form of a pension paid to such retired insured person by reason of old age or retirement under any of the laws and regulations listed in the items of paragraph (1), Article 6 of the Supplementary Provisions, from the person who makes payment of said benefit in the form of a pension.

第二十一条健康保険法附則第三条第一項に規定する健康保険の被保険者（平成二十六年度までの間において、附則第六条第一項の規定による退職被保険者となることができる者に限る。以下「特例退職被保険者」という。）及びその被扶養者（六十五歳に達する日の属する月の翌月以後であるもの又は同一の世帯に属さない者を除く。以下同じ。）は、附則第十二条の規定による当該年度の被用者保険等保険者の標準報酬総額の見込額及び被用者保険等拠出対象額の見込額、附則第十三条の規定による前々年度の被用者保険等保険者の標準報酬総額及び被用者保険等拠出対象額並びに附則第十四条の規定による前々年度の被用者保険等保険者の標準報酬総額の算定に当たつては、退職被保険者等とみなす。

Article 21(1)All insured persons covered by health insurance as set forth in Article 3, paragraph (1) of the Supplementary Provisions of the Health Insurance Act (limited to those who are eligible to become a retired insured person pursuant to the provisions of Article 6, paragraph (1) of the Supplementary Provisions during the period up to fiscal 2014; hereinafter referred to as "Special Retired Insured Persons") and their dependents (excluding those whose 65th birthday falls on any month before the current month or persons who do not belong to the same household as the relevant insured person; hereinafter the same shall apply) shall be deemed to be Retired Insured Persons, etc. for the purpose of calculating: the estimated Total Amount(s) of Standard Remuneration of the Insurer of Employees' Insurance and the estimated Amounts for Which Contributions Shall be Made from Employees' Insurance, etc. for the relevant fiscal year pursuant to the provisions of Article 12 of the Supplementary Provisions; the Total Amount(s) of Standard Remuneration and the Amounts for Which Contributions Shall be Made from Employees' Insurance, etc. for the fiscal year before the last pursuant to the provisions of Article 13 of the Supplementary Provisions; and the Total Amount(s) of Standard Remuneration of the Insurer of Employees' Insurance, etc. for the fiscal year before the last pursuant to the provisions of Article 14 of the Supplementary Provisions.

２健康保険法附則第三条第一項に規定する健康保険組合（以下「特定健康保険組合」という。）は、厚生労働省令で定めるところにより、支払基金に対し、各年度における特例退職被保険者及びその被扶養者に係る療養の給付その他医療に関する給付に要した費用その他厚生労働省令で定める事項を通知しなければならない。

(2)Each health insurance society set forth in Article 3, paragraph (1) of the Health Insurance Act (hereinafter referred to as a "Specified Health Insurance Society") shall, pursuant to the provisions of Ordinance of the Ministry of Health, Labour and Welfare, notify the Reimbursement Services of the expenses incurred in providing the benefits for medical treatment and other benefits for medical services relating to Special Retired Insured Persons and their dependents for each fiscal year and all other matters prescribed by Ordinance of Ministry of Health, Labour and Welfare.

３特定健康保険組合が納付する概算療養給付費等拠出金の額は、附則第十二条第一項の規定により算定した額から、第一号及び第二号に掲げる額の合算額から第三号に掲げる額を控除した額を控除した額とする。

(3)The amount of estimated contributions for medical treatment benefit expenses, etc. to be paid by a Specified Health Insurance Society shall be the amount calculated by deducting, from the amount calculated pursuant to the provisions of Article 12, paragraph (1) of the Supplementary Provisions, the amount calculated by deducting the amount listed in item (iii) from the total sum of the amounts listed in items (i) and (ii):

４特定健康保険組合が納付する確定療養給付費等拠出金の額は、附則第十三条第一項の規定により算定した額から、第一号及び第二号に掲げる額の合算額から第三号に掲げる額を控除した額を控除した額とする。

(4)The amount of fixed contributions for medical treatment benefit expenses, etc. to be paid by a Specified Health Insurance Society shall be calculated by deducting, from the amount calculated pursuant to the provisions of Article 13, paragraph (1) of the Supplementary Provisions, the amount calculated by deducting the amount listed in item (iii) from the total sum of the amounts listed in items (i) and (ii):

５第三項第二号及び前項第二号に規定する調整対象基準額は、当該年度の概算調整対象基準額（高齢者の医療の確保に関する法律第三十四条第三項に規定する概算調整対象基準額をいう。以下この項において同じ。）とする。ただし、当該年度の前々年度の概算調整対象基準額が当該年度の前々年度の確定調整対象基準額（同法第三十五条第三項に規定する確定調整対象基準額をいう。以下この項において同じ。）を超えるときは、当該年度の概算調整対象基準額からその超える額とその超える額に係る調整対象基準調整金額（当該年度の前々年度におけるすべての特定健康保険組合に係る概算調整対象基準額と確定調整対象基準額との過不足額につき生ずる利子その他の事情を勘案して厚生労働省令で定めるところにより各特定健康保険組合ごとに算定される額をいう。以下この項において同じ。）との合計額を控除して得た額とするものとし、当該年度の前々年度の概算調整対象基準額が当該年度の前々年度の確定調整対象基準額に満たないときは、当該年度の概算調整対象基準額にその満たない額とその満たない額に係る調整対象基準調整金額との合計額を加算して得た額とする。

(5)The Base Amount for Adjustment set forth in item (ii) of paragraph (3) and item (ii) of the preceding paragraph shall be the estimated base amount for adjustment (meaning the estimated base amount for adjustment as set forth in Article 34, paragraph (3) of the Act on Assurance of Medical Care for Elderly People; hereinafter the same shall apply in this paragraph) for the relevant fiscal year; provided, however, that when the estimated base amount for adjustment for the fiscal year before the fiscal year immediately preceding the relevant fiscal year exceeds the fixed base amount for adjustment (meaning the fixed base amount for adjustment as set forth in Article 35, paragraph (3) of the same Act; hereinafter the same shall apply in this paragraph) for the fiscal year before the fiscal year immediately preceding the relevant fiscal year, said Base Amount for Adjustment shall be the amount obtained by deducting, from the estimated base amount for adjustment for the relevant fiscal year, the total sum of the amount of such excess and the base adjustment amount for adjustment (meaning the amount to be calculated for each Specified Health Insurance Society pursuant to the provisions of Ordinance of the Ministry of Health, Labour and Welfare, by taking into consideration interest accruing with respect to the amount of difference between the estimated base amount for adjustment and the fixed base amount for adjustment, both for all Specified Health Insurance Societies and for the fiscal year before the fiscal year immediately preceding the relevant fiscal year, as well as other circumstances; hereinafter the same shall apply in this paragraph) relating to said amount of such excess, whereas when the estimated base amount for adjustment for the fiscal year before the fiscal year immediately preceding the relevant fiscal year falls short of the fixed base amount for adjustment for the fiscal year before the fiscal year immediately preceding the relevant fiscal year, said Base Amount for Adjustment shall be the amount obtained by adding, to the estimated base amount for adjustment for the relevant fiscal year, the total sum of the amount of such shortfall and the base adjustment amount for adjustment relating to said amount of such shortfall.

６第一項から前項までの規定は、国家公務員共済組合法附則第十二条及び地方公務員等共済組合法附則第十八条に規定する特定共済組合並びに特例退職組合員及びその被扶養者並びに私立学校教職員共済法第二十五条において読み替えて準用する国家公務員共済組合法附則第十二条に規定する事業団並びに特例退職加入者及びその被扶養者について準用する。

(6)The provisions of paragraph (1) through the preceding paragraph shall apply mutatis mutandis to: the Specified Mutual Aid Associations and Special Retired Association Members and their dependents set forth in Article 12 of the Supplementary Provisions of the National Public Servants Mutual Aid Association Act and Article 18 of the Supplementary Provisions of the Local Public Care Service Mutual Aid Association Act; and the Corporation and Special Retired Insured Person and their dependents set forth in Article 12 of the Supplementary Provisions of the National Public Servants Mutual Aid Association Act as applied mutatis mutandis by replacing certain terms pursuant to Article 25 of the Private School Personnel Mutual Aid Association Act.

第二十一条の二平成二十二年度から平成二十四年度までの各年度の概算療養給付費等拠出金の額及び確定療養給付費等拠出金の額についての前条第三項及び第四項の規定の適用については、同条第三項第二号中「が負担する後期高齢者支援金」とあるのは「に係る後期高齢者支援金（当該特定健康保険組合に高齢者の医療の確保に関する法律附則第十四条の三及び第十四条の四の規定の適用がないものとして同法第百十九条の規定を適用するとしたならば同条第一項の規定により算定されることとなるものをいう。次項第二号において同じ。）」と、同条第四項第二号中「が負担した」とあるのは「に係る」とする。

Article 21-2(1)For the purpose of applying the provisions of paragraphs (3) and (4) of the preceding Article to the amount of estimated contributions for medical treatment benefit expenses, etc. and the amount of fixed contributions for medical treatment benefit expenses, etc. for each of the fiscal years from fiscal 2010 to 2012, the phrase "Old-Old Aid to be borne by said Specified Health Insurance Society" in item (ii) of paragraph (3) of the same Article shall be deemed to be replaced with "Old-Old Aid relating to said Specified Health Insurance Society (meaning the amount which would be calculated pursuant to the provisions of Article 119, paragraph (1) of the Act on Assurance of Medical Care for Elderly People if the provisions of the same Article were to apply as if the provisions of Articles 14-3 and 14-4 of the Supplementary Provisions of the same Act did not apply to said Specified Health Insurance Society; hereinafter the same shall apply in item (ii) of the following paragraph)" and the phrase "borne by" in item (ii) of paragraph (4) of the preceding Article shall be deemed to be replaced with "relating to."

２平成二十二年度及び平成二十三年度の各年度における前条第五項の規定の適用については、同項中「第三十四条第三項に規定する概算調整対象基準額をいう。以下この項において同じ」とあるのは「附則第十三条の二第三号及び第四号に掲げる額の合計額をいう」と、「前々年度の概算調整対象基準額」とあるのは「前々年度の概算調整対象基準額（同法第三十四条第三項に規定する概算調整対象基準額をいう。）」と、「ときは、当該年度の概算調整対象基準額」とあるのは「ときは、当該年度の概算調整対象基準額（同法附則第十三条の二第三号及び第四号に掲げる額の合計額をいう。）」と、「概算調整対象基準額と」とあるのは「概算調整対象基準額（同法第三十四条第三項に規定する概算調整対象基準額をいう。）と」とする。

(2)For the purpose of applying the provisions of paragraph (5) of the preceding Article to each of the fiscal years 2010 and 2011, the phrase "meaning the estimated base amount for adjustment as set forth in Article 34, paragraph (3) of the Act on Assurance of Medical Care for Elderly People; hereinafter the same shall apply in this paragraph" in the same paragraph shall be deemed to be replaced with "meaning the total sum of the amounts listed in Article 13-2, items (iii) and (iv) of the Supplementary Provisions of the Act on Assurance of Medical Care for Elderly People," the phrase "estimated base amount for adjustment for the fiscal year before the fiscal year immediately preceding the relevant fiscal year" in the same paragraph shall be deemed to be replaced with "estimated base amount for adjustment for the fiscal year before the fiscal year immediately preceding the relevant fiscal year (meaning the estimated base amount for adjustment set forth in Article 34, paragraph (3) of the same Act)," the phrase "from the estimated base amount for adjustment" in the same paragraph shall be deemed to be replaced with "from the estimated base amount for adjustment (meaning the total sum of the amounts listed in Article 13-2, items (iii) and (iv) of the Supplementary Provisions of the same Act)," and the phrase "between the estimated base amount for adjustment" in the same paragraph shall be deemed to be replaced with "between the estimated base amount for adjustment (meaning the estimated base amount for adjustment set forth in Article 34, paragraph (3) of the same Act)."

３平成二十四年度における前条第五項の規定の適用については、同項中「第三十四条第三項に規定する概算調整対象基準額」とあるのは「附則第十三条の二第三号及び第四号に掲げる額の合計額」と、「第三十五条第三項に規定する確定調整対象基準額」とあるのは「附則第十三条の三第三号及び第四号に掲げる額の合計額」とする。

(3)For the purpose of applying the provisions of paragraph (5) of the preceding Article to fiscal 2012, the phrase "estimated base amount for adjustment as set forth in Article 34, paragraph (3)" in the same paragraph shall be deemed to be replaced with "total sum of the amounts listed in Article 13-2, items (iii) and (iv) of the Supplementary Provisions" and the phrase "fixed base amount for adjustment as set forth in Article 35, paragraph (3)" in the same paragraph shall be deemed to be replaced with "total sum of the amounts listed in Article 13-3, items (iii) and (iv) of the Supplementary Provisions."

第二十二条高齢者の医療の確保に関する法律附則第二条に規定する政令で定める日までの間、第六十九条中「及び同法の規定による後期高齢者支援金等（以下「後期高齢者支援金等」という。）」とあるのは「、同法の規定による後期高齢者支援金等（以下「後期高齢者支援金等」という。）及び同法の規定による病床転換支援金等（以下「病床転換支援金等」という。）」と、第七十条第一項（附則第九条第一項の規定により読み替えて適用する場合を含む。）中「及び同法の規定による後期高齢者支援金（以下「後期高齢者支援金」という。）」とあるのは「、同法の規定による後期高齢者支援金（以下「後期高齢者支援金」という。）及び同法の規定による病床転換支援金（以下「病床転換支援金」という。）」と、同項第二号（附則第九条第一項の規定により読み替えて適用する場合を含む。）中「及び後期高齢者支援金」とあるのは「、後期高齢者支援金及び病床転換支援金」と、第七十三条第一項及び第二項中「及び後期高齢者支援金」とあるのは「、後期高齢者支援金及び病床転換支援金」と、第七十五条及び第七十六条第一項（附則第九条第二項の規定により読み替えて適用する場合を含む。）中「及び後期高齢者支援金等」とあるのは「、後期高齢者支援金等及び病床転換支援金等」と、附則第七条第一項第二号中「及び後期高齢者支援金」とあるのは「、後期高齢者支援金及び病床転換支援金」と、附則第二十一条第三項第二号及び第四項第二号中「調整対象基準額及び」とあるのは「調整対象基準額並びに」と、「後期高齢者支援金」とあるのは「後期高齢者支援金及び病床転換支援金」とする。

Article 22During the period up to the day specified by Cabinet Order set forth in Article 2 of the Supplementary Provisions of the Act on Assurance of Medical Care for Elderly People, the phrase "and the old-old aid, etc. under the provisions of the same Act (hereinafter referred to as "Old-Old Aid, etc.")" in Article 69 shall be deemed to be replaced with ", the old-old aid, etc. under the provisions of the same Act (hereinafter referred to as "Old-Old Aid, etc.") and the ward transfer aid, etc. under the provisions of the same Act (hereinafter referred to as "Ward Transfer Aid, etc.")," the phrase "and the old-old aid under the provisions of the same Act (hereinafter referred to as "Old-Old Aid")" in Article 70, paragraph (1) (including the cases where applied mutatis mutandis pursuant to the provisions of Article 9, paragraph (1) of the Supplementary Provisions) shall be deemed to be replaced with ", the old-old aid under the provisions of the same Act (hereinafter referred to as "Old-Old Aid") and the ward transfer aid under the provisions of the same Act (hereinafter referred to as "Ward Transfer Aid")," the phrase "and Old-Old Aid" in item (ii) of the same paragraph (including the cases where applied mutatis mutandis pursuant to the provisions of Article 9, paragraph (1) of the Supplementary Provisions) shall be deemed to be replaced with ", Old-Old Aid and Ward Transfer Aid," the phrase "and Old-Old Aid" in paragraphs (1) and (2) of Article 73 shall be deemed to be replaced with ", Old-Old Aid and Ward Transfer Aid," the phrase "and Old-Old Aid, etc." in Article 75 and Article 76, paragraph (1) (including the cases where applied mutatis mutandis pursuant to the provisions of Article 9, paragraph (2) of the Supplementary Provisions) shall be deemed to be replaced with ", Old-Old Aid, etc. and Ward Transfer Aid, etc.," the phrase "and Old-Old Aid" in Article 7, paragraph (1), item (ii) of the Supplementary Provisions shall be deemed to be replaced with ", Old-Old Aid and Ward Transfer Aid," and the phrase "amount of Old-Old Aid" in item (ii) of paragraph (3) and item (ii) of paragraph (4) of Article 21 of the Supplementary Provisions shall be deemed to be replaced with "amounts of Old-Old Aid and Ward Transfer Aid."

第二十二条の二平成二十二年度から平成二十四年度までの各年度における第七十三条第二項の規定の適用については、同項中「補助の割合」とあるのは、「補助の割合及び組合の財政力」とする。

Article 22-2For the purpose of applying the provisions of Article 73, paragraph (2) to each of the fiscal years from fiscal 2010 to 2012, the phrase "proportion of assistance provided by the national government pursuant to the Health Insurance Act with respect to expenses incurred in health insurance services (including expenses incurred in paying Young-Old Payments and Old-Old Aid and Long-Term Care Payment)" in the same paragraph shall be deemed to be replaced with "proportion of assistance provided by the national government pursuant to the Health Insurance Act with respect to expenses incurred in health insurance services (including expenses incurred in paying Young-Old Payments and Old-Old Aid and Long-Term Care Payments) as well as the relevant Society's financial capability."

第二十三条市町村の合併の特例に関する法律（平成十六年法律第五十九号）第二条第二項に規定する合併市町村は、同条第三項に規定する合併関係市町村の相互の間に保険料の賦課に関し著しい不均衡があるため、その全区域にわたつて均一の保険料の賦課をすることが著しく衡平を欠くと認められる場合においては、市町村の合併（平成三十二年三月三十一日までの間に行われたものに限る。）が行われた日の属する年度及びこれに続く五箇年度に限り、その衡平を欠く程度を限度として不均一の保険料の賦課をすることができる。

Article 23In cases where a Merged Municipality set forth in Article 2, paragraph (2) of the Act on Special Provisions on Mergers of Municipalities (Act No. 59 of 2004) finds it extremely unfair to assess uniform insurance premiums across its entire area in the face of an extreme imbalance existing between the Municipalities Involved in a Merger as set forth in paragraph (3) of the same Article in terms of the assessment of insurance premiums, it may, only for the fiscal year to which the date of municipal merger (limited to a municipal merger taking place during the period up to March 31, 2020) belongs and the following five fiscal years, assess non-uniform insurance premiums to and only to the extent of the level of such imbalance.

第二十四条市町村は、平成二十二年度から平成二十六年度までの各年度において、第七十二条の三第一項の規定に基づき繰り入れる額のほか、政令の定めるところにより、一般会計から、所得の少ない者の数に応じて国民健康保険の財政の状況その他の事情を勘案して政令の定めるところにより算定した額を国民健康保険に関する特別会計に繰り入れなければならない。

Article 24(1)For each of the fiscal years from fiscal 2010 to 2014, each Municipality must, pursuant to Cabinet Order provisions, transfer from its general fund to a special account for its national health insurance program, an amount calculated, pursuant to Cabinet Order provisions, according to the number of persons with small income by taking into consideration the financial status of the national health insurance program and other circumstances, in addition to the amount to be transferred pursuant to the provisions of Article 72-3, paragraph (1).

２国は、平成二十二年度から平成二十六年度までの各年度において、政令の定めるところにより、前項の規定による繰入金の二分の一に相当する額を負担する。

(2)For each of the fiscal years from fiscal 2010 to 2014, the national government shall, pursuant to Cabinet Order provisions, bear an amount equal to one half of the amount to be transferred pursuant to the provisions of the preceding paragraph.

３都道府県は、平成二十二年度から平成二十六年度までの各年度において、政令の定めるところにより、第一項の規定による繰入金の四分の一に相当する額を負担する。

(3)For each of the fiscal years from fiscal 2010 to 2014, each prefectural government shall, pursuant to Cabinet Order provisions, an amount equal to one-fourth of the amount to be transferred pursuant to the provisions of paragraph (1).

第二十五条平成二十二年度から平成二十六年度までの各年度における第七十条第一項第一号の規定の適用については、同号中「繰入金」とあるのは、「繰入金及び附則第二十四条第一項の規定による繰入金の合算額」とし、当該年度における第七十二条第二項第一号の規定の適用については、同号中「第七十条第一項第一号」とあるのは、「附則第二十五条により読み替えられた第七十条第一項第一号」とし、当該年度における同項第二号の規定の適用については、同号中「繰入金」とあるのは、「繰入金及び附則第二十四条第一項の規定による繰入金の合算額」とする。

Article 25For the purpose of applying the provisions of Article 70, paragraph (1), item (i) to each of the fiscal years from fiscal 2010 to 2014, the phrase "amount to be transferred pursuant to the provisions of Article 72-3, paragraph (1)" in the same item shall be deemed to be replaced with "total sum of the amount to be transferred pursuant to the provisions of Article 72-3, paragraph (1) and the amount to be transferred pursuant to the provisions of Article 24, paragraph (1) of the Supplementary Provisions." For the purpose of applying the provisions of Article 72, paragraph (2), item (i) to each of said fiscal years, the phrase "Article 70, paragraph (1), item (i)" in the same item shall be deemed to be replaced with "Article 70, paragraph (1), item (i) after the replacement of certain terms pursuant to Article 25 of the Supplementary Provisions." For the purpose of applying the provisions of item (ii) of the same paragraph to each of said fiscal years, the phrase "total amount to be transferred pursuant to the provisions of Article 72-3, paragraph (1)" in the same item shall be deemed to be replaced with "aggregate total of the amount to be transferred pursuant to the provisions of Article 72-3, paragraph (1) and the amount to be transferred pursuant to the provisions of Article 24, paragraph (1) of the Supplementary Provisions."

第二十六条連合会は、政令の定めるところにより、国民健康保険の財政の安定化を図るため、平成二十二年度から平成二十六年度までの間、その会員である市町村に対して次に掲げる交付金を交付する事業を行うものとする。

Article 26(1)In order to promote the financial stability of national health insurance programs, each Federation shall, pursuant to Cabinet Order provisions, conduct programs for providing the following subsidies to its member Municipalities during the period from fiscal 2010 to 2014:

２連合会は、前項の事業に要する費用に充てるため、同項各号に掲げる交付金を交付する事業ごとに、政令で定める方法（同項第一号に掲げる交付金を交付する事業について、次項の規定により都道府県が特別の方法を定めた場合には、その方法）により、市町村から拠出金を徴収する。

(2)In order to cover the expenses incurred in the programs set forth in the preceding paragraph, the Federation shall collect contributions from the Municipalities for each of the programs for providing the subsidies listed in the items of the same paragraph, pursuant to the means specified by Cabinet Order (or, where a special means is specified by the prefectural government pursuant to the provisions of the following paragraph for the program for providing the subsidy listed in item (i) of paragraph (1), said means).

３都道府県は、必要があると認めるときは、第一項第一号に掲げる交付金を交付する事業について、政令で定める基準に従い、広域化等支援方針において、第六十八条の二第二項第四号に掲げる国民健康保険の財政の安定化を図るための具体的な施策として、第一項第一号の政令で定める額又は前項の政令で定める方法に代えて、特別の額又は特別の方法を定めることができる。

(3)When a prefectural government deems it necessary, it may specify, in accordance with the standards set by Cabinet Order, a special amount or special method for its programs for providing the subsidies listed in item (i) of paragraph (1) in its Geographic Expansion Support Policy, to replace the amount specified by Cabinet Order pursuant to item (i) of paragraph (1) or the method specified by Cabinet Order pursuant to the preceding paragraph, respectively, as part of its specific measures for promoting the financial stability of national health insurance programs as listed in Article 68-2, paragraph (2), item (iv).

４市町村は、第二項の規定による拠出金を納付する義務を負う。

(4)Each Municipality shall have the obligation to pay the contributions set forth in paragraph (2).

５国及び都道府県は、政令の定めるところにより、第一項第二号に掲げる交付金を交付する事業に係る第二項の規定による拠出金（当該事業に関する事務の処理に要する費用に係るものを除く。）の四分の一に相当する額をそれぞれ負担する。

(5)The national government and the prefectural government shall, pursuant to Cabinet Order provisions, each bear an amount equal to one-fourth of the amount of the contributions collected pursuant to paragraph (2) for the programs for providing the subsidies listed in item (ii) of paragraph (1) (excluding contributions for the expenses incurred in handling affairs concerning said project).

６指定法人は、連合会からの拠出金その他の当該事業に必要な経費に充てるために支出された金銭を財源として、連合会に対して第一項第二号に掲げる交付金を交付する事業のうち著しく高額な医療に関する給付に係るものについて交付金を交付する事業を行うことができる。

(6)A Designated Association may conduct programs for providing Federations with subsidies for programs which provide the subsidies listed in item (ii), paragraph (1) and which are related to benefits for high-cost medical services, using, as financial resources, contributions from Federations and other monies disbursed in order to cover expenses necessary for the relevant programs.

第二十七条平成二十二年度から平成二十六年度までの間の各年度の第七十二条第二項に規定する調整交付金の総額は、同項の規定にかかわらず、同項の規定により算定された額から、前条第五項の規定により国が負担する費用の額から当該費用の額の三分の一以内の額を控除した額を控除した額として予算で定める額とする。

Article 27The total amount of adjusted subsidies to be provided pursuant to the provisions of Article 72, paragraph (2) for each of the fiscal years from fiscal 2010 to 2014 shall be, notwithstanding the provisions of the same paragraph, the amount specified in the budget as the amount calculated by taking the amount calculated by deducting, from the amount of expenses to be borne by the national government pursuant to the provisions of paragraph (5) of the preceding Article, an amount not more than one-third of such amount of expenses, and deducting said amount from the amount calculated pursuant to the provisions of the same paragraph.