第一条高齢者の医療の確保に関する法律（以下「法」という。）第十七条の二第一項の規定により匿名医療保険等関連情報利用者（法第十六条の三に規定する匿名医療保険等関連情報利用者をいう。以下同じ。）が納付すべき手数料（以下単に「手数料」という。）の額は、第一号及び第二号に掲げる額を合算した額（以下この項において「基本額」という。）とする。ただし、匿名医療保険等関連情報（法第十六条の二第一項に規定する匿名医療保険等関連情報をいう。以下同じ。）の抽出（匿名医療保険等関連情報から、匿名医療保険等関連情報利用者に提供する特定の匿名医療保険等関連情報を出力し、加工することをいう。第三号及び第四号において同じ。）をして提供する場合には、第三号及び第四号に掲げる額を基本額に加えた額とする。

Article 1(1)The amount of fees to be paid by a user of anonymized medical insurance-related information (meaning a user of anonymized medical insurance-related information as prescribed in Article 16-3 of the Act on Assurance of Medical Care for Elderly People (hereinafter referred to as the "Act"); the same applies hereinafter) pursuant to the provisions of Article 17-2, paragraph (1) of the Act is the sum of the amounts set forth in items (i) and (ii) (hereinafter referred to as the "base amount" in this paragraph);provided, however, that if anonymized medical insurance-related information (meaning anonymized medical insurance-related information as prescribed in Article 16-2, paragraph (1) of the Act; the same applies hereinafter) is extracted (meaning to output and process specific anonymized medical insurance-related information to be provided to a user of anonymized medical insurance-related information from anonymized medical insurance-related information; the same applies in items (iii) and (iv)) and provided, the amount of fees is the amount obtained by adding the amounts set forth in items (iii) and (iv) to the base amount.

２匿名医療保険等関連情報利用者が厚生労働大臣が整備するクラウド・コンピューティング・サービス関連技術（官民データ活用推進基本法（平成二十八年法律第百三号）第二条第四項に規定するクラウド・コンピューティング・サービス関連技術をいう。）を活用した情報システムを利用する場合における手数料の額は、当該情報システムを利用する期間六月までごとに、当該情報システムを利用する者一人当たり五百三十五万五千二百円を超えない範囲内において当該情報システムの利用に係る実費を勘案して厚生労働大臣が定める額（当該情報システムに付加されている機能を利用する場合には、当該額に当該機能の利用に係る実費を勘案して厚生労働大臣が定める額を加えた額）を、前項の規定により算定した額に加えた額とする。

(2)The amount of fees when users of anonymized medical data use information systems that utilize cloud computing service-related technology (meaning the cloud computing service-related technology prescribed in Article 2, paragraph (4) of the Basic Act on the Advancement of Public and Private Sector Data Utilization (Act No. 103 of 2016)) developed by the Minister of Health, Labour and Welfare is the amount calculated pursuant to the provisions of the preceding paragraph plus the amount specified by the Minister of Health, Labour and Welfare in consideration of the actual costs of using the information systems within a scope not exceeding 5355200 yen per person who uses the information systems (when using functions added to the information systems, the amount obtained by adding the amount specified by the Minister of Health, Labour and Welfare in consideration of the actual costs of using the functions to that amount) every six months during the period of using the information systems.

３手数料は、厚生労働省令で定める書面に収入印紙を貼って納付しなければならない。ただし、法第十七条の二第一項の規定により支払基金等（法第十七条に規定する支払基金等をいう。次条第六項において同じ。）に対し手数料を納付する場合は、この限りでない。

(3)Fees must be paid by affixing a Order of the Ministry of Health, Labour and Welfare mark to the document specified by revenue stamp;provided, however, that this does not apply if fees are paid to the payment fund, etc. (meaning the payment fund, etc. prescribed in Article 17 of the Act; the same applies in paragraph (6) of the following Article) pursuant to the provisions of Article 17-2, paragraph (1) of the Act.

第一条の二法第十七条の二第二項の政令で定める者は、次のとおりとする。

Article 1-2(1)The persons specified by Cabinet Order as referred to in Article 17-2, paragraph (2) of the Act are as follows:

２厚生労働大臣は、匿名医療保険等関連情報利用者が次の各号に掲げる者のいずれかに該当するものである場合には、手数料の額から当該額の二分の一に相当する額（次項第一号において「二分の一相当額」という。）を減額する。

(2)If a user of anonymized medical data falls under any of the following items, the Minister of Health, Labour and Welfare is to reduce the amount of the fee by the amount equivalent to one half of the amount (referred to as the "amount equivalent to one half" in item (i) of the following paragraph):

３前項各号に掲げる者に対して前項の規定による減額後の手数料の額について更なる減額をしないこととすれば、その業務の遂行に著しい支障を及ぼすおそれがあると厚生労働大臣が認める場合にあっては、厚生労働大臣が定めるところにより、当該減額後の手数料の額から、第一号に掲げる額から第二号に掲げる額を控除した額（当該額が零を下回る場合には、零とする。）の範囲内の額を減額することができる。

(3)If the Minister of Health, Labour and Welfare finds that if the amount of fees after the reduction under the provisions of the preceding paragraph is not further reduced for the persons set forth in the items of the preceding paragraph, it is likely to cause considerable detriment to the performance of services, the amount within the scope of the amount arrived at when the amount set forth in item (ii) is deducted from the amount set forth in item (i) (if that amount is less than zero, it is deemed to be zero) may be reduced from the amount of fees after the reduction, as specified by the Minister of Health, Labour and Welfare:

４第二項又は前項の規定により算定した手数料の額に百円未満の端数があるときは、その端数は、切り捨てる。

(4)If the amount of fees calculated pursuant to the provisions of paragraph (2) or the preceding paragraph includes a fraction of less than one hundred yen, the fraction is rounded down.

５厚生労働大臣は、匿名医療保険等関連情報利用者が第一項各号に掲げる者のうち第二項各号に掲げる者のいずれにも該当しないものである場合には、手数料を免除する。

(5)The Minister of Health, Labour and Welfare exempts users of anonymized medical data from fees if they do not fall under any of the persons set forth in the items of paragraph (2) from among the persons set forth in the items of paragraph (1).

６第二項若しくは第三項又は前項の規定による手数料の減額又は免除を受けようとする匿名医療保険等関連情報利用者は、当該減額又は免除を求める旨及びその理由を記載した書面を厚生労働大臣（法第十七条の規定により厚生労働大臣からの委託を受けて、支払基金等が法第十六条の二第一項の規定による匿名医療保険等関連情報の提供に係る事務の全部を行う場合にあっては、支払基金等）に提出しなければならない。

(6)A user of anonymized medical data associated with medical insurance, etc. who intends to receive a reduction or exemption of fees under paragraph (2) or (3) or the preceding paragraph must submit a document stating the fact of requesting the reduction or exemption and the reason therefor to the Minister of Health, Labour and Welfare (when the payment fund, etc. conducts all of the affairs concerning the provision of anonymized medical data associated with medical insurance, etc. under Article 16-2, paragraph (1) of the Act upon entrustment from the Minister of Health, Labour and Welfare pursuant to the provisions of Article 17 of the Act, the payment fund, etc.).

第一条の三法第十八条第一項に規定する政令で定める生活習慣病は、高血圧症、脂質異常症、糖尿病その他の生活習慣病であって、内臓脂肪（腹腔（くう）内の腸間膜、大網等に存在する脂肪細胞内に貯蔵された脂肪をいう。）の蓄積に起因するものとする。

Article 1-3The lifestyle diseases specified by Cabinet Order as prescribed in Article 18, paragraph (1) of the Act are hypertension, dyslipidemia, diabetes, and other lifestyle diseases.Cavity (Ku)It is caused by the accumulation of fat (meaning the fat stored in the fat cells that exist in the mesentery, greater omentum, etc. in the abdomen).

第二条法第四十八条に規定する政令で定める事務は、次に掲げるものとする。

Article 2The affairs specified by Cabinet Order that are provided for in Article 48 of the Act are as follows:

第三条法第五十条第二号に規定する政令で定める程度の障害の状態は、別表に定めるとおりとする。

Article 3The state of disability of a degree of severity specified by Cabinet Order as prescribed in Article 50, item (ii) of the Act is as prescribed in the Appended Table.

第四条削除

Article 4Deleted

第五条法第五十五条の二第二項の規定による技術的読替えは、次の表のとおりとする。

Article 5The technical replacement of terms pursuant to the provisions of Article 55-2, paragraph (2) of the Act is as in the following table.

第六条法第五十七条第一項に規定する政令で定める法令は、次のとおりとする。

Article 6The laws and regulations specified by Cabinet Order that are provided for in Article 57, paragraph (1) of the Act are as follows:

第七条法第六十七条第一項第二号及び第三号の規定による所得の額の算定は、当該療養の給付を受ける日の属する年の前年（当該療養の給付を受ける日の属する月が一月から七月までの場合にあっては、前々年。以下この項において同じ。）の所得について行うものとし、その額は、第一号に掲げる額（当該療養の給付を受ける日の属する年の前年の十二月三十一日現在において世帯主であって、同日現在において当該世帯主と同一の世帯に属する年齢十九歳未満の者で同年の合計所得金額（地方税法（昭和二十五年法律第二百二十六号）第二百九十二条第一項第十三号に規定する合計所得金額をいい、当該年齢十九歳未満の者の合計所得金額に所得税法（昭和四十年法律第三十三号）第二十八条第一項に規定する給与所得が含まれている場合においては、当該給与所得については、同条第二項の規定によって計算した金額から十万円を控除して得た金額（当該金額が零を下回る場合には、零とする。）によるものとする。）が三十八万円以下であるもの（第二号において「控除対象者」という。）を有するものにあっては、第一号に掲げる額から第二号に掲げる額を控除した額）とする。

Article 7(1)The amount of income pursuant to the provisions of Article 67, paragraph (1), items (ii) and (iii) of the Act is to be calculated with regard to the income in the year preceding the year including the day on which the person receives the benefits for medical treatment (if the month including the day on which the person receives the benefits for medical treatment is from January to July, the year before the preceding year; hereinafter the same applies in this paragraph), and the amount is to be the amount listed in item (i) (in the case of a person who is a householder as of December 31 of the year preceding the year including the day on which the person receives the benefits for medical treatment and who is under 19 years of age and belongs to the same household as the householder as of the same date and whose total income amount for the same year (meaning the total income amount prescribed in Article 292, paragraph (1), item (xiii) of the Local Tax Act (Act No. 226 of 1950), and in the case where the total income amount of the person under 19 years of age includes salary income prescribed in Article 28, paragraph (1) of the Income Tax Act (Act No. 33 of 1965), the salary income is to be calculated by deducting 100,000 yen from the amount calculated pursuant to the provisions of paragraph (2) of the same Article (if the amount is less than zero, it is to be zero)) is 380000 yen or less (referred to as a "person eligible for a deduction" in item (ii)), the amount is to be the amount obtained by deducting the amount listed in item (ii) from the amount listed in item (i)):

２法第六十七条第一項第二号に規定する政令で定める額は、二十八万円とする。

(2)The amount specified by Cabinet Order that is provided for in Article 67, paragraph (1), item (ii) of the Act is 280000 yen.

３前項の規定は、次の各号のいずれかに該当する者については、適用しない。

(3)The provisions of the preceding paragraph do not apply to a person who falls under any of the following items:

４法第六十七条第一項第三号に規定する政令で定める額は、百四十五万円とする。

(4)The amount specified by Cabinet Order that is provided for in Article 67, paragraph (1), item (iii) of the Act is 1.45 million yen.

５前項の規定は、次の各号のいずれかに該当する者については、適用しない。

(5)The provisions of the preceding paragraph do not apply to a person who falls under any of the following items:

第八条法第七十四条第十項の規定により健康保険法（大正十一年法律第七十号）第六十四条の規定を準用する場合においては、同条中「健康保険の診療」とあるのは「後期高齢者医療の診療」と、「医師若しくは歯科医師又は保険薬局において健康保険の調剤に従事する薬剤師」とあり、及び「医師若しくは歯科医師（以下「保険医」と総称する。）又は薬剤師（以下「保険薬剤師」という。）」とあるのは「医師又は歯科医師」と読み替えるものとする。

Article 8(1)In the case where the provisions of Article 64 of the Health Insurance Act (Act No. 70 of 1922) are applied mutatis mutandis pursuant to the provisions of Article 74, paragraph (10) of the Act, the term "medical care covered by health insurance" in the same Article is deemed to be replaced with "medical care covered by late-stage elderly medical care", the term "a physician or dentist, or a pharmacist engaged in dispensing of medicine covered by health insurance at a pharmacy providing services covered by health insurance" is deemed to be replaced with "a physician or dentist", and the term "a physician or dentist (hereinafter collectively referred to as a" physician providing health insurance treatment ") or a pharmacist (hereinafter referred to as a" pharmacist filling health insurance prescriptions ")" is deemed to be replaced with "a physician or dentist".

２前項に定めるもののほか、法第七十四条第十項の規定による技術的読替えは、次の表のとおりとする。

(2)Beyond what is provided for in the preceding paragraph, the technical replacement of terms under Article 74, paragraph (10) of the Act is as in the following table.

第九条法第七十五条第七項の規定により健康保険法第六十四条の規定を準用する場合においては、同条中「健康保険の診療」とあるのは「後期高齢者医療の診療」と、「医師若しくは歯科医師又は保険薬局において健康保険の調剤に従事する薬剤師」とあり、及び「医師若しくは歯科医師（以下「保険医」と総称する。）又は薬剤師（以下「保険薬剤師」という。）」とあるのは「医師又は歯科医師」と読み替えるものとする。

Article 9(1)In the case where the provisions of Article 64 of the Health Insurance Act are applied mutatis mutandis pursuant to the provisions of Article 75, paragraph (7) of the Act, the term "medical care covered by health insurance" in the same Article is deemed to be replaced with "medical care covered by late-stage elderly medical care", the term "a physician or dentist, or a pharmacist engaged in dispensing of medicine covered by health insurance at a pharmacy providing services covered by health insurance" is deemed to be replaced with "a physician or dentist", and the term "a physician or dentist (hereinafter collectively referred to as a" physician providing health insurance treatment ") or a pharmacist (hereinafter referred to as a" pharmacist filling health insurance prescriptions ")" is deemed to be replaced with "a physician or dentist".

２前項に定めるもののほか、法第七十五条第七項の規定による技術的読替えは、次の表のとおりとする。

(2)Beyond what is provided for in the preceding paragraph, the technical replacement of terms under Article 75, paragraph (7) of the Act is as in the following table.

第十条法第七十六条第六項の規定により健康保険法第六十四条の規定を準用する場合においては、同条中「健康保険」とあるのは、「後期高齢者医療」と読み替えるものとする。

Article 10(1)In the case where the provisions of Article 64 of the Health Insurance Act are applied mutatis mutandis pursuant to the provisions of Article 76, paragraph (6) of the Act, the term "health insurance" in the same Article is deemed to be replaced with "medical care for elderly people".

２前項に定めるもののほか、法第七十六条第六項の規定による技術的読替えは、次の表のとおりとする。

(2)Beyond what is provided for in the preceding paragraph, the technical replacement of terms under Article 76, paragraph (6) of the Act is as in the following table.

第十一条法第七十八条第八項の規定による技術的読替えは、次の表のとおりとする。

Article 11The technical replacement of terms under the provisions of Article 78, paragraph (8) of the Act is as in the following table.

第十二条指定訪問看護事業者（法第五十九条第三項に規定する指定訪問看護事業者をいう。以下同じ。）は、厚生労働省令で定める日までに訪問看護療養費を請求するものとする。

Article 12(1)A designated home-nursing provider (meaning the designated home-nursing provider prescribed in Article 59, paragraph (3) of the Act; the same applies hereinafter) is to claim medical expenses for home-nursing by the date specified by Order of Order of the Ministry of Health, Labour and Welfare.

２前項に定めるもののほか、訪問看護療養費の請求に関し必要な事項は、厚生労働省令で定める。

(2)Beyond what is provided for in the preceding paragraph, necessary matters concerning claims for medical expenses for home-nursing are specified by Order of the Order of the Ministry of Health, Labour and Welfare.

第十二条の二法第八十二条第一項に規定する政令で定める特別の事情は、次に掲げる事由により保険料を納付することができないと認められる事情とする。

Article 12-2The special circumstances to be specified by Cabinet Order as prescribed in Article 82, paragraph (1) of the Act are the circumstances in which the insurer is found to be unable to pay insurance premiums due to any of the following reasons:

第十二条の三法第八十二条第四項に規定する政令で定める特別の事情は、被保険者が滞納している保険料につきその額が著しく減少したこと又は前条に定める事情とする。

Article 12-3The special circumstances to be specified by Cabinet Order as prescribed in Article 82, paragraph (4) of the Act are that the amount of delinquent insurance premiums of insured has significantly decreased or the circumstances prescribed in the preceding Article.

第十三条法第八十二条第六項の規定により健康保険法第六十四条の規定を準用する場合においては、同条中「健康保険」とあるのは、「後期高齢者医療」と読み替えるものとする。

Article 13(1)In the case where the provisions of Article 64 of the Health Insurance Act are applied mutatis mutandis pursuant to the provisions of Article 82, paragraph (6) of the Act, the term "health insurance" in the same Article is deemed to be replaced with "medical care for elderly people".

２前項に定めるもののほか、法第八十二条第六項の規定による技術的読替えは、次の表のとおりとする。

(2)Beyond what is provided for in the preceding paragraph, the technical replacement of terms under the provisions of Article 82, paragraph (6) of the Act is as in the following table.

第十四条高額療養費は、次に掲げる額を合算した額から次項又は第三項の規定により支給される高額療養費の額を控除した額（以下この項において「一部負担金等世帯合算額」という。）が高額療養費算定基準額を超える場合に支給するものとし、その額は、一部負担金等世帯合算額から高額療養費算定基準額を控除して得た額に被保険者按（あん）分率（被保険者が同一の月に受けた療養に係る次に掲げる額を合算した額から次項又は第三項の規定により支給される高額療養費の額を控除して得た額（以下「被保険者一部負担金等合算額」という。）を一部負担金等世帯合算額で除して得た率をいう。）を乗じて得た額とする。

Article 14(1)High-cost medical expenses are to be paid in the case where the amount obtained by deducting the amount of high-cost medical expenses to be paid pursuant to the provisions of the following paragraph or paragraph (3) from the sum of the following amounts (hereinafter referred to as the "total sum of households' co-payment, etc." in this paragraph) exceeds the base amount for calculating high-cost medical expenses, and the amount is to be calculated by adding the amount obtained by deducting the base amount for calculating high-cost medical expenses from the total sum of households' co-payment, etc. to the amount calculated by insured.Idea (Bean jam)(meaning the amount arrived at when the amount arrived at when the amount of high-cost medical expenses paid pursuant to the provisions of the following paragraph or paragraph (3) is deducted from the sum total of the following amounts for medical treatment received by the insured in the same month (hereinafter referred to as the "total sum of insured's co-payment, etc.") is divided by the total sum of household's co-payment, etc.)

２高額療養費は、法第五十二条第一号に該当するに至ったことにより月の初日以外の日において被保険者の資格を取得した者が、同日の属する月（同日以後の期間に限る。）に受けた療養（第十五条において「七十五歳到達時特例対象療養」という。）に係る次に掲げる額を合算した額から次項の規定により支給される高額療養費の額を控除した額が、高額療養費算定基準額を超える場合に支給するものとし、その額は、当該控除した額から高額療養費算定基準額を控除した額とする。

(2)High-cost medical expenses are to be paid in the case where the amount obtained by deducting the amount of high-cost medical expenses to be paid pursuant to the provisions of the following paragraph from the total of the following amounts pertaining to the medical treatment (referred to as "medical treatment subject to special provisions upon reaching 75 years of age" in Article 15) received by a person who acquired eligibility for an insured on a day other than the first day of a month due to coming to fall under Article 52, item (i) of the Act in the month which includes that day (limited to the period on or after that day) exceeds the base amount for calculating high-cost medical expenses, and the amount is to be the amount obtained by deducting the base amount for calculating high-cost medical expenses from the deducted amount:

３高額療養費は、被保険者（法第六十七条第一項第三号の規定が適用される者である場合を除く。）が同一の月に受けた外来療養（法第六十四条第一項第一号から第四号までに掲げる療養（同項第五号に掲げる療養に伴うものを除く。）をいう。次条並びに第十五条第四項第二号並びに第五項第三号及び第四号において同じ。）に係る次に掲げる額を合算した額が高額療養費算定基準額を超える場合に支給するものとし、その額は、当該合算した額から高額療養費算定基準額を控除した額とする。

(3)High-cost medical expenses are to be paid in the case where the total of the following amounts pertaining to the outpatient treatment (meaning the medical treatments listed in Article 64, paragraph (1), items (i) through (iv) of the Act (excluding those associated with the medical treatment listed in item (v) of the same paragraph); the same applies in the following Article and Article 15, paragraph (4), item (ii) and paragraph (5), items (iii) and (iv)) received by an insured (excluding the case where the provisions of Article 67, paragraph (1), item (iii) of the Act are applied) in the same month exceeds the base amount for calculating high-cost medical expenses, and the amount is to be the amount obtained by deducting the base amount for calculating high-cost medical expenses from the total amount:

４被保険者が特定給付対象療養（当該被保険者が次項の規定による後期高齢者医療広域連合の認定を受けた場合における同項に規定する特定疾病給付対象療養及び当該被保険者が第六項の規定による後期高齢者医療広域連合の認定を受けた場合における同項に規定する療養を除く。）を受けた場合において、当該被保険者が同一の月にそれぞれ一の病院、診療所、薬局その他の者（次項及び第六項において「病院等」という。）について受けた当該特定給付対象療養に係る第一項第一号イからヌまでに掲げる額が高額療養費算定基準額を超えるときは、当該同号イからヌまでに掲げる額から高額療養費算定基準額を控除した額を高額療養費として支給する。

(4)In the case where a insured receives specific medical treatment subject to benefits (excluding medical treatment subject to benefits for specified diseases prescribed in the following paragraph in the case where the insured has received certification of a Association of Medical Care Systems for the Elderly Aged 75 and older pursuant to the provisions of the same paragraph, and medical treatment prescribed in paragraph (6) in the case where the insured has received certification of a Association of Medical Care Systems for the Elderly Aged 75 and older pursuant to the provisions of the same paragraph), when the amounts listed in paragraph (1), item (i), (a) through (j) pertaining to the specific medical treatment subject to benefits received by the insured in the same month for one hospital, clinics, pharmacies, or other persons (referred to as "hospitals, etc." in the following paragraph and paragraph (6)) respectively exceed the base amount for calculating high-cost medical expenses, the amount obtained by deducting the base amount for calculating high-cost medical expenses from the amounts listed in (a) through (j) of the same item is paid as high-cost medical expenses.

５被保険者が特定疾病給付対象療養（特定給付対象療養（当該被保険者が次項の規定による後期高齢者医療広域連合の認定を受けた場合における同項に規定する療養を除く。）のうち健康保険法施行令（大正十五年勅令第二百四十三号）第四十一条第七項に規定する厚生労働大臣が定める医療に関する給付が行われるべきものをいう。第十五条第五項において同じ。）を受けた場合において、当該特定疾病給付対象療養を受けた被保険者が厚生労働省令で定めるところにより後期高齢者医療広域連合の認定を受けたものであり、かつ、当該被保険者が同一の月にそれぞれ一の病院等から受けた当該特定疾病給付対象療養に係る第一項第一号イからヌまでに掲げる額が高額療養費算定基準額を超えるときは、当該同号イからヌまでに掲げる額から高額療養費算定基準額を控除した額を高額療養費として支給する。

(5)In the case where a insured receives medical treatment covered by benefits for specified diseases (meaning medical treatment covered by benefits (excluding medical treatment prescribed in the following paragraph in the case where the insured is certified as a Association of Medical Care Systems for the Elderly Aged 75 and older pursuant to the provisions of the same paragraph) for which benefits related to medical care specified by the Minister of Health, Labour and Welfare as prescribed in Article 41, paragraph (7) of the Order for Enforcement of the Health Insurance Act (Imperial Order No. 243 of 1926) are to be paid; the same applies in Article 15, paragraph (5)), when the insured that received the medical treatment covered by benefits for specified diseases is certified as a Association of Medical Care Systems for the Elderly Aged 75 and older pursuant to the provisions of an Order of the Order of the Ministry of Health, Labour and Welfare, and the amounts listed in paragraph (1), item (i), (a) through (j) pertaining to the medical treatment covered by benefits for specified diseases received by the insured from a single hospital, etc. in the same month exceed the base amount for calculating high-cost medical expenses, the amount obtained by deducting the base amount for calculating high-cost medical expenses from the amounts listed in (a) through (j) of the same item is paid as high-cost medical expenses.

６被保険者が次の各号のいずれにも該当する疾病として厚生労働大臣が定めるものに係る療養（食事療養及び生活療養を除く。）を受けた場合において、当該療養を受けた被保険者が厚生労働省令で定めるところにより後期高齢者医療広域連合の認定を受けたものであり、かつ、当該被保険者が同一の月にそれぞれ一の病院等について受けた当該療養に係る第一項第一号イからヌまでに掲げる額が高額療養費算定基準額を超えるときは、当該同号イからヌまでに掲げる額から高額療養費算定基準額を控除した額を高額療養費として支給する。

(6)If an insured receives medical treatment (excluding dietary treatment and living support) for diseases specified by the Minister of Health, Labour and Welfare as diseases that fall under all of the following items, and the insured that received the medical treatment is certified as a Association of Medical Care Systems for the Elderly Aged 75 and older pursuant to the provisions of Order of the Order of the Ministry of Health, Labour and Welfare, and the amounts listed in paragraph (1), item (i), (a) through (j) pertaining to the medical treatment that the insured received in the same month at one hospital, etc. respectively exceed the base amount for calculating high-cost medical expenses, the amount obtained by deducting the base amount for calculating high-cost medical expenses from the amounts listed in (a) through (j) of the same item is paid as high-cost medical expenses:

７被保険者が、市町村民税世帯非課税者であり、かつ、国民年金法等の一部を改正する法律（昭和六十年法律第三十四号）附則第三十二条第一項の規定によりなお従前の例によるものとされた同法第一条の規定による改正前の国民年金法（昭和三十四年法律第百四十一号）に基づく老齢福祉年金（その全額につき支給が停止されているものを除く。第十六条の二第二項において「老齢福祉年金」という。）の受給権を有している場合であって、当該被保険者が同一の月に受けた療養に係る被保険者一部負担金等合算額から高額療養費算定基準額を控除した額が、第一項の規定により当該被保険者に対して支給されるべき高額療養費の額を超えるときは、当該被保険者に対して支給される高額療養費の額は、同項の規定にかかわらず、当該被保険者一部負担金等合算額から高額療養費算定基準額を控除した額とする。

(7)Notwithstanding the provisions of paragraph (1), if a insured is a person exempt from taxation on municipal inhabitants tax households and holds the right to receive benefits from a Senior Welfare Pension under the National Pension Act (Act No. 141 of 1959) prior to its amendment pursuant to the provisions of Article 1 of the Act Partially Amending the National Pension Act (Act No. 34 of 1985) which prior laws continue to govern pursuant to the provisions of Article 32, paragraph (1) of the Supplementary Provisions of that Act (other than a Senior Welfare Pension the payment of which has been suspended in full; referred to as a "high-cost medical expense" in Article 16-2, paragraph (2)), and the amount arrived at when the base amount for calculating high-cost medical expenses is deducted from the total sum of the insured's co-payment, etc. for medical treatment that the insured received in the same month exceeds the amount of high-cost medical expenses to be paid to the insured pursuant to the provisions of paragraph (1), the amount of high-cost medical expenses to be paid to the insured is the amount arrived at when the base amount for calculating high-cost medical expenses is deducted from the total sum of the insured's co-payment, etc.

第十四条の二高額療養費は、次に掲げる額を合算した額（以下この項において「基準日被保険者合算額」という。）が高額療養費算定基準額を超える場合に第一号に規定する基準日被保険者に支給するものとし、その額は、基準日被保険者合算額から高額療養費算定基準額を控除した額に高額療養費按分率（同号に掲げる額を、基準日被保険者合算額で除して得た率をいう。）を乗じて得た額とする。ただし、当該基準日被保険者が基準日（計算期間（毎年八月一日から翌年七月三十一日までの期間をいう。以下同じ。）の末日をいう。以下同じ。）において法第六十七条第一項第三号の規定が適用される者である場合は、この限りでない。

Article 14-2(1)In the case where the sum of the following amounts (hereinafter referred to as the "total amount of insured on the reference date" in this paragraph) exceeds the base amount for calculating high-cost medical expenses, high-cost medical expenses are to be paid to the insured on the reference date prescribed in item (i), and the amount is to be the amount obtained by multiplying the amount obtained by deducting the base amount for calculating high-cost medical expenses from the total amount of insured on the reference date by the high-cost medical expenses allocation rate (meaning the rate obtained by dividing the amount set forth in the same item by the total amount of insured on the reference date);provided, however, that this does not apply to the case where the provisions of Article 67, paragraph (1), item (iii) of the Act apply to the insured on the reference date (meaning the last day of the accounting period (meaning the period from August 1 of each year to July 31 of the following year; the same applies hereinafter); the same applies hereinafter):

２前項の規定は、計算期間において当該後期高齢者医療広域連合の被保険者であった者（基準日において他の後期高齢者医療広域連合の被保険者である者に限る。）に対する高額療養費の支給について準用する。この場合において、次の表の上欄に掲げる規定中同表の中欄に掲げる字句は、それぞれ同表の下欄に掲げる字句に読み替えるものとする。

(2)The provisions of the preceding paragraph apply mutatis mutandis to the payment of high-cost medical expenses to a person who was an insured of the relevant Association of Medical Care Systems for the Elderly Aged 75 and older during the accounting period (limited to a person who was an insured of another Association of Medical Care Systems for the Elderly Aged 75 and older on the reference date).In this case, the terms set forth in the middle column of the following table in the provisions set forth in the left-hand column of the same table are deemed to be replaced with the terms set forth respectively in the right-hand column of the same table.

３計算期間において当該後期高齢者医療広域連合の被保険者であった者（基準日において組合等の組合員等（第六項に規定する国民健康保険の世帯主等であって被保険者である者を除く。）である者に限る。以下この項において「基準日組合員等」という。）に対する高額療養費は、第一号に掲げる額が高額療養費算定基準額を超える場合に支給するものとし、その額は、第二号に掲げる額に第三号に掲げる率を乗じて得た額とする。ただし、当該基準日組合員等が基準日において法第六十七条第一項第三号の規定が適用される者に相当する者である場合は、この限りでない。

(3)High-cost medical expenses for a person who was an insured of the relevant Association of Medical Care Systems for the Elderly Aged 75 and older during the accounting period (limited to a person who is a Partner, etc. of a Society, etc. (excluding a Householder, etc. of a national health insurance plan who is an insured as prescribed in paragraph (6)) as of the base date; hereinafter referred to as a "Partner, etc. on the Base Date" in this paragraph) are to be paid if the amount set forth in item (i) exceeds the base amount for calculating high-cost medical expenses, and the amount is to be the amount obtained by multiplying the amount set forth in item (ii) by the rate set forth in item (iii);provided, however, that this does not apply if the Partner, etc. on the Base Date is a person equivalent to a person to whom the provisions of Article 67, paragraph (1), item (iii) of the Act apply as of the base date:

４前項の規定は、計算期間において当該後期高齢者医療広域連合の被保険者であった者（基準日において組合等の組合員等の被扶養者等である者に限る。）に対する高額療養費の支給について準用する。この場合において、同項第一号中「基準日組合員等を」とあるのは「基準日組合員等（基準日において組合等の組合員等である者をいう。第三号において同じ。）を」と、「。第三号」とあるのは「。同号」と読み替えるものとする。

(4)The provisions of the preceding paragraph apply mutatis mutandis to the payment of high-cost medical expenses to a person who was an insured of the relevant Association of Medical Care Systems for the Elderly Aged 75 and older during the accounting period (limited to a person who is a dependent, etc. of a partner, etc. of a partnership, etc. on the reference date).In this case, the term "a partner, etc. on the reference date" in item (i) of the same paragraph is deemed to be replaced with "a partner, etc. on the reference date (meaning a person who is a partner, etc. of a partnership, etc. on the reference date; the same applies in item (iii))", and the term "item (iii)" is deemed to be replaced with "item (iii)".

５第一項（第二項において準用する場合を含む。）、第三項（前項において準用する場合を含む。）及び前項において「組合等」とは、健康保険（日雇特例被保険者（健康保険法第三条第二項に規定する日雇特例被保険者をいう。第十六条の三第三項において同じ。）の保険を除く。）の保険者としての全国健康保険協会、健康保険組合、同法第百二十三条第一項の規定による保険者としての全国健康保険協会、船員保険法の規定により医療に関する給付を行う全国健康保険協会、市町村（特別区を含む。）、国民健康保険組合、国家公務員共済組合法（昭和三十三年法律第百二十八号）若しくは地方公務員等共済組合法（昭和三十七年法律第百五十二号）に基づく共済組合又は日本私立学校振興・共済事業団をいう。

(5)The term "Society, etc." as used in paragraph (1) (including as applied mutatis mutandis pursuant to paragraph (2)), paragraph (3) (including as applied mutatis mutandis pursuant to the preceding paragraph), and the preceding paragraph means a Japan Health Insurance Association as an insurer of health insurance (excluding insurance of a specially-insured day laborer insured (meaning a specially-insured day laborer insured as prescribed in Article 3, paragraph (2) of the Health Insurance Act; the same applies in Article 16-3, paragraph (3))), a health insurance society, a Japan Health Insurance Association as an insurer under the Article 123, paragraph (1) of that Act, a Japan Health Insurance Association that provides benefits related to medical care pursuant to the provisions of the Mariners Insurance Act, a municipality (including a special ward), a national health insurance society, a mutual aid association under the National Public Officers mutual aid association Act (Act No. 128 of 1958) or the local public employee mutual aid association Act (Act No. 152 of 1962), or the Promotion and Mutual Aid Corporation for Private Schools.

６第一項（第二項において準用する場合を含む。）、第三項（第四項において準用する場合を含む。）及び第四項において「組合員等」とは、健康保険の被保険者（日雇特例被保険者であった者（健康保険法施行令第四十一条の二第九項に規定する日雇特例被保険者であった者をいう。第十六条の三第三項において同じ。）を含む。）、船員保険の被保険者、国家公務員共済組合法若しくは地方公務員等共済組合法に基づく共済組合の組合員、私立学校教職員共済法（昭和二十八年法律第二百四十五号）の規定による私立学校教職員共済制度の加入者又は国民健康保険の被保険者の属する世帯の世帯主若しくは国民健康保険組合の組合員（以下「国民健康保険の世帯主等」という。）をいう。

(6)The term "Partner or Member" as used in paragraph (1) (including as applied mutatis mutandis pursuant to paragraph (2)), paragraph (3) (including as applied mutatis mutandis pursuant to paragraph (4)), and paragraph (4) means a insured covered by health insurance (including a person who was a specially-insured day laborer insured (meaning a person who was a specially-insured day laborer insured prescribed in Article 41-2, paragraph (9) of the Order for Enforcement of the Health Insurance Act; the same applies in Article 16-3, paragraph (3))), a insured covered by mariners' insurance, a partner of a mutual aid association under the National Public Officers' mutual aid association Act or the local public employee mutual aid association Act, a member of an Private School Teachers mutual aid plan under the provisions of the Private School Teachers Mutual Aid Act (Act No. 245 of 1953), the head of a household to which a insured covered by national health insurance belongs, or a partner of a national health insurance society (hereinafter referred to as a "Householder.

７第一項（第二項において準用する場合を含む。）、第三項第一号（第四項において準用する場合を含む。）及び第四項において「被扶養者等」とは、健康保険法、船員保険法、国家公務員共済組合法（他の法律において準用する場合を含む。）若しくは地方公務員等共済組合法の規定による被扶養者又は国民健康保険の世帯主等と同一の世帯に属する当該国民健康保険の世帯主等以外の国民健康保険の被保険者をいう。

(7)The term "dependent, etc." as used in paragraph (1) (including as applied mutatis mutandis pursuant to paragraph (2)), paragraph (3), item (i) (including as applied mutatis mutandis pursuant to paragraph (4)), and paragraph (4) means a dependent pursuant to the provisions of the Health Insurance Act, the Mariners Insurance Act, the National Public Officers' mutual aid association Act (including as applied mutatis mutandis pursuant to other Acts), or the local public employee, etc. mutual aid association Act, or a insured covered by national health insurance other than the Householder, etc. of a national health insurance who belongs to the same household as the Householder, etc. of a national health insurance.

第十五条第十四条第一項の高額療養費算定基準額は、次の各号に掲げる者の区分に応じ、当該各号に定める額とする。

Article 15(1)The base amount for calculating high-cost medical expenses as referred to in Article 14, paragraph (1) is the amount specified in the relevant of the following items for the category of persons set forth in that item:

２第十四条第二項の高額療養費算定基準額は、次の各号に掲げる者の区分に応じ、当該各号に定める額とする。

(2)The base amount for calculating high-cost medical expenses referred to in Article 14, paragraph (2) is the amount specified in the relevant of the following items for the category of persons set forth in that item:

３第十四条第三項の高額療養費算定基準額は、次の各号に掲げる者の区分に応じ、当該各号に定める額（七十五歳到達時特例対象療養に係るものにあっては、当該各号に定める額に二分の一を乗じて得た額）とする。

(3)The base amount for calculating high-cost medical expenses as referred to in Article 14, paragraph (3) is the amount specified in the relevant of the following items for the category of persons set forth in that item (or, for medical treatment subject to special provisions upon reaching 75 years of age, the amount arrived at when the amount specified in that item is multiplied by one half):

４第十四条第四項の高額療養費算定基準額は、次の各号に掲げる場合の区分に応じ、当該各号に定める額（七十五歳到達時特例対象療養に係るものにあっては、当該各号に定める額に二分の一を乗じて得た額）とする。

(4)The base amount for calculating high-cost medical expenses referred to in Article 14, paragraph (4) is the amount specified in the relevant of the following items in accordance with the category of cases set forth in that item (or, for medical treatment subject to special provisions upon reaching 75 years of age, the amount obtained by multiplying the amount specified in that item by one half):

５第十四条第五項の高額療養費算定基準額は、次の各号に掲げる場合の区分に応じ、当該各号に定める額とする。

(5)The base amount for calculating high-cost medical expenses as referred to in Article 14, paragraph (5) is the amount specified in the relevant of the following items for the category of case set forth in that item:

６第十四条第六項の高額療養費算定基準額は、一万円（七十五歳到達時特例対象療養に係るものにあっては、五千円）とする。

(6)The base amount for calculating high-cost medical expenses referred to in Article 14, paragraph (6) is 10,000 yen (or 5000 yen for medical treatment subject to special provisions upon reaching 75 years of age).

７第十四条第七項の高額療養費算定基準額は、一万五千円とする。

(7)The base amount for calculating high-cost medical expenses referred to in Article 14, paragraph (7) is 15000 yen.

８前条第一項（同条第二項において準用する場合を含む。）及び第三項（同条第四項において準用する場合を含む。）の高額療養費算定基準額は、それぞれ十四万四千円とする。

(8)The base amount for calculating high-cost medical expenses referred to in paragraph (1) of the preceding Article (including as applied mutatis mutandis pursuant to paragraph (2) of that Article) and paragraph (3) of that Article (including as applied mutatis mutandis pursuant to paragraph (4) of that Article) is 144000 yen each.

第十六条被保険者が同一の月にそれぞれ一の保険医療機関等（法第五十七条第三項に規定する保険医療機関等をいう。以下この条において同じ。）又は指定訪問看護事業者（以下この条において「医療機関等」という。）について療養を受けた場合において、一部負担金、保険外併用療養費負担額（保険外併用療養費の支給につき法第七十六条第六項において準用する法第七十四条第五項の規定の適用がある場合における当該保険外併用療養費の支給に係る療養につき算定した費用の額から当該保険外併用療養費の額を控除した額をいう。以下同じ。）又は訪問看護療養費負担額（訪問看護療養費の支給につき法第七十八条第八項において準用する法第七十四条第五項の規定の適用がある場合における当該訪問看護療養費の支給に係る指定訪問看護につき算定した費用の額から当該訪問看護療養費の額を控除した額をいう。以下同じ。）の支払が行われなかったときは、後期高齢者医療広域連合は、第十四条第一項から第三項までの規定により当該被保険者に対し支給すべき高額療養費（同条第七項の規定によりその額を算定したものを含む。次項において同じ。）について、当該一部負担金の額、保険外併用療養費負担額又は訪問看護療養費負担額から次の各号に掲げる場合の区分に応じ、当該各号に定める額を控除した額の限度において、当該被保険者に代わり、当該医療機関等に支払うものとする。

Article 16(1)In the case where an insured receives medical treatment at a single Medical Institution Providing Services Covered by Health Insurance, etc. (meaning the Medical Institution Providing Services Covered by Health Insurance, etc. prescribed in Article 57, paragraph (3) of the Act; hereinafter the same applies in this Article) or a designated home-nursing provider (hereinafter referred to as the "Medical Institution, etc." in this Article) in the same month, when co-payment, the amount of co-payment for medical expenses combined with treatment outside insurance coverage (meaning the amount calculated by deducting the amount of medical expenses combined with treatment outside insurance coverage from the amount of expenses calculated for medical treatment pertaining to the payment of the medical expenses combined with treatment outside insurance coverage in the case where the provisions of Article 74, paragraph (5) of the Act, as applied mutatis mutandis pursuant to Article 76, paragraph (6) of the Act, apply to the payment of medical expenses combined with treatment outside insurance coverage; the same applies hereinafter), or the amount of co-payment for medical expenses for home-nursing (meaning the amount calculated by deducting the amount of the medical expenses for home-nursing from the amount of expenses calculated for designated home-nursing pertaining to the payment of the medical expenses for home-nursing in the case where the provisions of Article 74, paragraph (5) of the Act, as applied mutatis mutandis pursuant to Article 78, paragraph (8) of the Act, apply to the payment of medical expenses for home-nursing; the same applies hereinafter) is not made, the Association of Medical Care Systems for the Elderly Aged 75 and older is to pay, on behalf of the insured, to the Medical Institution, etc., high-cost medical expenses to be paid to the insured pursuant to the provisions of Article 14, paragraphs (1) through (3) (including expenses whose amount is calculated pursuant to the provisions of paragraph (7) of the same Article; the same applies in:

２前項の規定による支払があったときは、その限度において、被保険者に対し第十四条第一項から第三項までの規定による高額療養費の支給があったものとみなす。

(2)When a payment pursuant to the provisions of the preceding paragraph is made, it is deemed that high-cost medical expenses pursuant to the provisions of Article 14, paragraphs (1) through (3) are paid to the insured to the extent of the payment.

３被保険者が医療機関等について原爆一般疾病医療費の支給その他厚生労働省令で定める医療に関する給付が行われるべき療養を受けた場合又は第十四条第六項の規定による後期高齢者医療広域連合の認定を受けた被保険者が医療機関等について同項に規定する療養を受けた場合において、一部負担金、保険外併用療養費負担額又は訪問看護療養費負担額の支払が行われなかったときは、後期高齢者医療広域連合は、同条第四項から第六項までの規定による高額療養費として当該被保険者に対し支給すべき額に相当する額を当該医療機関等に支払うものとする。

(3)In the case where insured has received medical treatment for which medical expenses for general diseases caused by atomic bombs or other medical treatment benefits specified by Order of the Ministry of Health, Labour and Welfare are to be paid with regard to medical institutions, etc., or where insured that has received certification from the Association of Medical Care Systems for the Elderly Aged 75 and older pursuant to the provisions of Article 14, paragraph (6) has received medical treatment prescribed in the same paragraph with regard to medical institutions, etc., if co-payment, the amount of co-payment for medical expenses combined with treatment outside insurance coverage, or the amount of co-payment for medical expenses for home-nursing has not been made, the Association of Medical Care Systems for the Elderly Aged 75 and older is to pay to the medical institutions, etc. an amount equivalent to the amount to be paid to the insured as high-cost medical expenses pursuant to the provisions of paragraphs (4) through (6) of the same Article.

４前項の規定による支払があったときは、被保険者に対し第十四条第四項から第六項までの規定による高額療養費の支給があったものとみなす。

(4)When a payment pursuant to the provisions of the preceding paragraph has been made, it is deemed that high-cost medical expenses pursuant to the provisions of Article 14, paragraphs (4) through (6) have been paid to the insured.

５歯科診療及び歯科診療以外の診療を併せ行う保険医療機関等は、第十四条第四項から第六項までの規定並びに第一項の規定の適用については、歯科診療及び歯科診療以外の診療につきそれぞれ別個の保険医療機関等とみなす。

(5)With regard to the application of the provisions of Article 14, paragraphs (4) through (6) and the provisions of paragraph (1), a medical institution providing services covered by health insurance, etc. that provides both dental care and medical care other than dental care is deemed to be different medical institution providing services covered by health insurance, etc. for dental care and medical care other than dental care, respectively.

６被保険者が同一の月にそれぞれ一の保険医療機関等について法第六十四条第一項第五号に掲げる療養を含む療養及びそれ以外の療養を受けた場合は、第十四条第四項から第六項までの規定の適用については、当該同号に掲げる療養を含む療養及びそれ以外の療養は、それぞれ別個の保険医療機関等について受けたものとみなす。

(6)If an insured receives medical treatment including the medical treatment listed in Article 64, paragraph (1), item (v) of the Act and other medical treatment in the same month at a single Medical Institution Providing Services Covered by Health Insurance, etc., with regard to the application of the provisions of Article 14, paragraphs (4) through (6), the medical treatment including the medical treatment listed in the same item and other medical treatment are deemed to be received at different Medical Institutions Providing Services Covered by Health Insurance, etc.

７被保険者が計算期間においてその資格を喪失し、かつ、当該資格を喪失した日以後の当該計算期間において医療保険加入者（被保険者又は法第七条第四項に規定する加入者をいう。第十六条の四第一項において同じ。）とならない場合その他厚生労働省令で定める場合における第十四条の二の規定による高額療養費の支給については、当該日の前日（当該厚生労働省令で定める場合にあっては、厚生労働省令で定める日）を基準日とみなして、同条及び前条第八項の規定を適用する。

(7)With regard to the payment of high-cost medical expenses under the provisions of Article 14-2 in the case where an insured forfeits its eligibility during an accounting period and does not become an Person Covered by Medical Insurance (meaning an insured or a member prescribed in Article 7, paragraph (4) of the Act; the same applies in Article 16-4, paragraph (1)) during the accounting period on or after the day on which the eligibility is forfeited, or in other cases specified by the Order of the Ministry of Health, Labour and Welfare, the provisions of Article 14-2 and paragraph (8) of the preceding Article apply by deeming the day preceding the date (in cases specified by the Order of the Ministry of Health, Labour and Welfare, the day specified by the Order of the Ministry of Health, Labour and Welfare) to be the base date.

８高額療養費の支給に関する手続に関し必要な事項は、厚生労働省令で定める。

(8)Necessary matters concerning the procedures for the payment of high-cost medical expenses are specified by Order of the Ministry of Health, Labour and Welfare.

第十六条の二高額介護合算療養費は、次に掲げる額を合算した額（以下この項において「介護合算一部負担金等世帯合算額」という。）が介護合算算定基準額に健康保険法施行令第四十三条の二第一項に規定する支給基準額（以下この条において「支給基準額」という。）を加えた額を超える場合に基準日被保険者に支給するものとし、その額は、介護合算一部負担金等世帯合算額から介護合算算定基準額を控除した額に介護合算按分率（第一号に掲げる額を、介護合算一部負担金等世帯合算額で除して得た率をいう。）を乗じて得た額に被保険者介護合算按分率（同号に規定する基準日被保険者が受けた療養に係る同号に掲げる額を、同号に掲げる額で除して得た率をいう。）を乗じて得た額とする。ただし、同号から第三号までに掲げる額を合算した額又は第四号及び第五号に掲げる額を合算した額が零であるときは、この限りでない。

Article 16-2(1)Sizable medical and nursing expenses is to be paid to a insured on the base date in the case where the sum of the following amounts (hereinafter referred to as the "total sum of households' co-payment for long-term care" in this paragraph) exceeds the sum of the base amount for calculating the total amount of long-term care plus the base amount for payment prescribed in Article 43-2, paragraph (1) of the Order for Enforcement of the Health Insurance Act (hereinafter referred to as the "base amount for payment" in this Article), and the amount is to be the amount obtained by multiplying the amount obtained by deducting the base amount for calculating the total amount of long-term care from the total sum of households' co-payment for long-term care plus the base amount for calculation by the total long-term care allocation rate (meaning the rate obtained by dividing the amount listed in item (i) by the total sum of households' co-payment for long-term care plus the base amount for calculation) by the insured's total long-term care allocation rate (meaning the rate obtained by dividing the amount listed in the same item pertaining to the medical treatment received by a insured on the base date prescribed in the same item by the amount listed in the same item);provided, however, that this does not apply when the sum of the amounts listed in items (i) through (iii) or the sum of the amounts listed in items (iv) and (v):

２基準日被保険者が市町村民税世帯非課税者（基準日の属する月における厚生労働省令で定める日においてその属する世帯の世帯主及び全ての世帯員が基準日の属する年度の前年度（第十六条の四第一項の規定により前年八月一日から三月三十一日までのいずれかの日を基準日とみなした場合にあっては、当該基準日とみなした日の属する年度）分の地方税法の規定による市町村民税が課されない者（市町村の条例で定めるところにより当該市町村民税を免除された者を含むものとし、当該市町村民税の賦課期日において同法の施行地に住所を有しない者を除く。）をいう。次条第一項第三号において同じ。）であり、かつ、老齢福祉年金の受給権を有している場合であって、当該基準日被保険者が受けた療養に係る前項第一号から第三号までに掲げる額及び当該基準日被保険者の被扶養者等が受けた療養に係る同号に掲げる額並びに当該基準日被保険者が受けた居宅サービス等又は介護予防サービス等に係る同項第四号及び第五号に掲げる額の合算額（以下この項において「老齢福祉年金受給被保険者一部負担金等合算額」という。）が介護合算算定基準額に支給基準額を加えた額を超え、かつ、老齢福祉年金受給被保険者一部負担金等合算額から介護合算算定基準額を控除した額に介護合算按分率（当該基準日被保険者が受けた療養に係る前項第一号に掲げる額を老齢福祉年金受給被保険者一部負担金等合算額で除して得た率をいう。以下この項において同じ。）を乗じて得た額が、前項の規定により当該基準日被保険者に対して支給されるべき高額介護合算療養費の額を超えるときは、当該基準日被保険者に対して支給される高額介護合算療養費の額は、同項の規定にかかわらず、老齢福祉年金受給被保険者一部負担金等合算額から介護合算算定基準額を控除した額に介護合算按分率を乗じて得た額とする。ただし、当該基準日被保険者が受けた療養に係る同項第一号から第三号までに掲げる額及び当該基準日被保険者の被扶養者等が受けた療養に係る同号に掲げる額を合算した額又は当該基準日被保険者が受けた居宅サービス等若しくは介護予防サービス等に係る同項第四号及び第五号に掲げる額を合算した額が零であるときは、この限りでない。

(2)If the Amount of insured on the Base Date is a Person Exempt from Local Taxes (meaning a person (including a person who is exempted from the municipal inhabitants tax pursuant to the provisions of a Municipal Ordinance, and excluding a person who does not have domicile in the place where the Order of the Ministry of Health, Labour and Welfare Act is enforced as of the date of assessment of the municipal inhabitants tax) pursuant to the provisions of the Local Tax Act for the fiscal year preceding the fiscal year to which the Base Date belongs (if any day from August 1 to March 31 of the preceding year is deemed to be the Base Date pursuant to the provisions of Article 16-4, paragraph (1), the fiscal year to which the day deemed to be the Base Date belongs) (the Head and all household members of the household to which the person belongs are deemed to be exempt from the municipal inhabitants tax as of the day specified by the municipal inhabitants tax in the month to which the Base Date belongs; the same applies in paragraph (1), item (iii) of the following Article) and the person has the right to receive benefits from a Senior Welfare Pension, and the sum of the amounts set forth in items (i) through (iii) of the preceding paragraph pertaining to the medical treatment received by the insured on the Base Date, the amount set forth in the same item pertaining to the medical treatment received by a dependent, etc. of the insured on the Base Date, and the amounts set forth in items (iv) and (v) of the same paragraph pertaining to In-Home Service, etc. or Preventive Long-Term Care Service, etc. received by the insured on the Base Date (hereinafter referred to as the "Total Amount of Co-payment for a Senior Welfare Pension Recipient insured, etc." in this paragraph) exceeds the amount obtained by adding the Total Base Amount of Long-Term Care Calculation and the Payment Base Amount, and the amount obtained by multiplying the amount obtained by deducting the Total Base Amount of Co-payment for a Senior Welfare Pension Recipient insured, etc. from the Total Amount of Co-payment for a Senior Welfare Pension Recipient insured, etc. by the Total Long-Term Care Allocation Rate (meaning the rate obtained by dividing the amount set forth in item (i) of the preceding paragraph pertaining to the medical treatment received by the insured on the Base Date by the Total Amount of Co-payment for a Sizable medical and nursing expenses Recipient insured, etc.; the same applies hereinafter in this paragraph) exceeds the amount of Sizable medical and nursing expenses to be paid for the insured on the Base Date pursuant to the provisions of the preceding paragraph, the amount of surcharge to be paid for the insured on the Base Date is the amount obtained by multiplying the amount obtained by deducting the Senior Welfare Pension insured insured insured

３前二項の規定は、計算期間において当該後期高齢者医療広域連合の被保険者であった者（基準日において他の後期高齢者医療広域連合の被保険者である者に限る。）に対する高額介護合算療養費の支給について準用する。この場合において、第一項中「（第一号に掲げる額」とあるのは「（基準日において同一の世帯に属する第三項に規定する者が計算期間における当該後期高齢者医療広域連合の被保険者であった間に受けた療養に係る第一号に規定する合算額（以下この項において「第三項被保険者一部負担金等世帯合算額」という。）」と、「同号に規定する基準日被保険者が受けた療養に係る同号に掲げる額を、同号に掲げる額」とあるのは「第三項に規定する者が計算期間における当該後期高齢者医療広域連合の被保険者であった間に受けた療養に係る第一号に規定する合算額を、第三項被保険者一部負担金等世帯合算額」と、同項第一号中「基準日世帯被保険者」とあるのは「基準日において他の後期高齢者医療広域連合の被保険者である者（以下この条において「基準日被保険者」という。）が基準日において属する世帯の当該他の後期高齢者医療広域連合の被保険者（以下この条において「基準日世帯被保険者」という。）と、「後期高齢者医療広域連合の」とあるのは「他の後期高齢者医療広域連合（次号において「基準日後期高齢者医療広域連合」という。）の」と、同項第二号中「他の」とあるのは「基準日後期高齢者医療広域連合以外の」と、前項中「当該基準日被保険者が受けた療養に係る前項第一号に掲げる額」とあるのは「次項に規定する者が計算期間における当該後期高齢者医療広域連合の被保険者であった間に受けた療養に係る前項第一号に規定する合算額」と読み替えるものとする。

(3)The provisions of the preceding two paragraphs apply mutatis mutandis to the payment of Sizable medical and nursing expenses to a person who was an insured of the relevant Association of Medical Care Systems for the Elderly Aged 75 and older during the accounting period (limited to a person who was an insured of another Association of Medical Care Systems for the Elderly Aged 75 and older on the reference date).In this case, the phrase "(the amount set forth in item (i)" in paragraph (1) is deemed to be replaced with "(the total sum prescribed in item (i) pertaining to the medical treatment received by a person prescribed in paragraph (3) who belongs to the same household as of the reference date during the time when the person was an insured of the relevant Association of Medical Care Systems for the Elderly Aged 75 and older during the accounting period (hereinafter referred to as the" total sum of households' co-payment for insured expenses set forth in paragraph (3) "in this paragraph)", the phrase "the amount set forth in the same item pertaining to the medical treatment received by an insured on the reference date prescribed in the same item is deemed to be replaced with the total sum prescribed in item (i) pertaining to the medical treatment received by a person prescribed in paragraph (3) during the time when the person was an insured of the relevant Association of Medical Care Systems for the Elderly Aged 75 and older during the accounting period is deemed to be replaced with the total sum of households' co-payment for insured expenses set forth in paragraph (3)", the phrase "insured for a household on the reference date" in item (i) of the same paragraph is deemed to be replaced with "the insured of another Association of Medical Care Systems for the Elderly Aged 75 and older (hereinafter referred to as the" insured for a household on the reference date "in this Article) to which a person who was an insured of the relevant Association of Medical Care Systems for the Elderly Aged 75 and older on the reference date (hereinafter referred to as the" insured on the reference date "in this Article) belongs as of the reference date (hereinafter referred to as the" on the reference date "in this Article), the phrase" of the Association of Medical Care Systems for the Elderly Aged 75 and older "is deemed to be replaced with" of the other Association of Medical Care Systems for the Elderly Aged 75 and older (referred to as the "Association of Medical Care Systems for the Elderly Aged 75 and older on the reference date" in the following item) ", the phrase" the amount set forth in item (i) of the preceding paragraph pertaining to the medical treatment received by the insured on the reference date insured Association of Medical Care Systems for the Elderly Aged 75 and older Association of Medical Care Systems for the Elderly Aged 75 and older.

４計算期間において当該後期高齢者医療広域連合の被保険者であった者（基準日において組合員等（国民健康保険の世帯主等であって被保険者である者を除く。）である者又は被扶養者等である者に限る。）に対する高額介護合算療養費は、当該組合員等である者又は当該被扶養者等である者を基準日被保険者とみなして厚生労働省令で定めるところにより算定した第一項各号に掲げる額に相当する額（以下この項から第六項までにおいて「通算対象負担額」という。）を合算した額から七十歳以上介護合算支給総額（第六項の七十歳以上介護合算一部負担金等世帯合算額から同項の七十歳以上介護合算算定基準額を控除した額（当該額が支給基準額以下である場合又は当該七十歳以上介護合算一部負担金等世帯合算額の算定につき同項ただし書に該当する場合には、零とする。）をいう。）を控除した額（以下この項及び次項第一号において「介護合算一部負担金等世帯合算額」という。）が介護合算算定基準額に支給基準額を加えた額を超える場合に支給するものとし、その額は、介護合算一部負担金等世帯合算額から介護合算算定基準額を控除した額に介護合算按分率を乗じて得た額に被保険者介護合算按分率を乗じて得た額とする。ただし、第一項第一号から第三号までに係る通算対象負担額を合算した額又は同項第四号及び第五号に係る通算対象負担額を合算した額が零であるときは、この限りでない。

(4)Sizable medical and nursing expenses for a person who was an insured of the Association of Medical Care Systems for the Elderly Aged 75 and older during the accounting period (limited to a person who is a Member, etc. (excluding a Householder, etc. of a national health insurance plan who is an insured) or a dependent, etc. on the Base Date) is to be paid if the amount obtained by deducting the total amount of combined long-term care payment for persons 70 years of age or older (meaning the amount obtained by deducting the base amount for combined long-term care calculation set forth in paragraph (6) from the total household amount of combined co-payment for long-term care for persons 70 years of age or older set forth in the same paragraph (if the amount is equal to or less than the base amount for payment or if the calculation of the total household amount of combined co-payment for long-term care for persons 70 years of age or older falls under the proviso of the same paragraph, the amount is zero)) from the sum of the amounts equivalent to the amounts set forth in the items of paragraph (1) calculated as specified by Order of the Ministry of Health, Labour and Welfare by deeming the person who is a Member, etc. or the dependent, etc. to be the insured on the Base Date (hereinafter referred to as the "Total Amount of Burden Subject to Aggregation" in this paragraph through paragraph (6)) (hereinafter referred to as the "Total Household Amount of Combined Co-payment for Long-Term Care" in this paragraph and item (i) of the following paragraph) exceeds the amount obtained by adding the base amount for combined long-term care calculation to the base amount for payment, and the amount is the amount obtained by multiplying the amount obtained by deducting the base amount for combined long-term care calculation from the total household amount of combined co-payment for long-term care, etc. by the combined long-term care allocation rate and then multiplying the product by the combined long-term care allocation rate;provided, however, that this does not apply when the sum of the Total Amount of Burden Subject insured

５次の各号に掲げる前項の介護合算按分率及び被保険者介護合算按分率は、それぞれ次の各号に定める率とする。

(5)The combined long-term care allocation rate and the combined insured long-term care allocation rate set forth in the preceding paragraph listed in the following items are the rates specified respectively in the following items:

６通算対象負担額のうち、七十歳に達する日の属する月の翌月以後に受けた療養又は居宅サービス等若しくは介護予防サービス等に係る額に相当する額として厚生労働省令で定めるところにより算定した額（以下この項及び次項において「七十歳以上通算対象負担額」という。）を合算した額（以下この項において「七十歳以上介護合算一部負担金等世帯合算額」という。）が七十歳以上介護合算算定基準額に支給基準額を加えた額を超える場合は、七十歳以上介護合算一部負担金等世帯合算額から七十歳以上介護合算算定基準額を控除した額に七十歳以上介護合算按分率を乗じて得た額に七十歳以上被保険者介護合算按分率を乗じて得た額を高額介護合算療養費として第四項に規定する者に支給する。ただし、第一項第一号から第三号までに係る七十歳以上通算対象負担額を合算した額又は同項第四号及び第五号に係る七十歳以上通算対象負担額を合算した額が零であるときは、この限りでない。

(6)If the sum of the amount calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare as the amount equivalent to the amount pertaining to medical treatment, In-Home Service, etc., or Preventive Long-Term Care Service, etc., received in or after the month following the month including the day on which the person reaches 70 years of age (hereinafter referred to as the "Amount Subject to Aggregation" in this paragraph and the following paragraph) out of the Amount Subject to Aggregation (hereinafter referred to as the "Total Sum of Household Co-Payment for Total Long-Term Care for 70 years of Age or Older" in this paragraph) exceeds the sum of the Base Amount for Total Long-Term Care Calculation and the Payment Base Amount, the amount obtained by first deducting the Base Amount for Total Long-Term Care Calculation from the Total Sum of Household Co-Payment for Total Long-Term Care for 70 years of Age or Older, multiplying the product by the Total Long-Term Care Allocation Rate for 70 years of Age or Older, and then multiplying the product by the Total Long-Term Care Allocation Rate for insured for 70 years of Age or Older is paid as a Sizable medical and nursing expenses to the person prescribed in paragraph (4);provided, however, that this does not apply when the sum of the Amount Subject to.

７次の各号に掲げる前項の七十歳以上介護合算按分率及び七十歳以上被保険者介護合算按分率は、それぞれ次の各号に定める率とする。

(7)The combined proportion for long-term care for 70 years of age or older and the combined proportion for insured long-term care for 70 years of age or older set forth in the preceding paragraph set forth in the following items are the rates specified respectively in the following items:

第十六条の三前条第一項（同条第三項において準用する場合を含む。）の介護合算算定基準額は、次の各号に掲げる者の区分に応じ、当該各号に定める額とする。

Article 16-3(1)The base amount for calculating the total amount of long-term care referred to in paragraph (1) of the preceding Article (including as applied mutatis mutandis pursuant to paragraph (3) of the same Article) is the amount specified in each of the following items according to the classification of persons set forth in the following items:

２前条第二項（同条第三項において準用する場合を含む。）の介護合算算定基準額は、十九万円とする。

(2)The base amount for calculating the total amount of long-term care referred to in paragraph (2) of the preceding Article (including as applied mutatis mutandis pursuant to paragraph (3) of the same Article) is 190000 yen.

３前条第四項の介護合算算定基準額については、次の表の上欄に掲げる者の区分に応じ、それぞれ同表の中欄に掲げる規定を、同条第六項の七十歳以上介護合算算定基準額については、同表の上欄に掲げる者の区分に応じ、それぞれ同表の下欄に掲げる規定を準用する。この場合において、必要な技術的読替えは、厚生労働省令で定める。

(3)With regard to the base amount for calculating the total amount of long-term care set forth in paragraph (4) of the preceding Article, the provisions listed in the middle column of the following table apply mutatis mutandis according to the category of persons listed in the left-hand column of the same table respectively; and with regard to the base amount for calculating the total amount of long-term care for 70 years of age or older set forth in paragraph (6) of the same Article, the provisions listed in the right-hand column of the same table apply mutatis mutandis according to the category of persons listed in the left-hand column of the same table respectively.In this case, the necessary technical replacement of terms is specified by Order of the Ministry of Health, Labour and Welfare.

第十六条の四被保険者が計算期間においてその資格を喪失し、かつ、当該資格を喪失した日以後の当該計算期間において医療保険加入者とならない場合その他厚生労働省令で定める場合における高額介護合算療養費の支給については、当該日の前日（当該厚生労働省令で定める場合にあっては、厚生労働省令で定める日）を基準日とみなして、前二条の規定を適用する。

Article 16-4(1)With regard to the payment of the Sizable medical and nursing expenses in the case where a insured forfeits its eligibility during an accounting period and does not become an Person Covered by Medical Insurance during the accounting period on or after the day on which the Order of the Ministry of Health, Labour and Welfare forfeits its eligibility or in other cases specified by the Order of the Ministry of Health, Labour and Welfare, the provisions of the preceding two Articles apply by deeming the day preceding the relevant day (in the case specified by the Order of the Ministry of Health, Labour and Welfare, the day specified by the Labor Standards Order) to be the base date.

２高額介護合算療養費の支給に関する手続に関して必要な事項は、厚生労働省令で定める。

(2)Order of the Ministry of Health, Labour and Welfare provides for the necessary particulars concerning the procedures for the payment of Sizable medical and nursing expenses.

第十七条第十二条の二の規定は、法第九十二条第一項及び第二項に規定する政令で定める特別の事情について準用する。

Article 17The provisions of Article 12-2 apply mutatis mutandis to the special circumstances specified by Cabinet Order as prescribed in Article 92, paragraphs (1) and (2) of the Act.

第十八条後期高齢者医療広域連合が被保険者（法第百四条第二項ただし書の厚生労働大臣が定める基準に該当する地域に住所を有する被保険者（以下「特定地域被保険者」という。）を除く。以下この項において同じ。）に対して課する保険料の算定に係る同条第二項本文に規定する政令で定める基準は、次のとおりとする。

Article 18(1)The standards specified by Cabinet Order prescribed in the main clause of paragraph (2) of the same Article pertaining to the calculation of insurance premiums imposed by a Association of Medical Care Systems for the Elderly Aged 75 and older on a insured (excluding a the proviso to Article 104, paragraph (2) whose address is in an area that falls under the standards specified by the Minister of Health, Labour and Welfare of the insured of the Act (hereinafter referred to as a "insured in a Specified Area"); hereinafter the same applies in this paragraph) are as follows:

２後期高齢者医療広域連合が特定地域被保険者に対して課する保険料の算定に係る法第百四条第二項ただし書に規定する政令で定める基準は、次のとおりとする。

(2)The standards specified by Cabinet Order as prescribed in the the proviso to Article 104, paragraph (2) of the Act pertaining to the calculation of insurance premiums imposed by a Association of Medical Care Systems for the Elderly Aged 75 and older on a insured in a specified region are as follows:

３特定期間における各年度の法第百四条第二項の規定により後期高齢者医療広域連合が被保険者に対して課する保険料の賦課額（次項又は第五項に規定する基準に従い第一項又は前項の規定に基づき算定される被保険者均等割額を減額するものとした場合にあっては、その減額することとなる額を含む。）の合計額の合計額（以下この項において「賦課総額」という。）についての同条第二項に規定する政令で定める基準は、次のとおりとする。

(3)The standards specified by Cabinet Order prescribed in paragraph (2) of the same Article with regard to the total sum of the total amount of insurance premiums that the Association of Medical Care Systems for the Elderly Aged 75 and older imposes on Article 104, paragraph (2) pursuant to the provisions of insured of the Act for each fiscal year during the specified period (hereinafter referred to as the "total amount of insurance premiums imposed" in this paragraph) (including the amount to be reduced if the per capita amount of insured insurance premiums calculated based on the provisions of paragraph (1) or the preceding paragraph is to be reduced in accordance with the standards prescribed in the following paragraph or paragraph (5)) are as follows:

４後期高齢者医療広域連合が所得の少ない被保険者に対して課する保険料の算定に係る法第百四条第二項に規定する政令で定める基準は、次のとおりとする。

(4)The standards specified by Cabinet Order as prescribed in insured of the Act pertaining to the calculation of insurance premiums imposed by a Association of Medical Care Systems for the Elderly Aged 75 and older on a Article 104, paragraph (2) with small income are as follows:

５後期高齢者医療広域連合が被扶養者であった被保険者に対して課する保険料の算定に係る法第百四条第二項に規定する政令で定める基準は、次のとおりとする。

(5)The standards specified by Cabinet Order as prescribed in insured of the Act pertaining to the calculation of insurance premiums imposed on Article 104, paragraph (2) where the Association of Medical Care Systems for the Elderly Aged 75 and older was a dependent are as follows:

第十九条法第百七条第一項に規定する政令で定めるものは、法第百十条において準用する介護保険法（以下「準用介護保険法」という。）の規定による保険料の特別徴収の対象とならない被保険者とする。

Article 19Those specified by Cabinet Order as prescribed in the Article 107, paragraph (1) of the Act are the Article 110 that are not subject to the special collection of insurance premiums pursuant to the provisions of the Long-Term Care Insurance Act applied mutatis mutandis in the Long-Term Care Insurance Act of the Act (hereinafter referred to as the "insured applied mutatis mutandis").

第二十条法第百七条第二項に規定する政令で定める年金たる給付は、介護保険法施行令第四十条第一項に定める年金たる給付とする。

Article 20(1)Pension benefits specified by Cabinet Order as prescribed in Article 107, paragraph (2) of the Act are pension benefits specified in Article 40, paragraph (1) of the Order for Enforcement of the Long-Term Care Insurance Act Act.

２法第百七条第二項に規定する政令で定める年金たる給付に類する給付は、介護保険法施行令第四十条第二項に定める年金たる給付に類する給付とする。

(2)Benefits similar to pension benefits specified by Cabinet Order as prescribed in Article 107, paragraph (2) of the Act are to be benefits similar to pension benefits specified in Article 40, paragraph (2) of the Order for Enforcement of Long-Term Care Insurance Act.

第二十一条法第百十条の規定による介護保険法の準用についての技術的読替えは、次の表のとおりとする。

Article 21The technical replacement of terms concerning the mutatis mutandis application of Article 110 pursuant to the provisions of Long-Term Care Insurance Act of the Act is as in the following table.

第二十二条準用介護保険法第百三十四条第一項第一号及び第二項から第六項までに規定する政令で定める額は、十八万円とする。

Article 22The amount specified by Cabinet Order, referred to in Article 134, paragraph (1), item (i) and paragraphs (2) through (6), Long-Term Care Insurance Act as Applied Mutatis Mutandis, is 180000 yen.

第二十三条準用介護保険法第百三十五条第一項から第三項までに規定する政令で定めるものは、次のいずれかに該当する被保険者とする。

Article 23Long-Term Care Insurance Act as applied mutatis mutandis The insured specified by Cabinet Order that is provided for in Article 135, paragraphs (1) through (3) means a region that falls under any of the following:

第二十四条準用介護保険法第百三十五条第六項に規定する場合においては、介護保険法の規定による介護保険の保険料の特別徴収に係る老齢等年金給付について保険料を徴収させるものとする。

Article 24In a case as prescribed in Article 135, paragraph (6), Long-Term Care Insurance Act, as applied mutatis mutandis, insurance premiums are to be collected for an Old Age, etc., pension benefit pertaining to the special collection of insurance premiums of Long-Term Care Insurance pursuant to the provisions of Long-Term Care Insurance Act.

第二十五条準用介護保険法第百三十八条第二項（準用介護保険法第百四十条第三項において準用する場合を含む。）の規定による技術的読替えは、次の表のとおりとする。

Article 25The technical replacement of terms pursuant to the provisions of Article 138, paragraph (2), Long-Term Care Insurance Act as Applied Mutatis Mutandis (including the cases where it is applied mutatis mutandis in Article 140, paragraph (3), Long-Term Care Insurance Act as Applied Mutatis Mutandis) is as follows.

第二十六条準用介護保険法第百四十条第三項の規定による技術的読替えは、次の表のとおりとする。

Article 26The technical replacement of terms pursuant to the provisions of Article 140, paragraph (3), Long-Term Care Insurance Act as applied mutatis mutandis is as follows.

第二十七条準用介護保険法第百四十一条第二項の規定による技術的読替えは、次の表のとおりとする。

Article 27The technical replacement of terms under the provisions of Article 141, paragraph (2), Long-Term Care Insurance Act as applied mutatis mutandis is as follows.

第二十八条介護保険法第百三十六条から第百三十八条まで（同法第百三十七条第四項及び第五項並びに第九項（同条第五項に係る部分に限る。）を除く。）及び第百四十条の規定は、準用介護保険法第百三十四条第二項の規定による通知が行われた場合において、準用介護保険法第百三十五条第二項並びに第五項及び第六項（同条第二項に係る部分に限る。）の規定により特別徴収の方法によって保険料を徴収しようとするときに準用する。この場合において、次の表の上欄に掲げる介護保険法の規定中同表の中欄に掲げる字句は、それぞれ同表の下欄に掲げる字句に読み替えるものとする。

Article 28(1)The provisions of the Long-Term Care Insurance Act Articles 136 through 138 (excluding the Article 137, paragraphs (4) and (5), and paragraph (9) of the same Act (limited to the part pertaining to paragraph (5) of the same Article)) and the Article 140 apply mutatis mutandis to the case where the notice pursuant to the provisions of the Long-Term Care Insurance Act Article 134, paragraph (2) applied mutatis mutandis is given and the insurance premiums are to be collected by the method of special collection pursuant to the provisions of the Long-Term Care Insurance Act Article 135, paragraph (2), and paragraphs (5) and (6) applied mutatis mutandis (limited to the part pertaining to paragraph (2) of the same Article).In this case, each term or phrase listed in the middle column of the following table in the provisions of the Long-Term Care Insurance Act listed in the left-hand column of the same table is deemed to be replaced with the corresponding term or phrase listed in the right-hand column of the same table.