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on 1 April 2027, in 5 months

Act on Assurance of Medical Care for Elderly People

高齢者の医療の確保に関する法律(こうれいしゃのいりょうのかくほにかんするほうりつ)

3 provisions changed · 2 provisions in the supplementary provisions

Each provision the amendment changes, before and after in one: words it removes are struck through, words it adds are highlighted. The Japanese is the law; the icon beside each English column says whose English it is.

Article 7 · (Definitions)第七条(定義)

Read it in the amended law
  • ChangedArticle 7, paragraph (3)

    The term "insurersInsurers of employee insurance, etc." as used in this Act means insurersInsurers (excluding Japan Health Insurance Association, prefectural and municipal governments, and national health insuranceNational Health Insurance societies as insurersInsurers under the provisions of Article 123, paragraph (1) of the Health Insurance Act) or national health insuranceNational Health Insurance societies whose members are persons who do not become insured under the same Act withhave made the approvalapplication under the provisions of Article 3, paragraph (1), item (viii) of the Health Insurancesame Act and do not become insured under the same Act, as specified by the Minister of Health, Labour and Welfare.

    この法律において「被用者保険等保険者」とは、保険者(健康保険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、都道府県及び市町村並びに国民健康保険組合を除く。)又は健康保険同法第三条第一項第八号の規定による承認を受け申出をして同法の被保険者とならない者を組合員とする国民健康保険組合であつて厚生労働大臣が定めるものをいう。

Article 38 · (Estimated Young-Old Payments)第三十八条(概算前期高齢者納付金)

Read it in the amended law
  • ChangedArticle 38, paragraph (3)

    The estimated amount of burden adjustment referred to in the items of paragraph (1) is the amount obtained by multiplying the amount obtained by first dividing the amount calculated as specified by Order of the Ministry of Health, Labour and Welfare on the basis of the sum of the amounts set forth in the following items for the relevant fiscal year by the estimated total number of subscribersparticipants for all insurersInsurers in the relevant fiscal year calculated as specified by Order of the Ministry of Health, Labour and Welfare, then multiplying the product by the estimated number of subscribersparticipants for the relevant insurersInsurers in the relevant fiscal year calculated as specified by Order of the Ministry of Health, Labour and Welfare, then multiplying the product by the estimated adjustment rate for the burdenburden adjustment amount adjustment rate:

    第一項各号の負担調整見込額は、当該年度における次の各号に掲げる額の合計額を基礎として厚生労働省令で定めるところにより算定した額を、厚生労働省令で定めるところにより算定した同年度における全ての保険者に係る加入者の見込総数で除して得た額に、厚生労働省令で定めるところにより算定した同年度における当該保険者に係る加入者の見込数を乗じて得た額に概算負担調整額調整率を乗じて得た額とする。

Article 39 · (Fixed Young-Old Payments)第三十九条(確定前期高齢者納付金)

Read it in the amended law
  • ChangedArticle 39, paragraph (3)

    The burden adjustment amount set forth in the items of paragraph (1) is the amount obtained by multiplying the amount obtained by first dividing the amount calculated as specified by Order of the Ministry of Health, Labour and Welfare on the basis of the sum of the amounts set forth in the following items for the fiscal year before the previous fiscal year by the total number of subscribersparticipants for all insurersInsurers in the same fiscal year calculated as specified by Order of the Ministry of Health, Labour and Welfare, and then multiplying the product by the number of subscribersparticipants for the relevant insurersInsurers in the same fiscal year calculated as specified by Order of the Ministry of Health, Labour and Welfare, and then multiplying the product by the fixed burden adjustment amount adjustment rate:

    第一項各号の負担調整額は、前々年度における次の各号に掲げる額の合計額を基礎として厚生労働省令で定めるところにより算定した額を、厚生労働省令で定めるところにより算定した同年度における全ての保険者に係る加入者の総数で除して得た額に、厚生労働省令で定めるところにより算定した同年度における当該保険者に係る加入者の数を乗じて得た額に確定負担調整額調整率を乗じて得た額とする。

2 changes in the supplementary provisions (附則)

Supplementary Provisions, Article 47 · Transitional Measures and Points to Note Concerning Introduction of Children and Child-rearing Support Levy附則第四十七条(子ども・子育て支援納付金の導入に当たっての経過措置及び留意事項)

Read it in the amended law
  • ChangedSupplementary Provisions, Article 47, paragraph (4), item (iii)

    the amounts of the Treasury share under Article 70, paragraph (1) of the National Health Insurance Act as amended by the provisions of Article 8 (hereinafter in this item referred to as the "New National Health Insurance Act"), the adjustment grants under Article 72, paragraph (1) of the New National Health Insurancethat Act, and the amounts transferred under Article 72-2, paragraph (1) of the New National Health Insurancethat Act (limited to the part pertaining to the costs required for payment of the children and child-rearing support levy), and the amounts transferred under Article 72-3, paragraph (1), Article 72-3-2, paragraph (1), Article 72-3-3, paragraph (1) and Article 72-4, paragraph (1) of the New National Health Insurancethat Act and the amount of the subsidy under Article 73, paragraphparagraphs (1) of the New National Health Insuranceand (6) of that Act (limited to the part specified by Cabinet Order as the part pertaining to the costs required for payment of the children and child-rearing support levy);

    第八条の規定による改正後の国民健康保険法(以下この号において「新国民健康保険法」という。)第七十条第一項の規定による国庫負担金、新国民健康保険同法第七十二条第一項の規定による調整交付金及び新国民健康保険同法第七十二条の二第一項の規定による繰入金の額(子ども・子育て支援納付金の納付に要する費用に係る部分に限る。)並びに新国民健康保険同法第七十二条の三第一項、第七十二条の三の二第一項、第七十二条の三の三第一項及び第七十二条の四第一項の規定による繰入金並びに新国民健康保険同法第七十三条第一項及び第六項の規定による補助の額(子ども・子育て支援納付金の納付に要する費用に係る部分として政令で定める部分に限る。)

Supplementary Provisions, Article 1 · Effective Date附則第一条(施行期日)

Read it in the amended law
  • ChangedSupplementary Provisions, Article 1, paragraph (1), item (ix)

    the provisions of Article 6 (excluding, within that Article, the provision amending Article 3, paragraph (2), item (iv) of the Act on Promotion of Comprehensive Securing of Medical and Long-Term Care in Communities (limited to the part replacing "the medical care plan prescribed in Article 30-4, paragraph (1) of the Medical Care Act" with "the regional medical care vision prescribed in Article 30-3-3, paragraph (1) of the Medical Care Act (hereinafter referred to as the ‘regional medical care vision’) and the medical care plan prescribed in Article 30-4, paragraph (1) of that Act", and ")及び" (and) with ")並びに" (and, joining the larger group)), the provision amending Article 4, paragraph (2), item (ii) and paragraph (3) of that Act, and the provision deleting Article 7-2 and Article 7-3 of that Act); the provision, in Article 7, amending the Table of Contents of the Health Insurance Act, the provision amending Article 7-2, paragraph (3), Article 77, paragraph (3), and Article 150-2, paragraph (1) of that Act, the provision amending Article 150-10 of that Act (excluding the amending provision listed in item (v)), the provision, in Chapter VI, renumbering that Article as Article 150-13 of that Act, the provision amending Article 150-9 of that Act (excluding the amending provision listed in that item), the provision renumbering that Article as Article 150-12 of that Act, the provision amending Article 150-8 of that Act, the provision renumbering that Article as Article 150-11 of that Act, the provision amending Article 150-7, paragraph (1) of that Act, the provision renumbering that Article as Article 150-10 of that Act, the provision adding three Articles after Article 150-6 of that Act, and the provision amending Article 151, Article 153, Article 154, paragraph (1), Article 155, paragraph (1), Article 160, paragraph (3) and paragraph (14), Article 173, paragraph (1), Article 176, Article 207-3, and Article 213-2 of that Act, and the provision amending Article 2, paragraph (1) and Article 4-2 of the Supplementary Provisions of that Act; the provision, in Article 8, amending Article 112, paragraph (2), Article 114, paragraph (1), and Article 121, paragraph (2) of the Mariners Insurance Act, and the provision amending Article 7 of the Supplementary Provisions of that Act; the provision, in Article 9, amending Article 69, Article 70, paragraph (1), Article 73, paragraphs (1) and (2), Article 75, Article 75-7, paragraph (1), Article 76, paragraphs (1) and (2), and Article 81-2, paragraph (1011) of the National Health Insurance Act; the provisions of Article 10 (excluding the amending provision listed in item (iii)); the provision, in Article 11, amending Article 16-2, paragraph (1) and Article 16-8 of the Act on Assurance of Medical Care for Elderly People, the provision renumbering that Article as Article 16-11 of that Act, the provision amending Article 16-7, paragraph (1) of that Act, the provision renumbering that Article as Article 16-10 of that Act, the provision adding three Articles after Article 16-6 of that Act, the provision amending Article 17 of that Act (limited to the part replacing "use or provision under the provisions of Article 16-2, paragraph (1)" with "use and provision under the provisions of Article 16-2, paragraph (1) and Article 16-7, paragraphs (1) and (2)"), the provision adding two paragraphs to that Article, the provision amending Article 17-2, paragraph (1) of that Act (limited to the part replacing "the preceding Article" with "paragraph (1) of the preceding Article"), the provision adding one paragraph to that Article, the provision amending Article 34, paragraphs (1), (3), (4), and (6), Article 35, paragraphs (1), (3), (4), and (6), Article 38, paragraphs (1) and (2), Article 39, paragraphs (1) and (2), Article 61, paragraph (3), Article 72, paragraph (2), Article 81, paragraph (2), and Article 93, paragraphs (1) and (2) of that Act, the provision amending Article 100, paragraph (1) of that Act (excluding the amending provision listed in item (v)), the provision amending paragraph (2) of that Article and Article 104, paragraphs (1) and (3), Article 116, paragraph (2), Article 120, paragraph (1), Article 134, paragraph (3), Article 137, paragraph (3), Article 152, paragraph (2), and Article 161-3, paragraph (2) of that Act, and the provision amending Article 167-2 and Article 168, paragraph (3) of that Act; the provision, in Article 12, amending Article 115-47, paragraph (10) of the Long-Term Care Insurance Act (limited to the part replacing "Article 118-10 and Article 118-11" with "Article 118-13 and Article 118-14"), the provision amending Article 118-3, paragraph (1) of that Act, the provision amending Article 118-11 of that Act (excluding the amending provision listed in that item), the provision renumbering that Article as Article 118-14 of that Act, the provision amending Article 118-10 of that Act (excluding the amending provision listed in that item), the provision renumbering that Article as Article 118-13 of that Act, the provision amending Article 118-9 of that Act, the provision renumbering that Article as Article 118-12 of that Act, the provision amending Article 118-8, paragraph (1) of that Act, the provision renumbering that Article as Article 118-11 of that Act, the provision adding three Articles after Article 118-7 of that Act, and the provision amending Article 205-3 and Article 206-2 of that Act; the provisions of Article 14 (excluding the amending provisions listed in that item and item (vi)); the provision, in Article 15, amending Article 24, paragraph (1) of the Immunization Act, the provision adding three Articles after Article 28 of that Act, the provision amending Article 29, paragraph (1) and Article 30 of that Act, the provision amending Article 31 of that Act (limited to the part replacing "use or provision of anonymized information related to immunization, etc. under the provisions of Article 24, paragraph (1)" with "use and provision of anonymized information related to immunization, etc. under the provisions of Article 24, paragraph (1), and the use and provision of pseudonymized information related to immunization, etc. under the provisions of Article 28-2, paragraphs (1) and (2)"), the provision adding two paragraphs to that Article, the provision amending Article 32, paragraph (1) of that Act (limited to the part replacing "the preceding Article" with "paragraph (1) of the preceding Article"), the provision adding one paragraph to that Article, the provision amending Article 33, item (i) and Article 43, item (i) of that Act, and the provision amending Article 48 and Article 59 of that Act; the provisions of Article 20; the provision, in Article 22, amending Article 89-2-3, paragraph (1) and Article 89-2-11 of the Act on Providing Comprehensive Support for the Daily Life and Life in Society of Persons with Disabilities, the provision renumbering that Article as Article 89-2-14 of that Act, the provision amending Article 89-2-10 of that Act, the provision renumbering that Article as Article 89-2-13 of that Act, the provision amending Article 89-2-9 of that Act, the provision renumbering that Article as Article 89-2-12 of that Act, the provision amending Article 89-2-8, paragraph (1) of that Act, the provision renumbering that Article as Article 89-2-11 of that Act, the provision adding three Articles after Article 89-2-7 of that Act, and the provision amending Article 109-2 and Article 109-3 of that Act; the provisions of Article 26; the provisions of Article 27 (excluding the amending provisions listed in item (v) and item (vi)), the provisions of Article 28 (excluding the amending provision listed in item (v)), and the provisions of Article 11, Article 15, Article 17, Article 27, and Article 29 of the Supplementary Provisions; the provisions of Article 35 (excluding the amending provisions listed in that item and item (vi)), Article 38 (excluding the amending provisions listed in item (v) and item (vi)), and Article 39 (excluding the amending provisions listed in item (v) and item (vi)) of the Supplementary Provisions; and the provisions of Article 43, Article 46, Article 47, and Article 52 of the Supplementary Provisions, and the provisions of Article 59 of the Supplementary Provisions (excluding the amending provision listed in the following item): the date specified by Cabinet Order within a period not exceeding three years from the date of promulgation.

    第六条の規定(同条中地域における医療及び介護の総合的な確保の促進に関する法律第三条第二項第四号の改正規定(「医療法」を「医療法第三十条の三の三第一項に規定する地域医療構想(以下「地域医療構想」という。)及び同法」に、「)及び」を「)並びに」に改める部分に限る。)、同法第四条第二項第二号及び第三項の改正規定並びに同法第七条の二及び第七条の三を削る改正規定を除く。)、第七条中健康保険法の目次の改正規定、同法第七条の二第三項、第七十七条第三項及び第百五十条の二第一項の改正規定、同法第百五十条の十の改正規定(第五号に掲げる改正規定を除く。)、第六章中同条を第百五十条の十三とする改正規定、同法第百五十条の九の改正規定(同号に掲げる改正規定を除く。)、同条を同法第百五十条の十二とする改正規定、同法第百五十条の八の改正規定、同条を同法第百五十条の十一とする改正規定、同法第百五十条の七第一項の改正規定、同条を同法第百五十条の十とする改正規定、同法第百五十条の六の次に三条を加える改正規定並びに同法第百五十一条、第百五十三条、第百五十四条第一項、第百五十五条第一項、第百六十条第三項及び第十四項、第百七十三条第一項、第百七十六条、第二百七条の三並びに第二百十三条の二の改正規定並びに同法附則第二条第一項及び第四条の二の改正規定、第八条中船員保険法第百十二条第二項、第百十四条第一項及び第百二十一条第二項の改正規定並びに同法附則第七条の改正規定、第九条中国民健康保険法第六十九条、第七十条第一項、第七十三条第一項及び第二項、第七十五条、第七十五条の七第一項、第七十六条第一項及び第二項並びに第八十一条の二第十一項の改正規定、第十条の規定(第三号に掲げる改正規定を除く。)、第十一条中高齢者の医療の確保に関する法律第十六条の二第一項及び第十六条の八の改正規定、同条を同法第十六条の十一とする改正規定、同法第十六条の七第一項の改正規定、同条を同法第十六条の十とする改正規定、同法第十六条の六の次に三条を加える改正規定、同法第十七条の改正規定(「の規定による利用又は」を「並びに第十六条の七第一項及び第二項の規定による利用及び」に改める部分に限る。)、同条に二項を加える改正規定、同法第十七条の二第一項の改正規定(「前条」を「前条第一項」に改める部分に限る。)、同条に一項を加える改正規定、同法第三十四条第一項、第三項、第四項及び第六項、第三十五条第一項、第三項、第四項及び第六項、第三十八条第一項及び第二項、第三十九条第一項及び第二項、第六十一条第三項、第七十二条第二項、第八十一条第二項並びに第九十三条第一項及び第二項の改正規定、同法第百条第一項の改正規定(第五号に掲げる改正規定を除く。)、同条第二項並びに同法第百四条第一項及び第三項、第百十六条第二項、第百二十条第一項、第百三十四条第三項、第百三十七条第三項、第百五十二条第二項並びに第百六十一条の三第二項の改正規定並びに同法第百六十七条の二及び第百六十八条第三項の改正規定、第十二条中介護保険法第百十五条の四十七第十項の改正規定(「第百十八条の十及び第百十八条の十一」を「第百十八条の十三及び第百十八条の十四」に改める部分に限る。)、同法第百十八条の三第一項の改正規定、同法第百十八条の十一の改正規定(同号に掲げる改正規定を除く。)、同条を同法第百十八条の十四とする改正規定、同法第百十八条の十の改正規定(同号に掲げる改正規定を除く。)、同条を同法第百十八条の十三とする改正規定、同法第百十八条の九の改正規定、同条を同法第百十八条の十二とする改正規定、同法第百十八条の八第一項の改正規定、同条を同法第百十八条の十一とする改正規定、同法第百十八条の七の次に三条を加える改正規定並びに同法第二百五条の三及び第二百六条の二の改正規定、第十四条の規定(同号及び第六号に掲げる改正規定を除く。)、第十五条中予防接種法第二十四条第一項の改正規定、同法第二十八条の次に三条を加える改正規定、同法第二十九条第一項及び第三十条の改正規定、同法第三十一条の改正規定(「又は提供」を「及び提供並びに第二十八条の二第一項及び第二項の規定による仮名予防接種等関連情報の利用及び提供」に改める部分に限る。)、同条に二項を加える改正規定、同法第三十二条第一項の改正規定(「前条」を「前条第一項」に改める部分に限る。)、同条に一項を加える改正規定、同法第三十三条第一号及び第四十三条第一号の改正規定並びに同法第四十八条及び第五十九条の改正規定、第二十条の規定、第二十二条中障害者の日常生活及び社会生活を総合的に支援するための法律第八十九条の二の三第一項及び第八十九条の二の十一の改正規定、同条を同法第八十九条の二の十四とする改正規定、同法第八十九条の二の十の改正規定、同条を同法第八十九条の二の十三とする改正規定、同法第八十九条の二の九の改正規定、同条を同法第八十九条の二の十二とする改正規定、同法第八十九条の二の八第一項の改正規定、同条を同法第八十九条の二の十一とする改正規定、同法第八十九条の二の七の次に三条を加える改正規定並びに同法第百九条の二及び第百九条の三の改正規定、第二十六条の規定、第二十七条の規定(第五号及び第六号に掲げる改正規定を除く。)並びに第二十八条の規定(第五号に掲げる改正規定を除く。)並びに附則第十一条、第十五条、第十七条、第二十七条及び第二十九条の規定、附則第三十五条(同号及び第六号に掲げる改正規定を除く。)、第三十八条(第五号及び第六号に掲げる改正規定を除く。)及び第三十九条(第五号及び第六号に掲げる改正規定を除く。)の規定、附則第四十三条、第四十六条、第四十七条及び第五十二条の規定並びに附則第五十九条の規定(次号に掲げる改正規定を除く。) 公布の日から起算して三年を超えない範囲内において政令で定める日