Act on Assurance of Medical Care for Elderly People

Until the date specified by Cabinet Order, a prefecture is to carry out a project (hereinafter referred to as "sickbed conversion promotion services") to subsidize the expenses required for a conversion of beds (meaning reducing the number of beds of the type specified by Order of the Ministry of Health, Labour and Welfare among the types of beds listed in the items of Article 7, paragraph (2) of the Medical Care Act, while increasing the maximum number of persons who may be admitted, by new establishment or expansion, to a long-term care medical institution prescribed in Article 8, paragraph (2928) of the Long-Term Care Insurance Act or another facility specified by Order of the Ministry of Health, Labour and Welfare, within a number equivalent to the number of reduced beds; the same applies hereinafter) carried out by the establisher of the hospital or clinic that is a medical institution providing services covered by health insurance, with regard to a medical institution providing services covered by health insurance in the area of the prefecture (limited to one established by a medical corporation or another person specified by Order of the Ministry of Health, Labour and Welfare), in order to promote the optimization of medical expenses in the prefecture.

Special Provisions for Insured Persons Staying at a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly, etc.

An insured who is found to have changed the insured's address to the place where 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 prescribed in Article 48, paragraph (1), item (i) of the Long-Term Care Insurance Act; the same applies hereinafter in this paragraph) or a specified-area facility covered by public aid providing long-term care to the elderly (meaning a specified-area facility covered by public aid providing long-term care to the elderly prescribed in Article 49, paragraph (1), item (ii) of that Act; the same applies hereinafter in this paragraph) is located by being admitted to that designated facility or specified-area facility, and who is found to have had an address within the area of another Association of Medical Care Systems for the Elderly Aged 75 and older (meaning an Association of Medical Care Systems for the Elderly Aged 75 and older other than the Association of Medical Care Systems for the Elderly Aged 75 and older in whose area that designated facility or specified-area facility is located) at the time of being admitted to that designated facility or specified-area facility, is, even where that designated facility or specified-area facility has become, due to a reduction in the maximum number of persons who may be admitted, a community-based facility for the elderly covered by public aid requiring long-term care prescribed in Article 8, paragraph (2221) of that Act (limited to one that has received the designation under the main clause of Article 42-2, paragraph (1) of that Act for an office conducting the business of community-based long-term care for residents of a community-based facility for the elderly covered by public aid requiring long-term care prescribed in Article 8, paragraph (2221) of that ActArticle; hereinafter in this Article referred to as a "converted community-based facility for the elderly covered by public aid requiring long-term care"), to be, while continuing to be admitted to that converted community-based facility for the elderly covered by public aid requiring long-term care and notwithstanding the provisions of Article 50, an insured for old-old medical care provided by that other Association of Medical Care Systems for the Elderly Aged 75 and older; provided, however, that this does not apply to an insured who has been continuously hospitalized, admitted or occupying (hereinafter in this Article referred to as "hospitalization, etc.") in two or more hospitals, etc. (meaning hospitals, etc. prescribed in Article 55, paragraph (1); the same applies hereinafter in this Article) including a designated facility covered by public aid providing long-term care to the elderly or specified-area facility covered by public aid providing long-term care to the elderly that has become a converted community-based facility for the elderly covered by public aid requiring long-term care (hereinafter in this Article referred to as a "former facility covered by public aid providing long-term care to the elderly") (limited to a person who continues to be admitted to that converted community-based facility for the elderly covered by public aid requiring long-term care), and who is found, as a result of being hospitalized, etc. in both the hospital, etc. in which the insured was hospitalized, etc. immediately before being admitted to that former facility covered by public aid providing long-term care to the elderly (hereinafter in this paragraph referred to as the "last hospital, etc.") and the former facility covered by public aid providing long-term care to the elderly, to have sequentially changed the insured's address to the places where the last hospital, etc. and the former facility covered by public aid providing long-term care to the elderly are respectively located (referred to as a "specified continuously hospitalized insured person" in the following paragraph).

This Act comes into effect on April 1, 2027; provided, however, that the provisions set forth in the following items come into effect as of the dates specified respectively in those items.

Omitted

the provisions in Article 2 amending Article 2, paragraph (3), item (xii), Article 80 (including the caption), Article 81 (including the caption), Article 83 and Article 84 (including the caption) of the Social Welfare Act, the provisions in Article 4 amending Article 8, paragraphs (11) and (20) of the Long-Term Care Insurance Act, the provisions adding one item to Article 13, paragraph (1) of that Act, the provisions amending Article 78-10, item (xiii) of that Act, and the provisions amending Article 117, paragraph (3), item (ix) and paragraph (5), item (i) and Article 118, paragraph (3), item (vii) of that Act, the provisions in Article 6 amending Article 19, paragraphs (3) and (4) of the Act on Providing Comprehensive Support for the Daily Life and Life in Society of Persons with Disabilities, the provisions of Article 9 (excluding, within that Article, the provisions amending Article 5-2, paragraphs (2) and (7) and Article 10-4, paragraph (1), item (i) of the Act on Social Welfare for the Elderly, the provisions adding one item to Article 20-8, paragraph (3) of that Act, the provisions amending paragraph (4) of that Article and Article 20-9, paragraph (4) and Article 21-2 of that Act, and the provisions making Article 31-2, paragraph (1), item (v) of that Act item (vii) of that paragraph and adding two items after item (iv) of that paragraph), and the provisions in Article 14 amending Article 84-3 of the Public Assistance Act, and the provisions of Articles 12, 22, 24 through 26, 28, 38 and 39 of the Supplementary Provisions, the provisions in Article 47 of the Supplementary Provisions amending Article 116-2, paragraph (1), item (vi) of the National Health Insurance Act (Act No. 192 of 1958), the provisions of Articles 48, 50 and 51 of the Supplementary Provisions, the provisions in Article 58 of the Supplementary Provisions amending Article 55, paragraph (1), item (v) of the Act on Assurance of Medical Care for Elderly People (Act No. 80 of 1982), the provisions of Articles 59 and 64 of the Supplementary Provisions, and the provisions of Article 65 of the Supplementary Provisions (excluding, within that Article, the provisions amending Article 17-24, paragraph (3), item (iii) of the Local Revitalization Act (Act No. 24 of 2005)): the date specified by Cabinet Order within a period not exceeding two years from the date of promulgation;

the provisions of Article 2 (excluding the amending provisions listed in the preceding item), the provisions of Article 4 (excluding the amending provisions listed in that item), the provisions of Article 6 (excluding the amending provisions listed in that item), the provisions in Article 7 amending the table of contents of the Child Welfare Act, the provisions amending Article 25-2, paragraph (1) of that Act, the provisions amending Article 33-23-11, paragraph (1) of that Act, the provisions adding four Articles to Section 9 of Chapter II of that Act, and the provisions amending Article 61-3 of that Act, the provisions of Article 10, and the provisions of Article 14 (excluding the amending provisions listed in that item), and the provisions of Articles 18 through 20, 32, 34, 36, 41, 43 and 45 of the Supplementary Provisions, the provisions of Article 47 of the Supplementary Provisions (excluding the amending provisions listed in that item), the provisions of Articles 53 and 55 of the Supplementary Provisions, the provisions of Article 58 of the Supplementary Provisions (excluding the amending provisions listed in that item), and the provisions of Articles 61, 63, 67, 69, 71 and 74 of the Supplementary Provisions: the date specified by Cabinet Order within a period not exceeding three years from the date of promulgation.