The main text is read a page at a time: a chapter to a page, and a long chapter in runs of articles. The whole main text, and the supplementary provisions and appended tables this amendment changes. Those it leaves untouched are on the page for the text in force.
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.
Supplementary Provisions, Article 13-3, paragraph (1)（指定介護老人福祉施設等に入所中の被保険者の特例）Special Provisions for Insured Persons Staying at a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly, etc.Changed
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).