The amount of aid for the old-old to be collected from each Insurer pursuant to the provisions of paragraph (1) of the preceding Article is to be the estimated amount of aid for the old-old for the relevant fiscal year; provided, however, that when the estimated amount of aid for the old-old for the fiscal year before the previous fiscal year exceeds the fixed amount of aid for the old-old for that fiscal year, it is to be the amount obtained by deducting from the estimated amount of aid for the old-old for the relevant fiscal year the sum total of the excess amount and the old-old aid adjustment amount pertaining to the excess amount, and when the estimated amount of aid for the old-old for the fiscal year before the previous fiscal year is less than the fixed amount of aid for the old-old for that fiscal year, it is to be the amount obtained by adding to the estimated amount of aid for the old-old for the relevant fiscal year the sum total of the shortfall and the old-old aid adjustment amount pertaining to the shortfall.
The amount of adjustment for late-stage elderly as prescribed in the preceding paragraph is the amount calculated for each of the Insurers pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare by taking into consideration the interest arising from any excess or deficiency between the estimated amount of Medical Care Assistance for the Elderly Aged 75 and over and the amount of final Medical Care Assistance for the Elderly Aged 75 and over pertaining to all Insurers in the fiscal year before the previous fiscal year and any other circumstances.
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