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Chapter VI Medical Services for the Elderly by the National Health Insurance Federation

第六章 国民健康保険団体連合会の高齢者医療関係業務

Article 155Operations of NHI Federations

第百五十五条(国保連合会の業務)

In addition to the operations under the provisions of the National Health Insurance Act, a Federation of National Health Insurance Associations performs the operations of examination and payment of claims for expenses required for benefits for medical treatment provided based on entrustment from an Association of Medical Care Systems for the Elderly Aged 75 and older pursuant to the provisions of Article 70, paragraph (4) (including as applied mutatis mutandis pursuant to Article 74, paragraph (10), Article 75, paragraph (7), Article 76, paragraph (6), and Article 78, paragraph (8)), as well as dietary treatment expenses for inpatients, living support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, and medical expenses for home-nursing.

国保連合会は、国民健康保険法の規定による業務のほか、第七十条第四項(第七十四条第十項、第七十五条第七項、第七十六条第六項及び第七十八条第八項において準用する場合を含む。)の規定により後期高齢者医療広域連合から委託を受けて行う療養の給付に要する費用並びに入院時食事療養費、入院時生活療養費、保険外併用療養費及び訪問看護療養費の請求に関する審査及び支払の業務を行う。

In addition to the operations prescribed in the preceding paragraph, a NHI federation may conduct the following operations in order to contribute to the smooth operation of medical care for elderly persons:

国保連合会は、前項に規定する業務のほか、後期高齢者医療の円滑な運営に資するため、次に掲げる業務を行うことができる。

affairs of collecting or receiving compensation for damage from a third party, conducted upon entrustment from the Association of Medical Care Systems for the Elderly Aged 75 and older pursuant to the provisions of Article 58, paragraph (3);

第五十八条第三項の規定により後期高齢者医療広域連合から委託を受けて行う第三者に対する損害賠償金の徴収又は収納の事務

beyond what is set forth in the preceding item, a project that contributes to the smooth operation of Old-Old Healthcare.

前号に掲げるもののほか、後期高齢者医療の円滑な運営に資する事業

Article 156Special Provisions for Voting Rights

第百五十六条(議決権の特例)

With regard to the business conducted by NHI federations pursuant to the provisions of the preceding Article (hereinafter referred to as "medical services for the elderly"), notwithstanding the provisions of Article 29 of the National Health Insurance Act as applied mutatis mutandis pursuant to Article 86 of the same Act, as specified by Order of the Ministry of Health, Labour and Welfare, special provisions concerning voting rights may be established by the constitution.

国保連合会が前条の規定により行う業務(以下「高齢者医療関係業務」という。)については、国民健康保険法第八十六条において準用する同法第二十九条の規定にかかわらず、厚生労働省令で定めるところにより、規約をもつて議決権に関する特別の定めをすることができる。

Article 157Separate Accounting

第百五十七条(区分経理)

A NHI federation must separate its accounting for medical services for the elderly from its other accounting.

国保連合会は、高齢者医療関係業務に係る経理については、その他の経理と区分して整理しなければならない。

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