Supplementary Provisions, Article 4
第四条
The amount of the estimated medical expense contribution for fiscal year 1986 is, notwithstanding Article 55, paragraph (1) of the New Elderly Health Act, to be the sum total of the amounts set forth in the following items.
昭和六十一年度の概算医療費拠出金の額は、新老健法第五十五条第一項の規定にかかわらず、次の各号に掲げる額の合計額とする。
an amount equivalent to 10/12 of the amount of the estimated medical expense contribution for fiscal year 1986 calculated based on the provisions of the Former Elderly Health Act;
旧老健法の規定に基づき算定された昭和六十一年度の概算医療費拠出金の額の十二分の十に相当する額
an amount equivalent to 7/10 of the sum total of the following amounts:
次に掲げる額の合計額の十分の七に相当する額
the amount obtained by multiplying by 20 percent the amount calculated as specified by Ministry of Health and Welfare Order as the estimated amount of expenses required for medical care and the payment of specified medical expenses (including payment of medical expenses) to be provided on or after the Effective Date to participants, etc. aged 70 or older pertaining to the Insurer concerned, which a municipality is to bear in fiscal year 1986 (referred to as "post-commencement estimated medical expenses" in (b));
the amount obtained by multiplying the amount equivalent to 80 percent of the post-commencement estimated medical expenses (excluding, for an Insurer for which the rate obtained by dividing the amount calculated as specified by Ministry of Health and Welfare Order as the post-commencement estimated medical expenses per participant, etc. aged 70 or older pertaining to the Insurer by the amount calculated as specified by Ministry of Health and Welfare Order as the average of the post-commencement estimated medical expenses per participant, etc. aged 70 or older pertaining to all Insurers (hereinafter in this item referred to as the "average estimated elderly medical expenses per person") exceeds the rate specified by Cabinet Order in consideration of the distribution, etc. of the post-commencement estimated medical expenses per participant, etc. aged 70 or older pertaining to all Insurers, the amount calculated as specified by Ministry of Health and Welfare Order as the portion exceeding the amount obtained by multiplying the average estimated elderly medical expenses per person by that rate specified by Cabinet Order (referred to as "estimated medical expenses outside adjustment" in (c))) by the estimated participant adjustment rate under Article 55, paragraph (3) of the New Elderly Health Act for fiscal year 1986;
施行日以後医療費見込額（当該保険者に係る七十歳以上の加入者等一人当たりの施行日以後医療費見込額として厚生省令で定めるところにより算定される額をすべての保険者に係る七十歳以上の加入者等一人当たりの施行日以後医療費見込額の平均額として厚生省令で定めるところにより算定される額（以下この号において「平均一人当たり老人医療費見込額」という。）で除して得た率が、すべての保険者に係る七十歳以上の加入者等一人当たりの施行日以後医療費見込額の分布状況等を勘案して政令で定める率を超える保険者にあつては、平均一人当たり老人医療費見込額に当該政令で定める率を乗じて得た額を超える部分として厚生省令で定めるところにより算定される額（ハにおいて「調整対象外医療費見込額」という。）を除く。）の百分の八十に相当する額に昭和六十一年度に係る新老健法第五十五条第三項の概算加入者調整率を乗じて得た額
the amount obtained by multiplying the estimated medical expenses outside adjustment pertaining to the Insurer concerned by 80 percent.
当該保険者に係る調整対象外医療費見込額に百分の八十を乗じて得た額
In specifying the Cabinet Order referred to in item (ii), (b) of the preceding paragraph, the Minister of Health and Welfare must hear the opinion of the Elderly Health Council in advance.
前項第二号ロの政令を定めるに当たつては、厚生大臣は、あらかじめ老人保健審議会の意見を聴かなければならない。