Supplementary Provisions, Article 5
第五条
The amount of the fixed medical expense contribution for fiscal year 1986 is, notwithstanding Article 56, paragraph (1) of the New Elderly Health Act, to be an amount equivalent to 7/10 of the sum total of the amounts set forth in the following items.
昭和六十一年度の確定医療費拠出金の額は、新老健法第五十六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の十分の七に相当する額とする。
the sum total of the amounts obtained by multiplying the amount of expenses required for medical care (including payment of medical expenses) provided before the Effective Date to participants, etc. aged 70 or older pertaining to the Insurer concerned, which a municipality bore in fiscal year 1986, by each of the following rates:
the rate obtained by deducting the participant apportionment rate prescribed in (b) from 1;
一からロに規定する加入者按分率を控除して得た率
the rate obtained by multiplying the participant apportionment rate under Article 55, paragraph (1), item (ii) of the Former Elderly Health Act for fiscal year 1986 by the fixed participant adjustment rate under Article 56, paragraph (2) of the Former Elderly Health Act for fiscal year 1986;
昭和六十一年度に係る旧老健法第五十五条第一項第二号の加入者按分率に昭和六十一年度に係る旧老健法第五十六条第二項の確定加入者調整率を乗じて得た率
the sum total of the following amounts:
次に掲げる額の合計額
the amount obtained by multiplying by 20 percent the amount of expenses required for medical care and the payment of specified medical expenses (including payment of medical expenses) provided on or after the Effective Date to participants, etc. aged 70 or older pertaining to the Insurer concerned, which a municipality bore in fiscal year 1986 (hereinafter in this item referred to as "post-commencement medical expenses");
the amount obtained by multiplying the amount equivalent to 80 percent of the post-commencement 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 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 medical expenses per participant, etc. aged 70 or older pertaining to all Insurers (hereinafter in this item referred to as the "average elderly medical expenses per person") exceeds the rate specified by the Cabinet Order referred to in paragraph (1), item (ii), (b) of the preceding Article, the amount calculated as specified by Ministry of Health and Welfare Order as the portion exceeding the amount obtained by multiplying the average elderly medical expenses per person by that rate specified by Cabinet Order (referred to as "medical expenses outside adjustment" in (c))) by the fixed participant adjustment rate under Article 56, paragraph (2) of the New Elderly Health Act for fiscal year 1986;
施行日以後医療費額（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額」という。）で除して得た率が、前条第一項第二号ロの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五十六条第二項の確定加入者調整率を乗じて得た額
the amount obtained by multiplying the medical expenses outside adjustment pertaining to the Insurer concerned by 80 percent.