Supplementary Provisions, Article 8
第八条
The amount of the estimated medical expense contribution for fiscal year 1986 pertaining to an Insurer that falls under the requirements specified by Ministry of Health and Welfare Order as an Insurer for which the amount (hereinafter in this paragraph referred to as the "amount of increase") obtained by deducting the amount of the estimated medical expense contribution for fiscal year 1986 calculated based on the provisions of Article 55, paragraph (1) of the Former Elderly Health Act from the amount equivalent to the amount of the estimated medical expense contribution for fiscal year 1986 calculated based on the provisions of Article 4 of the Supplementary Provisions (hereinafter in this paragraph referred to as the "amount equivalent to the estimated contribution") is expected to become extremely large is, notwithstanding Article 4 of the Supplementary Provisions, to be the amount obtained by deducting a portion of the amount of increase pertaining to that Insurer, as specified by Ministry of Health and Welfare Order, from the amount equivalent to the estimated contribution pertaining to that Insurer.
The amount of the fixed medical expense contribution for fiscal year 1986 pertaining to an Insurer that falls under the requirements specified by Ministry of Health and Welfare Order as an Insurer for which the amount (hereinafter in this paragraph referred to as the "amount of increase") obtained by deducting, from the amount equivalent to the amount of the fixed medical expense contribution for fiscal year 1986 calculated based on the provisions of Article 5 of the Supplementary Provisions (hereinafter in this paragraph referred to as the "amount equivalent to the fixed contribution"), the amount calculated in the same manner as under the provisions of Article 56 of the Former Elderly Health Act with regard to the amount of expenses required for medical care and the payment of specified medical expenses (including payment of medical expenses) provided to participants, etc. aged 70 or older pertaining to the Insurer, which a municipality bore in fiscal year 1986 was extremely large is, notwithstanding Article 5 of the Supplementary Provisions, to be the amount obtained by deducting a portion of the amount of increase pertaining to that Insurer, as specified by Ministry of Health and Welfare Order, from the amount equivalent to the fixed contribution pertaining to that Insurer.
附則第五条の規定に基づき算定される昭和六十一年度の確定医療費拠出金の額に相当する額（以下この項において「確定拠出金相当額」という。）から、市町村が昭和六十一年度において支弁した当該保険者に係る七十歳以上の加入者等に対する医療及び特定療養費の支給（医療費の支給を含む。）に要する費用の額について旧老健法第五十六条の規定の例により算定される額を控除した額（以下この項において「増加額」という。）が著しく多額であつた保険者として厚生省令で定める要件に該当する保険者に係る昭和六十一年度の確定医療費拠出金の額は、附則第五条の規定にかかわらず、当該保険者に係る確定拠出金相当額から、厚生省令で定めるところにより当該保険者に係る増加額の一部を控除した額とする。