Supplementary Provisions, Article 11
第十一条
The amount of the fixed medical expense contribution for fiscal year 1998 is, notwithstanding Article 56, paragraph (1) of the Act on Health and Medical Services for the Elderly and Article 8, paragraph (5) of the Supplementary Provisions of the New 1995 Amendment Act, to be the sum total of the amounts set forth in the following items.
平成十年度の確定医療費拠出金の額は、老人保健法第五十六条第一項及び新平成七年改正法附則第八条第五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。
the amount obtained by multiplying the amount equivalent to the amount that would be the amount of the fixed medical expense contribution for fiscal year 1998 if calculated based on the provisions of the New 1995 Amendment Act, using the fixed participant adjustment rate before the 1998 amendment as the fixed participant adjustment rate under Article 56, paragraph (3) of the Act on Health and Medical Services for the Elderly, by the rate obtained by dividing by 12 the number of months from April 1998 through the month in which the Effective Date falls;
the amount obtained by multiplying the amount equivalent to the amount that would be the amount of the fixed medical expense contribution for fiscal year 1998 if calculated based on the provisions of the New 1995 Amendment Act by the rate obtained by dividing by 12 the number of months from the month following the month in which the Effective Date falls through March 1999.
The fixed participant adjustment rate before the 1998 amendment referred to in item (i) of the preceding paragraph is the rate calculated for each Insurer, as specified by Ministry of Health and Welfare Order, on the basis of the rate obtained by dividing the ratio of the total number of participants, etc. aged 70 or older prescribed in Article 25, paragraph (1) of that Act to the total number of participants (meaning the participants prescribed in paragraph (3) of that Article; the same applies hereinafter) pertaining to all Insurers (meaning the Insurers prescribed in Article 6, paragraph (2) of the Act on Health and Medical Services for the Elderly; the same applies hereinafter) in fiscal year 1998 by the ratio of the number of participants, etc. aged 70 or older prescribed in that paragraph to the number of participants pertaining to that Insurer in the same fiscal year (where that ratio exceeds the upper limit ratio prescribed in Article 55, paragraph (3) of the Act on Health and Medical Services for the Elderly as applied with the replacement of terms pursuant to Article 7, paragraph (2) of the Supplementary Provisions of the Former 1995 Amendment Act, that upper limit ratio, and where it is less than 1.4 percent, 1.4 percent).
前項第一号の平成十年改正前確定加入者調整率は、厚生省令で定めるところにより、平成十年度におけるすべての保険者（老人保健法第六条第二項に規定する保険者をいう。以下同じ。）に係る加入者（同条第三項に規定する加入者をいう。以下同じ。）の総数に対する同法第二十五条第一項に規定する七十歳以上の加入者等の総数の割合を同年度における当該保険者に係る加入者の数に対する同項に規定する七十歳以上の加入者等の数の割合（その割合が旧平成七年改正法附則第七条第二項の規定により読み替えて適用された老人保健法第五十五条第三項に規定する上限割合を超えるときは当該上限割合とし、百分の一・四に満たないときは百分の一・四とする。）で除して得た率を基礎として保険者ごとに算定される率とする。