Supplementary Provisions
附 則
Supplementary Provisions, Article 1Effective Date
第一条（施行期日）
This Act comes into effect on October 1, 2006; provided, however, that the provisions set forth in the following items come into effect on the dates specified in those items, respectively:
この法律は、平成十八年十月一日から施行する。ただし、次の各号に掲げる規定は、それぞれ当該各号に定める日から施行する。
the provisions of Article 10, and Article 4, Articles 33 through 36, Article 52, paragraphs (1) and (2), Article 105, Article 124 and Articles 131 through 133 of the Supplementary Provisions: the date of promulgation;
第十条並びに附則第四条、第三十三条から第三十六条まで、第五十二条第一項及び第二項、第百五条、第百二十四条並びに第百三十一条から第百三十三条までの規定 公布の日
Omitted
略
the provisions of Articles 3, 7, 13, 16, 19 and 24, and Article 2, paragraph (2), Articles 37 through 39, Articles 41, 42, 44, 57, 66, 75, 76, 78, 79, 81, 84, 85, 87 and 89, Articles 93 through 95, Articles 97 through 100, and Articles 103, 109, 114, 117, 120, 123, 126, 128 and 130 of the Supplementary Provisions: April 1, 2008;
第三条、第七条、第十三条、第十六条、第十九条及び第二十四条並びに附則第二条第二項、第三十七条から第三十九条まで、第四十一条、第四十二条、第四十四条、第五十七条、第六十六条、第七十五条、第七十六条、第七十八条、第七十九条、第八十一条、第八十四条、第八十五条、第八十七条、第八十九条、第九十三条から第九十五条まで、第九十七条から第百条まで、第百三条、第百九条、第百十四条、第百十七条、第百二十条、第百二十三条、第百二十六条、第百二十八条及び第百三十条の規定 平成二十年四月一日
the provisions of Articles 4, 8 and 25, and Articles 16 and 17, Article 18, paragraphs (1) and (2), Articles 19 through 31, and Articles 80, 82, 88, 92, 101, 104, 107, 108, 115, 116, 118, 121 and 129 of the Supplementary Provisions: October 1, 2008;
第四条、第八条及び第二十五条並びに附則第十六条、第十七条、第十八条第一項及び第二項、第十九条から第三十一条まで、第八十条、第八十二条、第八十八条、第九十二条、第百一条、第百四条、第百七条、第百八条、第百十五条、第百十六条、第百十八条、第百二十一条並びに第百二十九条の規定 平成二十年十月一日
Supplementary Provisions, Article 2Review
第二条（検討）
Aiming at five years after the enforcement of this Act, the government is to take into account the status of the enforcement of this Act, etc., review how the regulations based on the provisions of the Medical Insurance Acts amended by this Act and the Act on Assurance of Medical Care for Elderly People as amended by the provisions of Article 7 (hereinafter referred to as the "Elderly Medical Care Assurance Act") should be, and, if it finds it necessary, take required measures based on the results.
政府は、この法律の施行後五年を目途として、この法律の施行の状況等を勘案し、この法律により改正された医療保険各法及び第七条の規定による改正後の高齢者の医療の確保に関する法律（以下「高齢者医療確保法」という。）の規定に基づく規制の在り方について検討を加え、必要があると認めるときは、その結果に基づいて所要の措置を講ずるものとする。
With regard to the medical insurance system for the elderly under the Elderly Medical Care Assurance Act, taking into account the status of implementation of the system, the status of the expenses required for insurance benefits, changes in socioeconomic conditions, etc., a review of the whole of it is to be conducted with a target of five years after the enforcement of the provisions of Article 7, and, if it is found necessary, required measures are to be taken based on the results.
Supplementary Provisions, Article 32Transitional Measures Accompanying the Partial Amendment of the Act on Health and Medical Services for the Elderly
第三十二条（老人保健法の一部改正に伴う経過措置）
With regard to medical care, etc. under the provisions of the Act on Health and Medical Services for the Elderly before the amendment by the provisions of those Articles, pertaining to medical care, provision of drugs or medical treatment, or home-nursing for the elderly, provided before the date on which the provisions of Article 6 or Article 7 come into effect, the provisions then in force continue to govern, respectively.
第六条又は第七条の規定の施行の日前に行われた診療、薬剤の支給若しくは手当又は老人訪問看護に係るこれらの条の規定による改正前の老人保健法の規定による医療等については、それぞれなお従前の例による。
Supplementary Provisions, Article 33
第三十三条
The Minister of Health, Labour and Welfare may, when intending to establish the specifications in Article 17, paragraph (2), items (iii) and (iv) of the Act on Health and Medical Services for the Elderly as amended by the provisions of Article 6 (excluding, from the specifications in item (iii) of that paragraph, those pertaining to advanced medical care techniques), the standards in Article 31-2-2, paragraphs (2) and (4) of that Act, and the standards in Article 31-3, paragraph (2), item (i) and paragraph (3) of that Act, hear the opinions of the Central Social Insurance Medical Council even before the Effective Date.
厚生労働大臣は、第六条の規定による改正後の老人保健法第十七条第二項第三号及び第四号の定め（同項第三号の定めのうち高度の医療技術に係るものを除く。）、同法第三十一条の二の二第二項及び第四項の基準並びに同法第三十一条の三第二項第一号及び第三項の基準を定めようとするときは、施行日前においても中央社会保険医療協議会の意見を聴くことができる。
The Minister of Health, Labour and Welfare may, when intending to establish the specifications in Article 64, paragraph (2), items (iii) and (iv) of the Elderly Medical Care Assurance Act (excluding, from the specifications in item (iii) of that paragraph, those pertaining to advanced medical care techniques), the standards in Article 71, paragraph (1) of the Elderly Medical Care Assurance Act, the standards in Article 74, paragraphs (2) and (4) of the Elderly Medical Care Assurance Act, the standards in Article 75, paragraphs (2) and (4) of the Elderly Medical Care Assurance Act, the standards in Article 76, paragraph (2), item (i) and paragraph (3) of the Elderly Medical Care Assurance Act, and the standards in Article 78, paragraph (4) and Article 79, paragraph (1) of the Elderly Medical Care Assurance Act (limited to the part concerning the treatment of designated home-nursing), hear the opinions of the Central Social Insurance Medical Council even before the date on which the provisions of Article 7 come into effect.
厚生労働大臣は、高齢者医療確保法第六十四条第二項第三号及び第四号の定め（同項第三号の定めのうち高度の医療技術に関するものを除く。）、高齢者医療確保法第七十一条第一項の基準、高齢者医療確保法第七十四条第二項及び第四項の基準、高齢者医療確保法第七十五条第二項及び第四項の基準、高齢者医療確保法第七十六条第二項第一号及び第三項の基準並びに高齢者医療確保法第七十八条第四項及び第七十九条第一項の基準（指定訪問看護の取扱いに関する部分に限る。）を定めようとするときは、第七条の規定の施行の日前においても中央社会保険医療協議会の意見を聴くことができる。
Supplementary Provisions, Article 34
第三十四条
The Minister of Health, Labour and Welfare and Prefectural Governors may, for the preparation of the basic policies for the optimization of medical expenses and the national plan for the optimization of medical expenses under Article 8, paragraph (1) of the Elderly Medical Care Assurance Act and the prefectural plan for the optimization of medical expenses under Article 9, paragraph (1) of the Elderly Medical Care Assurance Act, engage in consultation with the heads of relevant administrative organs or relevant municipalities (including special wards; the same applies hereinafter) and other necessary preparatory acts, even before the date on which the provisions of Article 7 come into effect.
厚生労働大臣及び都道府県知事は、高齢者医療確保法第八条第一項の医療費適正化基本方針及び全国医療費適正化計画並びに高齢者医療確保法第九条第一項の都道府県医療費適正化計画の作成のため、第七条の規定の施行の日前においても、関係行政機関の長又は関係市町村（特別区を含む。以下同じ。）との協議その他の必要な準備行為をすることができる。
The Minister of Health, Labour and Welfare and Insurers may, for the preparation of the basic guidelines for Special health examinations, etc. under Article 18, paragraph (1) of the Elderly Medical Care Assurance Act and the Implementation Plan for Special health examinations, etc. under Article 19, paragraph (1) of the Elderly Medical Care Assurance Act, engage in consultation with the heads of relevant administrative organs and other necessary preparatory acts, even before the date on which the provisions of Article 7 come into effect.
厚生労働大臣及び保険者は、高齢者医療確保法第十八条第一項の特定健康診査等基本指針及び高齢者医療確保法第十九条第一項の特定健康診査等実施計画の作成のため、第七条の規定の施行の日前においても、関係行政機関の長との協議その他の必要な準備行為をすることができる。
Supplementary Provisions, Article 35
第三十五条
Prefectures and municipalities may, even before the date on which the provisions of Article 7 come into effect, engage in preparatory acts necessary for the implementation of the affairs of Old-old Medical Care.
都道府県及び市町村は、第七条の規定の施行の日前においても、後期高齢者医療の事務の実施に必要な準備行為をすることができる。
Supplementary Provisions, Article 36
第三十六条
Municipalities existing on the date of promulgation of this Act (excluding municipalities that cease to exist due to the creation, abolition, division or merger of municipalities during the period after the date of promulgation of this Act until the date on which a cross-regional federation is established pursuant to the provisions of this paragraph; hereinafter in this Article referred to as "existing municipalities") are to establish, in order to prepare for the enforcement of the Elderly Medical Care Assurance Act, by the last day of fiscal year 2006, for each area of a prefecture, a cross-regional federation that all existing municipalities within that area join.
この法律の公布の日に現に存する市町村（この法律の公布の日後この項の規定により広域連合を設ける日までの間に廃置分合により消滅した市町村を除く。以下この条において「現存市町村」という。）は、高齢者医療確保法の施行の準備のため、平成十八年度の末日までに、都道府県の区域ごとに当該区域内のすべての現存市町村が加入する広域連合を設けるものとする。
Municipalities, other than existing municipalities, that have not joined the cross-regional federation referred to in the preceding paragraph by the last day of fiscal year 2006 are to join the cross-regional federation referred to in that paragraph promptly after that day.
Supplementary Provisions, Article 37
第三十七条
A notification to the mayor of a municipality under the provisions of Article 25-2 of the Act on Health and Medical Services for the Elderly before the amendment by the provisions of Article 7 (hereinafter referred to as the "Pre-April 2008 Elderly Health Act") that has actually been made at the time of enforcement of the provisions of that Article (excluding one pertaining to a person who falls under any of the items of Article 51 of the Elderly Medical Care Assurance Act) is deemed to be a notification to the Association of Medical Care Systems for the Elderly Aged 75 and older made pursuant to the provisions of Article 54, paragraph (1) of the Elderly Medical Care Assurance Act.
第七条の規定の施行の際現にされている同条の規定による改正前の老人保健法（以下「平成二十年四月改正前老健法」という。）第二十五条の二の規定による市町村長に対する届出（高齢者医療確保法第五十一条各号のいずれかに該当する者に係るものを除く。）は、高齢者医療確保法第五十四条第一項の規定によりされた後期高齢者医療広域連合に対する届出とみなす。
A certification by the mayor of a municipality under the provisions of Article 25, paragraph (1), item (ii) of the Pre-April 2008 Elderly Health Act that has actually been received at the time of enforcement of the provisions of Article 7 (excluding one pertaining to a person who falls under any of the items of Article 51 of the Elderly Medical Care Assurance Act) is deemed to be a certification received from the Association of Medical Care Systems for the Elderly Aged 75 and older pursuant to the provisions of Article 50, item (ii) of the Elderly Medical Care Assurance Act.
第七条の規定の施行の際現に受けている平成二十年四月改正前老健法第二十五条第一項第二号の規定による市町村長の認定（高齢者医療確保法第五十一条各号のいずれかに該当する者に係るものを除く。）は、高齢者医療確保法第五十条第二号の規定により後期高齢者医療広域連合から受けた認定とみなす。