①With regard to the defrayal and burden of those of the costs required for medical care, etc. pertaining to medical care, provision of drugs or medical treatment, or home-nursing for the elderly provided before the date of enforcement of the provisions of Article 7 pursuant to the provisions of the Pre-April 2008 Elderly Health Act (hereinafter in this Article referred to as the "costs of medical care, etc. before April 2008") that were claimed in fiscal year 2015 or earlier, and the expenses required for the execution of those affairs, the provisions of Chapter IV (excluding Articles 51 and 52), Chapter V and Chapter VI (excluding Article 79, paragraphs (1) and (2)) of the Pre-April 2008 Elderly Health Act (including orders based on these provisions) remain in force. In this case, the necessary technical replacement of terms in applying these provisions and other matters necessary for applying these provisions are specified by Cabinet Order.

②With regard to the costs of medical care, etc. before April 2008 that are claimed in or after fiscal year 2016, the provisions of Chapter IV, Section 4 and Chapter V of the Act on Assurance of Medical Care for Elderly People apply by deeming them to be the expenses required for benefits for medical treatment borne by the Association of Medical Care Systems for the Elderly Aged 75 and older prescribed in Article 48 of that Act, which municipalities designated pursuant to the provisions of the Pre-April 2008 Elderly Health Act as bearing those costs have joined.

③For each fiscal year from fiscal year 2018, with regard to the expenses required for the execution of the affairs pertaining to the defrayal and burden of those of the costs of medical care, etc. before April 2008 that were claimed in or before fiscal year 2015 (limited to those pertaining to the affairs of the Medical Information Infrastructure and Medical Fee Examination and Payment Organization (hereinafter in this paragraph referred to as the "Organization") under the Act on the Medical Information Infrastructure and Medical Fee Examination and Payment Organization (Act No. 129 of 1948)), the provisions of Article 53 of the Pre-April 2008 Elderly Health Act that are to remain in force pursuant to the provisions of paragraph (1) do not apply, and the provisions of Article 122 of the Act on Assurance of Medical Care for Elderly People apply by deeming those expenses to be expenses required for the processing of the affairs pertaining to the services of the Organization set forth in Article 139, paragraph (1), item (ii) of that Act for the relevant fiscal year.

④The rights and obligations that actually belong, as of April 1, 2018, to the special account prescribed in Article 68 of the Pre-April 2008 Elderly Health Act that is to remain in force pursuant to the provisions of paragraph (1) are to, as specified by Cabinet Order, vest on that day in the special account prescribed in Article 143 of the Act on Assurance of Medical Care for Elderly People for the services under Article 139, paragraph (1), item (ii) of that Act.

Municipalities are to establish a special account for revenue and expenditure pertaining to the medical care, etc. under the provisions of the Pre-April 2008 Elderly Health Act as to which the provisions then in force continue to govern pursuant to the provisions of Article 32 of the Supplementary Provisions, for three years after the provisions of Article 7 come into effect.

①With regard to a long-term care sanatorium-type medical facility prescribed in Article 8, paragraph (26) of the Long-Term Care Insurance Act before the amendment by the provisions of Article 26 (hereinafter in this Article referred to as the "Former Long-Term Care Insurance Act") that, at the time of enforcement of the provisions of Article 26, has actually received the designation under Article 48, paragraph (1), item (iii) of the Former Long-Term Care Insurance Act, the provisions of the Health Insurance Act before the amendment by the provisions of Article 5, the provisions of the Act on Assurance of Medical Care for Elderly People before the amendment by the provisions of Article 9, the provisions of the National Health Insurance Act before the amendment by the provisions of Article 14, the provisions of the Mariners Insurance Act before the amendment by the provisions of Article 20, the provisions of the Former Long-Term Care Insurance Act, the provisions of the National Public Officers Mutual Aid Association Act before the amendment by the provisions of Article 58 of the Supplementary Provisions, the provisions of the Local Public Officers, etc. Mutual Aid Association Act before the amendment by the provisions of Article 67 of the Supplementary Provisions, the provisions of the Mariners' Employment Security Act before the amendment by the provisions of Article 90 of the Supplementary Provisions, the provisions of the Public Assistance Act before the amendment by the provisions of Article 91 of the Supplementary Provisions, the provisions of the Act on Special Measures concerning Employment Promotion of Mariners before the amendment by the provisions of Article 96 of the Supplementary Provisions, the provisions of the Act on the Prevention of Elder Abuse and Support for Caregivers of Elderly Persons before the amendment by the provisions of Article 111 of the Supplementary Provisions, and the provisions of the Act on Promotion of Wide-Area Administration in Special Zones of the Doshu System before the amendment by the provisions of Article 111-2 of the Supplementary Provisions (including the provisions of orders based on these provisions) remain in force until March 31, 2024.

②With regard to insurance benefits pertaining to designated long-term care sanatorium facility services provided by March 31, 2024 pursuant to Article 48, paragraph (1), item (iii) of the Former Long-Term Care Insurance Act that is to remain in force pursuant to the provisions of the preceding paragraph, the provisions then in force continue to govern even after that date.

③With regard to the disposition on whether or not to grant designation on an application for designation under Article 107, paragraph (1) of the Former Long-Term Care Insurance Act that was filed before the date of enforcement of the provisions of Article 26 and for which no such disposition has been made at the time of enforcement of the provisions of Article 26, the provisions then in force continue to govern. In this case, if, on or after the date of enforcement of the provisions of that Article, designation under Article 48, paragraph (1), item (iii) of the Former Long-Term Care Insurance Act is granted to a long-term care sanatorium-type medical facility prescribed in Article 8, paragraph (26) of the Former Long-Term Care Insurance Act, it is deemed to be the long-term care sanatorium-type medical facility referred to in paragraph (1), and the provisions that are to remain in force pursuant to that paragraph apply.

With regard to the application of penal provisions to acts committed before this Act (or, for the provisions set forth in the items of Article 1 of the Supplementary Provisions, each of those provisions; the same applies hereinafter) comes into effect, to acts committed after this Act comes into effect in the cases where the provisions then in force continue to govern pursuant to the provisions of these Supplementary Provisions and in the cases where provisions remain in force pursuant to the provisions of these Supplementary Provisions, and to acts committed after this Act comes into effect but before the provisions of the Acts prescribed in paragraph (1) of the preceding Article, which are to remain in force pursuant to the provisions of that paragraph, cease to be effective, the provisions then in force continue to govern.

①Dispositions, procedures and other acts carried out before this Act comes into effect pursuant to the provisions of each Act prior to amendment (including orders based on it; the same applies hereinafter in this Article), for which there are equivalent provisions in each Act as amended, are deemed, unless otherwise provided for in these Supplementary Provisions, to have been carried out pursuant to the equivalent provisions of each Act as amended.

②With regard to matters for which a notification or other procedure must be carried out before this Act comes into effect pursuant to the provisions of each Act prior to amendment and for which that procedure has not been carried out before the date on which this Act comes into effect, the provisions of each Act as amended apply by deeming the procedure not to have been carried out pursuant to the equivalent provisions of each Act as amended, unless otherwise provided for in this Act or orders based on it.

Beyond what is provided for in Article 3 through the preceding Article of the Supplementary Provisions, transitional measures necessary in connection with the enforcement of this Act are specified by Cabinet Order.