Supplementary Provisions

This Act comes into effect on the date of promulgation; provided, however, that the provisions revising Article 9, paragraphs (6), (10) and (11) of the National Health Insurance Act, the provisions revising Article 22 of that Act, the provisions adding one Article after Article 21 of the Supplementary Provisions of that Act, the provisions revising Article 22 of the Supplementary Provisions of that Act, and the provisions adding one Article after that Article, in Article 1, the provisions adding one Article after Article 5 of the Supplementary Provisions of the Health Insurance Act in Article 2, the provisions adding five Articles after Article 13 of the Supplementary Provisions of the Act on Assurance of Medical Care for Elderly People in Article 3 (excluding the part pertaining to Article 13-6 of the Supplementary Provisions of that Act) and the provisions adding three Articles after Article 14 of the Supplementary Provisions of that Act (excluding the part pertaining to Article 14-2 of the Supplementary Provisions of that Act), and the provisions of Articles 7 through 17 of the Supplementary Provisions, come into effect on July 1, 2010.

With regard to the estimated young-old subsidy and the fixed young-old subsidy, the estimated young-old payment and the fixed young-old payment, and the estimated aid for the old-old and the fixed aid for the old-old pertaining to Insurers of employee insurance, etc. (meaning Insurers of employee insurance, etc. prescribed in Article 10, paragraph (1) of the Supplementary Provisions of the Amended National Health Insurance Act; the same applies hereinafter) for each fiscal year up to and including fiscal year 2009, the provisions then in force continue to govern.

Notwithstanding Article 13-2 of the Supplementary Provisions of the Act on Assurance of Medical Care for Elderly People as amended by Article 3 (hereinafter referred to as the "Amended Elderly Medical Care Assurance Act"), the amount of the estimated young-old subsidy pertaining to Insurers of employee insurance, etc. for fiscal year 2010 is the sum total of the amount equivalent to 8/12 of the amount calculated pursuant to the provisions of that Article and the amount equivalent to 4/12 of the amount that would be calculated pursuant to the provisions of paragraph (1) of Article 34 of the Amended Elderly Medical Care Assurance Act if the provisions of that Article were applied to the insurer of employee insurance, etc. concerned on the assumption that the provisions of Article 13-2 of the Supplementary Provisions of the Amended Elderly Medical Care Assurance Act did not apply in that fiscal year.

Notwithstanding Article 13-3 of the Supplementary Provisions of the Amended Elderly Medical Care Assurance Act, the amount of the fixed young-old subsidy pertaining to Insurers of employee insurance, etc. for fiscal year 2010 is the sum total of the amount equivalent to 8/12 of the amount calculated pursuant to the provisions of that Article and the amount equivalent to 4/12 of the amount that would be calculated pursuant to the provisions of paragraph (1) of Article 35 of the Amended Elderly Medical Care Assurance Act if the provisions of that Article were applied to the insurer of employee insurance, etc. concerned on the assumption that the provisions of Article 13-3 of the Supplementary Provisions of the Amended Elderly Medical Care Assurance Act did not apply in that fiscal year.

Notwithstanding Article 38, paragraph (1) of the Amended Elderly Medical Care Assurance Act, the amount of the estimated young-old payment pertaining to Insurers of employee insurance, etc. for fiscal year 2010 is the sum total of the amount equivalent to 8/12 of the amount calculated pursuant to the provisions of that paragraph and the amount equivalent to 4/12 of the amount that would be calculated pursuant to the provisions of paragraph (1) of Article 38 of the Amended Elderly Medical Care Assurance Act if the provisions of that Article were applied to the insurer of employee insurance, etc. concerned on the assumption that the provisions of Article 13-4 of the Supplementary Provisions of the Amended Elderly Medical Care Assurance Act did not apply in that fiscal year.

Notwithstanding Article 39, paragraph (1) of the Amended Elderly Medical Care Assurance Act, the amount of the fixed young-old payment pertaining to Insurers of employee insurance, etc. for fiscal year 2010 is the sum total of the amount equivalent to 8/12 of the amount calculated pursuant to the provisions of that paragraph and the amount equivalent to 4/12 of the amount that would be calculated pursuant to the provisions of paragraph (1) of Article 39 of the Amended Elderly Medical Care Assurance Act if the provisions of that Article were applied to the insurer of employee insurance, etc. concerned on the assumption that the provisions of Article 13-5 of the Supplementary Provisions of the Amended Elderly Medical Care Assurance Act did not apply in that fiscal year.

Notwithstanding Article 14-3, paragraph (1) of the Supplementary Provisions of the Amended Elderly Medical Care Assurance Act, the amount of the estimated aid for the old-old pertaining to Insurers of employee insurance, etc. for fiscal year 2010 is the sum total of the amount equivalent to 8/12 of the amount calculated pursuant to the provisions of that paragraph and the amount equivalent to 4/12 of the amount that would be calculated pursuant to the provisions of paragraph (1) of Article 120 of the Amended Elderly Medical Care Assurance Act if the provisions of that Article were applied to the insurer of employee insurance, etc. concerned on the assumption that the provisions of Article 14-3 of the Supplementary Provisions of the Amended Elderly Medical Care Assurance Act did not apply in that fiscal year.

Notwithstanding Article 14-4, paragraph (1) of the Supplementary Provisions of the Amended Elderly Medical Care Assurance Act, the amount of the fixed aid for the old-old pertaining to Insurers of employee insurance, etc. for fiscal year 2010 is the sum total of the amount equivalent to 8/12 of the amount calculated pursuant to the provisions of that paragraph and the amount equivalent to 4/12 of the amount that would be calculated pursuant to the provisions of paragraph (1) of Article 121 of the Amended Elderly Medical Care Assurance Act if the provisions of that Article were applied to the insurer of employee insurance, etc. concerned on the assumption that the provisions of Article 14-4 of the Supplementary Provisions of the Amended Elderly Medical Care Assurance Act did not apply in that fiscal year.

①The Social Insurance Medical Fee Payment Fund under the Act on Social Insurance Medical Fee Payment Fund (Act No. 129 of 1948) must, without delay after the enforcement of the provisions prescribed in the proviso to Article 1 of the Supplementary Provisions, change the amounts of the young-old subsidies, the young-old payments and the aid for the old-old (referred to as "young-old subsidy, etc." in the following paragraph) pertaining to each of the Insurers of employee insurance, etc. for fiscal year 2010, and notify the amounts as so changed respectively.

②The provisions of Article 42, paragraph (3) and Article 43, paragraph (3) of the Amended Elderly Medical Care Assurance Act, and the provisions of Article 43, paragraph (3) as applied mutatis mutandis pursuant to Article 124, apply mutatis mutandis respectively to the case where the amount of the young-old subsidy, etc. has been changed pursuant to the provisions of the preceding paragraph.

Beyond what is provided for in these Supplementary Provisions, transitional measures necessary incidental to the enforcement of this Act are specified by Cabinet Order.