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Supplementary Provisions, Article 33

第三十三条

With regard to the payment of expenses for high-cost medical treatment combined with long-term care under the provisions of the Health Insurance Act for medical treatment received during the period from the Effective Date until July 31, 2009, the provisions of Articles 43-2 through 44 (excluding ) of the Order for Enforcement of the Health Insurance Act are applied by deeming the phrase "from August 1 of the previous year to July 31" in of that Order (including as applied mutatis mutandis pursuant to paragraphs (3) and (4) of that Article and of that Order; the same applies in the following paragraph and paragraph (4)) to be replaced with "from April 1, 2008 to July 31, 2009". In this case, the terms listed in the middle column of the following table in the provisions of that Order listed in the left-hand column of the table are deemed to be replaced with the terms listed in the right-hand column of the table, respectively.

(including as applied mutatis mutandis pursuant to and and )670,000 yen890,000 yen
1,260,000 yen1,680,000 yen
340,000 yen450,000 yen
(including as applied mutatis mutandis pursuant to and and )620,000 yen750,000 yen
670,000 yen890,000 yen
310,000 yen410,000 yen
190,000 yen250,000 yen
the table in (including as applied mutatis mutandis pursuant to ) as deemed to be replaced pursuant to the provisions of Article 33, paragraph (1) of the Supplementary Provisions of the Cabinet Order Partially Amending the Order for Enforcement of the Health Insurance Act, etc. (Cabinet Order No. 116 of 2008; hereinafter referred to as the "Amending Order" in this Article)
as deemed to be replaced pursuant to the provisions of Article 33, paragraph (1) of the Supplementary Provisions of the Amending Order
Order for Enforcement of the Mariners Insurance ActOrder for Enforcement of the Mariners Insurance Act as deemed to be replaced pursuant to the provisions of of the Supplementary Provisions of the Amending Order
Order for Enforcement of the National Public Officers Mutual Aid Association Act (Order for Enforcement of the National Public Officers Mutual Aid Association Act as deemed to be replaced pursuant to the provisions of of the Supplementary Provisions of the Amending Order (
(including where applied mutatis mutandis pursuant to as deemed to be replaced pursuant to the provisions of of the Supplementary Provisions of the Amending Order (including where applied mutatis mutandis pursuant to
as deemed to be replaced pursuant to the provisions of of the Supplementary Provisions of the Amending Order
and as deemed to be replaced pursuant to the provisions of of the Supplementary Provisions of the Amending Order and
Order for Enforcement of the Local Public Officers, etc. Mutual Aid Association ActOrder for Enforcement of the Local Public Officers, etc. Mutual Aid Association Act as deemed to be replaced pursuant to the provisions of of the Supplementary Provisions of the Amending Order
Order for Enforcement of the Private School Personnel Mutual Aid Association ActOrder for Enforcement of the Private School Personnel Mutual Aid Association Act, as deemed to be replaced pursuant to the provisions of of the Supplementary Provisions of the Amending Order, which provisions are to be followed pursuant to the provisions of
Order for Enforcement of the National Health Insurance ActOrder for Enforcement of the National Health Insurance Act as deemed to be replaced pursuant to the provisions of of the Supplementary Provisions of the Amending Order
(including as applied mutatis mutandis pursuant to )Order for Enforcement of the Act on Assurance of Medical Care for Elderly PeopleOrder for Enforcement of the Act on Assurance of Medical Care for Elderly People as deemed to be replaced pursuant to the provisions of of the Supplementary Provisions of the Amending Order

施行日から平成二十一年七月三十一日までの間に受けた療養に係る健康保険法の規定による高額介護合算療養費の支給については、健康保険法施行令第四十三条の二第一項第一号（同条第三項及び第四項並びににおいて準用する場合を含む。次項及び第四項において同じ。）中「前年八月一日から七月三十一日まで」とあるのは、「平成二十年四月一日から平成二十一年七月三十一日まで」と読み替えて、から（を除く。）までの規定を適用する。この場合において、次の表の上欄に掲げる同令の規定中同表の中欄に掲げる字句は、それぞれ同表の下欄に掲げる字句とする。

（及び並びににおいて準用する場合を含む。）六十七万円八十九万円
百二十六万円百六十八万円
三十四万円四十五万円
（及び並びににおいて準用する場合を含む。）六十二万円七十五万円
六十七万円八十九万円
三十一万円四十一万円
十九万円二十五万円
（において準用する場合を含む。）の表健康保険法施行令等の一部を改正する政令（平成二十年政令第百十六号。以下この条において「改正令」という。）附則第三十三条第一項の規定により読み替えられた
改正令附則第三十三条第一項の規定により読み替えられた
船員保険法施行令の規定により読み替えられた船員保険法施行令
国家公務員共済組合法施行令（の規定により読み替えられた国家公務員共済組合法施行令（
（の規定により読み替えられた（
防衛省の職員の給与等に関するの規定により読み替えられた防衛省の職員の給与等に関する
及びの規定により読み替えられた及び
地方公務員等共済組合法施行令の規定により読み替えられた地方公務員等共済組合法施行令
私立学校教職員共済法施行令の規定によりその例によることとされるの規定により読み替えられた、私立学校教職員共済法施行令
国民健康保険法施行令の規定により読み替えられた国民健康保険法施行令
（において準用する場合を含む。）高齢者の医療の確保に関する法律施行令の規定により読み替えられた高齢者の医療の確保に関する法律施行令

With regard to the payment of expenses for high-cost medical treatment combined with long-term care listed in the following items for medical treatment received during the period from August 1, 2008 to July 31, 2009, where the amount listed in (a) of each item exceeds the amount listed in (b) of , notwithstanding the provisions of the preceding paragraph, the provisions of Articles 43-2 through 44 (excluding ) of the Order for Enforcement of the Health Insurance Act are applied by deeming the phrase "from August 1 of the previous year to July 31" in of that Order to be replaced with "from August 1, 2008 to July 31, 2009".

平成二十年八月一日から平成二十一年七月三十一日までに受けた療養に係る次の各号に掲げる高額介護合算療養費の支給については、当該各号イに掲げる額が、それぞれ当該各号ロに掲げる額を超えるときは、前項の規定にかかわらず、健康保険法施行令第四十三条の二第一項第一号中「前年八月一日から七月三十一日まで」とあるのは、「平成二十年八月一日から平成二十一年七月三十一日まで」と読み替えて、同条から（を除く。）までの規定を適用する。

the payment of expenses for high-cost medical treatment combined with long-term care under the provisions of Article 43-2, paragraphs (1) and (2) of the Order for Enforcement of the Health Insurance Act (including where these provisions are applied mutatis mutandis pursuant to paragraphs (3) and (4) of that Article and of that Order):

健康保険法施行令第四十三条の二第一項及び第二項（これらの規定を同条第三項及び第四項並びににおいて準用する場合を含む。）の規定による高額介護合算療養費の支給

the total sum of the amount obtained by deducting the base amount for the combined long-term care calculation under of that Order from the household total of co-payments, etc. combined with long-term care prescribed in paragraph (1) of that Article (including as applied mutatis mutandis pursuant to paragraphs (3) and (4) of that Article and of that Order) in the case where Article 43-2 of the Order for Enforcement of the Health Insurance Act is applied with the terms replaced pursuant to the provisions of this paragraph (or zero, where that amount is equal to or less than the payment threshold prescribed in or where the proviso to applies to the calculation of that household total of co-payments, etc. combined with long-term care), and the total payment for combined long-term care for persons aged 70 or over prescribed in ;

この項の規定により健康保険法施行令第四十三条の二を読み替えて適用する場合の同条第一項（同条第三項及び第四項並びににおいて準用する場合を含む。）に規定する介護合算一部負担金等世帯合算額からの介護合算算定基準額を控除した額（当該額がに規定する支給基準額以下である場合又は当該介護合算一部負担金等世帯合算額の算定につきただし書に該当する場合には、零とする。）及びに規定する七十歳以上介護合算支給総額を合算した額

the amount listed in (a) in the case where (a) is applied by deeming the phrase "this paragraph" in (a) to be replaced with "the preceding paragraph";

イ中「この項」とあるのを「前項」と読み替えてイを適用する場合のイに掲げる額

the payment of expenses for high-cost medical treatment combined with long-term care under the provisions of Article 43-2, paragraphs (5) and (6) of the Order for Enforcement of the Health Insurance Act (including where these provisions are applied mutatis mutandis pursuant to of that Order):

健康保険法施行令第四十三条の二第五項及び第六項（これらの規定をにおいて準用する場合を含む。）の規定による高額介護合算療養費の支給

the total sum of the amount obtained by deducting the base amount for the combined long-term care calculation under of that Order from the household total of co-payments, etc. combined with long-term care prescribed in paragraph (5) of that Article (including as applied mutatis mutandis pursuant to of that Order) in the case where Article 43-2 of the Order for Enforcement of the Health Insurance Act is applied with the terms replaced pursuant to the provisions of this paragraph (or zero, where that amount is equal to or less than the payment threshold prescribed in or where the proviso to applies to the calculation of that household total of co-payments, etc. combined with long-term care), and the total payment for combined long-term care for persons aged 70 or over prescribed in ;

この項の規定により健康保険法施行令第四十三条の二を読み替えて適用する場合の同条第五項（において準用する場合を含む。）に規定する介護合算一部負担金等世帯合算額からの介護合算算定基準額を控除した額（当該額がに規定する支給基準額以下である場合又は当該介護合算一部負担金等世帯合算額の算定につきただし書に該当する場合には、零とする。）及びに規定する七十歳以上介護合算支給総額を合算した額

the amount listed in (a) in the case where (a) is applied by deeming the phrase "this paragraph" in (a) to be replaced with "the preceding paragraph";

イ中「この項」とあるのを「前項」と読み替えてイを適用する場合のイに掲げる額

the payment of expenses for high-cost medical treatment combined with long-term care under the provisions of Article 43-2, paragraph (7) of the Order for Enforcement of the Health Insurance Act (including where those provisions are applied mutatis mutandis pursuant to of that Order; the same applies hereinafter in this item):

健康保険法施行令第四十三条の二第七項（において準用する場合を含む。以下この号において同じ。）の規定による高額介護合算療養費の支給

the amount obtained by deducting the base amount for the combined long-term care calculation under Article 43-2, paragraph (7) of the Order for Enforcement of the Health Insurance Act from the household total of co-payments, etc. combined with long-term care prescribed in that paragraph in the case where of that Order is applied with the terms replaced pursuant to the provisions of this paragraph (or zero, where that amount is equal to or less than the payment threshold prescribed in that paragraph or where the proviso to that paragraph applies to the calculation of that household total of co-payments, etc. combined with long-term care);

この項の規定により健康保険法施行令第四十三条の二を読み替えて適用する場合の同条第七項に規定する介護合算一部負担金等世帯合算額から同項の介護合算算定基準額を控除した額（当該額が同項に規定する支給基準額以下である場合又は当該介護合算一部負担金等世帯合算額の算定につき同項ただし書に該当する場合には、零とする。）

the amount listed in (a) in the case where (a) is applied by deeming the phrase "this paragraph" in (a) to be replaced with "the preceding paragraph".

イ中「この項」とあるのを「前項」と読み替えてイを適用する場合のイに掲げる額

In the case of the preceding paragraph, the terms listed in the middle column of the following table in the provisions of the Order for Enforcement of the Health Insurance Act listed in the left-hand column of the table are deemed to be replaced with the terms listed in the right-hand column of the table, respectively.

Article 43-3, paragraph (2), item (i) (including as applied mutatis mutandis pursuant to paragraphs (3) and (4) of that Article and Article 44, paragraph (2))620,000 yen560,000 yen
the right-hand column of the table in Article 43-3, paragraph (5) (including as applied mutatis mutandis pursuant to Article 44, paragraph (3))Article 43-3, paragraph (2)Article 43-3, paragraph (2) as deemed to be replaced pursuant to the provisions of Article 33, paragraph (3) of the Supplementary Provisions of the Cabinet Order Partially Amending the Order for Enforcement of the Health Insurance Act, etc. (Cabinet Order No. 116 of 2008; hereinafter referred to as the "Amending Order" in this paragraph)
Order for Enforcement of the Mariners Insurance ActOrder for Enforcement of the Mariners Insurance Act as deemed to be replaced pursuant to the provisions of of the Supplementary Provisions of the Amending Order
(including where applied mutatis mutandis pursuant to as deemed to be replaced pursuant to the provisions of of the Supplementary Provisions of the Amending Order (including where applied mutatis mutandis pursuant to
and as deemed to be replaced pursuant to the provisions of of the Supplementary Provisions of the Amending Order and
Order for Enforcement of the Local Public Officers, etc. Mutual Aid Association ActOrder for Enforcement of the Local Public Officers, etc. Mutual Aid Association Act as deemed to be replaced pursuant to the provisions of of the Supplementary Provisions of the Amending Order
Order for Enforcement of the Private School Personnel Mutual Aid Association ActOrder for Enforcement of the Private School Personnel Mutual Aid Association Act, as deemed to be replaced pursuant to the provisions of of the Supplementary Provisions of the Amending Order, which provisions are to be followed pursuant to the provisions of
Order for Enforcement of the National Health Insurance ActOrder for Enforcement of the National Health Insurance Act as deemed to be replaced pursuant to the provisions of of the Supplementary Provisions of the Amending Order

前項の場合において、次の表の上欄に掲げる健康保険法施行令の規定中同表の中欄に掲げる字句は、それぞれ同表の下欄に掲げる字句とする。

第四十三条の三第二項第一号（同条第三項及び第四項並びに第四十四条第二項において準用する場合を含む。）六十二万円五十六万円
第四十三条の三第五項（第四十四条第三項において準用する場合を含む。）の表下欄第四十三条の三第二項健康保険法施行令等の一部を改正する政令（平成二十年政令第百十六号。以下この項において「改正令」という。）附則第三十三条第三項の規定により読み替えられた第四十三条の三第二項
船員保険法施行令の規定により読み替えられた船員保険法施行令
（の規定により読み替えられた（
及びの規定により読み替えられた及び
地方公務員等共済組合法施行令の規定により読み替えられた地方公務員等共済組合法施行令
私立学校教職員共済法施行令の規定によりその例によることとされるの規定により読み替えられた、私立学校教職員共済法施行令
国民健康保険法施行令の規定により読み替えられた国民健康保険法施行令

Of the persons listed in Article 43-3, paragraph (2), item (ii) of the Order for Enforcement of the Health Insurance Act, for a person who falls under all of the following items, the base amount for the combined long-term care calculation for persons aged 70 or over under of that Order (including as applied mutatis mutandis pursuant to and ) is, notwithstanding the provisions of of that Order (including as applied mutatis mutandis pursuant to and ), the amount specified in (including as applied mutatis mutandis pursuant to and ):

健康保険法施行令第四十三条の三第二項第二号に掲げる者のうち、次の各号のいずれにも該当するものに係る（及びにおいて準用する場合を含む。）の七十歳以上介護合算算定基準額は、（及びにおいて準用する場合を含む。）の規定にかかわらず、（及びにおいて準用する場合を含む。）に定める額とする。

a person listed in Article 31, paragraph (1), item (ii), (a) of the Supplementary Provisions;

附則第三十一条第一項第二号イに掲げる者

a person for whom, in the case where the day deemed to be the reference date (meaning the day deemed to be the reference date prescribed in Article 43-2, paragraph (1), item (i) of the Order for Enforcement of the Health Insurance Act pursuant to of that Order; the same applies hereinafter in this Article) falls within the period from September through December 2008, the amount of income under of that Order, where, on the assumption that the person were to receive benefits for medical treatment on that day deemed to be the reference date, is applied by deeming the persons who would then have been the person's dependents to be dependents prescribed in , is less than 5,200,000 yen.

基準日とみなされる日（健康保険法施行令第四十三条の四第一項の規定によりに規定する基準日とみなされる日をいう。以下この条において同じ。）が平成二十年九月から十二月までの間にある場合であって当該基準日とみなされる日において療養の給付を受けることとしたときに、その被扶養者であった者について、に規定する被扶養者とみなしての規定を適用した場合のの収入の額が五百二十万円未満である者

With regard to the base amount for the combined long-term care calculation for persons aged 70 or over under Article 43-2, paragraph (6) of the Order for Enforcement of the Health Insurance Act in the case where the day deemed to be the reference date falls within the period from September through December 2008, the provisions of of that Order are applied by deeming the terms listed in the left-hand column of the following table in the right-hand column of the table in to be replaced with the terms listed in the right-hand column of the following table, respectively.

and
and of the Supplementary Provisions of the Amending Order
and of the Supplementary Provisions of the Amending Order
and and and of the Supplementary Provisions of the Amending Order

基準日とみなされる日が平成二十年九月から十二月までの間にある場合における健康保険法施行令第四十三条の二第六項の七十歳以上介護合算算定基準額については、の表下欄中次の表の上欄に掲げる字句は、それぞれ同表の下欄に掲げる字句に読み替えて、の規定を適用する。

並びに
並びに
並びに
及び及び並びに

With regard to the base amount for the combined long-term care calculation under Article 43-2, paragraph (7) of the Order for Enforcement of the Health Insurance Act in the case where the day deemed to be the reference date falls within the period from September through December 2008, the provisions of of that Order are applied by deeming the phrase "" in to be replaced with " and ".

基準日とみなされる日が平成二十年九月から十二月までの間にある場合における健康保険法施行令第四十三条の二第七項の介護合算算定基準額については、中「」とあるのは、「並びに」と読み替えて、の規定を適用する。

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