The main text is read a page at a time: a chapter to a page, and a long chapter in runs of articles. The whole main text, and the supplementary provisions and appended tables this amendment changes. Those it leaves untouched are on the page for the text in force.
When a dependent of a specially-insured day laborer submits a qualified recipient card to one that the dependent selected from among the hospitals or clinics listed in Article 63, paragraph (3), item (i) or (ii) and the birthing centers listed in Article 98-2, paragraph (1), item (i) or (ii), and receives delivery care from it, dependent's delivery expenses are paid to the specially-insured day laborer for the expenses required for the delivery care.
In order for a specially-insured day laborer to receive dependent's delivery expenses, insurance premiums must have been paid for the specially-insured day laborer for 26 days or more in total during the two months preceding the month including the day of childbirth (the scheduled date of childbirth if the day of childbirth is after the scheduled date of childbirth) or for 78 days or more in total during the six months preceding that month.
The provisions of Article 134-2, paragraphs (3) through (5) apply mutatis mutandis to the payment of dependent's delivery expenses, and the provisions of paragraphs (6) and (7) of that Article apply mutatis mutandis to the payment of an amount equivalent to the expenses required for delivery care pertaining to a dependent of a specially-insured day laborer, respectively. In this case, the phrase "the preceding paragraph" in paragraph (3) of that Article is deemed to be replaced with "Article 142-2, paragraph (2)", and the phrase "paragraph (1)" in paragraph (4) of that Article is deemed to be replaced with "Article 142-2, paragraph (1)".
When a dependent of a specially-insured day laborer dies, dependent's burial charges are paid to the specially-insured day laborer.
日雇特例被保険者の被扶養者が死亡したときは、日雇特例被保険者に対し、家族埋葬料を支給する。
Article 143, paragraph (2)
In order for a specially-insured day laborer to receive dependent's burial charges, insurance premiums must have been paid for the specially-insured day laborer for 26 days or more in total during the two months preceding the month including the day of death or for 78 days or more in total during the six months preceding that month.
Article 144, paragraph (1)(家族出産時一時金)Lump-sum Allowance at Dependent's ChildbirthChanged
When a dependent of a specially-insured day laborer receives delivery care under health insurance from a hospital or clinic listed in Article 63, paragraph (3), item (i) or (ii) or a birthing center listed in Article 98-2, paragraph (1), item (i) or (ii) and gives birth to a child, lump-sum allowance for dependent's childbirth and childcare an amount specified by Cabinet Order referred to in Article 101, paragraph (1) is paid to the specially-insured day laborer as lump-sum allowance at dependent's childbirth.
Article 144, paragraph (2)(家族出産時一時金)Lump-sum Allowance at Dependent's ChildbirthChanged
In order for a specially-insured day laborer to receive lump-sum allowance for dependent's childbirth and childcare, insurance premiums must have been paid for the specially-insured day laborer for 26 days or more in total in the two months preceding the month includingThe provisions of Article 142-2, paragraph (2) apply mutatis mutandis to the daypayment of childbirth or for 78 days or more in total in the six months preceding that monthlump-sum allowance at dependent's childbirth.
If a specially-insured day laborer falls under any of the following items, and three months (two months if the day on which the laborer fell under the item is the first day of the month; the same applies in paragraph (5)) have not elapsed since the first day of the month including the day on which the laborer fell under the item, or the laborer's dependent submitted a special medical expense card for a hospital, clinic or pharmacy that the dependent selected from those listed in Article 63, paragraph (3), item (i) or (ii) and received medical treatment therefrom, or submitted the special medical expense card to a designated home-nursing provider that the dependent selected and received designated home-nursing, special medical expenses required for the medical treatment or designated home-nursing are paid to the specially-insured day laborer; provided, however, that this does not apply if, with respect to the relevant sickness or injury, the specially-insured day laborer is eligible for benefits for medical treatment, for payment of expenses for dietary treatment for inpatients, expenses for living support for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, dependent's medical expenses, or dependent's medical expenses for home-nursing, or is eligible for payment of expenses for in-home long-term care services, expenses for special in-home long-term care services, expenses for community-based long-term care services, expenses for special community-based long-term care services, expenses for long-term care facility services, allowance for special long-term care facility service expenses, expenses for services to prevent long-term care, or expenses for special services to prevent long-term care pursuant to the provisions of the Long-Term Care Insurance Act:
the specially-insured day laborer receives a specially-insured day laborer's insurance book for the first time;
初めて日雇特例被保険者手帳の交付を受けた者
Article 145, paragraph (1), item (ii)(特別療養費)(Special Medical Expenses)Changed
the relevant specially insured a person who first receives issuance of a specially-insured day laborer's insurance book after the book no longer contains blank space for affixing stamps for proof of health insurance in the month in which insurance premiums for 26 days or more have been paid in total in the previous one month or in two consecutive months, or insurance premiums for 78 days or more have been paid in total in the previous three to six consecutive months, have been paid, or after the book was returned within the following month pursuant to the provisions of Article 126, paragraph (3), and the specially-insured day laborer then received a new specially-insured day laborer's insurance book; or
Article 145, paragraph (1), item (iii)(特別療養費)(Special Medical Expenses)Changed
the specially-insured day laborera person who receives issuance of a specially-insured day laborer's insurance book after one year or more has elapsed since , counting from the day on which the specially-insured day laborer's previous insurance book previously issued to the person (if the person has previously been issued a specially-insured day laborer's insurance book on two or more occasions, the one most recently issued) ceased to contain blank space for affixing stamps for proof of health insurance or the day on which the laborer's previousthat insurance book was returned pursuant to the provisions of Article 126, paragraph (3) (the most recent specially-insured day laborer's insurance book if two or more insurance books have been issued).
The amount of special medical expenses is the amount stated in item (i) below for medical treatment provided by a hospital, clinic, or pharmacy listed in Article 63, paragraph (3), item (i) or (ii) (if dietary treatment is included in the treatment, the sum of the amount stated in item (i) below and the amount stated in item (ii); if living support is included in the treatment, the sum of the amount stated in item (i) below and the amount stated in item (iii)), or the amount listed in item (iv) for designated home-nursing provided by a designated home-nursing provider:
an amount equivalent to 0.70 of the amount of expenses calculated for the medical treatment (excluding dietary treatment and living support) (if the amount exceeds the amount of expenses actually incurred in the medical treatment, the amount of expenses actually incurred);
the amount calculated by deducting the amount of standard co-payment for dietary treatment from the amount calculated for the dietary treatment (when the amount exceeds the amount of expenses actually incurred in the dietary treatment, the amount of expenses actually incurred);
the amount calculated by deducting the amount of standard co-payment for living support from the amount calculated for the living support (when the amount exceeds the amount of expenses actually incurred in the living support, the amount of expenses actually incurred); and
an amount equivalent to 0.70 of the amount of expenses calculated for designated home-nursing.
当該指定訪問看護につき算定された費用の額の百分の七十に相当する額
Article 145, paragraph (3)(特別療養費)
When applying the provisions of the preceding paragraph to a person who receives medical treatment or designated home-nursing referred to in paragraph (1) before the first March 31 after the person's 6th birthday, "0.70" in items (i) and (iv) of the same paragraph is replaced with "0.80".
When applying the provisions of paragraph (2) to a person who receives medical treatment or designated home-nursing referred to in paragraph (1) (excluding insured persons who fall under the cases listed in Article 74, paragraph (1), item (iii) as applied mutatis mutandis to Article 149 and their dependents, and the dependents of insured persons specified by Cabinet Order) after the month following the month which included the person's 70th birthday, "0.70" in paragraph (2), items (i) and (iv) are replaced with "0.80".
An insurer issued a special medical expense card upon application by a specially-insured day laborer who falls under any of the items of paragraph (1) if three months have not elapsed since the first day of the month in which the laborer acquired the eligibility.
The provisions of Article 132 apply mutatis mutandis to the payment of special medical expenses. In this case, the phrases "confirmation prescribed in Article 129, paragraph (3)" and "lack of confirmation" in Article 132, paragraph (2) are deemed to be replaced with "issuance of a special medical expense card" and "lack of issuance".
The provisions of Article 87, paragraphs (2) and (3) apply mutatis mutandis to the calculation of the amount of medical expenses paid pursuant to the provisions of Article 132, paragraph (1) and (2) as applied mutatis mutandis pursuant to the preceding paragraph.
The form and issuance of special medical expense cards and other necessary matters concerning them are specified by Order of the Ministry of Health, Labour and Welfare.