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 provisions of Article 5 and Article 5-2 (limited to the part pertaining to the national subsidy rate) of the Supplementary Provisions of the Health Insurance Act as amended by the provisions of Article 2 (hereinafter referred to as the "Amended Health Insurance Act"), the government is to conduct a review during the period until fiscal year 2012, taking into account changes in the socioeconomic situation, etc., such as the financial status of the health insurance administered by the Japan Health Insurance Association, the status of the review of how costs required for medical care of elderly people should be shared, and the financial status of the national government, and, if it finds it necessary, take required measures.

The amount to be subsidized in fiscal year 2010 pursuant to the provisions of Article 5 of the Supplementary Provisions of the Amended Health Insurance Act as the terms are replaced pursuant to the provisions of Article 5-2 of the Supplementary Provisions of the Amended Health Insurance Act, and of Article 153, paragraph (1) of the Amended Health Insurance Act as the terms are replaced pursuant to the provisions of Article 5-2 of the Supplementary Provisions of the Amended Health Insurance Act, is, notwithstanding that paragraph, the total of the amount equivalent to eight-twelfths of the amount calculated pursuant to the provisions of that paragraph and the amount equivalent to four-twelfths of the amount that would be calculated pursuant to the provisions of that paragraph if the provisions of Article 153, paragraph (1) of the Amended Health Insurance Act, as the terms are replaced pursuant to the provisions of Article 5 of the Supplementary Provisions of the Amended Health Insurance Act, were applied on the assumption that the provisions of Article 5-2 of the Supplementary Provisions of the Amended Health Insurance Act do not apply in that fiscal year.

The amount to be subsidized in fiscal year 2010 pursuant to the provisions of Article 153, paragraph (2) of the Amended Health Insurance Act as the terms are replaced pursuant to the provisions of Article 4-4 of the Supplementary Provisions of the Amended Health Insurance Act, as the terms are replaced pursuant to the provisions of Article 5-2 of the Supplementary Provisions of the Amended Health Insurance Act, is, notwithstanding that paragraph, the total of the amount equivalent to eight-twelfths of the amount calculated pursuant to the provisions of that paragraph and the amount equivalent to four-twelfths of the amount that would be calculated pursuant to the provisions of that paragraph if the provisions of Article 153, paragraph (2) of the Amended Health Insurance Act, as the terms are replaced pursuant to the provisions of Article 4-4 of the Supplementary Provisions of the Amended Health Insurance Act, were applied on the assumption that the provisions of Article 5-2 of the Supplementary Provisions of the Amended Health Insurance Act do not apply in that fiscal year.

The amount to be subsidized in fiscal year 2010 pursuant to the provisions of Article 5 of the Supplementary Provisions of the Amended Health Insurance Act as the terms are replaced pursuant to the provisions of Article 5-2 of the Supplementary Provisions of the Amended Health Insurance Act, and of Article 154, paragraph (1) of the Amended Health Insurance Act as the terms are replaced pursuant to the provisions of Article 5-2 of the Supplementary Provisions of the Amended Health Insurance Act, is, notwithstanding that paragraph, the total of the amount equivalent to eight-twelfths of the amount calculated pursuant to the provisions of that paragraph and the amount equivalent to four-twelfths of the amount that would be calculated pursuant to the provisions of that paragraph if the provisions of Article 154, paragraph (1) of the Amended Health Insurance Act, as the terms are replaced pursuant to the provisions of Article 5 of the Supplementary Provisions of the Amended Health Insurance Act, were applied on the assumption that the provisions of Article 5-2 of the Supplementary Provisions of the Amended Health Insurance Act do not apply in that fiscal year.

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