Long-Term Care Insurance Act

A person entrusted pursuant to the provisions of paragraph (1) of the following Article (excluding a person entrusted with only the category 1 Preventive Long-Term Care Support project and the projects listed in Article 115-45, paragraph (2), item (iv) through item (vi)) may, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, provide notice in advance to the mayor of the Municipality of matters as determined by Order of the Ministry of Health, Labour and Welfare and establish a community general support center, in order to implement a Comprehensive Support Project and other projects as determined by Order of the Ministry of Health, Labour and Welfare as set forth in paragraph (1).

The entrustment pursuant to the provisions of the preceding paragraph must be made collectively for all of the Comprehensive Support Projects (excluding the category 1 Preventive Long-Term Care Support project and the projects listed in Article 115-45, paragraph (2), item (iv) through item (vi)).

A Municipality may entrust the implementation of the Comprehensive Project for Long-Term Care Prevention and Daily Life Support (in the case of category 1 Preventive Long-Term Care Support projects, limited to those pertaining to Insured In-Home Persons Requiring Support) to a person that conforms to the standards specified by Order of the Ministry of Health, Labour and Welfare as being able to appropriately implement said Comprehensive Project for Long-Term Care Prevention and Daily Life Support.

A Municipality may entrust the implementation of the whole or a part of the projects listed in each item, with respect to a project for In-Home Services, etc. in a Specified Area, entrust the implementation of Article 115-45, paragraph (3) to the founder ofsaid project for In-Home Services, etc. in a Long-Term Care Support Center as prescribed in Article 20-7-2, paragraph (1) Specified Area to a person who conforms to the standards specified by Order of the Act on Social Welfare for the Elderly and other person thatMinistry of Health, Labour and Welfare as being able to implement said Municipality determines appropriateproject appropriately.

A person entrusted with the implementation of a project for In-Home Services, etc. in a Specified Area pursuant to the provisions of the preceding paragraph may request a fee to user of the project for In-Home Services, etc. in a Specified Area pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare.

A Municipality may entrust the implementation of the whole or a part of the projects listed in each item of Article 115-45, paragraph (4) to the founder of a Long-Term Care Support Center as prescribed in Article 20-7-2, paragraph (1) of the Act on Social Welfare for the Elderly and other person that said Municipality determines appropriate.

Support Meetings

A Municipality must endeavor to establish a meeting Support Meeting (hereinafter referred to as "meetingSupport Meeting" in this Article) composed of Long-Term Care Support Specialists, persons with expert knowledge concerning health and medical care and public aid, commissioned welfare volunteers and other relevant persons, community general support centers and other relevant institutions, and relevant organizations (hereinafter referred to as "person concerned, etc." in this Article), for the effective implementation of the project listed in Article 115-45, paragraph (2), item (iii).

A meeting Support Meeting is to, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, conduct the studies necessary to provide appropriate support to Insured Persons Requiring Long-Term Care and other Insured Persons specified by Order of the Ministry of Health, Labour and Welfare (hereinafter referred to as "Insured Person Subject to Support" in this paragraph and paragraph (5)), and conduct studies concerning the support system necessary for Insured Persons Subject to Support to lead independent daily lives in the community.

A meetingSupport Meeting may, when it finds it necessary in order to conduct the studies under the preceding paragraph, request persons concerned, etc. to provide materials or information, state opinions, and give other necessary cooperation.

In the case where a meetingSupport Meeting makes a request, based on the provisions of the preceding paragraph, for the provision of materials or information, the statement of opinions, or other necessary cooperation, a person concerned, etc. must endeavor to cooperate therewith.

A person engaged Support Meeting must endeavor to cooperate mutually with the following meetings when they are organized or established in the affairs Municipality where said Support Meeting is established: the Support Meeting prescribed in Article 106-3-2, paragraph (1) of a meeting, or a person that was so engaged, must not divulge any secret learned concerning the Social Welfare Act, the support council prescribed in Article 89-3, paragraph (1) of the Comprehensive Support for Persons with Disabilities Act, the affairs support council prescribed in Article 81, paragraph (1) of the Act on Promotion of Offering of Rental Housing to Persons Requiring Special Assistance in Securing Housing (Act No. 112 of 2007), the Support Meeting prescribed in Article 9, paragraph (1) of the Act on Self-Reliance Support for Persons in Need (Act No. 105 of 2013), and any other meeting without justifiable reasonsthat contributes to establishing a support system for Insured Persons Subject to Support to lead independent daily lives in the community.

In addition to what is provided for inA Municipality may entrust part of the respective preceding paragraphs, necessary matters concerningimplementation of a Support Meeting to the organization and operationfounder of a meeting are to be specified by the meetingcommunity general support center.

A Municipality, or the founder of a community general support center entrusted pursuant to the provisions of the preceding paragraph, must endeavor to take the necessary measures, such as ensuring cooperation with the Comprehensive Support Project in the operation of a Support Meeting, and other measures to reflect the opinions of local residents.

A person engaged in the affairs of a Support Meeting, or a person that was so engaged, must not divulge any secret learned concerning the affairs of the Support Meeting without justifiable reasons.

In addition to what is provided for in paragraph (1) through paragraph (7), necessary matters concerning the organization and operation of a Support Meeting are to be specified by the Support Meeting.

matters concerning measures that a Municipality ismedium- to undertake regarding support for independent daily lifelong-term estimates of Insured Persons in the community, prevention of falling into a Condition of Need for Long-Term Care, etc., or reduction or prevention of deteriorationquantity by type of a Condition of Need forService Covered by Long-Term Care Benefits, etc., and ensuring the appropriatenessquantity of the expenses required for Long-Term Care Benefit, etc.Community Support Projects;

matters concerning the targets for the matters listed in the preceding item.measures that a Municipality is to undertake, from a medium- to long-term perspective, regarding ensuring a system to provide Service Covered by Long-Term Care Benefits, etc. and implementation of a Community Support Project;

matters concerning measures that a Municipality is to undertake regarding support for independent daily life of Insured Persons in the community, prevention of falling into a Condition of Need for Long-Term Care, etc., or reduction or prevention of deterioration of a Condition of Need for Long-Term Care, etc., and ensuring the appropriateness of the expenses required for Long-Term Care Benefit, etc.;

matters concerning the targets for the matters listed in the preceding item.

medium- to long-term estimates of the quantity by type of Service Covered by Long-Term Care Benefits, etc., the amount of funding required for Insurance Benefits, the quantity of Community Support Projects, the amount of funding required for Community Support Projects, and the level of insurance premiums;

matters concerning initiatives in collaboration with the prefecture that contribute to securing and improving initiatives aimed at realizing both the qualitysecuring of the provision of high-quality Service Covered by Long-Term Care Support SpecialistsBenefits, etc. and other persons engaged the establishment of a stable management base for that provision, such as improving the efficiency and quality of operations and otherwise improving productivity in the provision of Service Covered by Long-Term Care Benefits, etc., and Community securing and improving the quality of Long-Term Care Support ProjectsSpecialists and other persons engaged in those operations;

matters concerning initiatives in collaboration with the prefecture that contribute to securing and improving the quality of Long-Term Care Support Specialists and other persons engaged in Community Support Projects;

matters concerning initiatives in collaboration with the prefecture that contribute to improving productivity, such as improving the efficiency of operations at Business Offices or facilities for the provision of Service Covered by Long-Term Care Benefits, etc. orin the implementation of Community Support Projects, and improving the quality of Long-Term Care Service;

the total capacity of residents of each of the Fee-Based Homes for the Elderly for which notification has been made pursuant to the provisions of Article 29, paragraph (1) of the Act on Social Welfare for the Elderly and the registered housing prescribed in Article 7, paragraph (5) of the Act on Securement of Stable Supply of Elderly Persons' Housing (Act No. 26 of 2001) (referred to as "registered housing" in paragraph (5), item (i), and paragraph (3), item (vii) of the following Article), in each area referred to in item (i) of the preceding paragraph (limited to that pertaining to those that have not received the designation under the main clause of Article 41, paragraph (1), the main clause of Article 42-2, paragraph (1), or the main clause of Article 53, paragraph (1) as a Business Office conducting the business of daily life long-term care for a person admitted to a Specified Facility, Daily Life Long-Term Care for a Person Admitted to a Community-Based Specified Facility, or Daily Preventive Long-Term Care Admitted to a Specified Facility; the same applies in paragraph (5), item (i), and paragraph (3), item (vii) of the following Article);

A Municipality is to endeavor to prepare a Municipal Insured Long-Term Care Service Plan by accurately ascertaining the physical and mental conditions of Insured Persons,In determining the environments in which they are placed, and other circumstancesmatters listed in each area specified by said Municipality pursuant to the provisions of paragraph (2), item (i), analyzing information on the status of implementation of the Insured Long-Term Care Project, such as the results published pursuant to the provisions of Article 118-2, paragraph (1 through item (iii), taking into consideration said circumstances and the results of said analysis, and giving consideration to the results of the consultation under the provisions of Article 30-18-5, paragraph (1) ofa Municipality must take the Medical Care Act (limited to those pertaining to thefollowing matters listed in item (iv) of that paragraph).into consideration:

the total capacity of residents of each of the Fee-Based Homes for the Elderly for which notification has been made pursuant to the provisions of Article 29, paragraph (1) of the Act on Social Welfare for the Elderly and the registered housing, in each area referred to in paragraph (2), item (i);

the status of cooperation between persons with expert knowledge concerning medical care and Long-Term Care Service Providers, medical institutions that provide medical care at home and other relevant persons, in each area referred to in paragraph (2), item (i) of the following Article.

A Municipality, in preparing is to endeavor to prepare a Municipal Insured Long-Term Care Service Plan, is to bear by accurately ascertaining the physical and mental conditions of Insured Persons, the environments in which they are placed, and other circumstances in mind each area specified by said Municipality pursuant to the importanceprovisions of paragraph (2), item (i), analyzing information on the effective status of implementation of the Insured Long-Term Care Project, such as the results published pursuant to the provisions of Article 118-2, paragraph (1), taking into consideration said circumstances and efficient provisionthe results of medical caresaid analysis, and long-term care that takes into accountgiving consideration to the results of the physical, mental, and social characteristics accompanying consultation under the provisions of Article 30-18-5, paragraph (1) of the Medical Care Act (limited to those pertaining to the aging matters listed in item (iv) of residentsthat paragraph).

A Municipality, in preparing a Municipal Insured Long-Term Care Service Plan must be prepared, is to bear in conjunction with a Municipal Welfare Plan for the Elderly as prescribed in Article 20-8, paragraph (1) of mind the importance of the effective and efficient provision of medical care and long-term care that takes into account the Act on Social Welfare for physical, mental, and social characteristics accompanying the Elderlyaging of residents.

A Municipality is to conduct a survey and analysis of the status of implementation of the measures prescribedMunicipal Insured Long-Term Care Service Plan must be prepared in paragraph (2), item (iii) and the status of achievement ofconjunction with a Municipal Welfare Plan for the targets Elderly as prescribed in item (iv) of that paragraph, and evaluate the performanceArticle 20-8, paragraph (1) of the Municipal Insured Long-Term Care Service PlanAct on Social Welfare for the Elderly.

A Municipality is to endeavor to publish the resultsconduct a survey and analysis of the evaluation under status of implementation of the preceding measures prescribed in paragraph (2), item (v) and is to report them tothe status of achievement of the prefectural governortargets prescribed in item (vi) of that paragraph, and evaluate the performance of the Municipal Insured Long-Term Care Service Plan.

A Municipal Insured Long-Term Care Service Plan must be one for which consistency has been ensured withMunicipality is to endeavor to publish the municipal plan prescribed in Article 5, paragraph (1)results of the Act on Promotion of Comprehensive Securing of Medical and Long-Term Care in Communitiesevaluation under the preceding paragraph and is to report them to the prefectural governor.

A Municipal Insured Long-Term Care Service Plan must maintain harmony and balance with a Municipal Community Welfare Plan as prescribed in Article 107, paragraph (1) ofbe one for which consistency has been ensured with the Social Welfare Act, a municipal plan for securing stable housing for the elderly as prescribed in Article 4-25, paragraph (1) of the Act on SecurementPromotion of Stable SupplyComprehensive Securing of Elderly Persons' Housing,Medical and other plans pursuant to the provisions of Acts that provide matters concerning health, medical care, welfare, or housing of Persons Requiring Long-Term Care, etc in Communities.

A Municipality, when providing or changing Municipal Insured Long-Term Care Service Plan must maintain harmony and balance with a Municipal Insured Long-Term Care Service Plan, is to undertakeCommunity Welfare Plan as prescribed in Article 107, paragraph (1) of the necessary measures in advance Social Welfare Act, a municipal plan for securing stable housing for the elderly as prescribed in order to reflect Article 4-2, paragraph (1) of the opinions Act on Securement of Insured Stable Supply of Elderly Persons' Housing, and other plans pursuant to the provisions of Acts that provide matters concerning health, medical care, welfare, or housing of Persons Requiring Long-Term Care, etc.

A Municipality, when providing or changing a Municipal Insured Long-Term Care Service Plan (limited, is to the portion pertaining toundertake the matters listednecessary measures in paragraph (2), items (i) and (ii)), must hearadvance in order to reflect the opinions of the prefecture in advanceInsured Persons.

A Municipality, when providing or changing a Municipal Insured Long-Term Care Service Plan, must submit said Plan (limited to the portion pertaining to the prefectural governor without delaymatters listed in paragraph (2), items (i) through (iii)), must hear opinions of the prefecture in advance.

A Municipality, when providing or changing a Municipal Insured Long-Term Care Service Plan, must submit said Plan to the prefectural governor without delay.

the total necessary capacity of persons to utilize Daily Life Care of a Patient Admitted to a Specialized Long-Term Care Specified Facility, Daily Life Long-Term Care for a Person Admitted to a Community-Based Specified Facility, and Daily Life Long-Term Care for a Person Admitted to a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care in each fiscal year by each area provided by said prefecture, the total necessary capacity of persons that may be admitted to a facility Facility Covered by type of Facility Covered by Public Aid Providing Long-Term Care to the Elderly, a Long-Term Care InsuranceHealth Facility, and an integrated facility for medical and long-term care, and prospective quantity of other Service Covered by Long-Term Care Benefits, etc.;

matters concerning measures that the prefecture ismedium- to undertake regarding support for the initiatives of Municipalities within the prefecture for supporting independent daily lifelong-term estimates of their Insured Persons in the community, preventing them from falling into a Condition of Need for Long-Term Care, etc., or reducing or preventing deterioration of a Condition of Need for Long-Term Care, etc., and ensuring the appropriatenessquantity by type of the expenses required forService Covered by Long-Term Care BenefitBenefits, etc.;

matters concerning measures that the targets for the matters listed in the preceding item.prefecture is to undertake, from a medium- to long-term perspective, regarding ensuring a system to provide Service Covered by Long-Term Care Benefits, etc.;

matters concerning measures that the prefecture is to undertake regarding support for the initiatives of Municipalities within the prefecture for supporting independent daily life of their Insured Persons in the community, preventing them from falling into a Condition of Need for Long-Term Care, etc., or reducing or preventing deterioration of a Condition of Need for Long-Term Care, etc., and ensuring the appropriateness of the expenses required for Long-Term Care Benefit, etc. (including matters concerning the targets thereof);

matters concerning measures that the prefecture is to undertake regarding promotion of initiatives aimed at realizing both the securing of the provision of high-quality Service Covered by Long-Term Care Benefits, etc. and the establishment of a stable management base for that provision, such as improving the efficiency and quality of operations and otherwise improving productivity in the provision of Service Covered by Long-Term Care Benefits, etc., and securing and improving the quality of Long-Term Care Support Specialists and other persons engaged in those operations (including matters concerning the targets thereof).

matters concerning projects that contribute to securing and improving the quality of Long-Term Care Support Specialists and other persons engaged in Service Covered by Long-Term Care Benefits, etc. and Community Support Projects;

matters concerning projects that contribute to improving productivity, such as improving the efficiency of operations at Business Offices or facilities for the provision of Service Covered by Long-Term Care Benefits, etc. orin the implementation of a Community Support Project, and improving the quality of Long-Term Care Service;

A prefecture is to conduct investigation and analysis regarding the status of implementation of the measures prescribed in paragraph (2), item (iiiv) and the status of achievement ofitem (v), and the targets prescribed in item (iii)status of achievement of the same paragraphrespective targets, and to evaluate the performance of the Prefectural Insured Long-Term Care Service Plan.

A prefecture is to endeavor to publish the results of the evaluation under the preceding paragraph, and is to report said results and the results of the evaluation under paragraph (89) of the preceding Article by the Municipalities within the prefecture to the Minister of Health, Labour and Welfare.

A prefecture is to endeavor to support the analysis by Municipalities under the provisions of Article 117, paragraph (56).

A prefecture is to establish a council (hereinafter referred to as the "council" in this Chapter (excluding paragraph (2) of the following Article)) composed of the Municipalities, public employment security offices, the Prefectural Center (meaning the Prefectural Center prescribed in Article 93, paragraph (1) of the Social Welfare Act), the Care Work Stability Center (meaning the Care Work Stability Center prescribed in Article 15, paragraph (2) of the Act on Improvement of Employment Management and Other Matters for Care Workers (Act No. 63 of 1992)), organizations whose members are Long-Term Care Service Providers, educational institutions, and other relevant organizations (referred to simply as "relevant organization" in paragraph (3) of the following Article) within the area governed by said prefecture, in order to promote the efforts prescribed in Article 5, paragraph (4).

The council, in order to promote the efforts prescribed in Article 5, paragraph (4), is to exchange necessary information on the status and other circumstances pertaining to those efforts, and to hold consultations on measures for promoting those efforts in accordance with those circumstances.

The council prescribed in the preceding Article, in holding the consultations under the preceding paragraph, must respect the results of the consultations in the council prescribed in Article 92-2 of the Social Welfare Act if that council is established in the prefecture in which said council is established.

A prefecture and the relevant organizations constituting the council are, based on the results of the consultations under paragraph (1), to carry out in cooperation the efforts pertaining to the measures on which those consultations were held.

In addition to what is provided for in the preceding two Articles, matters necessary for the organization and operation of the council are to be specified by the council.

A person engaged in the affairs of the council, or a person who was engaged in those affairs, must not divulge, without justifiable cause, any confidential information that the person has come to learn in relation to those affairs.

costs necessary for Long-Term Care Benefits (except for those listedprescribed in the following item) and Prevention Benefits (except for those listedprescribed in the same item):20 percent of the necessary costs;

costs necessary for Long-Term Care Benefits (limited to those pertaining to a Facility Covered by Long-Term Care Insurance , a Long-Term Care Insurance Facility in a Specified Area, and Daily Life Long-Term Caredaily life long-term care for A Person Admitteda person admitted to A Community-Baseda Specified Facility) and Prevention Benefits (limited to those pertaining to Daily Preventive Long-Term Care Admitted to Aa Specified Facility):15 percent of the necessary costs.

With regard to the application of the provisions of the preceding paragraph to a Municipality that provides Order has established a Municipal Ordinance based on the provisions of Article 43, paragraph (3), Article 44, paragraph (67), Article 45, paragraph (6), Article 55, paragraph (3), Article 56, paragraph (67), or Article 57, paragraph (6), measures pursuant to the provisions of said ordinance are not implemented to those amount of costs necessary for Long-Term Care Benefits and Prevention Benefits as prescribed in the same paragraph, and said amount of costs are is to be the amount equivalent to the amount of expensescosts necessary for said Long-Term Care BenefitBenefits and Prevention Benefit, which are Benefits, calculated pursuant to the provisions of a Cabinet Order; on the assumption that the measures under said Municipal Ordinance are not taken.

The national government, pursuant to the provisions of a Cabinet Order, provides an amount equivalent to 20 percent of costs necessary for the Comprehensive Project for Long-Term Care Prevention and Daily Life Support and the project for In-Home Services, etc. in a Specified Area to a Municipality.

The national government, in order to adjust the finances of Long-Term Care Insurance, provides to a Municipality an amount calculated pursuant to the provisions of a Cabinet Order with regard to the amount of costs necessary for the Comprehensive Project for Long-Term Care Prevention and Daily Life Support and the project for In-Home Services, etc. in a Specified Area, taking into consideration the distribution by age group of Primary Insured Persons, distribution of income of Primary Insured Persons, etc.

The total amount of the amounts provided pursuant to the provisions of the preceding paragraph (including the amountamounts provided pursuant to the provisions of Article 106-8 of (limited to the Social Welfare Act (portion pertaining to item (ii)) and Article 106-9-2 (limited to the portion pertaining to item (ii)) of the Social Welfare Act) is to be the amount equivalent to 5 percent of the total amount of costs necessary for the Comprehensive Project for Long-Term Care Prevention and Daily Life Support and the project for In-Home Services, etc. in a Specified Area of each Municipality.

The national government, pursuant to the provisions of a Cabinet Order, grants an amount equivalent to 50 percent of the amount (hereinafter referred to as "specified community support project support amount") that is obtained by multiplying the percentage that is the result of the sum of the cost payment percentage of the Secondary Insured Person group as set forth in Article 125, paragraph (1) and 50 percent, by the amount of expenses necessary for a Community Support Project (except for the Comprehensive Project for Long-Term Care Prevention and Daily Life Support and the project for In-Home Services, etc. in a Specified Area) to a Municipality.

costs necessary for Long-Term Care Benefits (except for those listedprescribed in the following item) and Prevention Benefits (except for those listedprescribed in the same item):12.5 percent of the necessary costs;

costs necessary for Long-Term Care Benefits (limited to those pertaining to a Facility Covered by Long-Term Care Insurance and Living, a Long-Term Care for the Elderly Admitted to a Special Facility Insurance Facility in a Specified Area, and daily life long-term care for Preventive Long-Term Care Servicea person admitted to a Specified Facility) and Prevention Benefits (limited to those pertaining to Daily Preventive Long-Term Care Admitted to Aa Specified Facility):17.5 percent of the necessary costs.

A prefecture, pursuant to the provisions of a Cabinet Order, provides an amount equivalent to 12.5 percent of the costs necessary for the Comprehensive Project for Long-Term Care Prevention and Daily Life Support and the project for In-Home Services, etc. in a Specified Area to a Municipality.

A Municipality, pursuant to the provisions of a Cabinet Order, bears the cost of the amount equivalent to 12.5 percent of the amount of expenses necessary for the Comprehensive Project for Long-Term Care Prevention and Daily Life Support and the project for In-Home Services, etc. in a Specified Area by said general fund.

With regard to the amount that is obtained by multiplying the payment percentage of the Secondary Insured Person group as set forth in paragraph (1) of the preceding Article by the amount of expenses necessary for the Comprehensive Project for Long-Term Care Prevention and Daily Life Support and the project for In-Home Services, etc. in a Specified Area among the expenses that are imposed on a special account pertaining to Municipal Long-Term Care Insurance (hereinafter referred to as "Amount Subject to Medical Insurance Premium Payment for Comprehensive Project for Long-Term Care Prevention and Daily Life Support"), pursuant to the provisions of a Cabinet Order, the Grants for Supporting Community Support Projects that the Organization provides to a Municipality are allocated to said amount.

A Municipality, in order to promote fiscal stabilization of Long-Term Care Insurance, with regard to financial resources for the disbursements necessary to provide for Long-Term Care Benefits and Prevention Benefits (with regard to the disbursements necessary for said Long-Term Care Benefits and Prevention Benefits pertaining to a Municipality that provides Order has established a Municipal Ordinance based on Article 43, paragraph (3), Article 44, paragraph (67), Article 45, paragraph (6), Article 55, paragraph (3), Article 56, paragraph (67), or Article 57, paragraph (6), are to be the disbursements necessary for said Long-Term Care Benefits and Prevention Benefits are to be those calculated pursuant to the provisions of a Cabinet Order, as a Municipality may not undertake on the assumption that the measures promulgated byunder said ordinanceMunicipal Ordinance are not taken; the same applies in the following paragraph), the disbursements necessary for Community Support Projects, the disbursements necessary for payment of Fiscal Stability FundFunds contribution, and the expense necessary for repayment of Borrowings for Fund Project among those disbursements to be imposed by a special account concerning said Long-Term Care Insurance, pursuant to the provisions of a Cabinet Order, in cooperation with other Municipalities based on an adjustment rate of insurance premiums, may conduct a project to provide adjustments mutually among Municipalities (hereinafter referred to as "Municipal Mutual Fiscal Stabilization Project" in this Article and the following Article).

The adjustment rate of insurance premiums as set forth in the preceding paragraph is to be a rate that, if each Municipality that participates in the Municipal Mutual Fiscal Stabilization Project (hereinafter referred to as "Specified Municipality" in this Article and paragraph (2) of the following Article) imposes upon each of its Primary Insured Persons an insurance premium according to the amount of insurance premium that is calculated by using that adjustment rate of insurance premiums, would enable the total amount of insurance premiums received by said Specified Municipality during the Project Implementation Period (which means a period of three years as one term that is provided by a Specified Municipality pursuant to the provisions of the constitution referred to in the following paragraph as the period to implement said Municipal Mutual Fiscal Stabilization Project; the same applies hereinafter in this paragraph and paragraph (4)) to maintain a balance with the total of the amount of disbursements necessary for Long-Term Care Benefits and Prevention Benefits of said Specified Municipality during said Project Implementation Period (excluding the amount borne or granted by the national government, a prefecture, the general account of a Municipality, and the Organization with regard to the amount of disbursements necessary for said Long-Term Care Benefits and Prevention Benefits pursuant to the provisions of Article 121, paragraph (1), Article 122, paragraph (1), Article 123, paragraph (1), Article 124, paragraph (1) and Article 125, paragraph (1)), the amount of disbursements necessary for Community Support Projects (excluding the amount borne or granted by the national government, a prefecture, the general account of a Municipality, and the Organization with regard to the amount of disbursements necessary for said Community Support Projects pursuant to the provisions of Article 122-2, paragraphs (1), (2) and (4), Article 123, paragraph (3) and paragraph (4), Article 124, paragraph (3) and paragraph (4), and Article 126, paragraph (1) (including the amount granted pursuant to the provisions of Article 106-8 of the Social Welfare Act (limited to the portion pertaining to items (i) through (iii)) , Article 106-9 of the same Act (limited to the portion pertaining to items (i) and (ii)), Article 106-9106-9-2 of the same Act (limited to the portion pertaining to items (i) through (iii)) and Article 106-9-3 of the same Act (limited to the portion pertaining to items (i) and (ii)))), the amount of disbursements necessary for payment of Fiscal Stability Fund contributions, and the amount of disbursements necessary for repayment of Borrowings for Fund Project, and that is determined by said Specified Municipality in accordance with the standards provided by a Cabinet Order.

Any person that violates the provisions of Article 24-2, paragraph (3), Article 24-3, paragraph (2), Article 28, paragraph (7) (including a case applied mutatis mutandis pursuant to Article 29, paragraph (2), Article 30, paragraph (2), Article 31, paragraph (2), Article 33, paragraph (4), Article 33-2, paragraph (2), Article 33-3, paragraph (2) and Article 34, paragraph (2)), Article 69-17, paragraph (1), Article 69-28, paragraph (1), Article 69-37, Article 115-38, paragraph (1) (including a case applied mutatis mutandis pursuant to Article 115-42, paragraph (3)), Article 115-46, paragraph (8) (including a case applied mutatis mutandis pursuant to Article 115-47, paragraph (3)) or Article 115-48, paragraph (58), is punished by imprisonment for one year or less or a fine of 1,000,000 yen or less.

A person who violates the provisions of Article 120-6 is punished by imprisonment for one year or less or a fine of 500,000 yen or less.

when a person fails to submit a report or does not submit or present record books and documents, submits a false report or submits or presents false record books or documents, pursuant to the provisions of Article 42, paragraph (47), Article 42-3, paragraph (3), Article 45, paragraph (8), Article 47, paragraph (47), Article 49, paragraph (36), Article 54, paragraph (47), Article 54-3, paragraph (3), Article 57, paragraph (8), Article 59, paragraph (47), Article 76, paragraph (1), Article 78-7, paragraph (1), Article 83, paragraph (1), Article 90, paragraph (1), Article 100, paragraph (1), Article 114-2, paragraph (1), Article 115-7, paragraph (1), Article 115-17, paragraph (1), Article 115-27, paragraph (1), or Article 115-33, paragraph (1), or fails to reply or submits a false reply to questions pursuant to these provisions or refuses, interrupts, or evades an inspection pursuant to these provisions;

When a representative person of a juridical person (including an Association or foundation that is not a juridical person and has a provision for a representative or manager (hereinafter in this Article referred to as an "Association or foundation without legal personality"); the same applies hereinafter in this paragraph) (including the manager of an Association or foundation without legal personality), or an agent, employee, or other worker of a juridical person or an individual commits a violation as set forth in Article 205-2, Article 205-3, Article 205-4 to Article 206-2, Article 209 or Article 209-2 with regard to the business of said juridical person or individual, not only the offender is punished, but also said juridical person or said individual is punished by the fine as prescribed in the respective Articles.