Long-Term Care Insurance Act

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.