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.
Article 60第六十条
Exceptions to the Amount of Allowance for Preventive Long-Term Care Service（介護予防サービス費等の額の特例）
Article 60, paragraph (1)（介護予防サービス費等の額の特例）(Exceptions to the Amount of Allowance for Preventive Long-Term Care Service)Changed
In a case when a Municipality applies the provisions determined in each item of paragraph (1) of the preceding Article to a Prevention Benefit listed in those items that an Insured In-Home Person Requiring Support receives, for whom it is deemed to be difficult to pay necessary expenses for Preventive Long-Term Care Service (including equivalent services; the same applies hereinafter in this Article), Community-Based Service for Preventive Long-Term Care (including equivalent services; the same applies hereinafter in this Article), or registered facility Preventive Long-Term Care Support (including equivalent services; the same applies hereinafter in this Article), or Home Modification due to a disaster or other special reasons as determined by Order of the Ministry of Health, Labour and Welfare (excluding a case when they are applied with the terms replaced pursuant to the provisions of that Article), the term "90 percent" in these provisions is to be deemed to be replaced with "the percentage provided by a Municipality within the range exceeding 90 percent and 100 percent or less".
Article 60, paragraph (2)（介護予防サービス費等の額の特例）(Exceptions to the Amount of Allowance for Preventive Long-Term Care Service)Changed
In a case when a Municipality applies the provisions determined in each item of paragraph (1) of the preceding Article to a Prevention Benefit listed in those items that an Insured In-Home Person Requiring Support receives, for whom it is deemed to be difficult to pay necessary expenses for Preventive Long-Term Care Service, Community-Based Service for Preventive Long-Term Care, or registered facility Preventive Long-Term Care Support, or Home Modification due to a disaster or other special circumstance as determined by Order of the Ministry of Health, Labour and Welfare (limited to a case when they are applied with the terms replaced pursuant to the provisions of that paragraph), the phrase "80 percent" in these provisions applied with the terms replaced pursuant to the provisions of that paragraph is to be deemed to be replaced with "the percentage provided by a Municipality within the range exceeding 80 percent and 100 percent or less".
Article 60, paragraph (3)（介護予防サービス費等の額の特例）(Exceptions to the Amount of Allowance for Preventive Long-Term Care Service)Changed
In a case when a Municipality applies the provisions determined in each item of paragraph (1) of the preceding Article to a Prevention Benefit listed in those items that an Insured In-Home Person Requiring Support receives, for whom it is deemed to be difficult to pay necessary expenses for Preventive Long-Term Care Service, Community-Based Service for Preventive Long-Term Care, or registered facility Preventive Long-Term Care Support, or Home Modification due to a disaster or other special circumstance as determined by Order of the Ministry of Health, Labour and Welfare (limited to a case when they are applied with the terms replaced pursuant to the provisions of paragraph (2) of that Article), the phrase "70 percent" in these provisions applied with the terms replaced pursuant to the provisions of paragraph (2) of that Article is to be deemed to be replaced with "the percentage provided by a Municipality within the range exceeding 70 percent and 100 percent or less".
Article 61, paragraph (1)（高額介護予防サービス費の支給）(Payment of an Allowance for High-Cost Preventive Long-Term Care Service)Changed
When the amount that is obtained by deducting from the amount calculated pursuant to the provisions of a Cabinet Order as the total amount of each expense required for Preventive Long-Term Care Service (including equivalent service) or, Community-Based Service for Preventive Long-Term Care (including equivalent service) or registered facility Preventive Long-Term Care Support (including equivalent service) that an Insured In-Home Person Requiring Support receives, the total amount of Allowance for Preventive Long-Term Care Service, Exceptional Allowance for Preventive Long-Term Care Service, Allowance for Community-Based Preventive Long-Term Care Service, Exceptional Allowance for Community-Based Preventive Long-Term Care Service, Allowance for Registered Facility Preventive Long-Term Care Service Plan, and Exceptional Allowance for Community-Based Registered Facility Preventive Long-Term Care Service Plan that are actually paid for said expenses (herein referred to as "User Charge for Preventive Long-Term Care Service" in paragraph (1) of the following Article) is significantly large, a Municipality pays an Allowance for High-Cost Preventive Long-Term Care Service to said Insured In-Home Person Requiring Support.
Article 61, paragraph (2)（高額介護予防サービス費の支給）(Payment of an Allowance for High-Cost Preventive Long-Term Care Service)Changed
In addition to the provisions as set forth in the preceding paragraph, requirements for payment of an Allowance for High-Cost Preventive Long-Term Care Service, the amount of said allowance, and other matters necessary for payment of an Allowance for High-Cost Preventive Long-Term Care Service are prescribed by a Cabinet Order after considering the impact on the household budget from the burden of the expenses necessary for Preventive Long-Term Care Service or, Community-Based Service for Preventive Long-Term Care or registered facility Preventive Long-Term Care Support.
Payment of an Allowance for High-Cost Medical and Preventive Long-Term Care Service Combined（高額医療合算介護予防サービス費の支給）
Article 61-2, paragraph (1)
A Municipality, when the total of the User Charge for Preventive Long-Term Care Service of an Insured In-Home Person Requiring Support (in a case when an Allowance for High-Cost Preventive Long-Term Care Service under paragraph (1) of the preceding Article is paid, the amount obtained by deducting the amount equivalent to the amount of said allowance paid), the amount of the co-payment, etc. prescribed in Article 115, paragraph (1) of the Health Insurance Act pertaining to said Insured In-Home Person Requiring Support (in a case when high-cost medical expenses under that paragraph are paid, the amount obtained by deducting the amount equivalent to the amount of said payment), and other amounts determined by Cabinet Order as amounts equivalent to these as prescribed in the Medical Insurance Acts or the Act on Assurance of Medical Care for Elderly People, is significantly large, pays an Allowance for High-Cost Medical and Preventive Long-Term Care Service Combined to said Insured In-Home Person Requiring Support.
The provisions of paragraph (2) of the preceding Article apply mutatis mutandis to payment of an Allowance for High-Cost Medical and Preventive Long-Term Care Service Combined.
前条第二項の規定は、高額医療合算介護予防サービス費の支給について準用する。
Article 61-3第六十一条の三
Payment of an Allowance for Preventive Long-Term Care Service to a Person Admitted to a Specified Facility（特定入所者介護予防サービス費の支給）
Article 61-3, paragraph (1)
A Municipality, when a person specified by Order of the Ministry of Health, Labour and Welfare in consideration of the status of income and assets and other circumstances from among Insured In-Home Persons Requiring Support receives any of the following Designated Preventive Long-Term Care Service (hereinafter referred to as "Specified Preventive Long-Term Care Service" in this Article and paragraph (1) of the following Article), pays to said Insured In-Home Person Requiring Support (hereinafter referred to as a "Specified Person Admitted to a Facility" in this Article and paragraph (1) of the following Article) an Allowance for Preventive Long-Term Care Service to a Person Admitted to a Specified Facility for the expenses required to provide meals and the expenses required for stay at a Designated Provider of Preventive Long-Term Care Service that provides said Specified Preventive Long-Term Care Service (hereinafter referred to as a "Specified Provider of Preventive Long-Term Care Service" in this Article); provided, however, that this does not apply when said Specified Person Admitted to a Facility, in a case where he or she has been issued a designation pursuant to the provisions of Article 37, paragraph (1), receives Specified Preventive Long-Term Care Service other than the type pertaining to said designation:
Short-Term Admission for Daily Preventive Long-Term Care;
介護予防短期入所生活介護
Article 61-3, paragraph (1), item (ii)
Short-Term Admission for Recuperation for Preventive Long-Term Care.
介護予防短期入所療養介護
Article 61-3, paragraph (2)
The amount of Allowance for Long-Term Care Preventive Service of a Person Admitted to a Specified Facility is to be the total of the amount as prescribed in item (i) and the amount as prescribed in item (ii):
特定入所者介護予防サービス費の額は、第一号に規定する額及び第二号に規定する額の合計額とする。
Article 61-3, paragraph (2), item (i)
the amount remaining after the amount determined by the Minister of Health, Labour, and Welfare after considering the status of food expenses for an average household budget, the income status of the Specified Person Admitted to a Facility, and other circumstances (herein referred to as "Maximum Allowance for Meal Expense" in this Article and paragraph (2) of the following Article) is deducted from the amount of expenses determined by the Minister of Health, Labour, and Welfare after considering the average expenses required to provide meals at a Long-Term Care Preventive Service Specified Provider (in a case when said amount exceeds the actual expenses of providing said meals, this amount is to be the amount of the actual expenses of providing said meals, herein referred to as "Base Cost for Meal Expense" in this Article and paragraph (2) of the following Article);
the amount remaining after the amount determined by the Minister of Health, Labour, and Welfare after considering the income status of the Special Insured Person Admitted to the Facility and other circumstances (herein referred to as "Maximum Allowance for Room and Board Expense") is deducted from the amount determined by the Minister of Health, Labour, and Welfare after considering the average expenses necessary for a stay in the Long-Term Care Preventive Service Specified Provider, the status of said facility, and other circumstances (in a case when said amount exceeds the actual expenses for said stay, this amount is to be the amount of the actual expenses for said stay; herein referred to as "Base Costs for Room and Board" in this Article and paragraph (2) of the following Article).
The Minister of Health, Labour, and Welfare, when the expenses necessary of providing meals and for a stay incurred by a Long-Term Care Preventive Service Specified Provider and other circumstances have changed significantly after the Base Cost for Meal Expense or the Maximum Allowance for Meal Expense, or the Base Costs for Room and Board or the Maximum Allowance for Stay Expense were determined, must revise those amount immediately.
When a Specified Person Admitted to a Facility receives Specified Preventive Service of Long-Term Care from a Long-Term Care Preventive Service Specified Provider, a Municipality may pay the expenses required to provide meals and residence that said Specified Person Admitted to a Facility should pay to said Long-Term Care Preventive Service Specified Provider, within the limit of amount to be paid to said Specified Person Admitted to a Facility as an Allowance for Long-Term Care Preventive Service of a Person Admitted to a Specified Facility to said Long-Term Care Preventive Service Specified Provider on behalf of said Specified Person Admitted to a Facility.
When the allowance is paid pursuant to the provisions of the preceding paragraph, it is to be deemed that an Allowance for Long-Term Care Preventive Service of a Person Admitted to a Specified Facility is paid to the Specified Person Admitted to a Facility.
A Municipality, notwithstanding the provisions of paragraph (1) in a case when Specified Person Admitted to a Facility pays to a Long-Term Care Preventive Service Specified Provider the amount exceeding the Base Cost for Meal Expense or the Base Costs for Room and Board (with regard to a Specified Person Admitted to a Facility that was deemed to be paid an Allowance for Long-Term Care Preventive Service of a Person Admitted to a Specified Facility pursuant to the provisions of the preceding paragraph, the Maximum Allowance for Meal Expense or the Maximum Allowance for Stay Expense) as the expenses necessary of providing meals or for stay, does not pay the Allowance for Long-Term Care Preventive Service of a Person Admitted to a Specified Facility.
A Municipality, when a Long-Term Care Preventive Service Specified Provider requests an Allowance for Long-Term Care Preventive Service of a Person Admitted to a Specified Facility provided to a Specified Person Admitted to a Facility, pays said allowance after conducting an examination according to provisions of paragraph (1), paragraph (2) and the preceding paragraph.
The provisions of Article 41, paragraph (3), paragraph (10), and paragraph (11) apply mutatis mutandis to payment of an Allowance for Long-Term Care Preventive Service of a Person Admitted to a Specified Facility and the provisions of paragraph (8) of the same Article apply mutatis mutandis to a Long-Term Care Preventive Service Specified Provider. In this case, the necessary technical replacement of terms in these provisions is specified by a Cabinet Order.
In addition to those matters as prescribed in each preceding paragraph, other necessary matters payment of an Allowance for Long-Term Care Preventive Service of a Person Admitted to a Specified Facility and for the request of an Allowance for Long-Term Care Preventive Service of a Person Admitted to a Specified Facility by a Long-Term Care Preventive Service Specified Provider are prescribed by Order of the Ministry of Health, Labour, and Welfare.
Payment of an Exceptional Allowance for Long-Term Care Preventive Service of a Person Admitted to a Specified Facility（特例特定入所者介護予防サービス費の支給）
Article 61-4, paragraph (1)
A Municipality, in the following cases, pay an Exceptional Allowance for Long-Term Care Preventive Service of a Person Admitted to a Specified Facility to a Specified Person Admitted to a Facility:
市町村は、次に掲げる場合には、特定入所者に対し、特例特定入所者介護予防サービス費を支給する。
Article 61-4, paragraph (1), item (i)
when a Municipality determines it necessary in a case when Specified Person Admitted to a Facility receives Specified Preventive Service of Long-Term Care prior to the date said Certification of Needed Support becomes effective due to an emergency or other compelling reason;
The amount of Exceptional Allowance for Long-Term Care Preventive Service of a Person Admitted to a Specified Facility to a Specified Person Admitted to a Facility is established by a Municipality based on the total sum of the amount with regard to the expenses required of providing said meals that is the result of deducting the Base Allowance for Food Expense from the Maximum Cost for Food Expense, and the amount with regard to the expenses required for said stay that is the result of deduction of the Base Allowance for Stay from the Maximum Cost for Stay.