①A prefecture may, only for fiscal year 2012, notwithstanding the provisions of Article 147, paragraph (1), draw down a part of the Fiscal Stability Fund pursuant to the provisions of Cabinet Order.

②A prefecture, when it has drawn down the Fiscal Stability Fund pursuant to the provisions of the preceding paragraph, must, in order to suppress an increase in the rate of an insurance premium (limited to the rate for the period from fiscal year 2012 through fiscal year 2014), grant to Municipalities an amount equivalent to one third of the drawn-down amount, pursuant to the provisions of Cabinet Order.

③A prefecture, when it has drawn down the Fiscal Stability Fund pursuant to the provisions of paragraph (1), must pay an amount equivalent to one third of the drawn-down amount to the state.

④The state, when payment has been made pursuant to the provisions of the preceding paragraph, is to endeavor to appropriate an amount equivalent to the amount paid to the expenses required for projects related to Long-Term Care Insurance.

⑤A prefecture, when it has drawn down the Fiscal Stability Fund pursuant to the provisions of paragraph (1), is to endeavor to appropriate an amount equivalent to the amount obtained by deducting the total of the amounts under the provisions of paragraphs (2) and (3) from the drawn-down amount to the expenses required for projects related to Long-Term Care Insurance.

①The amount of the estimated Levy under Article 151, paragraph (1) pertaining to insurers of employee insurance, etc. for each of fiscal years 2017 and 2018 is, notwithstanding the provisions of Article 152, paragraph (1), item (i), the amount specified in each of the following items in accordance with the category of insurer of employee insurance, etc. set forth in those items.

②The amount of the estimated total-remuneration-based Levy in each item of the preceding paragraph is the amount obtained by multiplying the number obtained by dividing the amount obtained by multiplying the total amount of estimated Levy before adjustment pertaining to insurers of employee insurance, etc. for each of those fiscal years by one half by the amount set forth in item (i) for each of those fiscal years, by the amount set forth in item (ii) for each of those fiscal years.

③The estimated burden adjustment base amount in paragraph (1), item (i) is the amount specified by Cabinet Order for each fiscal year, taking into consideration the prospective total standard remuneration of Secondary Insured Persons pertaining to each insurer of employee insurance, etc. for each of those fiscal years, the prospective number of Secondary Insured Persons pertaining to each insurer of employee insurance, etc. for each of those fiscal years calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, and trends in expenses required for Insurance Benefits, etc.

④The prospective amount subject to burden adjustment in paragraph (1), item (i) is the amount obtained by deducting the amount obtained by multiplying the prospective number of Secondary Insured Persons pertaining to the relevant insurer of employee insurance, etc. for each of those fiscal years calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare by the estimated burden adjustment base amount prescribed in the preceding paragraph, from the amount of the estimated total-remuneration-based Levy prescribed in paragraph (2).

⑤The prospective burden adjustment amount in each item of paragraph (1) is the amount obtained by multiplying the amount obtained by dividing the total amount of the prospective amount subject to burden adjustment prescribed in the preceding paragraph pertaining to all Insurers Exceeding the Estimated Burden Adjustment Base Amount for each of those fiscal years by the total number of the adjusted prospective number of Secondary Insured Persons pertaining to all insurers of employee insurance, etc. for each of those fiscal years calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, by the adjusted prospective number of Secondary Insured Persons pertaining to the relevant insurer of employee insurance, etc. for each of those fiscal years calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare.

⑥The amount of the adjusted estimated subscriber-based Levy in each item of paragraph (1) is the amount obtained by multiplying the amount obtained by dividing the amount obtained by multiplying the total amount of estimated Levy before adjustment pertaining to insurers of employee insurance, etc. for each of those fiscal years by one half by the total number of the adjusted prospective number of Secondary Insured Persons pertaining to all insurers of employee insurance, etc. for each of those fiscal years calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, by the adjusted prospective number of Secondary Insured Persons pertaining to the relevant insurer of employee insurance, etc. for each of those fiscal years calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare.

⑦The total amount of estimated Levy before adjustment pertaining to insurers of employee insurance, etc. in paragraph (2) and the preceding paragraph is the amount obtained by multiplying the amount obtained by dividing the total amount of the prospective amounts of the Amount Subject to Medical Insurance Premium Payment and the Amount Subject to Medical Insurance Premium Payment for Comprehensive Project for Long-Term Care Prevention and Daily Life Support of all Municipalities for each of those fiscal years by the total number of the prospective number of Secondary Insured Persons pertaining to all medical insurers for each of those fiscal years calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, by the total number of the prospective number of Secondary Insured Persons pertaining to all insurers of employee insurance, etc. for each of those fiscal years calculated pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare.

⑧The adjusted prospective number of Secondary Insured Persons in paragraphs (5) and (6) is the total of the prospective number of Secondary Insured Persons (excluding those among the Secondary Insured Persons who are persons specified in each of the following items in accordance with the categories set forth in those items (hereinafter referred to as "specified Secondary Insured Persons")) and the number obtained by multiplying the prospective number of persons who are specified Secondary Insured Persons by the ratio specified by Cabinet Order for each fiscal year taking into consideration the number of persons who are specified Secondary Insured Persons and the state of the amount of Levies.

⑨The number of months of enrollment in the preceding paragraph is the number of months calculated respectively pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare as the period during which a person was an insured person pursuant to the provisions of the Health Insurance Act, an insured person pursuant to the provisions of the Mariners Insurance Act, a member of a mutual aid Association pursuant to the National Public Officers Mutual Aid Association Act, a member of a mutual aid Association pursuant to the Local Public Officers, etc. Mutual Aid Association Act, a subscriber to the Private School Personnel Mutual Aid System pursuant to the provisions of the Private School Personnel Mutual Aid Association Act, or a member of a National Health Insurance Society determined by the Minister of Health, Labour and Welfare pursuant to the provisions of Article 7, paragraph (3) of the Act on Assurance of Medical Care for Elderly People.