National Health Insurance Act

When a prefecture has drawn down Within the range that does not interfere with the financial stabilization fund pursuant todrawing down and transfer under the provisions of the preceding paragraph, when it must, is found particularly necessary for ensuring the stable financial management of the national health insurance program provided by prefectures, etc., such as restraining a significant rise in the payments for national health insurance services expenses, taking into consideration the outlook for the expenses required for medical care and the finances of national health insurance, a prefecture is, as provided by Cabinet Order, transfer to draw down the financial stabilization fund within the range of an amount equivalent to calculated as provided by Cabinet Order as the amount drawn down required therefor, and transfer that amount to the financial stabilization fundspecial account of the prefecture relating to national health insurance.

In addition to the case prescribed in paragraph (2), when it is found necessary for ensuringWhen a prefecture has drawn down the stable financial management of the national health insurance program provided by prefectures, etc., such as restraining a significant rise in the payments for national health insurance services expenses, taking into consideration the outlook forstabilization fund pursuant to the expenses required for medical care andprovisions of the finances of national health insurance, a prefecture maypreceding two paragraphs, it must, as provided by Cabinet Order, draw down the financial stabilization fund within the range oftransfer an amount calculated as provided by Cabinet Order asequivalent to the amount required therefor, and transfer itdrawn down to the special account of the prefecture relating to national health insurancefinancial stabilization fund.

In orderaddition to fund the cases where it makes withdrawals and transfers under the financial stabilization fundprovisions of paragraph (2) or (3), a prefecture may, as provided by Cabinet Order, in cases where it is found necessary to collect ensure the stable financial stabilization fund contributions from management of the national health insurance program provided by prefectures, etc., taking into account the Municipalities withinoutlook for the prefecture, expenses required for medical care under national health insurance and for its finances, draw down the financial stabilization fund within the amount calculated as provided by Cabinet Order as the amount required therefor, and transfer it to the special account for national health insurance of that prefecture.

Municipalities must pay In order to fund the financial stabilization fund , a prefecture is to collect financial stabilization fund contributions underfrom the preceding paragraphMunicipalities within the prefecture, as provided by Cabinet Order.

A prefectureMunicipalities must, as provided by Cabinet Order, transfer to the financial stabilization fund an amount equivalent to three times pay the total amount of financial stabilization fund contributions collected from the Municipalities within the prefecture pursuant tounder the provisions ofpreceding paragraph (5).

The national government is to bearA prefecture must, as provided by Cabinet Order, transfer to the financial stabilization fund an amount equivalent to one-third ofthree times the total amount transferred by a of financial stabilization fund contributions collected from the Municipalities within the prefecture pursuant to the provisions of the preceding paragraph (6).

All income arising from The national government is to bear, as provided by Cabinet Order, an amount equivalent to one-third of the financial stabilization fund must be appropriatedamount transferred by a prefecture pursuant to the financial stabilization fundprovisions of the preceding paragraph.

The meanings of the terms listed in the following items, amongAll income arising from the terms used in this Article, are as prescribed respectively in those itemsfinancial stabilization fund must be appropriated to the financial stabilization fund.

The meanings of the terms listed in the following items, among the terms used in this Article, are as prescribed respectively in those items.

Municipality with a shortfall in premium collection: a Municipality for which the amount of insurance premiums collected subject to fund projects falls short of the amount of insurance premiums required subject to fund projects;

amount of insurance premiums collected subject to fund projects: the amount calculated as provided by Cabinet Order as having been applied to the amount of expenses incurred in paying payments for national health insurance services expenses, the amount of expenses incurred in paying the financial stabilization fund contribution, the amount of expenses incurred in repaying loans from the prefecture under the project set forth in paragraph (1), item (i) (referred to as "financial stabilization fund loans" in the following item) and other amounts of expenses specified by Cabinet Order, out of the amount of insurance premiums collected by a Municipality during the relevant fiscal year;

amount of insurance premiums required subject to fund projects: the amount calculated as provided by Cabinet Order as being applied to the amount of expenses required for paying payments for national health insurance services expenses, the amount of expenses required for paying the financial stabilization fund contribution, the amount of expenses required for repaying financial stabilization fund loans and other amounts of expenses specified by Cabinet Order, out of the amount of insurance premiums that a Municipality needs to collect during the relevant fiscal year;

amount of revenue subject to fund projects: the amount calculated as provided by Cabinet Order as being applied to the total sum of the amount obtained by deducting the amount equivalent to the co-payment relating to the benefits from the amount of costs spent on benefits for medical treatment by the Municipalities within the prefecture and the amount of costs spent on paying expenses for Dietary Treatment for inpatients, Living Support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, special medical expenses, transport expenses, high-cost medical expenses and expenses for high-cost medical treatment combined with long-term care by the Municipalities within the prefecture (referred to as "amount of costs spent on benefits for medical treatment, etc." in the following item), to the amount of expenses incurred in paying the contribution for the special high-cost medical expenses joint project, young-old payments, etc., old-old aid, etc., the long-term care payment, the contribution for securing medical care in the early phase of an epidemic, etc. and the children and child-rearing support levy, to the amount of expenses incurred in making the transfer under the provisions of paragraph (4) and the transfer under the provisions of paragraph (8) (referred to as "financial stabilization fund transfer" in the following item), and to other amounts of expenses specified by Cabinet Order, out of the total of the amounts received during the relevant fiscal year in the special account of the prefecture relating to national health insurance (excluding the amount transferred in pursuant to the provisions of paragraph (2));

amount of expenses subject to fund projects: the amount calculated as provided by Cabinet Order as the total of the amount of expenses incurred in granting subsidies for national health insurance benefit expenses, etc. borne during the relevant fiscal year by the special account of the prefecture relating to national health insurance (limited to those pertaining to the amount of costs spent on benefits for medical treatment, etc.), the amount of expenses incurred in paying the contribution for the special high-cost medical expenses joint project, young-old payments, etc., old-old aid, etc., the long-term care payment, the contribution for securing medical care in the early phase of an epidemic, etc. and the children and child-rearing support levy, the amount of expenses incurred in making the transfer under the provisions of paragraph (4) and the financial stabilization fund transfer, and other amounts of expenses specified by Cabinet Order.