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Article 44

第四十四条

Municipalities and Societies may take any of the measures listed in the following items with respect to any insured person who is under special circumstances and for whom it is found difficult to make co-payment to a health insurance-covered medical institution, etc. pursuant to the provisions of Article 42 or the preceding Article:

市町村及び組合は、特別の理由がある被保険者で、保険医療機関等に第四十二条又は前条の規定による一部負担金を支払うことが困難であると認められるものに対し、次の各号の措置を採ることができる。

to reduce the amount of co-payment;

一部負担金を減額すること。

to exempt such insured person from making co-payment;

一部負担金の支払を免除すること。

to decide to collect co-payment directly from such insured person in lieu of co-payment to the Health Insurance-Covered Medical Institution, etc., and to suspend such collection.

保険医療機関等に対する支払に代えて、一部負担金を直接に徴収することとし、その徴収を猶予すること。

Notwithstanding the provisions of paragraph (1) of Article 42 and paragraph (2) of the preceding Article, where the measure set forth in item (i) of the preceding paragraph has been taken with respect to an insured person, it shall be sufficient for said person to pay the amount of co-payment so reduced to the relevant Health Insurance-Covered Medical Institution, etc., and where the measure set forth in item (ii) or (iii) has been taken with respect to an insured person, said person shall not be required to make co-payment to the relevant Health Insurance-Covered Medical Institution, etc.

前項の措置を受けた被保険者は、第四十二条第一項及び前条第二項の規定にかかわらず、前項第一号の措置を受けた被保険者にあつては、その減額された一部負担金を保険医療機関等に支払うをもつて足り、同項第二号又は第三号の措置を受けた被保険者にあつては、一部負担金を保険医療機関等に支払うことを要しない。

The provisions of Article 42-2 shall apply mutatis mutandis to the making of co-payment in the case set forth in the preceding paragraph.

第四十二条の二の規定は、前項の場合における一部負担金の支払について準用する。

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