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:
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.
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.
Read this with the articles around it
(Co-payment in Cases Where Benefits for Medical Treatment Are Received)
A person who receives benefit for medical treatment in relation to an Health Insurance-Covered Medical Institution, etc. pursuant to the provisions of Article 36, paragraph (3) shall pay…
第三十六条第三項の規定により保険医療機関等について療養の給付を受ける者は、その給付を受ける際、次の各号の区分に従い、当該給付につき第四十五条第二項又は第三項の規定により算定した額に当該各号に掲げる割合を乗じて得た額を、一部負担金として、当該保険医療機関等に支払わなければならない。
Open this provisionIn cases where co-payment shall be made pursuant to the provisions of paragraph (1) of the preceding Article, any fraction of less than five yen in the amount of co-payment set forth in the same…
前条第一項の規定により一部負担金を支払う場合においては、同項の一部負担金の額に五円未満の端数があるときは、これを切り捨て、五円以上十円未満の端数があるときは、これを十円に切り上げるものとする。
Open this provision(Co-payment in Cases Where Benefits for Medical Treatment Are Received)
A person who receives benefit for medical treatment in relation to an Health Insurance-Covered Medical Institution, etc. pursuant to the provisions of Article 36, paragraph (3) shall pay…
第三十六条第三項の規定により保険医療機関等について療養の給付を受ける者は、その給付を受ける際、次の各号の区分に従い、当該給付につき第四十五条第二項又は第三項の規定により算定した額に当該各号に掲げる割合を乗じて得た額を、一部負担金として、当該保険医療機関等に支払わなければならない。
Open this provisionMunicipalities and Societies may, pursuant to Cabinet Order provisions, reduce the ratio of co-payment set forth in Article 42, paragraph (1) by Municipal Ordinance or by constitution.
市町村及び組合は、政令で定めるところにより、条例又は規約で、第四十二条第一項に規定する一部負担金の割合を減ずることができる。
Open this provisionWhen the ratio of co-payment is reduced pursuant to the provisions of the preceding paragraph, it shall be sufficient for an insured person who receives benefits for medical treatment in relation to…
前項の規定により一部負担金の割合が減ぜられたときは、市町村又は組合が開設者の同意を得て定める保険医療機関等について療養の給付を受ける被保険者は、第四十二条第一項の規定にかかわらず、その減ぜられた割合による一部負担金を当該保険医療機関等に支払うをもつて足りる。
Open this provisionMunicipalities 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…
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。
Open this provisionto reduce the amount of co-payment;
一部負担金を減額すること。
Open this provisionto exempt such insured person from making co-payment;
一部負担金の支払を免除すること。
Open this provisionto 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。
Open this provisionNotwithstanding 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…
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。
Open this provisionSociety
「組合」
A National Health Insurance Society (国民健康保険組合): a body made up, as its members (組合員), of people engaged in the same kind of business or occupation who live in its district, which may provide national health insurance to its members and the people in their households (Articles 3, 13 and 19).
Short name set inArticle 13, paragraph (1)
health insurance-covered medical institution, etc.machine translation
「保険医療機関等」
A hospital, clinic or pharmacy designated by the Minister of Health, Labour and Welfare under Article 63, paragraph (3), item (i) of the Health Insurance Act (a health insurance-covered medical institution (保険医療機関) or pharmacy (保険薬局)), from which an insured person of national health insurance chooses where to receive the benefits for medical treatment (療養の給付).
Defined inArticle 36, paragraph (3)