The national government may, pursuant to Cabinet Order provisions, provide assistance to each Society in the total sum of the amounts listed in the following items with respect to the cost incurred in providing benefits for medical treatment, etc. and the expenses incurred in paying young-old payments and old-old aid, long-term care payments, contributions for securing medical care in the early phase of an epidemic and children and child-rearing support levies:
国は、政令の定めるところにより、組合に対し、療養の給付等に要する費用並びに前期高齢者納付金及び後期高齢者支援金、介護納付金、流行初期医療確保拠出金並びに子ども・子育て支援納付金の納付に要する費用について、次の各号に掲げる額の合算額を補助することができる。
the amount obtained by multiplying the total sum of the amounts listed in the following by the ratio specified by Cabinet Order within the range of thirteen hundredths to thirty-two hundredths by taking into consideration the financial capability of the Society:
次に掲げる額の合算額に組合の財政力を勘案して百分の十三から百分の三十二までの範囲内において政令で定める割合を乗じて得た額
the amount obtained by deducting, from (1) the total sum of: (i) the amount calculated by deducting, from the expenses incurred in providing benefits for medical treatment, the amount of co-payment relating to such benefits; and (ii) the amount of expenses incurred in paying the 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, (2) an amount calculated pursuant to Cabinet Order provisions as the amount of such portion of said total sum as relating to the Society's Specified Insured Persons (meaning persons who are insured persons covered by such Society as a result of not being eligible as insured persons under the Health Insurance Act upon the approval under the provisions of item (viii) of paragraph (1) of Article 3 or the proviso of paragraph (2) of the same Article of the same Act as well as insured persons covered by such Society who belong to the above insured persons' respective families; the same shall apply in (b)) (hereinafter referred to as the "Specified Benefit Amount" in this Article);
療養の給付に要する費用の額から当該給付に係る一部負担金に相当する額を控除した額並びに入院時食事療養費、入院時生活療養費、保険外併用療養費、療養費、訪問看護療養費、特別療養費、移送費、高額療養費及び高額介護合算療養費の支給に要する費用の額の合算額から、当該合算額のうち組合特定被保険者（健康保険法第三条第一項第八号又は同条第二項ただし書の規定による承認を受けて同法の被保険者とならないことにより当該組合の被保険者である者及びその世帯に属する当該組合の被保険者をいう。ロにおいて同じ。）に係る額として政令の定めるところにより算定した額（以下この条において「特定給付額」という。）を控除した額
the amount calculated by deducting, from the amount of expenses incurred in paying young-old payments and old-old aid, long-term care payments, contributions for securing medical care in the early phase of an epidemic and children and child-rearing support levies (or, where any young-old subsidy is payable, the amount calculated by deducting such young-old subsidy from such amount of expenses), the amount calculated pursuant to Cabinet Order provisions as the amount of such portion of said amount of expenses as relating to the Society's Specified Insured Persons (hereinafter referred to as the "Specified Amount of Payment Cost" in this Article);
前期高齢者納付金及び後期高齢者支援金、介護納付金、流行初期医療確保拠出金並びに子ども・子育て支援納付金の納付に要する費用の額（前期高齢者交付金がある場合には、これを控除した額）から、当該費用の額のうち組合特定被保険者に係る費用の額として政令の定めるところにより算定した額（以下この条において「特定納付費用額」という。）を控除した額
the total sum of the amount obtained by multiplying the Specified Benefit Amount by a specified ratio and the amount obtained by multiplying the Specified Amount of Payment Cost by a specified ratio.
The specified ratio as referred to in item (ii) of the preceding paragraph shall be a ratio less than thirty-two hundredths, calculated pursuant to Cabinet Order provisions separately for the Specified Benefit Amount and the Specified Amount of Payment Cost by taking into consideration the proportion of assistance provided by the national government with respect to expenses incurred in health insurance services under the Health Insurance Act (including expenses incurred in paying young-old payments and old-old aid, long-term care payments, contributions for securing medical care in the early phase of an epidemic and children and child-rearing support levies) and the financial capability of the Society.
前項第二号の特定割合は、百分の三十二を下回る割合であつて、健康保険法による健康保険事業に要する費用（前期高齢者納付金及び後期高齢者支援金、介護納付金、流行初期医療確保拠出金並びに子ども・子育て支援納付金の納付に要する費用を含む。）に対する国の補助の割合及び組合の財政力を勘案して、特定給付額及び特定納付費用額のそれぞれについて、政令で定めるところにより算定した割合とする。
With regard to the application of the provisions of paragraph (1) to a Society which has reduced the ratios for co-payment pursuant to the provisions of Article 43, paragraph (1) or to a Society which has chosen to bear all or part of the amount of the co-payment to be made by all or some of its insured persons, the amount listed in (a) of item (1) of the same paragraph and the Specified Benefit Amount shall be the amount listed in (a) of the same item and the Specified Benefit Amount, respectively, calculated pursuant to Cabinet Order provisions as if the relevant measures to reduce the ratios for co-payment or to bear all or part of the amount of co-payment were not taken.
In cases where providing assistance as set forth in paragraph (1), the national government may, pursuant to Cabinet Order provisions, increase the amount of assistance set forth in the same paragraph by taking into account the financial capability, etc. of the relevant Society.
The total amount by which the amount of assistance may be increased pursuant to the preceding paragraph shall be within the amount equal to 15.4/100 of the total estimated amount of: the amount listed in (a) of item (i) of paragraph (1) and the Specified Benefit Amount (or, where the provisions of paragraph (3) applies to these amounts, the amount calculated by applying the provisions of the same paragraph); and the total sum of the amount listed in (b) of the same item and the Specified Amount of Payment Cost.
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