Supplementary Provisions, Article 5-2Special Provisions for Insured Persons Staying at Designated Facility Covered by Long-Term Care Insurance
第五条の二(指定介護老人福祉施設に入所中の被保険者の特例)
An insured person who is found to have changed domicile to the location of a designated facility covered by public aid providing long-term care to the elderly (meaning a designated facility covered by public aid providing long-term care to the elderly prescribed in Article 48, paragraph (1), item (i) of the Long-Term Care Insurance Act; the same applies hereinafter in this paragraph) by being admitted to that facility, and who is found to have been domiciled within the area of another Municipality (meaning a Municipality other than the Municipality in which that designated facility covered by public aid providing long-term care to the elderly is located) at the time of being admitted to that facility, is deemed, for the purpose of the application of this Act, to be domiciled within the area of the other Municipality while continuously admitted to a Converted Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care, even where that designated facility covered by public aid providing long-term care to the elderly becomes, due to a reduction of its admission capacity, a community-based facility for the elderly covered by public aid requiring long-term care prescribed in Article 8, paragraph (22) of that Act (limited to one for which the designation under the main clause of Article 42-2, paragraph (1) of that Act has been received with respect to an office that carries out the business of community-based long-term care for residents of facilities for the elderly covered by public aid prescribed in Article 8, paragraph (22) of that Act; hereinafter referred to as a "Converted Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care" in this Article); provided, however, that this does not apply to an insured person who has been continuously hospitalized, admitted or resident (hereinafter referred to as "hospitalization, etc." in this Article) in two or more hospitals, etc. (meaning the hospitals, etc. prescribed in Article 116-2, paragraph (1); the same applies hereinafter in this Article) including a designated facility covered by public aid providing long-term care to the elderly that has become a Converted Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care (hereinafter referred to as a "Former Facility Covered by Public Aid Providing Long-Term Care to the Elderly" in this Article) (limited to a person who is continuously admitted to that Converted Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care), and who is found to have changed domicile sequentially to the locations of the hospital, etc. in which the person was hospitalized, etc. immediately before being admitted to that Former Facility Covered by Public Aid Providing Long-Term Care to the Elderly (hereinafter referred to as the "last hospital, etc." in this paragraph) and of that Former Facility Covered by Public Aid Providing Long-Term Care to the Elderly, respectively, by being hospitalized, etc. in each of the last hospital, etc. and that Former Facility Covered by Public Aid Providing Long-Term Care to the Elderly (referred to as a "specified continuously hospitalized insured person" in the following paragraph).
指定介護老人福祉施設(介護保険法第四十八条第一項第一号に規定する指定介護老人福祉施設をいう。以下この項において同じ。)に入所をすることにより当該指定介護老人福祉施設の所在する場所に住所を変更したと認められる被保険者であつて、当該指定介護老人福祉施設に入所をした際他の市町村(当該指定介護老人福祉施設が所在する市町村以外の市町村をいう。)の区域内に住所を有していたと認められるものは、当該指定介護老人福祉施設が入所定員の減少により同法第八条第二十二項に規定する地域密着型介護老人福祉施設(同項に規定する地域密着型介護老人福祉施設入所者生活介護の事業を行う事業所に係る同法第四十二条の二第一項本文の指定を受けているものに限る。以下この条において「変更後地域密着型介護老人福祉施設」という。)となつた場合においても、当該変更後地域密着型介護老人福祉施設に継続して入所をしている間は、この法律の適用については、当該他の市町村の区域内に住所を有するものとみなす。ただし、変更後地域密着型介護老人福祉施設となつた指定介護老人福祉施設(以下この条において「変更前介護老人福祉施設」という。)を含む二以上の病院等(第百十六条の二第一項に規定する病院等をいう。以下この条において同じ。)に継続して入院、入所又は入居(以下この条において「入院等」という。)をしていた被保険者(当該変更後地域密着型介護老人福祉施設に継続して入所をしている者に限る。)であつて、当該変更前介護老人福祉施設に入所をする直前に入院等をしていた病院等(以下この項において「直前入院病院等」という。)及び変更前介護老人福祉施設のそれぞれに入院等をすることにより直前入院病院等及び変更前介護老人福祉施設のそれぞれの所在する場所に順次住所を変更したと認められるもの(次項において「特定継続入院等被保険者」という。)については、この限りでない。
Among specified continuously hospitalized insured persons, those listed in the following items are deemed, for the purpose of the application of this Act, to be domiciled within the area of the Municipality specified in the relevant item.
特定継続入院等被保険者のうち、次の各号に掲げるものは、この法律の適用については、当該各号に定める市町村の区域内に住所を有するものとみなす。
an insured person whose domicile is, due to the fact that said person was Hospitalized, etc. in two or more Hospitals, etc. continuously, found to have been sequentially changed to the locations of the respective Hospitals, etc. and who is found to have been domiciled in the area of another Municipality (meaning any Municipality other than that in which the Former Facility Covered by Public Aid Providing Long-Term Care to the Elderly is located) at the time when said person was Hospitalized, etc. in the first of said two or more Hospitals, etc.:said other Municipality;
継続して入院等をしていた二以上の病院等のそれぞれに入院等をすることによりそれぞれの病院等の所在する場所に順次住所を変更したと認められる被保険者であつて、当該二以上の病院等のうち最初の病院等に入院等をした際他の市町村(変更前介護老人福祉施設が所在する市町村以外の市町村をいう。)の区域内に住所を有していたと認められるもの 当該他の市町村
an insured person whose domicile is, in association with the fact that said person moved from one of the two or more Hospitals, etc. in which said person has been continuously hospitalized into another Hospital, etc. with no break (hereinafter referred to as "Continuous Hospitalization, etc." in this item), found to have been changed from a place other than the location of said Hospital, etc. to the location of said other Hospital, etc. (hereinafter referred to as "Specified Change of Domicile" in this item) and who is found to have been domiciled in the area of another Municipality (meaning any Municipality other than that in which the Former Facility Covered by Public Aid Providing Long-Term Care to the Elderly is located) at the time of the most recent Specified Change of Domicile:said other Municipality.
継続して入院等をしていた二以上の病院等のうち一の病院等から継続して他の病院等に入院等をすること(以下この号において「継続入院等」という。)により当該一の病院等の所在する場所以外の場所から当該他の病院等の所在する場所への住所の変更(以下この号において「特定住所変更」という。)を行つたと認められる被保険者であつて、最後に行つた特定住所変更に係る継続入院等の際他の市町村(変更前介護老人福祉施設が所在する市町村以外の市町村をいう。)の区域内に住所を有していたと認められるもの 当該他の市町村
The provisions of Article 116-2 shall apply to an insured person to whom the provisions of the two preceding paragraphs shall apply, as if the Converted Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care were a Hospital, etc.
前二項の規定の適用を受ける被保険者については、変更後地域密着型介護老人福祉施設を病院等とみなして、第百十六条の二の規定を適用する。